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Background: Student health in elementary and secondary schools is an important aspect that has gained increased consideration over the past several decades in the United States. Researchers have well documented the positive impact of school-related health services on several health-related outcomes in middle and high school students. This study aimed to determine if there is an association between academic school performance and SBHCs among elementary school aged students. Methods: A quantitative ex post facto design was implemented to measure the students’ academic performance. The researcher compared the historical GPA scores (2011-2013) between students attending schools with access to SBHCs and students attending schools without access to SBHCs. Results: The null hypotheses was supported, thus, there were no significant relationships observed. The correlation analysis indicated weak negative relationships between the usage of specific SBHC services (physicals and mental health care), and a weak positive relationship between immunizations and the academic performance of the cohort of students for grades 3 and 5 (n=48). Conclusions: There is a dearth of research into SBHCs and its impact on the academic achievements of middle and high school students. However, there is little research into SBHCs and its impact on the academic achievements of elementary school students. The healthcare reform that was introduced, and the need to effect savings in Federal funding pose a real threat to SBHC, although this study did not show a strong positive relationship between academic success, the presence and use of SBHCs. Larger previous studies showed indirect probable effects. Researchers have not undertaken comprehensive studies to ascertain the positive effects of providing school-based healthcare for students. Further research on this topic is needed. Correspondence to: Sherwood-Samuel CE PhD, RN, School Nurse, Irvington Public Schools, 602 Grove Street Irvington, NJ 07111, USA, 973-399-6800 ext. 2406; E-mail: csamuel@irvington.k12.nj.us

Exploring relationships between school-based health clinics and academic performance in elementary school-aged children