School Perceptions and Attendance for Children With Medical Complexity During COVID-19 Over Time

IF 1.8 4区医学 Q2 EDUCATION & EDUCATIONAL RESEARCH

Journal of School Health Pub Date : 2024-09-04 DOI:10.1111/josh.13503

Ryan J. Coller MD, MPH, Gregory P. DeMuri MD, Jens C. Eickhoff PhD, Kristina Singh-Verdeflor MPH, Gemma Warner MSSW, Sabrina M. Butteris MD, Mary L. Ehlenbach MD, Danielle Gerber BA, Barbara Katz MA, Shawn Koval MA, Michelle M. Kelly MD, PhD

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引用次数: 0

Abstract

BACKGROUND

Disparities in school attendance exist for children with medical complexity (CMC) due to COVID-19. Longitudinal changes in family-reported school safety perceptions and predictors of full-time, in-person school attendance are unknown.

METHODS

This was a prospective, longitudinal cohort study with 3 survey waves (June 2021-June 2022) among English- and Spanish-speaking families of CMC aged 5 to 17 years and pre-pandemic school attendance. Changes in Health Belief Model perceptions and full-time in-person school attendance were estimated using multivariate generalized linear modeling with repeated measures.

RESULTS

Among 1601 respondents (52.9% of 3073 invited), 86.8% participated in all 3 surveys. School safety perceptions improved with time; however, perceived susceptibility to COVID-19 increased. Full-time in-person school attendance rose from 48.4% to 90.0% from wave 1 to 3 (p < .0001), and was associated with motivation, benefits, and cues. For example, families with low compared to high motivation for in-person attendance had 76% versus 98% predicted probability for child's school attendance, respectively at wave 3 (p < .0001).

IMPLICATIONS FOR SCHOOL HEALTH POLICY, PRACTICE, AND EQUITY

Probability of full-time in-person school attendance was associated with several health belief model perceptions. School health policy and programs may benefit from promoting family motivation, benefits, and cues during future respiratory illness epidemics including COVID-19.

CONCLUSIONS

In-person school attendance improved for CMC over time. Opportunities exist to continue optimizing in-person attendance and family-perceived safety for CMC at school.

Abstract Image

查看原文本刊更多论文

在 COVID-19 期间，随着时间的推移，医疗复杂性儿童对学校的看法和出勤率。

背景：由于 COVID-19，医疗复杂性儿童（CMC）的入学率存在差异。家庭报告的学校安全感的纵向变化以及全日制学校出勤率的预测因素尚不清楚：这是一项前瞻性纵向队列研究，共进行了 3 次调查（2021 年 6 月至 2022 年 6 月），调查对象为讲英语和西班牙语的 5 至 17 岁 CMC 家庭，调查对象在疫情流行前的入学率。采用重复测量的多变量广义线性模型对健康信念模型认知和全日制学校出勤率的变化进行了估计：在 1601 名受访者（占 3073 名受邀者的 52.9%）中，86.8% 的人参加了全部 3 次调查。随着时间的推移，受访者对学校安全的看法有所改善，但对 COVID-19 的易感性有所上升。从第 1 次调查到第 3 次调查，全日制学校出勤率从 48.4% 上升到 90.0%（p 对学校卫生政策、实践和公平的影响）：全日制亲自到校就读的概率与几种健康信念模式认知相关。在包括 COVID-19 在内的未来呼吸道疾病流行期间，学校卫生政策和计划可能会受益于促进家庭动机、益处和提示：结论：随着时间的推移，儿童疾病防治中心的亲自到校率有所提高。仍有机会继续优化儿童疾病防治中心在学校的亲自出席率和家庭感知的安全性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of School Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.70

自引率

9.10%

发文量

134

审稿时长

6-12 weeks

期刊介绍： Journal of School Health is published 12 times a year on behalf of the American School Health Association. It addresses practice, theory, and research related to the health and well-being of school-aged youth. The journal is a top-tiered resource for professionals who work toward providing students with the programs, services, and environment they need for good health and academic success.