Purpose: To examine the association between the introduction of a school-based health center (SBHC) and high school graduation rates.

Methods: We use school-level longitudinal data from Colorado that combines data on the opening of SBHCs in high schools with 4-year high school graduation rates overall and by gender between 2000 and 2018. The analytic sample consists of high schools without an SBHC in 2000 (n = 132). We compare high schools that opened SBHCs over the period to those that did not and run school-level panel fixed effects models to assess the relationship between opening an SBHC and change in high school graduation rates.

Results: Schools that subsequently opened SBHCs had larger minority populations and lower average graduation rates in 2000. Opening an SBHC was associated with a 4.1 percentage point increase in the overall graduation rate (p = .077). The gender-stratified analyses indicate young men's graduation rates were most sensitive to the presence of an SBHC, increasing 4.8 percentage points (p = .051), compared to young women's graduation rates increasing 3.0 percentage points (p = .163).

Conclusions: Our findings suggest that the benefits of SBHC access may extend beyond health-specific outcomes to graduation rates.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7483255PMC
http://dx.doi.org/10.1016/j.jadohealth.2020.04.012DOI Listing

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