Factors associated with academic achievement in children with type 1 diabetes

Ann Marie McCarthy; S. Lindgren; M. A. Mengeling; E. Tsalikian; J. Engvall

doi:10.2337/diacare.26.1.112

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Factors associated with academic achievement in children with type 1 diabetes

Journal article

Open access

Peer reviewed

Factors associated with academic achievement in children with type 1 diabetes

Ann Marie McCarthy, S. Lindgren, M. A. Mengeling, E. Tsalikian and J. Engvall

Diabetes care, Vol.26(1), pp.112-117

01/01/2003

DOI: 10.2337/diacare.26.1.112

PMID: 12502666

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Abstract

OBJECTIVE: To examine academic achievement in children with diabetes and to identify predictors of achievement. RESEARCH DESIGN AND METHODS: Participants were 244 children, ages 8-18 years, with type 1 diabetes. Measures included school-administered standardized achievement tests (Iowa Tests of Basic Skills and Iowa Tests of Educational Development [ITBS/ITED]), grade point averages (GPAs), school absences, behavioral assessment, age at disease onset, hospitalizations, and HbA(1c). Statistical differences between subgroups of children were evaluated using t test and ANOVA, statistically controlling for socioeconomic status. Regression analyses were carried out to examine predictors of academic performance. RESULTS: Reading scores and GPA were lower for children with poor metabolic control than for children with average control. Children with hospitalizations for hyperglycemia had lower overall achievement scores than children with better metabolic control and fewer hospitalizations for hyperglycemia. The small group of children with tight metabolic control and hypoglycemic hospitalizations scored particularly low on the ITBS/ITED. Other variables had less clear relationships with academic achievement. Neither early onset of diabetes nor frequent school absence was associated with lower scores on the ITBS/ITED. Sex comparisons found that boys performed better than girls only in math. Socioeconomic status and parent ratings of behavior problems were significantly correlated with academic achievement, but medical variables added only slightly to predictive precision. CONCLUSIONS: For most children with diabetes, medical variables are not as strongly associated with academic achievement as are factors such as socioeconomic status and behavioral factors. Poor metabolic control and serious hypoglycemia, however, are a potential concern for a subset of these children.

Nursing

Achievement

Adaptation

Psychological

Adolescent

Age of Onset

Blood Glucose

Child

Cross-Sectional Studies

Diabetes Mellitus

Type 1/epidemiology/psychology

Educational Measurement

Educational Status

Female

Hospitalization/statistics & numerical data

Humans

Hyperglycemia/epidemiology/psychology

Learning

Male

Predictive Value of Tests

Sex Distribution

Details

Title: Subtitle: Factors associated with academic achievement in children with type 1 diabetes
Creators: Ann Marie McCarthy - University of Iowa
S. Lindgren
M. A. Mengeling
E. Tsalikian
J. Engvall
Resource Type: Journal article
Publication Details: Diabetes care, Vol.26(1), pp.112-117
DOI: 10.2337/diacare.26.1.112
PMID: 12502666
NLM abbreviation: Diabetes Care
ISSN: 0149-5992
Grant note: This study was funded by the National Institute of Nursing Research, National Institutes of Health (R15 NR04218).
Language: English
Date published: 01/01/2003
Academic Unit: Stead Family Department of Pediatrics; Nursing; Community and Behavioral Health; Internal Medicine
Record Identifier: 9983557653102771

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