Association between socioeconomic status and academic performance in children and adolescents with chronic kidney disease.
Background: Lower socioeconomic status (SES) is associated with lower academic achievement; however, this relationship is understudied in children with chronic kidney disease (CKD). This study examined the relationship between SES and academic performance in children and adolescents with CKD. Method...
| Publicado en: | Pediatric Nephrology Vol. 37; no. 12; pp. 3195 - 3205 |
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| Autores principales: | , , , , , , , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Dec2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=159793295&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159793295 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0931041X EF1 jtl: Pediatric Nephrology issn: 0931041X maglogo: N pubinfo: dt: Dec2022 vid: 37 iid: 12 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 159793295 159793295 159793295 10.1007/s00467-022-05515-3 159793295 ppf: 3195 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Association between socioeconomic status and academic performance in children and adolescents with chronic kidney disease. aug: au: Khalid, Rabia Van Zwieten, Anita Kim, Siah Didsbury, Madeleine Francis, Anna Mctaggart, Steven Walker, Amanda Mackie, Fiona E. Prestidge, Chanel Teixeira-Pinto, Armando Barton, Belinda Lorenzo, Jennifer Lah, Suncica Howard, Kirsten Nassar, Natasha Au, Eric Tong, Allison Blazek, Katrina Craig, Jonathan C. Wong, Germaine affil: Centre for Kidney Research, The Children's Hospital at Westmead, Sydney, Australia sug: subj: Social Class Evaluation Academic Performance Evaluation Renal Insufficiency, Chronic Psychosocial Factors Renal Insufficiency, Chronic Psychosocial Factors Human Cross Sectional Studies Child Adolescence Dialysis Patients Kidney Transplantation Comparative Studies Parental Attitudes Multiple Logistic Regression Descriptive Statistics Odds Ratio Confidence Intervals Mathematics Literacy Caregivers Educational Status Income Unemployment Renal Insufficiency, Chronic Therapy Home Ownership Renal Insufficiency, Chronic Surgery Child: 6-12 years Adolescent: 13-18 years ab: Background: Lower socioeconomic status (SES) is associated with lower academic achievement; however, this relationship is understudied in children with chronic kidney disease (CKD). This study examined the relationship between SES and academic performance in children and adolescents with CKD. Methods: A total of 377 participants aged 6–18 years with CKD stages 1–5 (n = 199), on dialysis (n = 43) or with a kidney transplant (n = 135) were recruited. Five SES measures and a composite SES index were examined for associations with parent-rated average or above average academic performance in numeracy and literacy using multivariable logistic regression. Results: Participants' median age was 12.6 years (IQR 8.9–15.5). Adjusted odds ratios (aOR) (95%CI) for better performance in numeracy and literacy, respectively, were 0.71 (0.44–1.15) and 0.75 (0.45–1.23) for children whose caregivers had lower educational attainment; 0.46 (0.26–0.80) and 0.53 (0.30–0.93) for lower household income; 0.52 (0.32–0.85) and 0.44 (0.26–0.73) for caregivers who were unemployed; 0.68 (0.41–1.12) and 0.59 (0.35–1.00) for caregivers with poor self-rated financial status; and 0.93 (0.53–1.64) and 1.00 (0.56–1.79) for caregivers who did not own their own home. Compared with the highest SES index quartile, the aORs for better performance by SES quartile in descending order were 1.24 (0.60–2.54), 0.76 (0.37–1.58), and 0.39 (0.18–0.86) for numeracy and 0.88 (0.41–1.85), 0.77 (0.35–1.66), and 0.32 (0.14–0.72) for literacy. No interactions were identified between SES and CKD stage, child age, or gender. Conclusions: Across all CKD stages, children from lower SES families are less likely to perform well in literacy and numeracy than those from higher SES households. A higher resolution version of the Graphical abstract is available as Supplementary information pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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