4.6 Article

Academic Performance among Children with Inflammatory Bowel Disease: A Population-Based Study

Journal

JOURNAL OF PEDIATRICS
Volume 166, Issue 5, Pages 1128-1133

Publisher

MOSBY-ELSEVIER
DOI: 10.1016/j.jpeds.2014.12.010

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Funding

  1. American College of Gastroenterology Clinical Research Award
  2. Bingham Chair in Gastroenterology
  3. Abbvie Canada
  4. Takeda Canada
  5. Shire Canada
  6. Canadian Institutes of Health Research New Investigator Award
  7. Pfizer Canada [WI174703]
  8. Government of Manitoba through the Manitoba Center for Health Policy Population-Based Child Health Research Award

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Objectives To determine grade 12 academic performance for children with inflammatory bowel disease (IBD). Study design Children diagnosed with IBD at age <17 years identified from the population-based University of Manitoba IBD Epidemiology Database were matched by age-, sex-, and area of residence to 10 randomly selected controls. Grade 12 educational outcomes (scores on the provincial grade 12 language arts and mathematics standards tests, and enrollment-in-grade-12-by- age-17) were determined by linkage to the province wide Manitoba Education Database. Linear and logistic regression analysis were used to compare the educational outcomes, adjusting for socioeconomic status and comorbidities and evaluate predictors of educational outcomes among children with IBD. Results Grade 12 educational outcomes among 337 children with IBD were compared with 3093 without IBD. There were no significant differences among the 2 groups in the standardized scores (language arts: P = .31; mathematics: P = .48) or enrollment-in-grade-12-by- age-17 (P = .25). Lower socioeconomic status and diagnosis with mental health problems 6 months prior to and 6 months post-IBD diagnosis were independent predictors of worse educational outcomes. There was no significant effect of age of diagnosis of IBD, type of IBD (ulcerative colitis vs Crohn's disease), use of corticosteroids or immunomodulator agents, hospitalizations, or surgery for IBD. Conclusions Children with IBD on average achieve similar levels of academic achievement in grade 12 as those without IBD. This study underscores the educational impact of mental health conditions at IBD diagnosis among children.

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