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Chronic health conditions and school performance among children and youth

机译：儿童和青少年的慢性健康状况和学校表现

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Purpose: Chronic health conditions are common and increasing among U.S. children and youth. We examined whether chronic health conditions are associated with low school performance. Methods: This retrospective cohort study of 22,730 children and youth (grades 2-11) in San Jose, California, was conducted from 2007 through 2010. Health conditions were defined as chronic if reported in each of the first 2 years, and school performance was measured using standardized English language arts (ELA) and math assessments. Results: Chronic health conditions were independently associated with low ELA and math performance, irrespective of ethnicity, socioeconomic status, or grade level. Adjusted odds ratios for the association between any chronic health condition and low (" basic or below" ) performance were 1.25 (95% confidence interval [CI], 1.16-1.36; P < .001) for ELA and 1.28 (95% CI, 1.18-1.38; P < .001) for math, relative to students without reported health conditions. Further adjustment for absenteeism had little effect on these results. The strongest associations were found for ADHD, autism, and seizure disorders, whereas a weak association was found for asthma before but not after adjusting for absenteeism, and no associations were found for cardiovascular disorders or diabetes. Conclusions: Chronic neurodevelopmental and seizure disorders, but not cardiovascular disorders or diabetes, were independently associated with low school performance among children and youth.
机译：目的：慢性健康状况在美国儿童和青少年中普遍存在，并且在不断增加。我们检查了慢性健康状况是否与学业低下有关。方法：这项回顾性队列研究于2007年至2010年在加利福尼亚州圣何塞进行，共22,730名儿童和青年（2-11年级）。如果在头2年中的每一年均报告健康状况，则将其定义为慢性，并且学校表现为使用标准化的英语语言艺术（ELA）和数学评估进行测量。结果：慢性健康状况与低ELA和数学成绩无关，与种族，社会经济地位或年级无关。对于任何慢性健康状况和低（“基本或以下”）表现之间的关联，调整后的优势比对于ELA为1.25（95％置信区间[CI]，1.16-1.36; P <.001），而对于1.28（95％CI， 1.18-1.38; P <.001），相对于没有健康状况报告的学生。旷工的进一步调整对这些结果影响很小。在多动症，自闭症和癫痫发作中发现最强的关联，而在调整缺勤前但未发现哮喘后的关联较弱，而心血管疾病或糖尿病则没有关联。结论：慢性神经发育和癫痫发作而不是心血管疾病或糖尿病与儿童和青少年的学业低下独立相关。

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