Assessing the Impact of School-Based Health Centers on Academic Achievement and College Preparation Efforts: Using Propensity Score Matching to Assess School-Level Data in California
- PMID: 27009589
- PMCID: PMC4945386
- DOI: 10.1177/1059840516634805
Assessing the Impact of School-Based Health Centers on Academic Achievement and College Preparation Efforts: Using Propensity Score Matching to Assess School-Level Data in California
Abstract
This study examines the association between school-based health center (SBHC) presence and school-wide measures of academic achievement and college preparation efforts. Publicly available educational and demographic data from 810 California public high schools were linked to a list of schools with an SBHC. Propensity score matching, a method to reduce bias inherent in nonrandomized control studies, was used to select comparison schools. Regression analyses, controlling for proportion of English-language learners, were conducted for each outcome including proportion of students participating in three College Board exams, graduation rates, and meeting university graduation requirements. Findings suggest that SBHC presence is positively associated with college preparation outcomes but not with academic achievement outcomes (graduation rates or meeting state graduation requirements). Future research must examine underlying mechanisms supporting this association, such as school connectedness. Additional research should explore the role that SBHC staff could have in supporting college preparation efforts.
Keywords: academic; college preparedness; school-based health center (SBHC); youth.
© The Author(s) 2016.
References
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- Bradley BJ, Greene AC. Do health and education agencies in the United States share responsibility for academic achievement and health? A review of 25 years of evidence about the relationship of adolescents’ academic achievement and health behaviors. Journal of Adolescent Health. 2013;52(5):523–532. doi: 10.1016/j.jadohealth.2013.01.008. - DOI - PubMed
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- California School-Based Health Alliance. About School-Based Health Centers. 2016 Retrieved from http://www.schoolhealthcenters.org/school-health-centers-in-ca/
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- Centers for Disease Control and Prevention (CDC) School Connectedness: Strategies for Increasing Protective Factors Among Youth. Atlanta, GA: US Department of Health and Human Services; 2009.
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