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Umbrella systematic review finds limited evidence that school absence explains the association between chronic health conditions and lower academic attainment.
Jay, Matthew A; Sanders-Ellis, David; Blackburn, Ruth; Deighton, Jessica; Gilbert, Ruth.
Afiliación
  • Jay MA; UCL GOS Institute of Child Health, Population, Policy and Practice Research and Teaching Department, University College London, London, United Kingdom.
  • Sanders-Ellis D; UCL Institute of Education, Social Research Institute, University College London, London, United Kingdom.
  • Blackburn R; UCL Institute of Health Informatics, University College London, London, United Kingdom.
  • Deighton J; The Evidence Based Practice Unit, University College London and Anna Freud Centre for Children and Families, London, United Kingdom.
  • Gilbert R; UCL GOS Institute of Child Health, Population, Policy and Practice Research and Teaching Department, University College London, London, United Kingdom.
Front Public Health ; 11: 1122769, 2023.
Article en En | MEDLINE | ID: mdl-37361156
Introduction: Absence from school is more frequent for children with chronic health conditions (CHCs) than their peers and may be one reason why average academic attainment scores are lower among children with CHCs. Methods: We determined whether school absence explains the association between CHCs and academic attainment through a systematic review of systematic reviews of comparative studies involving children with or without CHCs and academic attainment. We extracted results from any studies that tested whether school absence mediated the association between CHCs and academic attainment. Results: We identified 27 systematic reviews which included 441 unique studies of 7, 549, 267 children from 47 jurisdictions. Reviews either covered CHCs generally or were condition-specific (e.g., chronic pain, depression, or asthma). Whereas reviews found an association between a range of CHCs (CHCs generally, cystic fibrosis, hemophilia A, end-stage renal disease (pre-transplant), end-stage kidney disease (pre-transplant), spina bifida, congenital heart disease, orofacial clefts, mental disorders, depression, and chronic pain) and academic attainment, and though it was widely hypothesized that absence was a mediator in these associations, only 7 of 441 studies tested this, and all findings show no evidence of absence mediation. Conclusion: CHCs are associated with lower academic attainment, but we found limited evidence of whether school absence mediates this association. Policies that focus solely on reducing school absence, without adequate additional support, are unlikely to benefit children with CHCs. Systematic review registration: https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=285031, identifier: CRD42021285031.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Labio Leporino / Fisura del Paladar / Dolor Crónico / Fallo Renal Crónico Tipo de estudio: Prognostic_studies / Risk_factors_studies / Systematic_reviews Límite: Child / Humans Idioma: En Revista: Front Public Health Año: 2023 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Suiza
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Labio Leporino / Fisura del Paladar / Dolor Crónico / Fallo Renal Crónico Tipo de estudio: Prognostic_studies / Risk_factors_studies / Systematic_reviews Límite: Child / Humans Idioma: En Revista: Front Public Health Año: 2023 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Suiza