Evidence map›Paper›PMID 32863078›Full record

ArticleAmerican journal of preventive medicine2020

Effect of Elementary School-Based Health Centers in Georgia on the Use of Preventive Services.

Esther K Adams, Andrea E Strahan, Peter J Joski, Jonathan N Hawley, Veda C Johnson, Carol J Hogue

Open access · greenAbstract read
In one paragraph

Article in American journal of preventive medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.1field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Esther K AdamsDepartment of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia. Electronic address: eadam01@sph.emory.edu.
Andrea E StrahanDepartment of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Peter J JoskiDepartment of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Jonathan N HawleyDepartment of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Veda C JohnsonDepartment of Pediatrics, Emory University School of Medicine, Atlanta, Georgia.
Carol J HogueDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Emory University · US

Funding

Effect of School-Based Health Centers on Reducing Students Health DisparitiesR01MD008966 · NIMHD · EMORY UNIVERSITY · PI HOGUE, CAROL J., JOHNSON, VEDA CHARMAINE · 2014 to 2018
$2.0M
NIMHD NIH HHS R01 MD008966
6 · The paper itself

Abstract

introductionThis study measures effects on the receipt of preventive care among children enrolled in Georgia's Medicaid or Children's Health Insurance Program associated with the implementation of new elementary school-based health centers. The study sites differed by geographic environment and predominant race/ethnicity (rural white, non-Hispanic; black, small city; and suburban Hispanic).

methodsA quasi-experimental treatment/control cohort study used Medicaid/Children's Health Insurance Program claims/enrollment data for children in school years before implementation (2011-2012 and 2012-2013) versus after implementation (2013-2014 to 2016-2017) of school-based health centers to estimate effects on preventive care among children with (treatment) and without (control) access to a school-based health center. Data analysis was performed in 2017-2019. There were 1,531 unique children in the treatment group with an average of 4.18 school years observed and 1,737 in the control group with 4.32 school years observed. A total of 1,243 Medicaid/Children's Health Insurance Program-insured children in the treatment group used their school-based health centers.

resultsSignificant increases in well-child visits (5.9 percentage points, p<0.01) and influenza vaccination (6.9 percentage points, p<0.01) were found for children with versus without a new school-based health center. This represents a 15% increase from the pre-implementation percentage (38.8%) with a well-child visit and a 25% increase in influenza vaccinations. Increases were found only in the 2 school-based health centers with predominantly minority students. The 18.7 percentage point (p<0.01) increase in diet/counseling among obese/overweight Hispanic children represented a doubling from a 15.3% baseline.

conclusionsImplementation of elementary school-based health centers increased the receipt of key preventive care among young, publicly insured children in urban areas of Georgia, with potential reductions in racial and ethnic disparities.

Indexed as

Health Services AccessibilityInsurance, HealthChildCohort StudiesGeorgiaHumansMedicaidPreventive Health ServicesSchoolsUnited States

Identifiers

PMID32863078
PMCPMC8188727
OpenAlexW3082542762

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.