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Staying in School: Connection,Cohesiveness, and Suspension
Institution:1. Pediatric Residency Program, Department of Pediatrics (LA Bell), UPMC Children''s Hospital of Pittsburgh, Pittsburgh, Penn;2. University of Pittsburgh, Graduate School of Public Health (B Bushover), Pittsburgh, Penn;3. Division of Adolescent & Young Adult Medicine, Department of Pediatrics (E Miller, A Culyba), UPMC Children''s Hospital of Pittsburgh, Pittsburgh, Penn;1. Duke University (E Erickson), Department of Pediatrics, Durham, NC;2. University of Oklahoma Health Sciences Center (A Caldwell, MC Garbe, M Dunlap), Department of Pediatrics, Section of General and Community Pediatrics, Oklahoma City, Okla;3. Reach Out and Read, Inc. (N Shearman), Boston, Mass;4. Harlem Hospital Center (I Sharif-Session), New York, NY;5. Academic Pediatric Association (H Tyrrell), McLean, Va;6. Case Western Reserve University School of Medicine (R Needlman), Division of Developmental and Behavioral Pediatrics, MetroHealth Medical Center, Cleveland Ohio;1. Pediatric Advanced Care Team, Hospital for Sick Children (KE Nelson, V Chakravarti, and K Widger), Toronto, Ontario, Canada;2. Division of Paediatric Medicine, Department of Paediatrics, Hospital for Sick Children (KE Nelson, C Diskin, E Cohen, and S Mahant), Toronto, Ontario, Canada;3. Child Health Evaluative Sciences, SickKids Research Institute (KE Nelson, V Chakravarti, E Cohen, S Mahant, and E Pullenayegum), Toronto, Ontario, Canada;4. Institute for Clinical Evaluative Sciences (KE Nelson, E Cohen, and S Mahant), Toronto, Ontario, Canada;5. Institute for Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto (KE Nelson, E Cohen, S Mahant, and E Pullenayegum), Toronto, Ontario, Canada;6. Department of Pediatrics, University of Cincinnati College of Medicine (J Thomson), Cincinnati, Ohio;7. Division of Hospital Medicine, Cincinnati Children''s Hospital Medical Center (J Thomson), Cincinnati, Ohio;8. CanChild Centre for Childhood Disability Research, McMaster University (E Cohen and S Mahant), Hamilton, Ontario, Canada;9. Edwin S.H. Leong Centre for Healthy Children, University of Toronto (E Cohen), Toronto, Ontario, Canada;10. The Justin Michael Ingerman Center for Palliative Care, Children''s Hospital of Philadelphia (C Feudtner), Philadelphia, Pa;11. Departments of Pediatrics and Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania (C Feudtner), Philadelphia, Pa;12. Lawrence S. Bloomberg Faculty of Nursing, University of Toronto (K Widger), Toronto, Ontario, Canada;13. Complex Care, Division of General Pediatrics, Children''s Hospital Boston (JG Berry), Boston, Mass;14. Department of Pediatrics, Harvard Medical School (JG Berry), Boston, Mass;15. Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado and Children''s Hospital Colorado (JA Feinstein), Aurora, Colo;1. Division of Hospital Medicine (AM Jenkins, K Auger), Cincinnati Children''s Hospital Medical Center, Cincinnati, OH;2. Department of Internal Medicine (AM Jenkins), University of Cincinnati Medical Center, Cincinnati, OH;3. Division of General Pediatrics (JG Berry, P Dunbar, B Garrity), Boston Children''s Hospital, Harvard Medical School, Boston, Mass;4. Division of General Academic Pediatrics, Department of Pediatrics (JM Perrin, K Kuhlthau), MassGeneral Hospital for Children, Harvard Medical School, Boston, Mass;5. Children''s Hospital Association (M Hall), Lenexa, KS;6. Family Voices (C Hoover), Albuquerque, NM;7. Building Bright Futures (M Crossman), Williston, VT;8. Department of Pediatrics, University of Cincinnati College of Medicine (K Auger), Cincinnati, OH;9. James M. Anderson Center for Health Systems Excellence (K Auger), Cincinnati Children''s Hospital Medical Center, Cincinnati, OH;1. Wake Forest School of Medicine, Biomedical Engineering (AA Weaver, SL Schoell, and JD Stitzel), Winston-Salem, NC;2. Wake Forest School of Medicine, Public Health Sciences – Biostatistics and Data Science (JW Talton, and RT Barnard), Winston-Salem, NC;3. Wake Forest School of Medicine, General Surgery (M Gaffley, AN Doud, JK Petty, RS Martin, and JW Meredith), Winston-Salem, NC;4. Childress Institute for Pediatric Trauma (AN Doud, JK Petty, RS Martin, JW Meredith, and JD Stitzel);5. University of Louisville, Pediatric Surgery (AN Doud), Louisville, Ky;1. Department of Pediatrics (GG Guyol, MJ Corwin, LA Smith, and MG Parker), Boston Medical Center and Boston University School of Medicine, Boston, Mass;2. Department of Pediatrics, Division of Newborn Medicine (GG Guyol), Boston Children''s Hospital and Harvard Medical School, Boston, Mass;3. Slone Epidemiology Center (SM Kerr, MJ Corwin), Boston University, Boston, Mass;4. Department of Pediatrics (E Colson), Yale University, New Haven, Conn;5. Department of Pediatrics (E Colson), School of Medicine, Washington University in St. Louis, St. Louis, Mo;6. CDC Foundation (LA Smith), Atlanta, Ga;7. Department of Biostatistics (T Heeren), Boston University School of Public Health, Boston, Mass;8. Department of Health, Behavior & Society (MT Kiviniemi), College of Public Health, University of Kentucky, Lexington, Ky
Abstract:IntroductionIndividual-, school-, and neighborhood-level support and connectedness may help to mitigate against school suspensions, which have profound health and social consequences. Most research on social connectedness and suspension has focused only on school connectedness, and much less is known about the effects of individual social support and neighborhood-level connectedness on suspension.MethodsWe examined associations between all three levels of connectedness and suspension in a cross-sectional analysis of a population-based youth sample in Allegheny County, Pennsylvania. The Healthy Allegheny Teen Survey, a county-wide survey of 1813 male and female youth ages 14 to 19, assessed health risk/protective behaviors through random-digit-dialing in 2014. This survey included validated items evaluating each type of support as well as items assessing lifetime history of suspension. Logistic regression models examined associations between suspension and social support, school connectedness, and neighborhood-level cohesion.ResultsIn fully adjusted logistic regression models examining associations between suspension and each type of support, youth with high social support had 0.38 times the odds of school suspension compared to youth with low social support (95% confidence interval CI] 0.19–0.74). High levels of school connectedness and neighborhood-level cohesion were also associated with significantly lower odds of suspension (odds ratio OR] 0.31, 95% CI 0.18–0.53; OR 0.28, 95% CI 0.16–0.47, respectively). Examining all 3 types of support jointly, school connectedness and neighborhood-level cohesion were significantly inversely related to suspension (OR 0.41, 95% CI 0.24–0.71; OR 0.41, 95% CI 0.23–0.74, respectively).ConclusionsPrograms that foster connectedness at the individual-, school-, and neighborhood-level may help reduce school suspension.
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