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Risk factors for school-based presenteeism in children: a systematic review
Lisa Woodland1,2, Samantha K Brooks3,4, Rebecca K Webster5
1Department of Psychological Medicine, King's College London, London, UK. lisa.woodland@kcl.ac.uk.
BMC Psychology
|May 24, 2023
Summary
School-based presenteeism occurs when children attend school while sick, negatively impacting their health and education. Key risk factors include perceived mild illness, parental disbelief, and vague school sickness policies.
Area of Science:
- Pediatrics
- Public Health
- Educational Psychology
Background:
- School-based presenteeism, defined as children attending school while unwell, poses significant risks to educational attainment and overall well-being.
- Identifying the determinants of this behavior is crucial for developing effective interventions.
Approach:
- A systematic literature search was conducted across five databases, analyzing studies on school attendance and presenteeism.
- Synthesized findings from 18 quantitative, qualitative, and mixed-method studies to identify risk factors.
Key Points:
- Identified five themes: illness perception, child characteristics, motivations/attitudes, organizational factors, and school sickness policies.
- Common risk factors include perceived low symptom severity, high absenteeism, parental disbelief, unsupportive employers, unclear policies, and financial concerns.
Conclusions:
- School-based presenteeism is complex, involving competing interests among children, parents, and school staff.
- Clear, well-communicated sickness policies and support systems (financial, childcare) are essential for parents and staff to manage unwell children effectively.
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