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Umbrella systematic review finds limited evidence that school absence explains the association between chronic health conditions and lower academic attainment

INTRODUCTION: Absence from school is more frequent for children with chronic health conditions (CHCs) than their peers and may be one reason why average academic attainment scores are lower among children with CHCs. METHODS: We determined whether school absence explains the association between CHCs...

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Autores principales: Jay, Matthew A., Sanders-Ellis, David, Blackburn, Ruth, Deighton, Jessica, Gilbert, Ruth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10288991/
https://www.ncbi.nlm.nih.gov/pubmed/37361156
http://dx.doi.org/10.3389/fpubh.2023.1122769
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author Jay, Matthew A.
Sanders-Ellis, David
Blackburn, Ruth
Deighton, Jessica
Gilbert, Ruth
author_facet Jay, Matthew A.
Sanders-Ellis, David
Blackburn, Ruth
Deighton, Jessica
Gilbert, Ruth
author_sort Jay, Matthew A.
collection PubMed
description INTRODUCTION: Absence from school is more frequent for children with chronic health conditions (CHCs) than their peers and may be one reason why average academic attainment scores are lower among children with CHCs. METHODS: We determined whether school absence explains the association between CHCs and academic attainment through a systematic review of systematic reviews of comparative studies involving children with or without CHCs and academic attainment. We extracted results from any studies that tested whether school absence mediated the association between CHCs and academic attainment. RESULTS: We identified 27 systematic reviews which included 441 unique studies of 7, 549, 267 children from 47 jurisdictions. Reviews either covered CHCs generally or were condition-specific (e.g., chronic pain, depression, or asthma). Whereas reviews found an association between a range of CHCs (CHCs generally, cystic fibrosis, hemophilia A, end-stage renal disease (pre-transplant), end-stage kidney disease (pre-transplant), spina bifida, congenital heart disease, orofacial clefts, mental disorders, depression, and chronic pain) and academic attainment, and though it was widely hypothesized that absence was a mediator in these associations, only 7 of 441 studies tested this, and all findings show no evidence of absence mediation. CONCLUSION: CHCs are associated with lower academic attainment, but we found limited evidence of whether school absence mediates this association. Policies that focus solely on reducing school absence, without adequate additional support, are unlikely to benefit children with CHCs. SYSTEMATIC REVIEW REGISTRATION: https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=285031, identifier: CRD42021285031.
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spelling pubmed-102889912023-06-24 Umbrella systematic review finds limited evidence that school absence explains the association between chronic health conditions and lower academic attainment Jay, Matthew A. Sanders-Ellis, David Blackburn, Ruth Deighton, Jessica Gilbert, Ruth Front Public Health Public Health INTRODUCTION: Absence from school is more frequent for children with chronic health conditions (CHCs) than their peers and may be one reason why average academic attainment scores are lower among children with CHCs. METHODS: We determined whether school absence explains the association between CHCs and academic attainment through a systematic review of systematic reviews of comparative studies involving children with or without CHCs and academic attainment. We extracted results from any studies that tested whether school absence mediated the association between CHCs and academic attainment. RESULTS: We identified 27 systematic reviews which included 441 unique studies of 7, 549, 267 children from 47 jurisdictions. Reviews either covered CHCs generally or were condition-specific (e.g., chronic pain, depression, or asthma). Whereas reviews found an association between a range of CHCs (CHCs generally, cystic fibrosis, hemophilia A, end-stage renal disease (pre-transplant), end-stage kidney disease (pre-transplant), spina bifida, congenital heart disease, orofacial clefts, mental disorders, depression, and chronic pain) and academic attainment, and though it was widely hypothesized that absence was a mediator in these associations, only 7 of 441 studies tested this, and all findings show no evidence of absence mediation. CONCLUSION: CHCs are associated with lower academic attainment, but we found limited evidence of whether school absence mediates this association. Policies that focus solely on reducing school absence, without adequate additional support, are unlikely to benefit children with CHCs. SYSTEMATIC REVIEW REGISTRATION: https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=285031, identifier: CRD42021285031. Frontiers Media S.A. 2023-06-09 /pmc/articles/PMC10288991/ /pubmed/37361156 http://dx.doi.org/10.3389/fpubh.2023.1122769 Text en Copyright © 2023 Jay, Sanders-Ellis, Blackburn, Deighton and Gilbert. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Jay, Matthew A.
Sanders-Ellis, David
Blackburn, Ruth
Deighton, Jessica
Gilbert, Ruth
Umbrella systematic review finds limited evidence that school absence explains the association between chronic health conditions and lower academic attainment
title Umbrella systematic review finds limited evidence that school absence explains the association between chronic health conditions and lower academic attainment
title_full Umbrella systematic review finds limited evidence that school absence explains the association between chronic health conditions and lower academic attainment
title_fullStr Umbrella systematic review finds limited evidence that school absence explains the association between chronic health conditions and lower academic attainment
title_full_unstemmed Umbrella systematic review finds limited evidence that school absence explains the association between chronic health conditions and lower academic attainment
title_short Umbrella systematic review finds limited evidence that school absence explains the association between chronic health conditions and lower academic attainment
title_sort umbrella systematic review finds limited evidence that school absence explains the association between chronic health conditions and lower academic attainment
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10288991/
https://www.ncbi.nlm.nih.gov/pubmed/37361156
http://dx.doi.org/10.3389/fpubh.2023.1122769
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