TY - JOUR
T1 - Chronic health conditions and school performance among children and youth
AU - Crump, Casey
AU - Rivera, Diana
AU - London, Rebecca
AU - Landau, Melinda
AU - Erlendson, Bill
AU - Rodriguez, Eunice
N1 - Funding Information:
Supported in part by grants from the Lucile Packard Foundation for Children's Health and the Lucile Packard Children's Hospital, Palo Alto, California . The sponsors had no role in the design and conduct of the study; in the collection, analysis, and interpretation of the data; or in the preparation, review, or approval of the manuscript. There were no conflicts of interest.
PY - 2013/4
Y1 - 2013/4
N2 - Purpose: Chronic health conditions are common and increasing among U.S. children and youth. We examined whether chronic health conditions are associated with low school performance. Methods: This retrospective cohort study of 22,730 children and youth (grades 2-11) in San Jose, California, was conducted from 2007 through 2010. Health conditions were defined as chronic if reported in each of the first 2 years, and school performance was measured using standardized English language arts (ELA) and math assessments. Results: Chronic health conditions were independently associated with low ELA and math performance, irrespective of ethnicity, socioeconomic status, or grade level. Adjusted odds ratios for the association between any chronic health condition and low (" basic or below" ) performance were 1.25 (95% confidence interval [CI], 1.16-1.36; P < .001) for ELA and 1.28 (95% CI, 1.18-1.38; P < .001) for math, relative to students without reported health conditions. Further adjustment for absenteeism had little effect on these results. The strongest associations were found for ADHD, autism, and seizure disorders, whereas a weak association was found for asthma before but not after adjusting for absenteeism, and no associations were found for cardiovascular disorders or diabetes. Conclusions: Chronic neurodevelopmental and seizure disorders, but not cardiovascular disorders or diabetes, were independently associated with low school performance among children and youth.
AB - Purpose: Chronic health conditions are common and increasing among U.S. children and youth. We examined whether chronic health conditions are associated with low school performance. Methods: This retrospective cohort study of 22,730 children and youth (grades 2-11) in San Jose, California, was conducted from 2007 through 2010. Health conditions were defined as chronic if reported in each of the first 2 years, and school performance was measured using standardized English language arts (ELA) and math assessments. Results: Chronic health conditions were independently associated with low ELA and math performance, irrespective of ethnicity, socioeconomic status, or grade level. Adjusted odds ratios for the association between any chronic health condition and low (" basic or below" ) performance were 1.25 (95% confidence interval [CI], 1.16-1.36; P < .001) for ELA and 1.28 (95% CI, 1.18-1.38; P < .001) for math, relative to students without reported health conditions. Further adjustment for absenteeism had little effect on these results. The strongest associations were found for ADHD, autism, and seizure disorders, whereas a weak association was found for asthma before but not after adjusting for absenteeism, and no associations were found for cardiovascular disorders or diabetes. Conclusions: Chronic neurodevelopmental and seizure disorders, but not cardiovascular disorders or diabetes, were independently associated with low school performance among children and youth.
KW - Achievement
KW - Chronic disease
KW - Schools
KW - Students
UR - http://www.scopus.com/inward/record.url?scp=84875373850&partnerID=8YFLogxK
U2 - 10.1016/j.annepidem.2013.01.001
DO - 10.1016/j.annepidem.2013.01.001
M3 - Article
C2 - 23415278
AN - SCOPUS:84875373850
SN - 1047-2797
VL - 23
SP - 179
EP - 184
JO - Annals of Epidemiology
JF - Annals of Epidemiology
IS - 4
ER -