Department of Pediatrics, Duke University, DUMC 2906, Durham, NC 27710, USA.
J Sch Health. 2012 Aug;82(8):364-70. doi: 10.1111/j.1746-1561.2012.00710.x.
Youth with childhood-onset chronic illness (COCI) are at risk of poor educational attainment. Specific protective factors that promote college graduation in this population have not been studied previously. In this study, we examine the role protective factors during adolescence play in promoting college graduation among young adults with COCI.
Data were collected from 10,925 participants in the National Longitudinal Study of Adolescent Health (Add Health). Protective factors present before 18 years of age included mentoring, parent relationship quality, school connectedness, and religious attendance. College graduation was the outcome of interest assessed when participants had a mean age of 28 years. Analysis was stratified by presence of COCI.
About 2% of participants (N = 230) had 1 of 4 COCIs (cancer, diabetes, epilepsy, or heart disease). All 4 protective factors were associated with college graduation for youth without COCI. In the final multivariate model, only school connectedness was associated with college graduation for youth with COCI.
School connectedness is of particular importance in promoting educational attainment for youth with COCI.
患有儿童期起病的慢性疾病（COCI）的年轻人有学业不良的风险。先前尚未研究过促进该人群大学毕业的特定保护因素。在这项研究中，我们研究了青少年时期的保护因素在促进患有 COCI 的年轻成年人大学毕业中的作用。
数据来自全国青少年健康纵向研究（Add Health）的 10925 名参与者。18 岁之前存在的保护因素包括指导、父母关系质量、学校联系和宗教参与。当参与者的平均年龄为 28 岁时，评估了大学毕业这一感兴趣的结果。分析按 COCI 的存在情况进行分层。
约 2%的参与者（N=230）患有 4 种 COCI 之一（癌症、糖尿病、癫痫或心脏病）。对于没有 COCI 的年轻人来说，所有 4 种保护因素都与大学毕业有关。在最终的多变量模型中，只有学校联系与患有 COCI 的年轻人的大学毕业有关。
对于患有 COCI 的年轻人来说，学校联系在促进教育程度方面尤为重要。
