334469
Impact of School-Based Health Centers on Sexual Risk Behaviors and Contraceptive Use among New York City Public High School Students, 2009-2013
Tuesday, November 3, 2015
Rebecca Fisher, MPH, MA,
Office of School Health, New York City Department of Health and Mental Hygiene, Long Island City, NY
Kimberly Johnson, MS,
Bureau of Environmental Disease and Injury Prevention, Healthy Homes Program, New York City Department of Health and Mental Hygiene, New York, NY
Phoebe Luong, MPH,
Office of School Health, New York City Department of Health and Mental Hygiene, Long Island City, NY
New York City (NYC) School-Based Health Centers (SBHC) provide comprehensive primary care, and most SBHCs serving high school students provide sexual and reproductive health (SRH) services. NYC Youth Risk Behavior Survey data from 2009, 2011 and 2013 (N=32,896) was used to assess associations between attending a SBHC school and contraceptive use, HIV testing, sexual risk behaviors, and pregnancy among sexually active (SA) females; between using the SBHC and the same outcomes; and between condom and hormonal contraception use. Multivariate logistic regression models were used. SA females attending SBHC schools were more likely to have used any hormonal contraception at last sex, used dual contraception at last sex, not used condom at last sex, been tested for HIV, and received contraception at their SBHC or school the last time they got contraception. SA females using the SBHC were more likely to have used any hormonal contraception at last sex, not used a condom at last sex, been tested for HIV, and received contraception at their SBHC or school the last time they received contraception. Lastly, hormonal contraception use is associated with decreased condom use. Both attending a school with and utilization of the SBHC is associated with increased use of any hormonal contraception and HIV testing and a decreased use of condoms among SA females. Use of condoms for STI prevention among hormonal contraception users should be emphasized. This research supports the role of SBHCs in NYC public high schools in providing access to SRH care and increasing hormonal contraceptive use.
Learning Areas:
Administer health education strategies, interventions and programs
Conduct evaluation related to programs, research, and other areas of practice
Epidemiology
Provision of health care to the public
Public health or related research
Learning Objectives:
Compare sexual risk behaviors and contraceptive use among sexually active female students in schools with and without access to SBHCs.
Describe associations of SBHC utilization and sexual risk behaviors and contraceptive use.
Keyword(s): Adolescents, School-Based Health
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I have an MPH in epidemiology and have worked for the past 4 years in program evaluation and research with the Office of School Health (OSH) in the New York City Department of Health and Mental Hygiene (NYC DOHMH) and with the Minneapolis Health Department. I am currently the Director of Evaluation for the Adolescent Health Unit in the OSH in the NYC DOHMH. I am the primary analyst working with the SBHC-enhanced NYC YRBS.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.
