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Impact of Juvenile Idiopathic Arthritis on School Attendance and Performance

Received: 23 September 2016     Accepted: 21 October 2016     Published: 14 November 2016
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Abstract

Juvenile idiopathic arthritis (JIA) includes a group of disorders characterized by chronic arthritis. It is the most common chronic rheumatic illness in children and is a significant cause of morbidity, disability and dysfunction. Therefore, the potential for school attendance and academic performance become compromised and these children are often confronted with educational difficulties. Objectives: To assess the impact JIA on academic difficulty, academic performance, potential causes of absenteeism, school failure and relationship between schooling and different types of JIA. Materials and Methods: All school going JIA patients between 6-16 years of age who had at least 2 years of schooling (1 year before disease onset and 1 year during the course of disease) were included for the analysis. Two hundred JIA patients were selected by purposive sampling method. A detailed questionnaire was completed for each participant which included socio-demographic, clinical and laboratory characteristics, data related to schooling, academic difficulties and their causes, absenteeism and causes, sports and cultural activities, school failure and school re-entry if any. Fifty four controls were taken who were the healthy sibs of those JIA patients having at least 2 previous years of schooling. Results: Mean age of JIA patients were 10.8 years, 67% were male and male female ratio was 2:1. Academic difficulties were observed for reading, writing and both due to disease process and deformity. Number of absent days and poor attendance in examination was significantly higher in JIA patients (p value < 0.001). Moreover, in case group, only 18% had improved result than the academic year prior to disease onset, 3% had no change, 57% deteriorated and 22% stopped schooling. There were 44 cases of school failure among JIA patients, 30 had school re-entry. No children had school failure or re-entry among the control group. Multiple causes of absenteeism like flare, hospitalization, side effects of drugs, movement difficulties, parental non-interest and some other factors like rainfall, delayed rising from sleep etc co-existed for most of the cases. In control group, mean percentage of absenteeism was 1.6%, mostly due to some febrile illness, cold weather, rainfall, lack of transport, sickness of caregiver etc. Children who did not participate in sports activities were 9.3% in control group and 48.5% in case group (p value < 0.001). Conclusion: It is evident from this study that JIA has negative impact on schooling characterized by poor attendance and academic performance.

Published in American Journal of Clinical and Experimental Medicine (Volume 4, Issue 6)
DOI 10.11648/j.ajcem.20160406.15
Page(s) 185-190
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Juvenile Idiopathic Arthritis, School Attendance, Academic Performance

References
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[7] Díaz-Mendoza AC, Caballero CM, Navarro-Cendejas J (2015) Analysis of employment rate andSocialstatus in young adults with childhood onsetrheumatic disease in Catalonia. Pediatric Rheumatology 13, 29-32.
[8] Lindehammar H (2003) Hand strength in juvenile chronic arthritis: a two-year follow-up.ActaPaediatrica92, 1291-6.
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[10] Grootenhuis MA, Koopman HM, Verrips EG, Vogels AG, Last BF(2007) Health-related quality of life problems of children aged 8-11 years with a chronic disease. Dev Neurorehabil10 (1), 27–33.
[11] Gulati IR, Vijayasekharan IK, Negi VS (2010) High rate of school absenteeism and drop out in children with juvenile idiopathic arthritis from a developing country. J Paediatr Child Health 15 (4), 213–218.
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[18] Bouaddi I, Rostom S, Badri DE et al. (2013)Impact of juvenile idiopathic arthritis on schooling. BMC Pediatr13, 2-5.
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  • APA Style

    Kamrul Laila, Mujammel Haque, Md. Mahbubul Islam, Mohammad Imnul Islam, Manik Kumar Talukder, et al. (2016). Impact of Juvenile Idiopathic Arthritis on School Attendance and Performance. American Journal of Clinical and Experimental Medicine, 4(6), 185-190. https://doi.org/10.11648/j.ajcem.20160406.15

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    ACS Style

    Kamrul Laila; Mujammel Haque; Md. Mahbubul Islam; Mohammad Imnul Islam; Manik Kumar Talukder, et al. Impact of Juvenile Idiopathic Arthritis on School Attendance and Performance. Am. J. Clin. Exp. Med. 2016, 4(6), 185-190. doi: 10.11648/j.ajcem.20160406.15

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    AMA Style

    Kamrul Laila, Mujammel Haque, Md. Mahbubul Islam, Mohammad Imnul Islam, Manik Kumar Talukder, et al. Impact of Juvenile Idiopathic Arthritis on School Attendance and Performance. Am J Clin Exp Med. 2016;4(6):185-190. doi: 10.11648/j.ajcem.20160406.15

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  • @article{10.11648/j.ajcem.20160406.15,
      author = {Kamrul Laila and Mujammel Haque and Md. Mahbubul Islam and Mohammad Imnul Islam and Manik Kumar Talukder and Shahana Akhter Rahman},
      title = {Impact of Juvenile Idiopathic Arthritis on School Attendance and Performance},
      journal = {American Journal of Clinical and Experimental Medicine},
      volume = {4},
      number = {6},
      pages = {185-190},
      doi = {10.11648/j.ajcem.20160406.15},
      url = {https://doi.org/10.11648/j.ajcem.20160406.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajcem.20160406.15},
      abstract = {Juvenile idiopathic arthritis (JIA) includes a group of disorders characterized by chronic arthritis. It is the most common chronic rheumatic illness in children and is a significant cause of morbidity, disability and dysfunction. Therefore, the potential for school attendance and academic performance become compromised and these children are often confronted with educational difficulties. Objectives: To assess the impact JIA on academic difficulty, academic performance, potential causes of absenteeism, school failure and relationship between schooling and different types of JIA. Materials and Methods: All school going JIA patients between 6-16 years of age who had at least 2 years of schooling (1 year before disease onset and 1 year during the course of disease) were included for the analysis. Two hundred JIA patients were selected by purposive sampling method. A detailed questionnaire was completed for each participant which included socio-demographic, clinical and laboratory characteristics, data related to schooling, academic difficulties and their causes, absenteeism and causes, sports and cultural activities, school failure and school re-entry if any. Fifty four controls were taken who were the healthy sibs of those JIA patients having at least 2 previous years of schooling. Results: Mean age of JIA patients were 10.8 years, 67% were male and male female ratio was 2:1. Academic difficulties were observed for reading, writing and both due to disease process and deformity. Number of absent days and poor attendance in examination was significantly higher in JIA patients (p value < 0.001). Moreover, in case group, only 18% had improved result than the academic year prior to disease onset, 3% had no change, 57% deteriorated and 22% stopped schooling. There were 44 cases of school failure among JIA patients, 30 had school re-entry. No children had school failure or re-entry among the control group. Multiple causes of absenteeism like flare, hospitalization, side effects of drugs, movement difficulties, parental non-interest and some other factors like rainfall, delayed rising from sleep etc co-existed for most of the cases. In control group, mean percentage of absenteeism was 1.6%, mostly due to some febrile illness, cold weather, rainfall, lack of transport, sickness of caregiver etc. Children who did not participate in sports activities were 9.3% in control group and 48.5% in case group (p value < 0.001). Conclusion: It is evident from this study that JIA has negative impact on schooling characterized by poor attendance and academic performance.},
     year = {2016}
    }
    

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  • TY  - JOUR
    T1  - Impact of Juvenile Idiopathic Arthritis on School Attendance and Performance
    AU  - Kamrul Laila
    AU  - Mujammel Haque
    AU  - Md. Mahbubul Islam
    AU  - Mohammad Imnul Islam
    AU  - Manik Kumar Talukder
    AU  - Shahana Akhter Rahman
    Y1  - 2016/11/14
    PY  - 2016
    N1  - https://doi.org/10.11648/j.ajcem.20160406.15
    DO  - 10.11648/j.ajcem.20160406.15
    T2  - American Journal of Clinical and Experimental Medicine
    JF  - American Journal of Clinical and Experimental Medicine
    JO  - American Journal of Clinical and Experimental Medicine
    SP  - 185
    EP  - 190
    PB  - Science Publishing Group
    SN  - 2330-8133
    UR  - https://doi.org/10.11648/j.ajcem.20160406.15
    AB  - Juvenile idiopathic arthritis (JIA) includes a group of disorders characterized by chronic arthritis. It is the most common chronic rheumatic illness in children and is a significant cause of morbidity, disability and dysfunction. Therefore, the potential for school attendance and academic performance become compromised and these children are often confronted with educational difficulties. Objectives: To assess the impact JIA on academic difficulty, academic performance, potential causes of absenteeism, school failure and relationship between schooling and different types of JIA. Materials and Methods: All school going JIA patients between 6-16 years of age who had at least 2 years of schooling (1 year before disease onset and 1 year during the course of disease) were included for the analysis. Two hundred JIA patients were selected by purposive sampling method. A detailed questionnaire was completed for each participant which included socio-demographic, clinical and laboratory characteristics, data related to schooling, academic difficulties and their causes, absenteeism and causes, sports and cultural activities, school failure and school re-entry if any. Fifty four controls were taken who were the healthy sibs of those JIA patients having at least 2 previous years of schooling. Results: Mean age of JIA patients were 10.8 years, 67% were male and male female ratio was 2:1. Academic difficulties were observed for reading, writing and both due to disease process and deformity. Number of absent days and poor attendance in examination was significantly higher in JIA patients (p value < 0.001). Moreover, in case group, only 18% had improved result than the academic year prior to disease onset, 3% had no change, 57% deteriorated and 22% stopped schooling. There were 44 cases of school failure among JIA patients, 30 had school re-entry. No children had school failure or re-entry among the control group. Multiple causes of absenteeism like flare, hospitalization, side effects of drugs, movement difficulties, parental non-interest and some other factors like rainfall, delayed rising from sleep etc co-existed for most of the cases. In control group, mean percentage of absenteeism was 1.6%, mostly due to some febrile illness, cold weather, rainfall, lack of transport, sickness of caregiver etc. Children who did not participate in sports activities were 9.3% in control group and 48.5% in case group (p value < 0.001). Conclusion: It is evident from this study that JIA has negative impact on schooling characterized by poor attendance and academic performance.
    VL  - 4
    IS  - 6
    ER  - 

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Author Information
  • Department of Paediatrics, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh

  • Department of Paediatrics, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh

  • Department of Paediatrics, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh

  • Department of Paediatrics, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh

  • Department of Paediatrics, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh

  • Department of Paediatrics, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh

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