School Disengagement Among Children With Mental Health Conditions Pre- and Intra-COVID-19 Pandemic.

IF 6.4 2区医学 Q1 PEDIATRICS

Pediatrics Pub Date : 2025-10-15 DOI:10.1542/peds.2024-068387

Fiorella B Castillo,Elisa Muñiz,Ellen J Silver,Blanche Benenson,Maria Valicenti-McDermott,Ruth E K Stein

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引用次数: 0

Abstract

OBJECTIVES School disengagement (SD) is associated with mental health, educational, and behavioral challenges. This study explored temporal changes in SD and SD rates among children with mental health conditions (MHCs) in a representative sample of US children aged 6 to 17 years from 2018 to 2022 and identified SD correlates. METHODS We analyzed cross-sectional National Survey of Children's Health (NSCH) data from 2018 and 2019 (pre-pandemic), 2020 (lockdown), and 2021 and 2022 (intra-pandemic) (N = 136 576). We defined SD using an NSCH-developed measure based on parent responses regarding caring about school and completing homework. MHCs included anxiety, depression, behavioral/conduct problems, or attention-deficit/hyperactivity disorder. We adjusted for complex sampling and calculated weighted prevalence estimates for all variables and assessed for monotonic trends. χ2 and logistic regression assessed the relationships among SD, year, and MHCs, controlling for covariates. RESULTS The 5-year cohort was composed of 51.1% boys, 51% 12- to 17-year-old children, 11.1% children who had a special education plan (SEP), 5.2% children who had missed at least 11 school days, and 6.1% children who had repeated a grade. SD rates were higher during pandemic years compared with 2018 (P < .001), especially for children with MHCs. Higher SD odds were seen in 2020, 2021, and 2022 compared with 2018 (2020, adjusted odds ratio [aOR]: 1.30, 99% CI: 1.1-1.54; 2021, aOR: 1.27, 99% CI: 1.08-1.49; 2022, aOR: 1.28, 99% CI: 1.1-1.49); no differences were observed between 2018 and 2019. Children with MHCs, overall health status that was very good or lower, food insecurity, a total of 4 or more lifetime moves, an SEP, and incidence of repeating a grade had higher SD odds. CONCLUSIONS SD rates have been higher since 2020 for children with MHCs and remain above pre-pandemic levels. MHCs and social and educational factors influence SD odds. These findings have implications for identifying children who are at risk for SD, particularly those with MHCs.

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covid -19大流行前和期间精神健康状况不佳儿童的退学情况

目的：学校脱离（SD）与心理健康、教育和行为挑战有关。本研究探讨了2018年至2022年美国6至17岁儿童代表性样本中患有精神健康状况（mhc）的儿童的SD和SD率的时间变化，并确定了SD相关因素。方法：我们分析了2018年和2019年（大流行前）、2020年（封锁期间）、2021年和2022年（大流行期间）全国儿童健康调查（NSCH）的横断面数据（N = 136 576）。我们使用nsch开发的基于家长对关心学校和完成家庭作业的反应的测量来定义SD。mhc包括焦虑、抑郁、行为/行为问题或注意力缺陷/多动障碍。我们调整了复杂抽样，计算了所有变量的加权患病率估计值，并评估了单调趋势。χ2和logistic回归评估标准差、年份和mhc之间的关系，控制协变量。结果5年队列中男生占51.1%，12- 17岁儿童占51%，特殊教育计划（SEP）儿童占11.1%，旷课至少11天儿童占5.2%，留级儿童占6.1%。与2018年相比，大流行年的SD率更高（P < 0.05）。001)，特别是对于mhc患儿。与2018年相比，2020年、2021年和2022年的SD比值较高（2020年，调整比值比[aOR]: 1.30, 99% CI: 1.1-1.54； 2021年，aOR: 1.27, 99% CI: 1.08-1.49； 2022年，aOR: 1.28, 99% CI: 1.1-1.49）；2018年和2019年之间没有发现差异。患有MHCs的儿童，总体健康状况非常好或较差，食物不安全，总共4次或4次以上的生活活动，SEP和重复一个年级的发生率具有更高的SD几率。结论：自2020年以来，mhc患儿的ssd率有所上升，且仍高于大流行前水平。mhc和社会教育因素影响SD的几率。这些发现对识别有自闭症风险的儿童，特别是mhc患者具有重要意义。

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

Pediatrics 医学-小儿科

CiteScore

12.80

自引率

5.00%

发文量

791

审稿时长

2-3 weeks

期刊介绍： The Pediatrics® journal is the official flagship journal of the American Academy of Pediatrics (AAP). It is widely cited in the field of pediatric medicine and is recognized as the leading journal in the field. The journal publishes original research and evidence-based articles, which provide authoritative information to help readers stay up-to-date with the latest developments in pediatric medicine. The content is peer-reviewed and undergoes rigorous evaluation to ensure its quality and reliability. Pediatrics also serves as a valuable resource for conducting new research studies and supporting education and training activities in the field of pediatrics. It aims to enhance the quality of pediatric outpatient and inpatient care by disseminating valuable knowledge and insights. As of 2023, Pediatrics has an impressive Journal Impact Factor (IF) Score of 8.0. The IF is a measure of a journal's influence and importance in the scientific community, with higher scores indicating a greater impact. This score reflects the significance and reach of the research published in Pediatrics, further establishing its prominence in the field of pediatric medicine.