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Exploring interaction effects of social determinants of health with hospital admission type on academic performance:

Joanna F Dipnall1,2, Jane Lyons3,4,5,6, Ronan Lyons3,4,6

  • 1School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia joanna.dipnall@monash.edu.

Archives of Disease in Childhood
|November 8, 2024
PubMed

Insights

Social determinants of health (SDH) significantly impact educational outcomes following childhood hospitalisation. Interventions are needed to mitigate these effects, especially for vulnerable children.

Area of Science:

  • Public Health
  • Pediatrics
  • Educational Psychology

Background:

  • Childhood hospitalisation can affect academic performance.
  • Socio-demographic factors, known as social determinants of health (SDH), may influence this relationship.

Purpose of the Study:

  • To examine how SDH moderate the link between childhood hospitalisation types and academic achievement.
  • To identify specific SDH that exacerbate or mitigate the impact of hospitalisation on education.

Main Methods:

  • Utilised a large cohort of children in Wales (N=369,310) from 2009-2016.
  • Linked multiple data sources via the Secure Anonymised Information Linkage databank.
  • Measured binary educational achievement at ages 11, 14, and 16.

Main Results:

  • Females generally had better academic achievement than males.
  • Injury hospitalisations negatively impacted academic achievement, particularly for males.
  • Children from deprived backgrounds and those with special educational needs (SEN) showed lower academic achievement, with injury admissions worsening outcomes for deprived children.

Conclusions:

  • SDH play a crucial role in moderating the impact of hospitalisation on educational outcomes.
  • Routine in-hospital screening for SDH and targeted post-hospital interventions are recommended.
  • Addressing SDH is vital to support educational attainment for hospitalised children.
Abstract

Keywords:
Adolescent HealthChild HealthEmergency Service, HospitalHealthcare DisparitiesPaediatrics

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