Academic outcomes of children with isolated orofacial clefts compared with children without a major birth defect.
Academic outcomes of children with isolated orofacial clefts compared with children without a major birth defect.
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DOI：
10.1597/13-293
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发表时间：
2015-05
期刊：
影响因子：
--
通讯作者：
Strauss RP
中科院分区：
文献类型：
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作者：
Knight J;Cassell CH;Meyer RE;Strauss RP
比较口面裂（OFC）儿童与无重大出生缺陷儿童的学业成绩。在2007-2008年，我们邮寄了调查问卷，随机抽样的学龄儿童的母亲与OFC和儿童的母亲没有重大出生缺陷（对照组）。问卷包括来自经验证工具的Likert量表、封闭式和开放式问题。我们对父母报告的教育结果进行了双变量和多变量分析，并对孤立性OFC儿童和未受影响儿童的父母报告的相关医疗状况进行了双变量分析。北卡罗来纳州出生缺陷监测项目随机抽取了504名1996-2002年出生的OFC儿童（年龄5-12岁）的父母。从北卡罗来纳州出生证明中随机抽取了504名1996-2002年出生的无出生缺陷儿童的父母。在289名（28.7%）受访者中，我们分析了112名孤立OFC儿童和138名未受影响的儿童。字母等级，缺课天数和等级保留。孤立OFC儿童的父母报告更多的发育障碍和听力和语言问题，他们的孩子比对照组的父母。与未受影响的儿童相比，孤立OFC的儿童更有可能获得较低的成绩和更多的学校日。由于应答率低，应谨慎解释结果。孤立OFC的儿童在小学期间的学业成绩可能比未受影响的同龄人差。未来的研究需要证实这些结果，并确定这些差异是否在以后的年级持续存在。
To compare academic outcomes between children with orofacial cleft (OFC) and children without major birth defects. In 2007–2008, we mailed questionnaires to a random sample of mothers of school-aged children with OFC and mothers of children without major birth defects (comparison group). The questionnaire included Likert-scale, closed-ended, and open-ended questions from validated instruments. We conducted bivariate and multivariable analyses on parent-reported educational outcomes and bivariate analyses on parent-reported presence of related medical conditions between children with isolated OFC and unaffected children. A random sample of 504 parents of children with OFCs born 1996–2002 (age 5–12 years) were identified by the North Carolina Birth Defects Monitoring Program. A random sample of 504 parents of children without birth defects born 1996–2002 was selected from North Carolina birth certificates. Of the 289 (28.7%) respondents, we analyzed 112 children with isolated OFC and 138 unaffected children. Letter grades, school days missed, and grade retention. Parents of children with isolated OFC reported more developmental disabilities and hearing and speech problems among their children than comparison parents. Children with isolated OFC were more likely to receive lower grades and miss more school days than unaffected children. Because of the low response rate, results should be interpreted cautiously. Children with isolated OFC may have poorer academic outcomes during elementary school than their unaffected peers. Future studies are needed to confirm these results and determine whether these differences persist in later grades.