School Superintendents' Perceptions of Schools Assisting Students in Obtaining Public Health Insurance
Article first published online: 9 NOV 2011
© 2011, American School Health Association
Journal of School Health
Volume 81, Issue 12, pages 756–763, December 2011
How to Cite
Rickard, M. L., Price, J. H., Telljohann, S. K., Dake, J. A. and Fink, B. N. (2011), School Superintendents' Perceptions of Schools Assisting Students in Obtaining Public Health Insurance. Journal of School Health, 81: 756–763. doi: 10.1111/j.1746-1561.2011.00655.x
- Issue published online: 9 NOV 2011
- Article first published online: 9 NOV 2011
- Received on September 16, 2010, Accepted on January 13, 2011
- public health insurance;
- health policy;
- uninsured children;
- public school superintendents
Background: Superintendents' perceptions regarding the effect of health insurance status on academics, the role schools should play in the process of obtaining health insurance, and the benefits/barriers to assisting students in enrolling in health insurance were surveyed. Superintendents' basic knowledge of health insurance, the link between health and learning, and specific school system practices for assisting students were also examined.
Methods: A 4-page questionnaire was sent to a national random sample of public school superintendents using a 4-wave postal mailing.
Results: Only 19% of school districts assessed the health insurance status of students. School districts' assistance in helping enroll students in health insurance was assessed using Stages of Change theory; 36% of superintendents' school districts were in the action or maintenance stages. The schools most often made health insurance materials available to parents (53%). The perceived benefits identified by more than 80% of superintendents were to keep students healthier, reduce the number of students with untreated health problems, reduce school absenteeism, and improvement of students' attention/concentration during school. The 2 most common perceived barriers identified by at least 50% of superintendents were not having enough staff or financial resources.
Conclusions: Most superintendents believed schools should play a role in helping students obtain health insurance, but the specific role was unclear. Three fourths of superintendents indicated overwhelmingly positive beliefs regarding the effects of health insurance status on students' health and academic outcomes. School personnel and public policy makers can use the results to support collaboration in getting students enrolled in health insurance.