School attendance in children with Type 1 diabetes
School attendance in children with Type 1 diabetes
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DOI：
10.1111/j.1464-5491.2005.01441.x
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发表时间：
2005-04-01
影响因子：
3.5
通讯作者：
Daneman, D
中科院分区：
文献类型：
--
作者：
Glaab, LA;Brown, R;Daneman, D
目的 确定 1 型糖尿病 (DM) 儿童是否比非 DM 兄弟姐妹和同龄人缺课更多，并确定与 DM 儿童缺勤相关的因素。方法 获得了安大略省多伦多市 78 名 DM 儿童、38 名非 DM 兄弟姐妹和 118 269 名年龄匹配的同龄人 2000-01 学年的缺勤数据。利用问卷和医院记录来评估与 DM 儿童缺课相关的儿童、家庭和糖尿病相关因素。结果 DM 儿童缺课的情况仅轻微，但明显多于非 DM 兄弟姐妹（平均值 +/- SD：10.9 +/- 8.9 对比 8.1 +/- 8.1 天，P < 0.001）和同龄人（中位数：8.8 对比 5.5 天，P = 0.0005）。多元回归分析表明，DM 儿童缺勤与父母对入学的态度 (P = 0.002)、较差的代谢控制 (P = 0.006)、较短的病程 (P = 0.006) 和缺乏攻击性行为 (P = 0.02) 有关。 结论 根据目前的管理策略，接近正常的入学率是所有 DM 儿童的合理目标，应受到家长、教育工作者和医疗保健人员的大力鼓励专业人士。
Aims To determine whether children with Type 1 diabetes mellitus (DM) miss more school than their non-DM siblings and peers and to identify factors associated with school absenteeism in children with DM.Methods School absenteeism data for the 2000-01 school year were obtained for 78 children with DM, 38 non-DM siblings and 118 269 age-matched peers in Toronto, Ontario. Questionnaires and hospital records were utilized to evaluate child-, family- and diabetes-related factors associated with school absenteeism in children with DM.Results Children with DM missed only slightly, albeit significantly more school than both their non-DM siblings (mean +/- SD: 10.9 +/- 8.9 vs. 8.1 +/- 8.1 days, P < 0.001) and peers (median: 8.8 vs. 5.5 days, P = 0.0005). A multiple regression analysis indicated that school absenteeism in children with DM was associated with their parents' attitudes towards school attendance (P = 0.002), poorer metabolic control (P = 0.006), shorter disease duration (P = 0.006) and a lack of aggressive behaviour (P = 0.02).Conclusions With current management strategies, near normal school attendance is a reasonable goal for all children with DM and should be strongly encouraged by parents, educators and health care professionals.