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Methods Matter: Tracking Health Disparities in Alternative High Schools

机译：方法问题：在替代高中跟踪健康差异

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Alternative high school (AHS) students are at-risk for school dropout and engage in high levels of health-risk behaviors that should be monitored over time. They are excluded from most public health surveillance efforts (e.g., Youth Risk Behavior Survey; YRBS), hindering our ability to monitor health disparities and allocate scarce resources to the areas of greatest need. Using active parental consent, we recruited 515 students from 14 AHSs in Texas to take a modified YRBS. We calculated three different participation rates, tracked participation by age of legal consent (18 and <18years), and identified other considerations for obtaining quality data. Being required to use active consent resulted in a much lower cooperation rate among students <18years (32%) versus those who were 18years and could provide their own consent (57%). Because chronic truancy is prevalent in AHS students, cooperation rates may be more accurate than participation rates based off of enrollment or attendance. Requiring active consent and not having accurate participation rates may result in surveillance data that are of disparate quality. This threatens to mask the needs of AHS students and perpetuate disparities because we are likely missing the highest-risk students within a high-risk sample and cannot generalize findings.
机译：替代高中（AHS）学生对学校辍学的风险，并从事应随着时间的推移监测的高水平健康风险行为。它们被排除在大多数公共卫生监测努力之外（例如，青年风险行为调查; YRB），阻碍我们监测健康差异的能力，并将稀缺资源分配给最需要的领域。利用活跃的父母同意，我们招募了515名从德克萨斯州的14 AHS学生进行修改过的YRB。我们计算了三个不同的参与率，通过法律同意（18和<18年）的年龄追踪参与，并确定了获得质量数据的其他考虑因素。被要求使用积极同意使得学生的合作率降低<18年（32％）与18年的人，并且可以提供自己的同意（57％）。由于慢性逃学在AHS学生中普遍，因为合作率可能比以入学或出席的参与率更准确。需要积极同意并且没有准确的参与率可能导致监视数据具有不同的质量。这威胁要掩盖AHS学生的需求，并且延续差异，因为我们可能在高风险样本中缺少最高风险的学生，并且不能概括发现。

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