Pediatric Asthma Is Associated With Poorer 3-Year Academic Achievement in Urban Elementary and Middle-School Students

Senter, J.; Smith, Brandon M.; Prichett, Laura; Connor, Katherine A.; Johnson, Sara B.

doi:10.1016/j.acap.2020.11.006

Cited by 4 publications

(12 citation statements)

References 36 publications

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“…Similarly, other studies also identified that young students with asthma had lower scores on mathematical assessments compared to students without asthma. [7,34] Furthermore, students with inadequately controlled asthma had lower mathematics scores compared to students with controlled asthma. [5] Likewise, students with moderate or severe asthma had between a 1.6 to 1.4 times higher likelihood, respectively, of having worse scores on mathematical assessments than young people with no chronic health conditions.…”

Section: Discussionmentioning

confidence: 99%

“…[35] Students with asthma in both primary and middle schools were identified as having lower reading scores than students without asthma. [7] Furthermore, students with persistent asthma at age 6 in their first year of school were identified as being 13 months behind their expected reading ability compared to their peers whose asthma management had improved from age ≤5 years. [36]…”

Section: Discussionmentioning

confidence: 99%

“…[11] In the United States, young people with asthma had a 1.6 times higher likelihood of not completing high school compared to young people with no chronic health conditions. [18] Possible explanations for reduced academic performance for young people hospitalized with asthma include cognitive deficits commonly associated with academic achievement (eg attention, language, learning, memory) from intermittent cerebral hypoxia [7,38] and frequent absences due to seeking hospital care. [7] Young people hospitalized with asthma may also experience nocturnal disturbances that may, in turn, have a negative impact on ability to concentrate and learn during school hours.…”

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confidence: 99%

“…[7] Young people hospitalized with asthma may also experience nocturnal disturbances that may, in turn, have a negative impact on ability to concentrate and learn during school hours. [7,8,39] The association between common chronic health conditions of young people and their adverse impact on academic performance has previously been demonstrated. [40,41] Yet, it appears that studies of the impact of asthma on school performance that also include less severe asthma (eg seasonal or mild) may underestimate the effect of inadequately controlled asthma on performance.…”

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confidence: 99%

“…[18] Possible explanations for reduced academic performance for young people hospitalized with asthma include cognitive deficits commonly associated with academic achievement (eg attention, language, learning, memory) from intermittent cerebral hypoxia [7,38] and frequent absences due to seeking hospital care. [7] Young people hospitalized with asthma may also experience nocturnal disturbances that may, in turn, have a negative impact on ability to concentrate and learn during school hours. [7,8,39] The association between common chronic health conditions of young people and their adverse impact on academic performance has previously been demonstrated.…”

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confidence: 99%

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The impact of childhood asthma on academic performance: A matched population‐based cohort study

Mitchell

McMaugh

Homaira

et al. 2021

Clin Experimental Allergy

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Background There is inconclusive evidence of the effect of asthma on the academic performance of young people. This study aims to compare scholastic performance and high school completion of young people hospitalized with asthma compared to matched peers not hospitalized with asthma. Method A population‐based matched case‐comparison cohort study of young people aged ≤18 years hospitalized for asthma during 2005–2018 in New South Wales, Australia using linked birth, health, education and mortality records. The comparison cohort was matched on age, gender and residential postcode. Generalized linear mixed‐modelling examined risk of school performance below the national minimum standard (NMS) and generalized linear regression examined risk of not completing high school for young people hospitalized with asthma compared to matched peers. Results Young males hospitalized with asthma had a 13% and 15% higher risk of not achieving the NMS for numeracy (95%CI 1.04–1.22) and reading (95%CI 1.07–1.23), respectively, compared to peers. Young males hospitalized with asthma had a 51% (95%CI 1.22–1.86) higher risk of not completing year 10, and around a 20% higher risk of not completing year 11 (ARR: 1.25; 95%CI 1.15–1.36) or year 12 (ARR: 1.27; 95%CI 1.17–1.39) compared to peers. Young females hospitalized with asthma showed no difference in achieving numeracy or reading NMSs, but did have a 21% higher risk of not completing year 11 (95%CI 1.09–1.36) and a 33% higher risk of not completing year 12 (95%CI 1.19–1.49) compared to peers. Conclusions Educational attainment is worse for young people hospitalized with asthma compared to matched peers. Early intervention and strategies for better management of asthma symptoms may enhance academic performance for students.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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The impact of childhood asthma on academic performance: A matched population‐based cohort study

Mitchell

McMaugh

Homaira

et al. 2021

Clin Experimental Allergy

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Educational achievement among children with a disability: do parental resources compensate for disadvantage?

Brekke

Alecu

Ugreninov

et al. 2023

SSM - Population Health

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Chronic pediatric diseases and risk for reading difficulties: a narrative review with recommendations

et al. 2022

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Literacy is a major social determinant of health, rooted in skills that develop during early childhood. Children arriving at kindergarten unprepared to learn to read are more likely to have low reading proficiency thereafter. General and health literacy are highly correlated, affecting understanding of health conditions, treatment adherence, and transition to self-care and adult healthcare services. The American Academy of Pediatrics (AAP) recommends literacy and school readiness promotion during well-visits and neurodevelopmental surveillance is emphasized across primary and subspecialty care. While genetic and environmental risk factors for reading difficulties are well-established, risks related to complex and chronic medical conditions are less appreciated and under-researched. This review applies an eco-bio-developmental framework to explore literacy across five complex chronic conditions affecting millions of children worldwide: asthma, cancer, congenital heart disease, epilepsy, and sickle cell disease. In each, integration of an efficient reading brain network may be impacted by direct factors, such as ischemia, anesthesia, and/or medications, and also indirect factors, such as altered parent–child routines, hospital stays, and missed school. By integrating literacy into care management plans for affected children, pediatric primary care and specialty providers are poised to identify risks early, target guidance and interventions, and improve academic and health outcomes. Impact While genetic and environmental risk factors for reading difficulties are well-established, risks related to complex and/or chronic medical conditions such as asthma, cancer, congenital heart disease, epilepsy, and sickle cell disease are substantial, less appreciated, and under-researched. General and health literacy are highly correlated, with implications for the understanding one’s health condition, treatment adherence, and transitioning to self-care, which is especially important for children with complex and/or chronic illness. Pediatric primary care and specialty providers are poised to integrate reading and literacy into care management plans for children with complex and/or chronic illness, including early screening, guidance, support, and interventions.

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Pediatric Asthma Is Associated With Poorer 3-Year Academic Achievement in Urban Elementary and Middle-School Students

Cited by 4 publications

References 36 publications

The impact of childhood asthma on academic performance: A matched population‐based cohort study

The impact of childhood asthma on academic performance: A matched population‐based cohort study

Educational achievement among children with a disability: do parental resources compensate for disadvantage?

Chronic pediatric diseases and risk for reading difficulties: a narrative review with recommendations

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