Impact of Juvenile Idiopathic Arthritis on School Attendance and Performance
American Journal of Clinical and Experimental Medicine
Volume 4, Issue 6, November 2016, Pages: 185-190
Received: Sep. 23, 2016;
Accepted: Oct. 21, 2016;
Published: Nov. 14, 2016
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Kamrul Laila, Department of Paediatrics, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
Mujammel Haque, Department of Paediatrics, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
Md. Mahbubul Islam, Department of Paediatrics, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
Mohammad Imnul Islam, Department of Paediatrics, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
Manik Kumar Talukder, Department of Paediatrics, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
Shahana Akhter Rahman, Department of Paediatrics, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
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Juvenile idiopathic arthritis (JIA) includes a group of disorders characterized by chronic arthritis. It is the most common chronic rheumatic illness in children and is a significant cause of morbidity, disability and dysfunction. Therefore, the potential for school attendance and academic performance become compromised and these children are often confronted with educational difficulties. Objectives: To assess the impact JIA on academic difficulty, academic performance, potential causes of absenteeism, school failure and relationship between schooling and different types of JIA. Materials and Methods: All school going JIA patients between 6-16 years of age who had at least 2 years of schooling (1 year before disease onset and 1 year during the course of disease) were included for the analysis. Two hundred JIA patients were selected by purposive sampling method. A detailed questionnaire was completed for each participant which included socio-demographic, clinical and laboratory characteristics, data related to schooling, academic difficulties and their causes, absenteeism and causes, sports and cultural activities, school failure and school re-entry if any. Fifty four controls were taken who were the healthy sibs of those JIA patients having at least 2 previous years of schooling. Results: Mean age of JIA patients were 10.8 years, 67% were male and male female ratio was 2:1. Academic difficulties were observed for reading, writing and both due to disease process and deformity. Number of absent days and poor attendance in examination was significantly higher in JIA patients (p value < 0.001). Moreover, in case group, only 18% had improved result than the academic year prior to disease onset, 3% had no change, 57% deteriorated and 22% stopped schooling. There were 44 cases of school failure among JIA patients, 30 had school re-entry. No children had school failure or re-entry among the control group. Multiple causes of absenteeism like flare, hospitalization, side effects of drugs, movement difficulties, parental non-interest and some other factors like rainfall, delayed rising from sleep etc co-existed for most of the cases. In control group, mean percentage of absenteeism was 1.6%, mostly due to some febrile illness, cold weather, rainfall, lack of transport, sickness of caregiver etc. Children who did not participate in sports activities were 9.3% in control group and 48.5% in case group (p value < 0.001). Conclusion: It is evident from this study that JIA has negative impact on schooling characterized by poor attendance and academic performance.
Juvenile Idiopathic Arthritis, School Attendance, Academic Performance
To cite this article
Md. Mahbubul Islam,
Mohammad Imnul Islam,
Manik Kumar Talukder,
Shahana Akhter Rahman,
Impact of Juvenile Idiopathic Arthritis on School Attendance and Performance, American Journal of Clinical and Experimental Medicine.
Vol. 4, No. 6,
2016, pp. 185-190.
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Eveline YW, Heather A, Van MC, Rabinovich CE (2012) Juvenile idiopathic arthritis. In: RM Kliegman, BF Stanton,NF Schor, JES Geme, RE Behrman (eds) Nelson Textbook of Pediatrics, pp.829–839. Saunders Elsevier, Philadelphia.
Gare BA, Fasth A (1995)The natural history of juvenile chronic arthritis: a population based cohort study. J Rheumatol 22, 308–19.
Cook BA, Schaller K, Krischer JP (1985) School absence among children with chronic illness. J Sch Health55(7), 265-69.
FowlerM, Davenport M, Garg R (1992)School functioning of US children with asthma. Pediatr90, 939–944.
Foster HE, Marshall N, Myers A, Dunkley P, Griffiths ID (2003)Outcome in adults with juvenile idiopathic arthritis. Arthritis Rheum48,767–75.
Chan ECC, Piira T, Betts G (2005)The school functioning of children with chronic and recurrentpain. Pediatric-pain 7, 2-3.
Díaz-Mendoza AC, Caballero CM, Navarro-Cendejas J (2015) Analysis of employment rate andSocialstatus in young adults with childhood onsetrheumatic disease in Catalonia. Pediatric Rheumatology 13, 29-32.
Lindehammar H (2003) Hand strength in juvenile chronic arthritis: a two-year follow-up.ActaPaediatrica92, 1291-6.
Katya P, Majnemer A (2007) Handwriting development, competency, and intervention.Dev MedChild Neurol49(4), 312–317.
Grootenhuis MA, Koopman HM, Verrips EG, Vogels AG, Last BF(2007) Health-related quality of life problems of children aged 8-11 years with a chronic disease. Dev Neurorehabil10 (1), 27–33.
Gulati IR, Vijayasekharan IK, Negi VS (2010) High rate of school absenteeism and drop out in children with juvenile idiopathic arthritis from a developing country. J Paediatr Child Health 15 (4), 213–218.
Sexson S, Madan-Swain A (1993) School reentry for the child with chronic illness. J Learn Disabil26 (2), 115–125.
Hinze C, Gohar F, Foell D (2015) Management of juvenile idiopathic arthritis: hitting the target. Rheumatology11, 290–300.
Hahn Y, Kim JG 92010) Pathogenesis and clinical manifestations of juvenile rheumatoid arthritis. Korean J Pediatr53 (11), 921–930.
Haverman L, Grootenhuis MA, Vanden- Berg JM (2012) Predictors of Health-RelatedQuality of Life in Children and Adolescents With Juvenile Idiopathic Arthritis: Results from a Web-based Survey. Arthritis Care Res 64 (5), 694-703.
Ward MJ (1993)Coming of age in the age of self-determination: A historical and personal perspective. In: DJ Sands, ML Wehmeyer (eds) Self-determination across the life span: Independence and choice for people with disabilities, pp. 1-16. Paul H. Brookes, Baltimore.
Bossaert GS, Doumen E, Buyse K, Verschueren M (2011)Predicting Students' Academic Achievement After the Transition to First Grade: A Two-Year Longitudinal Study. J Appl Dev Psychol32, 47–57.
Bouaddi I, Rostom S, Badri DE et al. (2013)Impact of juvenile idiopathic arthritis on schooling. BMC Pediatr13, 2-5.
Athreya BH (2001) A General Approach to Management of Children With Rheumatic Diseases. In:JT Cassidy, RE Petty (eds)Textbook of Pediatric Rheumatology, pp. 367-374. W.B. Saunders, Philadelphia.
Haberfehlner H, Visser B, Daffertshofer A et al. (2011) Handwriting difficulties in juvenile idiopathic arthritis: a pilot study. Clin Exp Rheumatol29, 887-893.
PettyRE, Southwood TR, Manners P (2004)International league of associations for rheumatology classification of juvenile idiopathic arthritis: second revision, Edmonton, 2001. J Rheumatol 31(2), 390–392.
Sturge C, Garralda ME, Boissin M, Dore CJ, Woo P (1997) School attendance and juvenilechronicarthritis. Br J Rheumatol 36(11), 1218–1223.