The Human Papillomavirus (HPV) vaccine can prevent 90% of cancers caused by HPV. Health care provider recommendations affect vaccine uptake, yet there are a lack of studies examining the impact of the school nurse (SN) in vaccine recommendations. The purpose of this study was to evaluate the impact of adding a SN HPV recommendation to the standard…

Asthma morbidity disproportionately impacts children from low-income and racial/ethnic minority communities. School-supervised asthma therapy improves asthma outcomes for up to 15 months for underrepresented minority children, but little is known about whether these benefits are sustained over time. We examined the frequency of emergency…

Almost two-thirds (64%) of students who are considering dropping out of college cited emotional stress or personal mental health challenges as the reason--more than twice the percentage of those who cite the cost of attendance. The mental health crisis disproportionately impacts students of color, and there is also a critical lack of diversity in…

Background: Adolescents and young adults (AYA) with chronic conditions should acquire self-management skills as part of their healthcare transition (HCT) from pediatric to adult-focused care. HCT/self-management skills have the potential to help mitigate health disparities among minority AYA with chronic conditions. This study investigated school…

Healthcare services outside of school impact the likelihood of receiving a school-based special education classification and services. Using Massachusetts administrative data on public school students, this paper employs difference-in-differences to examine the impacts of expanded Medicaid coverage for mental and behavioral healthcare brought by…

Early adolescence is a time of rapid cognitive, psychosocial, and physical development, and an array of contextual factors, such as systemic racism, exert significant influence. Universal behavioral health screening data of 4,234 middle school students were examined to explore the influence of demographic (e.g. ethnicity, race) and contextual…

In "Critical Conditions," Elaine Weiss, Bruce Levine, and Kimberly Sterin outline successful strategies for whole child and whole community support that can help school systems meet broader student needs in times of disruption. They take a deep look at Integrated Student Supports (ISS), an approach to education policy and practice…

Objective: To determine HIV pre-exposure prophylaxis (PrEP) availability at student health services (SHS) in New England. Methods: We conducted an electronic survey of medical directors of SHS at New England colleges and universities. We measured the availability and volume of PrEP prescribing, barriers and facilitators to prescribing and provider…

Background: Lack of physical activity is a contributor to mental health issues. Strength training exercise has been an effective intervention that yields physical and psychological benefits. Purpose: This qualitative study aimed to explore and identify the perceived factors to maintain long-term strength training programs among women, and to…

Autism diagnosis before age three to expedite access to critical services is a public health priority in the United States. Still, the average age of autism diagnosis is 49 months with substantial variability across states. By examining policy--defined as laws, regulations, procedures, administrative actions, incentives, or voluntary practices of…

Objective: College students, particularly first-year students, are at risk for alcohol misuse and alcohol-related consequences (e.g., condomless sex). Our objective was to determine if first- and second-year students were more or less likely to report any act of condomless sex under the influence of alcohol than third- and fourth-year students.…

Structural inequities influence young parents' access to health care, housing, transportation, social support, education, and income. The current study adds to the extant literature by providing data directly obtained in collaboration with young parents to understand how structural violence affects the health and well-being of their families,…

This demonstration brief provides teaching and learning stories from districts and schools implementing PBIS with an integrated systems focus and is organized across the following areas: (a) the context of the school/district, (b) the changes made in the systems, (c) the impact of the changes made in the systems, and (d) next steps to improve the…

Transgender and gender diverse (TGD) adolescents experience mental health challenges at higher rates than cisgender peers due to a combination of minority stress and gender dysphoria. Many TGD youth use video games to cope with stress and access informal networks of support. However, very little is known about the potential positive influence…

Objective: To explore the knowledge, attitudes, and practices regarding COVID-19 in university affiliates to inform future COVID-19 policies and practices. Participants: Undergraduate students, graduate students and university employees at a large public university. Methods: Semi-structured focus groups and interviews were conducted between…