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Abstract

Objective

As access to quality education is a known, primary social determinant of health among pediatric patients, we were interested in the level of educational risk among pediatric patients with chronic gastrointestinal (GI) conditions and the potential differences in risk between those with inflammatory bowel disease (IBD), celiac disease, chronic abdominal pain, and chronic constipation.

Method

We surveyed 148 parents/guardians of pediatric GI patients in a midwestern tertiary gastroenterology clinic using the Brief School Needs Inventory (BSNI), a semi-structured interview.

Results

Most pediatric GI patients were rated as being at low educational risk (68.9%), with the remaining at moderate (23.6%) and high (7.4%) risk. Among the greatest specific concerns for parents related to their children’s functioning at school were peer relationships, attendance, and emotional and behavioral issues. Level of educational risk was not significantly related to GI diagnosis.

Conclusions

Roughly 30% of the families within our GI Clinic surveyed as part of the study reported moderate to high levels of educational risk for their youth. These data signal the need for standardized, routine educational risk screening and thoughtful implementation of tiered educational intervention and support to equitably address education as an important determinant of pediatric health outcomes.

Keywords

educational risk Brief School Needs Inventory social determinants of health pediatric gastroenterology

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References

Allison

M. A.

Attisha

AAP Council on School Health . (2019). The link between school attendance and good health. Pediatrics, 143(2), Article e20183648. https://doi.org/10.1542/peds.2018-3648

Assa

Ish-Tov

Rinawi

Shamir

(2015). School attendance in children with functional abdominal pain and inflammatory bowel diseases. Journal of Pediatric Gastroenterology and Nutrition, 61(5), 553–557. https://doi.org/10.1097/MPG.0000000000000850

Bowdy

Hente

Filigno

S. S.

Strong

Hossain

Tadesse

D. G.

Boat

Hjelm

(2023). Longitudinal assessment of educational risk for K-12 students with cystic fibrosis. The Journal of Pediatrics, 253, 238–244.e3. https://doi.org/10.1016/j.jpeds.2022.09.049

Centers for Disease Control and Prevention . (2023). Why is addressing social determinants of health important for CDC and public health? https://www.cdc.gov/about/sdoh/addressing-sdoh.html

Elam

Murphy

Irwin

(2019). Validity, reliability, and feasibility of the Brief School Needs Inventory: Evaluating educational risk for students with chronic health conditions. Psycho-Oncology, 28(7), 1483–1489. https://doi.org/10.1002/pon.5104

Errichiello

Esposito

Di Mase

Camarca

M. E.

Natale

Limongelli

M. G.

Marano

Coruzzo

Lombardo

Strisciuglio

Greco

(2010). Celiac disease: Predictors of compliance with a gluten-free diet in adolescents and young adults. Journal of Pediatric Gastroenterology and Nutrition, 50(1), 54–60. https://doi.org/10.1097/MPG.0b013e31819de82a

Forrest

C. B.

Bevans

K. B.

Riley

A. W.

Crespo

Louis

T. A.

(2011). School outcomes of children with special health care needs. Pediatrics, 128(2), 303–312. https://doi.org/10.1542/peds.2010-3347

Hancock

K. J.

Shepherd

C. C. J.

Lawrence

Zubrick

S. R.

(2013). Student attendance and educational outcomes: Every day counts. Report for the Department of Education, Employment and Workplace Relations.

Johansson

Norström

Green

P. H. R.

Ivarsson

Richter Sundberg

Själander

Myleus

(2022). Celiac disease and upper secondary school achievement in Sweden A retrospective cohort study. BMC Pediatrics, 22(709), Article 709. https://doi.org/10.1186/s12887-022-03773-6

10.

Karkoska

K. A.

Haber

Elam

Strong

McGann

P. T.

(2021). Academic challenges and school service utilization in children with sickle cell disease. The Journal of Pediatrics, 230, 182–190. https://doi.org/10.1016/j.jpeds.2020.11.062

11.

Lum

Wakefield

C. E.

Donnan

Burns

M. A.

Fardell

J. E.

Jaffe

Kasparian

N. A.

Kennedy

M. A.

Leach

Lemberg

D. A.

Marshall

G. M.

(2019). School students with chronic illness have unmet academic, social, and emotional school needs. School Psychology, 34(6), 627–636. https://doi.org/10.1037/spq0000311

12.

Lum

Wakefield

C. E.

Donnan

Burns

M. A.

Fardell

J. E.

Marshall

G. M.

(2017). Understanding the school experiences of children and adolescents with serious chronic illness: A systematic meta-review. Child: Care, Health and Development, 43(5), 645–662. https://doi.org/10.1111/cch.12475

13.

Mackner

L. M.

Greenley

R. N.

Szigethy

Herzer

Deer

Hommel

K. A.

(2013). Psychosocial issues in pediatric inflammatory bowel disease: Report of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition. Journal of Pediatric Gastroenterology and Nutrition, 56(4), 449–458. https://doi.org/10.1097/MPG.0b013e3182841263

14.

Malmborg

Mouratidou

Sachs

M. C.

Hammar

Khalili

Neovius

Hjern

Smedby

K. E.

Ekbom

Askling

Ludvigsson

J. F.

Olén

(2019). Effects of childhood-onset inflammatory bowel disease on school performance: A nationwide population-based cohort study using Swedish Health and Educational Registers. Inflammatory Bowel Diseases, 25(10), 1663–1673. https://doi.org/10.1093/ibd/izz040

15.

Namatovu

Strandh

Ivarsson

Nilsson

(2018). Effect of childhood coeliac disease on ninth grade school performance: Evidence from a population-based study. Archives of Disease in Childhood, 103(2), 143–148. https://doi.org/10.1136/archdischild-2017-312830

16.

Pinquart

Teubert

(2012). Academic, physical, and social functioning of children and adolescents with chronic physical illness: A meta-analysis. Journal of Pediatric Psychology, 37(4), 376–389. https://doi.org/10.1093/jpepsy/jsr106

17.

Reynolds

A. J.

Temple

J. A.

Robertson

D. L.

Mersky

J. P.

Topitzes

J. W.

Niles

M. D.

(2007). Effects of a school-based, early childhood intervention on adult health and well-being: A 19-year follow-up of low-income families. Archives of Pediatrics and Adolescent Medicine, 161(8), 730–739. https://doi.org/10.1001/archpedi.161.8.730

18.

Topitzes

Godes

Mersky

J. P.

Ceglarek

Reynolds

A. J.

(2009). Educational success and adult health: Findings from the Chicago Longitudinal Study. Prevention Science: The Official Journal of the Society for Prevention Research, 10(2), 175–195. https://doi.org/10.1007/s11121-009-0121-5

19.

Wang

Shang

Zhang

Tian

Wang

Yang

Jiang

(2013). Impact of functional constipation on health-related quality of life in preschool children and their families in Xi’an, China. PLoS One, 8(10), Article e77273. https://doi.org/10.1371/journal.pone.0077273

Standardized Assessment of Educational Risk Among Pediatric Outpatients With Gastrointestinal (GI) Conditions: Feasibility of the Brief School Needs Inventory (BSNI)

Abstract

Objective

Method

Results

Conclusions

Keywords

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