ArticleJournal of public health (Oxford, England)2025
Chronic health conditions and school absence, exclusions, and non-enrolment: a cohort study using the Education and Child Health Insights from Linked Data database.
Article in Journal of public health (Oxford, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Mortality Risk Between Ages 11 and 22 Years Among Young People With Neurodisability in England: A National Cohort Study Using Linked Health and Education Data.Paediatric and perinatal epidemiology · 2026Article
- School and School-Related Experiences of Children and Adolescents With Inflammatory Bowel Disease: A Scoping Review.Child: care, health and development · 2026Article
- The Hospital School from the Health Professionals' Perspective: Roles and Collaboration.Continuity in education · 2026Article
- Language Development in Preschool Children Living with Chronic Health Conditions: A Cohort Study.Journal of pediatrics. Clinical practice · 2025Article
- Interdisciplinary intervention to improve mental health and academic adaptation of adolescents with chronic diseases: integration of educational psychology and public health.Frontiers in psychology · 2025Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundPolicies to reduce school absence can place a burden on children with chronic health conditions (CHCs). Although estimates suggest > 25% of children in England have a CHC before age 16, there is limited evidence on extent of absence, exclusion, and non-enrolment from school among children with CHCs.
methodsWe used all-of-England inpatient data (Hospital Episode Statistics) to identify groups of adolescents with CHCs from age 5 to 15. Cohorts were born in 2000/01 to 2002/03. Data were linked to England's National Pupil Database for secondary school (age 11 to 16) persistent absence (>1 month missed/year), exclusion, and non-enrolment to examine rates of each outcome by CHC groups.
resultsOf 1 456 361 children, 12.5% had a CHC from age 5 to 11, and 18.9% to age 16. Rates of persistent absence were higher among children with CHCs than unexposed peers (e.g. 25.9% compared to 14.7% aged 15/16), especially among those with mental health presentations (32.1%). Increased rates were found for exclusion and non-enrolment for children with CHCs. The percentage of absence recorded as health-related was lowest among children with externalizing presentations.
conclusionsApproaches to improve school attendance should consider needs of children with CHCs, ensuring adequate support.
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