Please use this identifier to cite or link to this item: http://doi.org/10.25358/openscience-801
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dc.contributor.authorHoffmann, Isabell-
dc.contributor.authorDiefenbach, Christiane-
dc.contributor.authorGräf, Christine-
dc.contributor.authorKönig, Jochem-
dc.contributor.authorSchmidt, Martina F.-
dc.contributor.authorSchnick-Vollmer, Kathleen-
dc.contributor.authorBlettner, Maria-
dc.contributor.authorUrschitz, Michael S.-
dc.date.accessioned2018-08-02T12:54:37Z-
dc.date.available2018-08-02T14:54:37Z-
dc.date.issued2018-
dc.identifier.urihttps://openscience.ub.uni-mainz.de/handle/20.500.12030/803-
dc.description.abstractObjective Children with chronic health conditions may perform poorer at school. Associations may be confounded by numerous social factors. We aimed to estimate the effects of a chronic health condition on overall school performance in first graders with an emphasis on rigorous adjustment for potential confounders. Methods A population-based cohort study was performed in the area of Mainz-Bingen (Germany). In 2015 all preschoolers were approached and the presence of a chronic health condition was assessed by parental questionnaires and preschool health examination data. The identification of a chronic health condition was based on special health care needs and presence of a doctor’s diagnosis out of 24 school-relevant diseases. At the end of the first school year, overall school performance was assessed by teachers and rated on a 5-item scale ranging from -10 to 10. Results Of 3683 children approached, 2003 were enrolled. Overall school performance was available for 1462 children (51% boys). Of these, 52% suffered from a chronic health condition. Compared to children without a chronic health condition, children with special health care needs (15%) performed worse at school (adjusted mean difference: -0.95, 95% CI: [-1.55; -0.35], P = 0.002). Children with a doctor’s diagnosis but without special health care needs (37%) did not perform worse at school. The effect was further analysed considering the extent of special health care needed. Conclusions Chronic health conditions affect overall school performance early in primary school. To identify academically at-risk children, a chronic health condition identification based on special health care needs may be used.en_GB
dc.description.sponsorshipDFG, Open Access-Publizieren Universität Mainz / Universitätsmedizin-
dc.language.isoeng-
dc.rightsCC BYde_DE
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/-
dc.subject.ddc610 Medizinde_DE
dc.subject.ddc610 Medical sciencesen_GB
dc.titleChronic health conditions and school performance in first graders : a prospective cohort studyen_GB
dc.typeZeitschriftenaufsatzde_DE
dc.identifier.urnurn:nbn:de:hebis:77-publ-584101-
dc.identifier.doihttp://doi.org/10.25358/openscience-801-
jgu.type.dinitypearticle-
jgu.type.versionPublished versionen_GB
jgu.type.resourceText-
jgu.organisation.departmentFB 04 Medizin-
jgu.organisation.number2700-
jgu.organisation.nameJohannes Gutenberg-Universität Mainz-
jgu.rights.accessrightsopenAccess-
jgu.journal.titlePLOS ONE-
jgu.journal.volume13-
jgu.journal.issue3-
jgu.pages.alternativee0194846-
jgu.publisher.year2018-
jgu.publisher.namePLOS-
jgu.publisher.placeSan Francisco, California, US-
jgu.publisher.urihttp://dx.doi.org/10.1371/journal.pone.0194846-
jgu.publisher.issn1932-6203-
jgu.organisation.placeMainz-
jgu.subject.ddccode610-
opus.date.accessioned2018-08-02T12:54:37Z-
opus.date.modified2018-09-03T07:46:22Z-
opus.date.available2018-08-02T14:54:37-
opus.subject.dfgcode00-000-
opus.organisation.stringFB 04: Medizin: Institut für Med. Biometrie, Epidemologie und Informatikde_DE
opus.identifier.opusid58410-
opus.institute.number0424-
opus.metadataonlyfalse-
opus.type.contenttypeKeinede_DE
opus.type.contenttypeNoneen_GB
opus.affiliatedHoffmann, Isabell-
opus.affiliatedKönig, Jochem-
opus.affiliatedBlettner, Maria-
opus.affiliatedUrschitz, Michael S.-
jgu.publisher.doi10.1371/journal.pone.0194846
jgu.organisation.rorhttps://ror.org/023b0x485
Appears in collections:JGU-Publikationen

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