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Effect of Sociodemographics, Health‐Related Problems, and Family Structure on Chronic Absenteeism Among Children
Author(s) -
Lim Eunjung,
Davis James,
Choi So Yung,
Chen John J.
Publication year - 2019
Publication title -
journal of school health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.851
H-Index - 86
eISSN - 1746-1561
pISSN - 0022-4391
DOI - 10.1111/josh.12736
Subject(s) - absenteeism , medicine , socioeconomic status , public health , ethnic group , family income , asthma , medical expenditure panel survey , environmental health , population , psychological intervention , logistic regression , gerontology , demography , psychology , psychiatry , health care , nursing , health insurance , economics , economic growth , social psychology , sociology , anthropology
BACKGROUND From 5 to 7.5 million schoolchildren are chronically absent, defined as missing ≥15 days of school within a year. Students miss schools due to various reasons such as health, socioeconomic status, and environmental factors. We examined child's health and behavior, family structure, and sociodemographics to understand chronic absenteeism. METHODS The population included children ages 6 to 17 years from the Medical Expenditure Panel Survey years 2008‐2013. Multivariable logistic regressions were used to identify the risk factors of chronic absenteeism, adjusting for the complex sampling design. RESULTS Among sociodemographic variables, age ≥14 years, race/ethnicity, lower‐income family, public health insurance, US born, and speaking English at home were associated with absenteeism. Asians, Mexican Hispanics, and blacks have lower absenteeism than whites. Among health‐related variables, children using an inhaler for asthma, having behavioral problems, and less healthy than other children were more likely to be chronically absent. Among family variables, a smaller family size was a risk factor for absenteeism. CONCLUSIONS Asthma and behavioral problems were highly associated with chronic absenteeism. The identification of children at risk for chronic absenteeism will help the educational professionals identify the barriers to academic achievements and develop integrated educational interventions and policies to support disadvantaged children.