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Atopic Dermatitis and Academic Performance
Rita J Iskandar1, Aurélie Mailhac2, Amy Mulick1
1Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, United Kingdom.
JAMA Dermatology
|April 8, 2026
Summary
Atopic dermatitis (AD) does not appear to significantly impact academic performance in adolescents. This study found no consistent association between AD and lower grades or test scores across large cohorts.
Area of Science:
- Pediatric Dermatology
- Educational Psychology
- Epidemiology
Background:
- Atopic dermatitis (AD) may affect school performance via sleep, comorbidities, or psychosocial factors.
- Limited population-based longitudinal data exist on AD's impact on academic achievement.
Purpose of the Study:
- To investigate the association between AD and academic performance.
- To determine if AD phenotype or socioeconomic background modifies this association.
Main Methods:
- Parallel, population-based cohort studies in Denmark and England.
- Inclusion of children with and without AD, followed through national registries and databases.
- Analysis of academic performance on final compulsory national examinations.
Main Results:
- In Denmark, AD showed no significant association with nonpassing grades or lower academic scores; sibling analyses confirmed this.
- In England, AD was associated with fewer nonpassing grades and higher performance scores.
- Performance variations in England were linked to specific AD phenotypes; no consistent socioeconomic or phenotype-based differences were observed across cohorts.
Conclusions:
- Triangulation across two large cohorts suggests AD is unlikely to be associated with substantially diminished academic performance.
- Findings provide reassurance regarding the academic capabilities of adolescents with atopic dermatitis.
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