{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T21:22:38Z","timestamp":1793136158100,"version":"4.5.0"},"reference-count":61,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2022,4,28]],"date-time":"2022-04-28T00:00:00Z","timestamp":1651104000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Division of Adolescent and School Health (DASH), National Center for HIV\/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), Centers for Disease Control and Prevention","award":["Contract # HHSD2002013M53944B, Task Order #75D3011"],"award-info":[{"award-number":["Contract # HHSD2002013M53944B, Task Order #75D3011"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Journal of School Nursing"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:p>School connectedness is an important factor in the lives of youth and are a leverage point for optimizing youth\u2019s social, emotional, and physical health. This study presents a meta-analysis examining the relationship between school connectedness and four health domains that are prevalent in adolescence, have implications for adult health, and often co-occur: mental health, sexual health, violence, and high-risk substance use. Ninety articles published between 2009 and 2019 were included in the analysis. The study found that school connectedness had a protective average effect size across all health domains (Hedges\u2019 g\u2009=\u2009\u22120.345, p-value&lt;0.001). When examined separately, school connectedness had a significant protective relationship with substance use ( g\u2009=\u2009\u22120.379, p\u2009&lt;\u20090.001), mental health (Hedges\u2019 g\u2009=\u2009\u22120.358, p\u2009&lt;\u20090.001), violence (Hedges\u2019 g\u2009=\u2009\u22120.318, p\u2009&lt;\u20090.001), sexual health (Hedges\u2019 g\u2009=\u2009\u22120.145, p\u2009&lt;\u20090.001), and with co-occurring risks (Hedges\u2019 g\u2009=\u2009\u22120.331, p\u2009&lt;\u20090.001). These results provide strong evidence that school connectedness has the potential to prevent and mitigate multiple health risks during adolescence.<\/jats:p>","DOI":"10.1177\/10598405221096802","type":"journal-article","created":{"date-parts":[[2022,4,28]],"date-time":"2022-04-28T03:36:31Z","timestamp":1651116991000},"page":"58-73","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":80,"title":["The Relationship of School Connectedness to Adolescents\u2019 Engagement in Co-Occurring Health Risks: A Meta-Analytic Review"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7476-2898","authenticated-orcid":false,"given":"India D.","family":"Rose","sequence":"first","affiliation":[{"name":"ICF, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine A.","family":"Lesesne","sequence":"additional","affiliation":[{"name":"Deloitte Consulting, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Sun","sequence":"additional","affiliation":[{"name":"ICF, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle M.","family":"Johns","sequence":"additional","affiliation":[{"name":"NORC, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaodong","family":"Zhang","sequence":"additional","affiliation":[{"name":"ICF, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marci","family":"Hertz","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Division of Adolescent and School Health, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,4,28]]},"reference":[{"key":"bibr1-10598405221096802","doi-asserted-by":"publisher","DOI":"10.1007\/s10648-016-9389-8"},{"key":"bibr2-10598405221096802","doi-asserted-by":"publisher","DOI":"10.1007\/s10648-021-09621-w"},{"key":"bibr3-10598405221096802","doi-asserted-by":"publisher","DOI":"10.1002\/ajcp.12061"},{"key":"bibr4-10598405221096802","doi-asserted-by":"publisher","DOI":"10.1016\/j.childyouth.2020.105637"},{"key":"bibr5-10598405221096802","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2008.01.012"},{"key":"bibr6-10598405221096802","doi-asserted-by":"publisher","DOI":"10.1080\/19345740802400072"},{"key":"bibr7-10598405221096802","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2006.10.013"},{"key":"bibr8-10598405221096802","volume-title":"Comprehensive meta-analysis, version 2","author":"Borenstein M.","year":"2005"},{"key":"bibr9-10598405221096802","doi-asserted-by":"publisher","DOI":"10.1177\/1098300709334798"},{"key":"bibr10-10598405221096802","doi-asserted-by":"publisher","DOI":"10.1038\/tp.2017.105"},{"key":"bibr11-10598405221096802","doi-asserted-by":"publisher","DOI":"10.1177\/0042085902371004"},{"issue":"1","key":"bibr12-10598405221096802","first-page":"26","volume":"23","author":"Burke T. 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U.S. Department of Education, Institute of Education Sciences, National Center for Education Evaluation and Regional Assistance, What Works Clearinghouse."},{"key":"bibr59-10598405221096802","doi-asserted-by":"publisher","DOI":"10.1207\/s1532480xads1001_2"}],"container-title":["The Journal of School Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10598405221096802","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10598405221096802","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10598405221096802","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:54:07Z","timestamp":1777528447000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10598405221096802"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,28]]},"references-count":61,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1177\/10598405221096802"],"URL":"https:\/\/doi.org\/10.1177\/10598405221096802","relation":{},"ISSN":["1059-8405","1546-8364"],"issn-type":[{"value":"1059-8405","type":"print"},{"value":"1546-8364","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,28]]}}}