Children with oral clefts are at greater risk for persistent low achievement in school than classmates.
Children with oral clefts are at greater risk for persistent low achievement in school than classmates.
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与同学相比，患有口腔裂缝的儿童在学校持续持续的低成就风险更大。
DOI：
10.1136/archdischild-2015-308358
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发表时间：
2015-12
影响因子：
5.2
通讯作者：
Ansley T
中科院分区：
文献类型：
--
作者：
Wehby GL;Collett BR;Barron S;Romitti P;Ansley T
研究口裂儿童与未患口裂儿童在学习成绩上的发展轨迹，并探讨口裂儿童学习成绩持续偏低的预测因素。基于总体样本的学业成就纵向队列研究。1983年至2003年出生的患有口腔裂的儿童从爱荷华州先天性和遗传性疾病登记处获得鉴定，并根据性别、学校/学区和出生月份和年份与未受影响的同学进行匹配。学业成绩是根据爱荷华州测试项目(ITP)的数据来衡量的。结果包括阅读、语言和数学方面的成绩。有586名患有口裂的儿童和1873名未受影响的同学的学习成绩数据可用。两组的成就轨迹都很稳定。患有口裂的儿童比他们的同学更有可能被归类为持续的、低成就的轨迹，包括在调整社会经济差异时：阅读的OR=1.63，95%CI：1.23-2.16；语言的OR=1.73，95%CI：1.29-2.31；数学的OR=1.45，95%CI：1.05-1.99。低成就的预测因素是仅有腭裂(与其他类型的唇裂相比)、青春期母亲、母亲教育程度低以及较少使用产前护理。大多数儿童都有稳定的学习轨迹，与未受影响的同学相比，患有口裂的儿童在学校的学习成绩持续低迷的风险更大。这些发现支持了在这一人群中进行常规的、早期的学业缺陷筛查的必要性。仅有腭裂、父母教育程度低和青春期母亲与持续性低成就的风险增加有关。
To examine trajectories in academic achievement for children with oral clefts versus unaffected classmates and explore predictors of persistently low achievement among children with oral clefts. Longitudinal cohort study of academic achievement in a population-based sample. Children born from 1983 through 2003 with oral clefts were identified from the Iowa Registry for Congenital and Inherited Disorders and matched to unaffected classmates by sex, school/school district, and month and year of birth. Academic achievement was measured from Iowa Testing Programs (ITP) data. Outcomes included achievement scores in reading, language, and mathematics. Academic achievement data were available for 586 children with oral clefts and 1,873 unaffected classmates. Achievement trajectories were stable for both groups. Children with oral clefts were more likely than their classmates to be classified into persistent, low achievement trajectories, including when adjusting for socioeconomic differences: OR=1.63, 95% CI: 1.23–2.16 for reading; OR=1.73, 95% CI: 1.29–2.31 for language; OR=1.45, 95% CI: 1.05–1.99 for math. Predictors of low achievement were cleft palate only (versus other cleft types), adolescent mothers, low maternal education, and less frequent use of prenatal care. Most children have steady academic trajectories and children with oral clefts are at greater risk for persistent, low achievement in school than unaffected classmates. These findings support the need for routine, early screening for academic deficits in this population. Cleft palate only, low parental education and adolescent mothers are associated with increased risk for persistent low achievement.
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DOI：
10.1126/science.1203618
发表时间：
2011-07-15
期刊：
Science (New York, N.Y.)
影响因子：
--
作者：
Reynolds AJ;Temple JA;Ou SR;Arteaga IA;White BA
通讯作者：
White BA
影响因子：
--
作者：
Nopoulos, Peg;Langbehn, Douglas R.;Richman, Lynn
通讯作者：
Richman, Lynn
DOI：
10.1002/bdra.23329
发表时间：
2014-11-01
影响因子：
--
作者：
Mai, Cara T.;Cassell, Cynthia H.;Kirby, Russell S.
通讯作者：
Kirby, Russell S.
DOI：
10.1597/04-128r.1
发表时间：
2005-09-01
期刊：
CLEFT PALATE-CRANIOFACIAL JOURNAL
影响因子：
--
作者：
Richman, LC;Wilgenbusch, T;Hall, T
通讯作者：
Hall, T
影响因子：
4.6
作者：
Saine, Nina L.;Lerkkanen, Marja-Kristiina;Lyytinen, Heikki
通讯作者：
Lyytinen, Heikki