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Racial Group Differences in School-Based Health and Social Services: An Exploration of the Role of Referral Routines.

机译：校本卫生和社会服务中的种族群体差异：推荐程序的作用探讨。

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摘要

Given persistent racial disparities in access to health and social services, scholars and advocates have long argued that intensive school-based support programs are a critical condition for the success of disadvantaged students of color. Yet surprisingly little is known about the actual dynamics of service use across by race in educational settings. Data from school health programs in a large and diverse urban school district (n= 6,696 students served across 15 sites) indicate that the provision of services in schools improves access for many historically underserved groups of youth. However, racial disproportionalities observed in students' use of psychosocial interventions warranted further investigation. Drawing on institutional theory and research from special education, this study used archival, administrative, and survey data to examine racial group differences in service utilization and their relationship to school staff members' referral practices. Using multilevel modeling techniques, analyses of racial group differences in service use (n=8,466 students, 15 schools) remained significant after controlling for students' risk taking behaviors and demographic covariates. Black, Latino, Pacific Islander and Multiracial youth were all more likely to access their school health program than White or Asian youth. Referrals by teachers, administrators and school counselors were significantly associated with service use for Black and Pacific Islander youth only. Multinomial regression analyses of referral data (n= 690 referrals, 3 schools) revealed that school staff members were also more likely to refer Black and Pacific Islander students for emotional concerns. In contrast, they were more likely to refer Asian and White youth for social or relational issues, and Latino youth for substance abuse. This study is the first of its kind to examine the role of referrals in students' use of school health programs.
机译：鉴于种族之间在获得健康和社会服务方面的持续差距，学者和倡导者长期以来一直认为，密集的基于学校的支持计划是成功让有色弱势学生获得成功的关键条件。然而，令人惊讶的是，人们对教育环境中种族之间使用服务的实际动态知之甚少。来自一个大型且多样化的城市学区的学校卫生计划的数据（n = 6696名学生在15个站点中服务）表明，在学校中提供服务可以改善许多历史上服务欠缺的青年群体的学习机会。但是，在学生使用社会心理干预措施时观察到的种族失调值得进一步调查。这项研究基于特殊教育的制度理论和研究，使用档案，行政和调查数据来检验种族群体在服务利用方面的差异及其与学校工作人员推荐工作的关系。在控制了学生的冒险行为和人口统计学协变量之后，使用多级建模技术对服务使用中的种族群体差异进行了分析（n = 8,466名学生，15所学校）。黑人，拉丁裔，太平洋岛民和多种族青年比白人或亚洲青年更有可能参加他们的学校健康计划。老师，行政人员和学校辅导员的转介仅与黑人和太平洋岛民青年的服务使用相关。对推荐数据（n = 690推荐，3所学校）的多项回归分析表明，学校工作人员也出于情感方面的考虑而更倾向于推荐黑人和太平洋岛民学生。相反，他们更可能将亚裔和白人青年用于社会或关系问题，而将拉丁美洲裔青年用于药物滥用。这项研究是首次研究转介在学生使用学校健康计划中的作用的此类研究。

著录项

  • 作者

    Anyon, Yolanda Temko.;

  • 作者单位

    University of California, Berkeley.;

  • 授予单位 University of California, Berkeley.;
  • 学科 Education Sociology of.;Sociology Ethnic and Racial Studies.;Health Sciences Public Health.;Social Work.
  • 学位 Ph.D.
  • 年度 2012
  • 页码 94 p.
  • 总页数 94
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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