title: A Statewide Profile of Frequent Users of School-Based Health Centers: Implications for Adolescent Health Care.
abstract: BACKGROUND
  The purpose of this study is to describe patterns of care and service use among adolescent school-based health center (SBHC) users in New Mexico and contrast patterns and services between frequent and infrequent users.
  
  
  METHODS
  Medical claims/encounter data were analyzed from 59 SBHCs located in secondary schools in New Mexico during the 2011-2012 school year. We used Pearson's chi-square test to examine the differences between frequent (≥ 4 visits/year) and infrequent users in their patterns of SBHC care, and we conducted logistic regression to examine whether frequent use of the SBHC predicted receipt of behavioral, reproductive, and sexual health; checkup; or acute care services.
  
  
  RESULTS
  Most of the 26,379 adolescent SBHC visits in New Mexico were for behavioral health (42.4%) and reproductive and sexual health (22.9%). Frequent users have greater odds of receiving a behavioral, reproductive, and sexual health; and acute care visit than infrequent users (p < .001). American Indians, in particular, have higher odds of receiving behavioral health and checkup visits, compared with other races/ethnicities (p < .001).
  
  
  CONCLUSIONS
  SBHCs deliver core health care services to adolescents, including behavioral, reproductive, and checkup services, to high need populations. American-Indian youth, more than their peers, use SBHCs for behavioral health and checkups.
authors.affiliation: NORC at the University of Chicago, 55 E. Monroe St. 30th Floor, Chicago, IL 60603. koenig-kevin@norc.org.
authors.forename: Kevin T
authors.initials: KT
authors.lastname: Koenig
authors.affiliation: Department of Pediatrics, University of New Mexico, 625 Silver Ave. SW Suite 324, Albuquerque, NM 87102. mramos@salud.unm.edu.
authors.forename: Mary M
authors.initials: MM
authors.lastname: Ramos
authors.affiliation: Altarum Institute, 2000 Duke St., Ste 200, Alexandria, VA 22314. tara.trudnak@altarum.org.
authors.forename: Tara T
authors.initials: TT
authors.lastname: Fowler
authors.affiliation: New Mexico Department of Health, Office of School and Adolescent Health, 300 San Mateo Blvd, NE, Suite 902, Albuquerque, NM 87108. kristin.oreskovich@state.nm.us.
authors.forename: Kristin
authors.initials: K
authors.lastname: Oreskovich
authors.affiliation: Department of Pediatrics, University of New Mexico, 625 Silver Ave. SW Suite 324, Albuquerque, NM 87102. jmcgrath@salud.unm.edu.
authors.forename: Jane
authors.initials: J
authors.lastname: McGrath
authors.affiliation: Academy Health, 1150 17th Street, NW, Suite 600, Washington, DC 20036. gerry.fairbrother@academyhealth.org.
authors.forename: Gerry
authors.initials: G
authors.lastname: Fairbrother
mesh_terms: D000293:Adolescent; D000067697:Adolescent Health; D016497:Adolescent Health Services / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007345:Insurance Claim Review; D008297:Male; D009516:New Mexico; D012572:School Health Services / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: child and adolescent health; mental health; reproductive health; school health services; school-based health centers