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Impact of juvenile idiopathic arthritis on schooling
Ilham Bouaddi1, Samira Rostom, Dalal El Badri
1Department of Rheumatology, Al Ayachi Hospital, University Hospital of Rabat-Salé, Salé, 11000, Morocco. drbouaddilham@yahoo.fr
Insights
Juvenile idiopathic arthritis (JIA) significantly impacts Moroccan children's education, causing school absence and failure. Disease activity, like DAS28, is linked to absenteeism in JIA patients.
Area of Science:
- Pediatric Rheumatology
- Childhood Health
- Educational Psychology
Background:
- Juvenile idiopathic arthritis (JIA) is the most prevalent childhood arthropathy.
- Various childhood diseases can affect school attendance.
- Assessing JIA's impact on schooling is crucial for understanding disease burden.
Purpose of the Study:
- To evaluate the effect of juvenile idiopathic arthritis (JIA) on the schooling of Moroccan children.
- To compare school attendance and performance between children with JIA and healthy controls.
Main Methods:
- A cohort of 33 children diagnosed with JIA was compared to 74 healthy controls.
- Data collected included school level, academic performance, and attendance rates.
- Absenteeism due to health complications was specifically recorded.
Main Results:
- 33% of children with JIA were unable to attend school, unlike all healthy controls (p<0.0001).
- JIA patients had significantly higher absenteeism rates (63%) compared to controls (20%) (p<0.0001).
- 48.5% of JIA patients experienced academic failure, with disease activity score (DAS28) correlating with absenteeism.
Conclusions:
- Juvenile idiopathic arthritis (JIA) negatively affects children's schooling in Morocco.
- Further research with larger cohorts is recommended to validate these findings.
Background:
Juvenile idiopathic arthritis (JIA) is the most common arthropathy of childhood. Different diseases affect school attendance to varying degrees. The aim of this study was to assess the impact of juvenile idiopathic arthritis (JIA) on Moroccan children's schooling.
Methods:
Thirty-three children with JIA were included in this study, having been previously diagnosed according to the classification criteria of the International League of Associations for Rheumatology (ILAR). Seventy-four healthy children were recruited to serve as controls. Data was obtained for all children on their school level, educational performance, and attendance. The rate of absenteeism due to health complications was noted.
Results:
All healthy children were able to attend school (p<0.0001), while 33% of children with JIA were unable to attend school due to their condition. The students with JIA who were able to attend school were absent much more often than controls (63% compared to 20%), with a highly significant p value (p<0.0001). Slightly less than half of the JIA patients (48.5%) failed in their schooling. In univariate analysis, there was an association between absenteeism and tender joints (p=0.02), disease activity score (DAS28) (p=0.007), Childhood Health Assessment Questionnaire (CHAQ) (p=0.01), and erythrocyte sedimentation rate (ESR) (p=0.03). In multivariate analysis, the only association persisted between DAS28 and absenteeism.
Conclusions:
Our study suggested that the schooling of children with JIA was negatively impacted due to the disorder. More studies, with a larger sample of children, are needed to confirm our findings.
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