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青春期异常性关节炎儿童缺学情况:一项全国匹配对比研究
Malthe Jessen Pedersen1, Christian Høst2, Stefan Nygaard Hansen3
1M.J. Pedersen, MD, Department of Public Health, Aarhus University, Aarhus, Denmark.
患有青少年异常性关节炎 (JIA) 的儿童因疾病和计划原因增加了学校缺勤 (SA). 这种模式在诊断前和诊断后持续了多年,无论社会经济地位如何.
科学领域:
- 儿科风湿病学 儿科风湿病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 青春期异常性关节炎 (JIA) 是一种影响儿童的慢性疾病.
- 学校缺勤 (SA) 是患有慢性疾病的儿童的一个重大问题.
- 关于JIA对SA的影响和社会经济地位 (SES) 的作用需要进一步调查.
研究的目的:
- 为了将患有青少年异常性关节炎 (JIA) 的儿童的缺学率 (SA) 与他们的同龄人进行比较.
- 分析JIA诊断之前和之后的SA趋势.
- 检查社会经济地位 (SES) 对JIA-SA协会的影响.
主要方法:
- 在丹麦公立学校 (2010-2019) 进行基于注册的匹配队列研究.
- 包括被诊断患有JIA的儿童和匹配的同学对照.
- 诊断前和诊断后的分化和总SA率的比较,考虑到诊断时的年龄.
主要成果:
- 患有JIA的儿童在诊断前3年至诊断后5年期间表现出更高的疾病率和总SA.
- 在诊断后,JIA诊断与明显更多的合法 (计划) SA相关.
- 来自低SES背景的儿童具有最高的SA率,无论JIA状态如何,但SES没有改变JIA-SA的关联.
结论:
- 患有JIA的儿童患病率升高,合法缺课.
- 调查结果强调了JIA对学校上学率的重大影响.
- 在JIA中解决SA的干预措施应考虑诊断的慢性和时间.
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