Evidence map›Paper›PMID 42438141›Full record

ArticleThe Journal of school health2026

Beyond Medical Absence: Grade-Related and Year-To-Year Persistent Patterns of Parent-Reported Psychological/Functional Absence in Routine School Attendance Records.

Yanming Ren, Mengyin Feng, Shuyi Jia, Li He

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Article in The Journal of school health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Yanming RenFaculty of Health and Wellness, City University of Macau, Macau, China.ORCID https://orcid.org/0009-0008-7693-7058
Mengyin FengThe High School Affiliated to Beijing Normal University, Beijing, China.
Shuyi JiaFaculty of Health and Wellness, City University of Macau, Macau, China.
Li HeTeachers' College of Beijing Union University, Beijing, China.

Funding

"An Empirical Study of a School Refusal Intervention System Based on Ecological Systems Theory" CAHA25033Beijing Municipal Education Science "14th Five-Year" Research ProjectOutstanding Young Talents Project of the 2022 Beijing Municipal University Teacher Team Construction Support Plan BPHR202203224
6 · The paper itself

Abstract

backgroundPsychological/functional absences may be obscured within broad medical leave categories in routine attendance records. This study examined whether parent-reported psychological/functional absence is patterned and persistent in a Chinese secondary school context.

methodsWe analyzed retrospective attendance records from 2183 students and 26,092 absence events across the 2022-2025 academic years. Parent-reported reasons were coded into 8 categories. Event-level logistic regression with student-clustered robust standard errors examined associations with grade, sex, cohort, academic year, and month; student-year lagged models examined recurrence.

resultsPsychological/functional absence accounted for 5179 events (19.8%). In the fully adjusted event-level model, Grade 11 students had higher odds of psychological/functional absence than Grade 8 students (OR = 2.62, 95% CI [1.45, 4.72], p = 0.001). Prior-year psychological/functional absence predicted current-year occurrence (OR = 3.50, 95% CI [2.67, 4.59], p < 0.001), and prior-year count predicted current-year count (IRR = 1.06, 95% CI [1.04, 1.07], p < 0.001) IMPLICATIONS FOR SCHOOL HEALTH POLICY, PRACTICE, AND EQUITY: Repeated psychological/functional absences may help schools identify students needing timely, non-punitive follow-up.

conclusionsPsychological/functional absence appears to be a recurring administrative signal, but should not be interpreted as a clinical diagnosis.

Indexed as

AbsenteeismParentsSchoolsStudentsAdolescentFemaleHumansMaleRetrospective Studiesabsenteeismattendance recordsmental healthpsychological/functional absenceschool health

Identifiers

PMID42438141
PMCPMC13358170

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.