Health Care Seeking and Risk Behaviors among High School Students in the Context of a School-Based Health Center

Authors

  • Hilda Audardottir-Goulay University of Kansas Medical Center:KU School of Medicine-Kansas City, 3901 Rainbow Blvd, Kansas City, KS 66160, USA.
  • Beka Mullen
  • Allen Greiner
  • Kenosha Hobson
  • Catherine L Satterwhite

DOI:

https://doi.org/10.17161/kjm.v6i4.11455

Keywords:

school health services, reproductive health, sexually transmitted diseases, health services accessibility, healthcare quality, access, and evaluation

Abstract

Background. To address adolescent health needs in urban Wyandotte County, Kansas, a school-based health center (SBHC) was opened in March 2012. Students were surveyed to inform SBHC operations. Methods. All Wyandotte High School students were invited to complete an online survey in class in May 2012. Questions on demographics, health care seeking behaviors, behavioral risk factors, and missed school days were included. Results. Of 1,240 eligible students, 398 responded (32.3%). Nearly half (45.8%) reported that the emergency room or hospital was the location where they usually would seek health care. Females were more likely than males to report less access to mental health counseling (15.1% vs 10.8%, p = 0.01) or reproductive health care (7.7% vs 5.7%, p = 0.03) when needed and were more likely to miss school due to a health problem (54.0% vs 37.9% missed ≥ 1 day in past 4 weeks, p = 0.006). Males were more likely to report having had sex (59.2% vs 46.9%, p = 0.02) while females were more likely to report never using a condom when having sex (30.6% vs 18.3%, p = 0.001). Almost two-thirds (61.9%) of respondents were aware of the SBHC; 18.7% had used the SBHC. Conclusions. Students do not have adequate access to primary care, including sexual and mental health care. Using these data, the SBHC can be better adapted to meet student needs.

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Published

2013-11-26

How to Cite

Audardottir-Goulay, H., Mullen, B., Greiner, A., Hobson, K., & Satterwhite, C. L. (2013). Health Care Seeking and Risk Behaviors among High School Students in the Context of a School-Based Health Center. Kansas Journal of Medicine, 6(4), 124–132. https://doi.org/10.17161/kjm.v6i4.11455

Issue

Section

Case Reports