ArticlePloS one2023
Prevalence and factors associated with chronic school absenteeism among 207,107 in-school adolescents: Findings from cross-sectional studies in 71 low-middle and high-income countries.
Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 26 citations in OpenAlex.
- Caring Climate and Support, Mental Health, and Academic Adjustment: Effects from a Cluster Randomized Controlled Trial in Upper Secondary Schools in Norway.International journal of environmental research and public health · 2023Trial
- Adolescent school absenteeism, depressive symptoms, and internalizing/externalizing problems: a network and simulated intervention study based on CFPS.BMC psychology · 2026Article
- What Works to Keep Students in School? A Meta-Analysis of Interventions to Reduce School Absenteeism.Behavioral sciences (Basel, Switzerland) · 2026Review
- Factors associated with suicidal ideation in junior high school students with autism spectrum disorder in Japan: A cross-sectional observational study.PCN reports : psychiatry and clinical neurosciences · 2026Article
- A school-based material needs intervention for chronic absenteeism: a state-wide staggered interrupted time series analysis.Journal of epidemiology and community health · 2026Article
- Associations between modifiable lifestyle behaviors and mental health indicators in adolescents from 48 countries: a cross-sectional study.BMC pediatrics · 2026Article
- Increasing school attendance and retention in refugee settings: Participatory development of the SchoolLinks intervention.PloS one · 2026Article
- Education in Haor areas of Bangladesh: A mixed-methods study on academic performance, school attendance, and school intervention.PloS one · 2026Article
- Factors associated with school absenteeism in adolescents with mental illness: a multivariate analysis.Frontiers in psychiatry · 2026Article
- Pediatric Health, Climate Perceptions, and School Absenteeism Across Three Regions of Bangladesh: A Cross-Sectional Study.International journal of environmental research and public health · 2025Article
- Early Predictors of School Absenteeism in First-Grade Children: A Multidimensional Longitudinal Study in Japan.Children (Basel, Switzerland) · 2025Article
- Loneliness and health-related quality of life in Chinese adolescents: the mediating role of depressive symptoms and the moderating role of age.Social psychiatry and psychiatric epidemiology · 2025Article
- School Refusal Behavior in Japan: The Impact of COVID-19 on Children.Children (Basel, Switzerland) · 2025Review
- Clinical characteristics of child and adolescent psychiatric patients with school refusal: Child versus adolescent onset.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2025Article
- Effect of menstruation on school attendance of girls along with water, sanitation, and hygiene services in Northwest Ethiopia.The Pan African medical journal · 2025Article
Corrections and comments
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Authors and funding
10 authors at 7 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite the negative impact of chronic school absenteeism on the psychological and physical health of adolescents, data on the burden of adolescent chronic school absenteeism (ACSA) and interventions and programs to address it are lacking. We estimated the global, regional and national level prevalence of ACSA and its correlation with violence and unintentional injury, psychosocial, protective, lifestyle, and food security-related factors among in-school adolescents across low and middle-income, and high-income countries (LMICs-HICs).
objectivesThis study aimed to estimate the prevalence of chronic school absenteeism (CSA) as well as to determine its associated factors among in-school adolescents across 71 low-middle and high-income countries.
methodsWe used data from the most recent Global School-based Student Health Survey of 207,107 in-school adolescents aged 11-17 years in 71 LMICs-HICs countries across six WHO regions. We estimated the weighted prevalence of ACSA from national, regional and global perspectives. Multiple binary logistic regression analyses were used to estimate the adjusted effect of independent factors on ACSA.
resultsThe overall population-weighted prevalence of CSA was 11·43% (95% confidence interval, CI: 11·29-11·57). Higher likelihood of CSA was associated with severe food insecurity, peer victimisation, loneliness, high level of anxiety, physically attack, physical fighting, serious injury, poor peer support, not having close friends, lack of parental support, being obese, and high levels of sedentary behaviours. Lower likelihood of CSA was associated with being female (odds ratio, OR = 0·76, 95% CI: 0·74-0·78).
conclusionOur findings indicate that a combination of different socio-economic factors, peer conflict and injury factors, factors exacerbate CSA among adolescents. Interventions should be designed to focus on these risk factors and should consider the diverse cultural and socioeconomic contexts.
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