Journal article
Children with oral clefts are at greater risk for persistent low achievement in school than classmates
Archives of disease in childhood, Vol.100(12), pp.1148-1154
12/2015
DOI: 10.1136/archdischild-2015-308358
PMCID: PMC5018039
PMID: 26347387
Abstract
To examine trajectories in academic achievement for children with oral clefts versus unaffected classmates and explore predictors of persistently low achievement among children with oral clefts.
Longitudinal cohort study of academic achievement in a population-based sample.
Children born from 1983 through 2003 with oral clefts were identified from the Iowa Registry for Congenital and Inherited Disorders and matched to unaffected classmates by sex, school/school district and month and year of birth.
Academic achievement was measured from Iowa Testing Programs data. Outcomes included achievement scores in reading, language and mathematics.
Academic achievement data were available for 586 children with oral clefts and 1873 unaffected classmates. Achievement trajectories were stable for both groups. Children with oral clefts were more likely than their classmates to be classified into persistent low achievement trajectories, including when adjusting for socioeconomic differences: OR=1.63, 95% CI 1.23 to 2.16 for reading; OR=1.73, 95% CI 1.29 to 2.31 for language; OR=1.45, 95% CI 1.05 to 1.99 for math. Predictors of low achievement were cleft palate only (vs other cleft types), adolescent mothers, low maternal education and less frequent use of prenatal care.
Most children have steady academic trajectories and children with oral clefts are at greater risk for persistent low achievement in school than unaffected classmates. These findings support the need for routine, early screening for academic deficits in this population. Cleft palate only, low parental education and adolescent mothers are associated with increased risk for persistent low achievement.
Details
- Title: Subtitle
- Children with oral clefts are at greater risk for persistent low achievement in school than classmates
- Creators
- George L Wehby - University of Iowa, Iowa City, Iowa, USA National Bureau of Economic Research, Cambridge, Massachusetts, USABrent R Collett - University of Washington and Seattle Children's Hospital, Seattle, Washington, USASheila Barron - University of Iowa, Iowa City, Iowa, USAPaul Romitti - University of Iowa, Iowa City, Iowa, USATimothy Ansley - University of Iowa, Iowa City, Iowa, USA
- Resource Type
- Journal article
- Publication Details
- Archives of disease in childhood, Vol.100(12), pp.1148-1154
- DOI
- 10.1136/archdischild-2015-308358
- PMID
- 26347387
- PMCID
- PMC5018039
- NLM abbreviation
- Arch Dis Child
- ISSN
- 1468-2044
- eISSN
- 1468-2044
- Publisher
- England
- Grant note
- 1 R03 DE022094 / NIDCR NIH HHS R03 DE022094 / NIDCR NIH HHS
- Language
- English
- Date published
- 12/2015
- Academic Unit
- Preventive and Community Dentistry; Health Management and Policy; Epidemiology; Economics; Biostatistics; Public Policy Center (Archive); Psychological and Quantitative Foundations
- Record Identifier
- 9983995040402771
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