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Research ArticlePediatric Rheumatology

School Well-Being and Academic Performance of Children With Juvenile Idiopathic Arthritis: A National Register-Based Study

Malthe J. Pedersen, Christian Høst, Stefan Nygaard Hansen, Jens Klotsche, Kirsten Minden, Bent W. Deleuran and Bodil H. Bech
The Journal of Rheumatology August 2024, 51 (8) 804-810; DOI: https://doi.org/10.3899/jrheum.2023-1197
Malthe J. Pedersen
1M.J. Pedersen, MD, S.N. Hansen, PhD, Department of Public Health, Aarhus University, Aarhus, Denmark;
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  • ORCID record for Malthe J. Pedersen
  • For correspondence: malthe.jessen@ph.au.dk
Christian Høst
2C. Høst, MD, PhD, Department of Paediatric and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark;
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Stefan Nygaard Hansen
1M.J. Pedersen, MD, S.N. Hansen, PhD, Department of Public Health, Aarhus University, Aarhus, Denmark;
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Jens Klotsche
3J. Klotsche, PhD, Epidemiology Unit, Deutsches Rheuma-Forschungszentrum, Berlin, Germany;
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Kirsten Minden
4K. Minden, MD, Epidemiology Unit, Deutsches Rheuma-Forschungszentrum, and Department of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine, Charité Universitätsmedizin Berlin, Berlin, Germany;
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Bent W. Deleuran
5B.W. Deleuran, MD, Department of Rheumatology, and Department of Biomedicine, Aarhus University, Aarhus, Denmark;
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Bodil H. Bech
6B.H. Bech, MD, PhD, Department of Public Health, Aarhus University, Aarhus, Denmark.
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Abstract

Objective We aimed to investigate how school well-being (SWB) and academic performance of children with juvenile idiopathic arthritis (JIA) compare to their peers on a national level using the Danish national registers. Further, we investigated the potential influence of socioeconomic status (SES).

Methods A population-wide, register-based, cross-sectional study was performed. We compared the results of children with and without JIA in the Danish National Well-Being Questionnaire (DNWQ), the National Danish School Testing (NDST), and their ninth grade (aged approximately 16 yrs) final school marks in Danish and mathematics. The results were analyzed using adjusted ordinal logistic regression (SWB) and linear regression (tests and marks).

Results In separate cohorts, we included a total of 505,340 children answering the DNWQ, 812,461 children with NDST results, and the ninth-grade final marks of 581,804 children. Of these children, 1042, 1541, and 1410, respectively, fulfilled the criteria of JIA. Children with JIA reported SWB comparable to their peers, except for the question “Do you perform well in school?” (odds ratio 0.89, 95% CI 0.81-0.99). In the NDST, the children with JIA in general did just as well as their peers. We found no differences in the ninth-grade final marks in either Danish or mathematics. Stratifying the analyses on SES showed no significant differences in the associations.

Conclusion Overall, children with JIA report SWB comparable to that of children without JIA and perform equally well in school as children without JIA.

Key Indexing Terms:
  • educational achievements
  • epidemiology
  • juvenile idiopathic arthritis
  • quality of life
  • socioeconomic factors
  • Accepted for publication March 20, 2024.
  • Copyright © 2024 by the Journal of Rheumatology
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The Journal of Rheumatology
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1 Aug 2024
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School Well-Being and Academic Performance of Children With Juvenile Idiopathic Arthritis: A National Register-Based Study
Malthe J. Pedersen, Christian Høst, Stefan Nygaard Hansen, Jens Klotsche, Kirsten Minden, Bent W. Deleuran, Bodil H. Bech
The Journal of Rheumatology Aug 2024, 51 (8) 804-810; DOI: 10.3899/jrheum.2023-1197

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School Well-Being and Academic Performance of Children With Juvenile Idiopathic Arthritis: A National Register-Based Study
Malthe J. Pedersen, Christian Høst, Stefan Nygaard Hansen, Jens Klotsche, Kirsten Minden, Bent W. Deleuran, Bodil H. Bech
The Journal of Rheumatology Aug 2024, 51 (8) 804-810; DOI: 10.3899/jrheum.2023-1197
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Keywords

educational achievements
EPIDEMIOLOGY
JUVENILE IDIOPATHIC ARTHRITIS
QUALITY OF LIFE
socioeconomic factors

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