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Author: Young, Deborah R.
Resulting in 2 citations.
1. Champaloux, Steven William
Young, Deborah R.
Child and Adolescent Chronic Health Conditions and Educational Attainment
Presented: Boston MA, American Public Health Association Annual Meeting and Expo, November 2013
Cohort(s): NLSY97
Publisher: American Public Health Association
Keyword(s): Adolescent Health; Childhood; Educational Attainment; Health, Chronic Conditions

Permission to reprint the abstract has not been received from the publisher.

Introduction: Childhood chronic health conditions are increasing in the US. For a number of reasons, including school absences, possible cognitive delays and poor psychosocial adjustment, these affected youth are potentially at risk of poor educational attainment. This study examined the association between chronic health conditions during childhood/adolescence and educational attainment.

Methods: The National Longitudinal Survey of Youth – Cohort 1997 was used for this analysis. Participants ranged in age from 12 - 16 years and were followed from 1997 through 2010. A chronic health condition was defined as parental (1997) or participant (2002) report of a chronic health condition. Educational attainment was defined as completion of high school or GED by age 21. Multivariate logistic regression models were fit to estimate the association between type of chronic health condition and educational attainment, adjusting for sociodemographic, academic, and psychosocial variables.

Results: Youth with a chronic health condition had higher odds of poor educational attainment compared to those without a chronic health condition, OR: 1.47 (95% CI: 1.22 - 1.76). Youth with asthma, OR: 1.63 (95% CI: 1.31-2.02) and cancer/diabetes/epilepsy, OR: 1.96 (95% CI: 1.13 – 3.37) had higher odds of poor educational attainment. For those with cancer, diabetes, or epilepsy, lower cognitive score, more school absences, lower GPA, repeating a grade, and depressive symptoms significantly reduced this association. For those with asthma, depressive symptoms reduced the association.

Conclusions: Youth with chronic health conditions have lower educational attainment. The association is complex and may be mediated by a number of factors.

Bibliography Citation
Champaloux, Steven William and Deborah R. Young. "Child and Adolescent Chronic Health Conditions and Educational Attainment." Presented: Boston MA, American Public Health Association Annual Meeting and Expo, November 2013.
2. Champaloux, Steven William
Young, Deborah R.
Childhood Chronic Health Conditions and Educational Attainment: A Social Ecological Approach
Journal of Adolescent Health 56,1 (January 2015): 98-105.
Also: http://www.sciencedirect.com/science/article/pii/S1054139X14003115
Cohort(s): NLSY97
Publisher: Elsevier
Keyword(s): Asthma; Childhood; Depression (see also CESD); Educational Attainment; GED/General Educational Diploma/General Equivalency Degree/General Educational Development; Health, Chronic Conditions; High School Diploma; Neighborhood Effects; School Characteristics/Rating/Safety

Purpose: This study examined the association between types of chronic health conditions reported during childhood and adolescence and their impact on educational attainment. School and neighborhood environments and potential mediating factors from academic and psychosocial variables were investigated.

Methods: Using the National Longitudinal Survey of Youth--Cohort 1997, multivariate logistic regression models were fit to estimate the association between chronic health conditions and educational attainment, adjusting for confounders. Chronic health conditions were defined as a parental (1997) or participant (2002) report of a chronic health condition and classified into (1) asthma; (2) cancer, diabetes, and epilepsy; (3) heart conditions; and (4) other. Educational attainment was defined as receiving a high school diploma or Graduate Equivalency Degree by age 21, determined from self-report.

Results: Youth who reported having a chronic health condition had higher odds of low educational attainment compared with youth who did not report a condition (n = 6,795; odds ratio [OR], 1.47; 95% confidence interval [CI], 1.22-1.76). Specifically, youth with asthma (OR, 1.63; 95% CI, 1.31-2.02) and those with cancer, diabetes, or epilepsy (OR, 1.96; 95% CI, 1.13-3.37) had higher odds of low attainment. For youth who reported cancer, diabetes, or epilepsy, the variables "school absences," "repeated a grade," and "depressive symptoms" attenuated the association and were considered mediators.

Conclusions: Youth with chronic health conditions had lower educational attainment. Students with cancer, diabetes, or epilepsy who had a high number of absences, had repeated a grade, or had a high-depressive symptoms score were particularly impacted.

Bibliography Citation
Champaloux, Steven William and Deborah R. Young. "Childhood Chronic Health Conditions and Educational Attainment: A Social Ecological Approach." Journal of Adolescent Health 56,1 (January 2015): 98-105.