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Missing Care, Missing Class: Analyzing the Overlooked Relationship Between Unmet Healthcare Needs and Absenteeism
Wendy Castillo1, Jeremy Singer2
1Montclair State University, Montclair, New Jersey, USA.
The Journal of School Health
|September 9, 2025
Summary
Students needing healthcare but not receiving it miss more school days due to illness or injury. Improving access to timely care, especially via school programs, can reduce chronic absenteeism.
Area of Science:
- Public Health
- Education Policy
- Healthcare Access
Background:
- Health-related issues are a primary cause of student absences.
- The link between student health and school attendance is well-documented.
Purpose of the Study:
- To analyze the relationship between unmet healthcare needs and school absenteeism.
- To identify specific types of healthcare services that, when missed, correlate with increased absences.
Main Methods:
- Utilized Ordinary Least Squares regression on data from the National Survey of Children's Health.
- Examined the impact of unmet healthcare needs on days missed due to illness or injury, controlling for insurance, chronic illness, and demographics.
Main Results:
- Students who needed but did not receive care were significantly more likely to miss school due to illness or injury.
- The most frequently missed care types included dental, medical, and mental health services.
- This association remained significant across various demographic and health statuses.
Conclusions:
- Barriers to healthcare access, such as appointment availability, contribute to chronic absenteeism.
- School and community initiatives to improve timely healthcare access are crucial for reducing student absences.
- Addressing healthcare access is an educational imperative, not solely a healthcare system issue.
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