a Program in Occupational Therapy, Washington University in St. Louis, School of Medicine , St. Louis , Missouri , USA.
b Department of Education, Washington University in St. Louis , St. Louis , Missouri , USA.
Soc Work Public Health. 2019;34(6):468-482. doi: 10.1080/19371918.2019.1629142. Epub 2019 Jun 30.
Adolescents with sickle cell disease (SCD), a chronic condition primarily impacting African Americans, experience challenges graduating high school. Understanding demographic, educational, and community-level correlates of disease is critical to creating effective interventions for these youths. This study aimed to examine 1) educational attainment for adolescents with SCD, 2) neighborhood correlates of their education, and 3) feasibility of a pilot to increase General Education Diploma (GED) class enrollment. Findings suggest demographic characteristics influence educational attainment. Improving educational attainment in adolescents with SCD requires understanding risk beyond disease severity. Identifying risk and protective neighborhood-level factors can inform interventions to improve educational attainment. Feasibility of programming to increase GED enrollment should be further investigated.
患有镰状细胞病(SCD)的青少年是一种慢性疾病,主要影响非裔美国人,他们在高中毕业后面临挑战。了解疾病的人口统计学、教育和社区水平的相关性对于为这些年轻人创造有效的干预措施至关重要。本研究旨在检查:1)患有 SCD 的青少年的教育程度,2)影响他们教育的邻里因素,以及 3)增加普通教育文凭(GED)课程入学人数的试点可行性。研究结果表明,人口统计学特征会影响教育程度。提高患有 SCD 的青少年的教育程度需要超越疾病严重程度来理解风险。确定风险和保护邻里层面的因素可以为提高教育程度的干预措施提供信息。增加 GED 入学人数的编程的可行性应进一步研究。