Evidence map›Paper›PMID 39491783›Full record

ArticleThe Journal of pediatrics2025

Impact of Rural School-Based Health Centers on Asthma Management.

Wendy M Brunner, Zhuang Han, Sharon Tennyson, Peter C Fiduccia, Nicole Krupa, Chris Kjolhede

Abstract read
In one paragraph

Article in The Journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Stock inhalers in action: results of a pilot study across multiple Illinois counties.The Journal of asthma : official journal of the Association for the Care of Asthma · 2025
    Article
  3. 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.

Wendy M BrunnerResearch Institute, Bassett Medical Center, Cooperstown, NY. Electronic address: wendy.brunner@bassett.org.
Zhuang HanDepartment of Global Development, Cornell University, Ithaca, NY.
Sharon TennysonJeb E. Brooks School of Public Policy, Cornell University, Ithaca, NY.
Peter C FiducciaDepartment of Global Development, Cornell University, Ithaca, NY.
Nicole KrupaResearch Institute, Bassett Medical Center, Cooperstown, NY.
Chris KjolhedeDepartment of Pediatrics, Bassett Healthcare Network, Cooperstown, NY.

Funding

School Based Health Centers - An approach to address health disparities among rural youth.R01MD018385 · NIMHD · CORNELL UNIVERSITY · PI Wendy Brunner, SHARON TENNYSON · 2023 to 2026
$2.5M
NIMHD NIH HHS R01 MD018385
6 · The paper itself

Abstract

objectiveTo test the hypothesis that students with asthma who have access to school-based health centers (SBHCs) receive more recommended preventive care and use less emergency care, we compared patterns of health care utilization among rural students with asthma by SBHC access. STUDY

designUsing a cross-sectional design, we analyzed encounters for all patients ages 4 through 19 living in 4 counties covered by a health care system that sponsors a network of SBHCs in rural upstate New York. Patient addresses for each encounter were geocoded to school districts, allowing us to determine whether students lived in districts with (n = 15) or without (n = 23) a SBHC. We measured utilization among students with asthma in 2016 and 2017, comparing measures by SBHC access. Students with asthma were identified using International Classification of Diseases diagnosis codes from visits in the 2 calendar years prior to each analysis year.

resultsStudents in districts with SBHCs had greater odds of 2 or more asthma-related office visits (odds ratio [OR] = 2.23; 95% CI: 1.66-2.99) and 1 or more well-child visits (OR = 1.24; 95% CI: 1.03-1.50) than their peers in districts without SBHCs. Students in districts with SBHCs had lower odds of a respiratory-related convenient care or emergency department visit (OR = 0.45; 95% CI: 0.30-0.67). Across outcomes, differences were greatest when comparing students who utilized the SBHC in their district with students in districts who did not have access to a SBHC.

conclusionsRural students with asthma who have access to SBHCs have greater opportunities for preventive asthma care per national guidelines and use emergency departments and convenient care less.

Indexed as

AsthmaHealth Services AccessibilityRural PopulationSchool Health ServicesAdolescentChildChild, PreschoolCross-Sectional StudiesFemaleHumansMaleNew YorkPatient Acceptance of Health CareYoung Adultasthmachildrenruralschool-based health centers

Identifiers

PMID39491783
PMCPMC11788043

What OpenQuestion holds

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Registered trials

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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.