School-based health centers and academic performance: research, challenges and recommendations
Abstract
ABSTRACT: School‐based health centers (SBHCs) provide physical and mental health services on school campuses to improve student health status, and thereby potentially facilitate student academic success. With a growing emphasis on school accountability and the simultaneous dwindling of resources at the federal, state, and local levels, SBHCs face increasing pressures from school administrators and funders to document their impact on student academic achievement. This article reviews the methods, findings, and limitations of studies that have examined the relationship between SBHCs and academic performance. It also describes methodological challenges of conducting and interpreting such research, and discusses factors and intermediate variables that influence student academic performance. Recommendations are offered for SBHC researchers, evaluators, and service providers in response to the pressure they are facing to document the effect of SBHC services on academic outcomes. (J Sch Health. 2004;74(9):347–352)
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Health problems and risk-taking behavior are associated with low scholastic performance.
“Health problems (e.g., vision and oral health problems, asthma, teen pregnancy, malnutrition, obesity, chronic stress, and inattention and hyperactivity disorders) and risk-taking behavior (e.g., aggression and violence, unsafe sexual activity, unhealthy eating, physical inactivity, and substance use) are associated with low scholastic performance.12–22”
From School-Based Health Centers to Advance Health Equity (2016) · cites this paper as [19]
Previous reviews have found limited evidence of SBHC effectiveness in improving healthcare utilization and academic outcomes.
“Previous reviews have found limited evidence of SBHC effectiveness in improving healthcare utilization and academic outcomes.19,37–41”
From School-Based Health Centers to Advance Health Equity (2016) · cites this paper as [19]
Cites
Consequences and Correlates of Adolescent Depression
Glied, S., & Pine, D. S. (2002) · Archives of Pediatrics & Adolescent Medicine · doi:10.1001/archpedi.156.10.1009 · Cited by 260 · see citing works
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School-Based Health Centers to Advance Health Equity
Knopf, J. A., Finnie, R. K. C., Peng, Y., Hahn, R. A., Truman, B. I., Vernon-Smiley, M., Johnson, V. C., Johnson, R. L., Fielding, J. E., Muntaner, C., et al. (2016) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2016.01.009 · Cited by 248 · see citing works
- Authors
- Geierstanger, S. P., Amaral, G., Mansour, M., & Walters, S. R.
- Affiliations
- University of California, San Francisco (US)
- Venue
- Journal of School Health
- Publisher
- Wiley
- Published
- 2004-11
- Volume
- 74
- Issue
- 9
- Pages
- 347-352
- ISSN
- 0022-4391 (ISSN-L)
- 1746-1561
- OpenAlex
- W2138979718
- Cited by
- 100
- References
- 1
- Citations by year
- 2026: 6 · 2025: 2 · 2024: 2 · 2023: 1 · 2022: 5 · 2021: 4 · 2020: 7 · 2019: 2 · 2018: 4 · 2017: 4 · 2016: 7 · 2015: 5 · 2014: 2 · 2013: 3 · 2012: 15
- FWCI
- 7.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of School Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
- Social Sciences › Safety Research › Youth Development and Social Support
- Keywords
- school-based health centers, academic performance, student health services, school accountability, program evaluation, research limitations, intermediate variables
- MeSH terms
- Educational Status, Humans, School Health Services, Students, Task Performance and Analysis, United States, Outcome Assessment, Health Care, Sick Leave
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