Absence from school related to cancer and other chronic conditions.

Absence from school during the first year after starting major treatment for cancer or chronic or orthopaedic conditions was examined. Retrospective data were collected on 72 children and obtained from hospital records, school registers, and interviews with parents and teachers. Median initial absences caused by treatment were 91, 29-5, and 15 days for cancer, chronic, and orthopaedic patients respectively. The mean proportions of the remaining school time in the year occupied by absences caused by treatment and those not caused by treatment were respectively 17% and 17% for oncology patients, 8% and 12% for chronic patients, and 2% and 11% for orthopaedic patients. The only significant factor associated with the amount of absence caused by treatment was the type of illness. Increased absence not caused by treatment was associated with the amount of treatment time and the patient being a girl. The proportion of absence not caused by treatment decreased if the mother was educated beyond the age of 18. The possible reasons for and effects of excess absence are discussed.

[1]  M. Fowler,et al.  School achievement and absence in children with chronic health conditions. , 1985, The Journal of pediatrics.

[2]  S. Lansky,et al.  School attendance of children with cancer. , 1982, The Journal of school health.

[3]  C. Anderson,et al.  Childhood Cancer and Vulnerability for Significant Academic Underachievement , 1982, Journal of learning disabilities.

[4]  F. Holmes,et al.  After Ten Years, What Are the Handicaps and Life Styles of Children Treated for Cancer? , 1975, Clinical pediatrics.

[5]  S. Lansky,et al.  School Attendance among Children with Cancer , 1983 .

[6]  D. Mechanic THE INFLUENCE OF MOTHERS ON THEIR CHILDREN'S HEALTH ATTITUDES AND BEHAVIOR. , 1964, Pediatrics.

[7]  S. Gortmaker,et al.  Chronic Illness, Psychosocial Problems, and School Absences , 1986, Clinical pediatrics.

[8]  J. Krischer,et al.  School absence among children with chronic illness. , 1985, The Journal of school health.

[9]  A. Hill Trends in paediatric medical admissions. , 1989, BMJ.

[10]  J. Walker,et al.  Impact of childhood cancer on return to normal schooling. , 1990, BMJ.

[11]  D. Galloway SIZE OF SCHOOL, SOCIO-ECONOMIC HARDSHIP, SUSPENSION RATES AND PERSISTENT UNJUSTIFIED ABSENCE FROM SCHOOL , 1976 .

[12]  I. B. Pless,et al.  Chronic illness and its consequences: observations based on three epidemiologic surveys. , 1971, The Journal of pediatrics.

[13]  K. Welshimer,et al.  Factors related to school absence among children with cardiac conditions. , 1987, American journal of diseases of children.

[14]  J. Kaye,et al.  Facts for teachers of children with cancer. , 1988, Archives of disease in childhood.

[15]  S L O'Neil,et al.  Determining school programming needs of special population groups: a study of asthmatic children. , 1985, The Journal of school health.

[16]  C. Eiser How leukaemia affects a child's schooling. , 1980, The British journal of social and clinical psychology.

[17]  J. Stehbens,et al.  School behavior and attendance during the first year of treatment for childhood cancer , 1983 .

[18]  S. Lansky,et al.  School phobia in children with malignant neoplasms. , 1975, American journal of diseases of children.

[19]  B. Bloom,et al.  Current estimates from the National Health Interview Survey: United States, 1981. , 1982, Vital and health statistics. Series 10, Data from the National Health Survey.

[20]  K. Fogelman SCHOOL ATTENDANCE, ATTAINMENT AND BEHAVIOUR , 1978 .

[21]  M. Weitzman,et al.  School absence rates as outcome measures in studies of children with chronic illness. , 1986, Journal of chronic diseases.

[22]  G. Parcel,et al.  A comparison of absentee rates of elementary schoolchildren with asthma and nonasthmatic schoolmates. , 1979, Pediatrics.

[23]  Plan and operation of a health examination survey of U.S. youths 12-17 years of age. , 1969, Vital and health statistics. Ser. 1, Programs and collection procedures.

[24]  A. Charlton,et al.  Children's return to school after treatment for solid tumours. , 1986, Social science & medicine.