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儿童烧伤对学业成绩的影响:一项基于匹配人群的队列研究。

Impact of childhood burns on academic performance: a matched population-based cohort study.

机构信息

Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.

Department of Pediatric Surgery, Children's Hospital Westmead, Westmead, New South Wales, Australia.

出版信息

Arch Dis Child. 2023 Oct;108(10):808-814. doi: 10.1136/archdischild-2023-325769. Epub 2023 Jul 9.

DOI:10.1136/archdischild-2023-325769
PMID:37423641
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10511986/
Abstract

OBJECTIVE

This study aimed to compare academic performance and high school completion of young people hospitalised for a burn compared with young people not hospitalised for an injury.

DESIGN

A retrospective population-based matched case-comparison cohort study.

PARTICIPANTS

Young people aged ≤18 years hospitalised for a burn during 2005-2018 in New South Wales, Australia, with age, sex and residential postcode-matched peers not hospitalised for any injury during 1 July 2001 and 31 December 2018.

MAIN OUTCOME MEASURES

Performance below the national minimum standard (NMS) on the National Assessment Plan for Literacy and Numeracy assessments and not completing high school.

RESULTS

Young females hospitalised for a burn had a 72% higher risk of poorer reading compared with their peers (adjusted relative risk (ARR) 1.72; 95% CI 1.33 to 2.23), while young males hospitalised with a burn showed no higher risk (ARR 1.14; 95% CI 0.91 to 1.43). Young males (ARR 1.05; 95% CI 0.81 to 1.35) and females (ARR 1.34; 95% CI 0.93 to 1.94) hospitalised with a burn had no higher risk of not reaching the NMS for numeracy compared with peers. Young people hospitalised with a burn had at least twice the risk of not completing year 10 (ARR 3.86; 95% CI 1.68 to 8.86), year 11 (ARR 2.45; 95% CI 1.89 to 3.18) and year 12 (ARR 2.09; 95% CI 1.63 to 2.67) compared with matched counterparts.

CONCLUSIONS

Young females hospitalised with a burn displayed poorer academic performance for reading compared with matched peers, while males and females were more likely to leave school earlier. Identifying unmet learning support needs of young burn survivors should be investigated.

摘要

目的

本研究旨在比较因烧伤住院的青少年与未因受伤住院的青少年的学业成绩和高中完成情况。

设计

回顾性基于人群的匹配病例对照队列研究。

参与者

2005 年至 2018 年期间,澳大利亚新南威尔士州因烧伤住院的≤18 岁青少年,与 2001 年 7 月 1 日至 2018 年 12 月 31 日期间未因任何伤害住院的年龄、性别和居住邮政编码匹配的同龄人。

主要观察指标

国家读写和计算能力评估计划(National Assessment Plan for Literacy and Numeracy assessments)低于国家最低标准(NMS)和未完成高中学业的情况。

结果

与同龄人相比,女性因烧伤住院的青少年阅读成绩较差的风险高 72%(调整后的相对风险(ARR)为 1.72;95%CI 为 1.33 至 2.23),而男性因烧伤住院的青少年风险无增加(ARR 为 1.14;95%CI 为 0.91 至 1.43)。与同龄人相比,男性(ARR 为 1.05;95%CI 为 0.81 至 1.35)和女性(ARR 为 1.34;95%CI 为 0.93 至 1.94)因烧伤住院的青少年在数学方面达到 NMS 的风险无增加。与匹配的同龄人相比,因烧伤住院的青少年未完成 10 年级(ARR 为 3.86;95%CI 为 1.68 至 8.86)、11 年级(ARR 为 2.45;95%CI 为 1.89 至 3.18)和 12 年级(ARR 为 2.09;95%CI 为 1.63 至 2.67)的风险至少增加了两倍。

结论

与匹配的同龄人相比,因烧伤住院的女性青少年阅读成绩较差,而男性和女性青少年更有可能更早辍学。应调查未满足的年轻烧伤幸存者的学习支持需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc23/10511986/e603f67d76d8/archdischild-2023-325769f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc23/10511986/f95af4d7c1c9/archdischild-2023-325769f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc23/10511986/e603f67d76d8/archdischild-2023-325769f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc23/10511986/f95af4d7c1c9/archdischild-2023-325769f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc23/10511986/e603f67d76d8/archdischild-2023-325769f02.jpg

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