{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T03:18:51Z","timestamp":1785295131641,"version":"3.55.0"},"reference-count":32,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2021,7,12]],"date-time":"2021-07-12T00:00:00Z","timestamp":1626048000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>We assess the impact of School\u2010Based Health Centers (SBHCs) on National Performance Measures (NPMs) related to health care access and utilization among Medicaid\u2010insured youth in Delaware.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Our retrospective analysis of Delaware's SBHC program data linked with Medicaid claims during 2014\u20102016 for 13 to 18\u2010year\u2010olds assessed achievement of NPMs and use of mental health services using propensity scores. We estimated crude and adjusted prevalence ratios (APR) for SBHC\u2010enrolled compared with non\u2010enrolled youth.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Students enrolled in SBHCs had more health care visits (M\u00a0=\u00a08.7; 95% CI: 7.9\u20109.5) compared with non\u2010SBHC\u2010enrolled youth (M\u00a0=\u00a04.5; 95% CI: 4.3\u20104.7). Compared with non\u2010SBHC, those enrolled in SBHCs were more likely to receive: well\u2010child visits (APR\u00a0=\u00a01.2; 95% CI: 1.1\u20101.3); annual risk assessment (APR\u00a0=\u00a011.0; 95% CI: 6.9\u201017.5); BMI screening (APR\u00a0=\u00a05.6; 95% CI: 3.3\u20109.4); nutrition counseling (APR\u00a0=\u00a04.1; 95% CI: 2.8\u20106.0); physical activity counseling (APR\u00a0=\u00a06.3; 95% CI: 4.2\u20109.4); STIs and chlamydia screening (APR\u00a0=\u00a01.9; 95% CI: 1.3\u20102.8); mental health visits (APR\u00a0=\u00a02.6; 95% CI: 2.2\u20103.1).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>We found that among Medicaid\u2010insured youth, those enrolled in SBHCs vs not enrolled in SBHCs had greater health care utilization as evident from NPMs and mental health services.<\/jats:p><\/jats:sec>","DOI":"10.1111\/josh.13060","type":"journal-article","created":{"date-parts":[[2021,7,13]],"date-time":"2021-07-13T04:31:19Z","timestamp":1626150679000},"page":"714-721","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Assessing the Effect of <scp>School\u2010Based<\/scp> Health Centers on Achievement of National Performance Measures"],"prefix":"10.1111","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7635-2622","authenticated-orcid":false,"given":"Khaleel S.","family":"Hussaini","sequence":"first","affiliation":[{"name":"Field Support Branch, (khaleel.hussaini@delaware.gov), Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA. USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tabatha","family":"Offutt\u2010Powell","sequence":"additional","affiliation":[{"name":"Section Chief, (tabatha.offutt\u2010powell@delaware.gov), Epidemiology Health Data and Informatics Section, Delaware Department of Health and Social Services, Division of Public Health, New Castle, DE. USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gloria","family":"James","sequence":"additional","affiliation":[{"name":"Bureau Chief, (gloria.james@delaware.gov), Adolescent and Reproductive Health, Family Health Systems, Delaware Department of Health and Social Services, Division of Public Health, New Castle, DE. USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilia H.","family":"Koumans","sequence":"additional","affiliation":[{"name":"Medical Officer, (exk0@cdc.gov), Centers for Disease Control and Prevention, Division of Reproductive Health, Women's Health and Fertility Branch, Atlanta, GA. USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,7,12]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"crossref","unstructured":"CohenRA MartinezME. Health insurance coverage: early release of estimates from the national health interview survey January\u2013September 2014. 2015. Available at:http:\/\/www.cdc.gov\/nchs\/data\/nhis\/earlyrelease\/insur201503.pdf. 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