The Impact of School-Based Health Centers on the Health Outcomes of Middle School and High School Students
Open accessAbstract
Objectives. We studied the direct and indirect effects of school-based health centers (SBHCs) on the health and health behaviors of middle and high school students. Methods. We used a prospective cohort design to measure health outcomes annually over 2 consecutive years by student self-report. Cohorts of middle school and high school students were recruited from matched schools with and without SBHCs. Data were obtained from 744 students in both year 1 and year 2 of the study. We used 2-level hierarchical linear models to estimate the effects of the presence of SBHCs at the school level and of SBHC use at the student level. Results. At year 2, users of SBHCs experienced greater satisfaction with their health, more physical activity, and greater consumption of healthy food than did nonusers of SBHCs. Conclusions. Students who used SBHCs were more satisfied with their health and engaged in a greater number of health-promoting behaviors than did students who did not use SBHCs. These findings indicate that SBHCs are achieving their goal of promoting children's health.
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One study found greater reduction in high school non-completion for students at schools with SBHCs who received free or reduced-price lunch compared with those not eligible for free or reduced-price lunch.
“One study79 found greater reduction in high school non-completion for students at schools with SBHCs who received free or reduced-price lunch compared with those not eligible for free or reduced-price lunch.”
From School-Based Health Centers to Advance Health Equity (2016) · cites this paper as [79]
The Methods describe matching schools by the percentage of students receiving free or reduced-price lunch, but do not report a comparison of outcomes by individual lunch eligibility. The Results and Conclusions address self-reported health and health behaviors, not high school non-completion. Searches for non-completion, dropout, graduation, and lunch-eligibility effects found no passage supporting the claimed finding. (LLM, conf=0.76)
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- Authors
- McNall, M. A., Lichty, L. F., & Mavis, B.
- Affiliations
- Michigan State University (US)
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2010-09
- Volume
- 100
- Issue
- 9
- Pages
- 1604-1610
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC2920993
- OpenAlex
- W2108057978
- Cited by
- 58
- References
- 25
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 1 · 2023: 3 · 2022: 2 · 2021: 5 · 2020: 4 · 2019: 3 · 2018: 3 · 2017: 6 · 2016: 6 · 2015: 9 · 2014: 1 · 2013: 5 · 2012: 3
- FWCI
- 9.76
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Robert Wood Johnson Foundation
- Michigan State University
- Topics
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
- Health Sciences › Health Professions › General Health Professions › Adolescent Health and Behaviors
- Keywords
- school-based health centers, adolescent health, junior high school students, high school students, health behavior, physical activity, healthy eating, health satisfaction, health promotion, school health services
- MeSH terms
- Adolescent, Child, Diet, Female, Health Status Indicators, Humans, Male, Michigan, Motor Activity, Prospective Studies, Quality of Life, Surveys and Questionnaires, School Health Services, Chi-Square Distribution, Linear Models, Patient Satisfaction, Outcome Assessment, Health Care
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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