ArticleEpilepsy & behavior : E&B2019
School status and its associations among children with epilepsy in the Republic of Guinea.
Article in Epilepsy & behavior : E&B, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 12 citations in OpenAlex.
- Prevalence and factors associated with intellectual impairment in children with epilepsy in two national referral hospitals in Uganda.Acta epileptologica · 2026Article
- Prevalence and factors associated with suicidality among adolescents with epilepsy attending national referral hospitals in Uganda.Discover mental health · 2026Article
- Academic performance of pediatric epileptic patients at King Abdulaziz University Hospital.Journal of family medicine and primary care · 2024Article
- Epileptic seizures revealing tuberous sclerosis in a tropical environment: A study of 12 case series.eNeurologicalSci · 2024Article
- E = mcEpilepsia open · 2024Article
- Development and Validation of Epilepsy Life Skills Guidelines for Primary School Learners and Teachers in Limpopo and Mpumalanga Provinces.Children (Basel, Switzerland) · 2023Article
- Epilepsy stigma in the Republic of Guinea and its socioeconomic and clinical associations: A cross-sectional analysis.Epilepsy research · 2021Article
- Epilepsy stigma in children in low-income and middle-income countries.The Lancet. Child & adolescent health · 2021Article
- Knowledge and Practice Toward Epilepsy and its Associated Factors Among Teachers, in Hossana Town Administration, Southern Ethiopia, 2020.SAGE open nursingArticle
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Authors and funding
14 authors at 5 institutions in 2 countries.
Funding
Abstract
backgroundIn low-income countries (LICs), there are multiple barriers for children with epilepsy (CWE) to attend school. We examined potentially modifiable associations with poor school performance in CWE in the West African Republic of Guinea.
methodsChildren with epilepsy of school age were recruited using public announcements and a clinical register of people with epilepsy at the Ignace Deen Hospital in Conakry in 2018. A team of Guinean and U.S. neurologists and neurologists-in-training interviewed each CWE and parent for his/her epilepsy history, household finances, educational attainment level, and perceived stigma using the Stigma Scale of Epilepsy (SSE). Each child was also tested using the Wechsler Nonverbal Scale of Ability (WNV). Low school performance was defined as either not attending school or being held back a grade level at least once. Potential predictors of low school performance were analyzed.
findingsOf 128 CWE (mean age: 11.6 years, 48.4% female), 11.7% (n = 15) never attended school, 23.3% (n = 30) dropped out, and 64.8% (n = 83) were currently enrolled. Of CWE attending school, 46.9% (n = 39) were held back a grade level. Overall, 54 children were defined as low performers (LPs) (42%). ;Greater than 100 lifetime seizures (odds ratio (OR) = 8.81; 95% confidence interval (CI) = 2.51, 37.4; p = 0.001) and lower total WNV score (OR = 0.954; 95% CI = 0.926, 0.977; p < 0.001) were significantly associated with poor school performance in separate models, when controlling for potential confounders. Given the strong relationship between seizure freedom and school performance, we estimated that 38 additional CWE (33.6%) could become high performers (HPs) if all CWE were adequately treated to achieve the lifetime seizure category of <10 seizures and could be cognitively intact again. Models examining SSE and household wealth quintile were not significantly associated with school performance.
conclusionsHigher lifetime seizures and lower WNV score were significantly associated with low school performance in CWE in Guinea. In spite of our conservative definition of high school performance (attending without failing) and risk of referral bias at an academic center where patients were allowed to self-refer, we demonstrate that seizure control in this setting could increase the number of CWE who could attend and stay in school.
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