ArticlePloS one2018
Chronic health conditions and school performance in first graders: A prospective cohort study.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of school functioning in pediatric patients with Hirschsprung disease.Pediatric surgery international · 2025Pooled it
- Psychosocial impact of the COVID-19 pandemic on children with chronic health conditions in Germany: a qualitative interview study.BMJ open · 2025Article
- Birth weight and school absences and attainment: a longitudinal linked cohort study of compulsory schooling in England.Archives of disease in childhood · 2025Article
- Third-grade school performance in children with special healthcare needs: a prospective cohort study.BMJ paediatrics open · 2024Article
- School well-being in primary school children with chronic illness. A prospective cohort study.PeerJ · 2024Article
- School absenteeism in children with special health care needs. Results from the prospective cohort study ikidS.PloS one · 2023Article
- Young persons and healthcare professionals experience of virtual gastroenterology consultations: a multicentre survey conducted during the COVID-19 pandemic.Frontline gastroenterology · 2023Article
- The impact of childhood injury and injury severity on school performance and high school completion in Australia: a matched population-based retrospective cohort study.BMC pediatrics · 2021Article
- Mental health problems and school performance in first graders: results of the prospective cohort study ikidS.European child & adolescent psychiatry · 2019Article
- Measuring social participation in children with chronic health conditions: validation and reference values of the child and adolescent scale of participation (CASP) in the German context.BMC pediatrics · 2019Article
- Impact of chronic health conditions and injury on school performance and health outcomes in New South Wales, Australia: a retrospective record linkage study protocol.BMJ paediatrics open · 2019Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveChildren with chronic health conditions may perform poorer at school. Associations may be confounded by numerous social factors. We aimed to estimate the effects of a chronic health condition on overall school performance in first graders with an emphasis on rigorous adjustment for potential confounders.
methodsA population-based cohort study was performed in the area of Mainz-Bingen (Germany). In 2015 all preschoolers were approached and the presence of a chronic health condition was assessed by parental questionnaires and preschool health examination data. The identification of a chronic health condition was based on special health care needs and presence of a doctor's diagnosis out of 24 school-relevant diseases. At the end of the first school year, overall school performance was assessed by teachers and rated on a 5-item scale ranging from -10 to +10.
resultsOf 3683 children approached, 2003 were enrolled. Overall school performance was available for 1462 children (51% boys). Of these, 52% suffered from a chronic health condition. Compared to children without a chronic health condition, children with special health care needs (15%) performed worse at school (adjusted mean difference: -0.95, 95% CI: [-1.55; -0.35], P = 0.002). Children with a doctor's diagnosis but without special health care needs (37%) did not perform worse at school. The effect was further analysed considering the extent of special health care needed.
conclusionsChronic health conditions affect overall school performance early in primary school. To identify academically at-risk children, a chronic health condition identification based on special health care needs may be used.
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