Special education use in elementary school by children with nonsyndromic orofacial clefts.
Special education use in elementary school by children with nonsyndromic orofacial clefts.
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非综合征性口颌裂儿童在小学的特殊教育用途。
DOI：
10.1002/bdr2.1418
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发表时间：
2019
影响因子：
2.1
通讯作者：
Strauss,RonaldP
中科院分区：
文献类型：
--
作者：
Watkins,StephanieE;Allori,AlexanderC;Meyer,RobertE;Aylsworth,ArthurS;Marcus,JeffreyR;Strauss,RonaldP
背景 患有非综合征性口面裂 (NS OFC) 的儿童可能需要特殊儿童 (EC) 服务来解决学业延误问题。我们调查了北卡罗来纳州小学中患有和不患有 NS OFC 的儿童的 EC 服务使用情况。方法我们纳入了 559 名患有 NS OFC 的儿童和 6,822 名有 NC 教育记录的无出生缺陷儿童。我们使用描述性统计数据和按唇裂亚型和种族/民族的逻辑回归估计了患病率、入学趋势和资格分类特征。我们使用治疗权重逆概率的逻辑回归估计了 EC 入学的三年级保留几率。结果与未受影响的同龄人相比，患有 NS OFC 的儿童接受三年级特殊教育 (SE) 服务的可能性是 3.02 (95% CI: 2.50, 3.64) 倍。 CL+P 儿童的患病率最高（OR：4.61，95% CI：3.49，6.09），到五年级时下降了 54%。四、五年级白人儿童 SE 患病率约为非裔美国儿童的 1.50 倍。每个种族/族裔群体中大约 33% 的 NS OFC 儿童在三年级时接受了 SE 治疗。非裔美国儿童接受特定学习障碍服务的可能性是其两倍。与未接受服务的 NS OFC 儿童相比，接受 EC 服务的 NS OFC 儿童在三年级留校的可能性较小（OR：0.56；95% CI：0.13，2.38）。 结论 与未受影响的同龄人相比，NS OFC 儿童更有可能在小学接受 SE 服务。资格类别因种族/族裔群体而异。
BackgroundChildren with nonsyndromic orofacial clefts (NS OFCs) may require exceptional children's (EC) services for academic delays. We examined EC service use of children with and without NS OFCs in NC in elementary school.MethodsWe included 559 children with NS OFCs and 6,822 children without birth defects who had NC educational records. We estimated prevalence ratios, trends in enrollment, and characteristics of eligibility classification using descriptive statistics and logistic regression by cleft subtype and race/ethnicity. We estimated the odds of third grade retention by EC enrollment using logistic regression with inverse probability of treatment weights.ResultsChildren with NS OFCs were 3.02 (95% CI: 2.50, 3.64) times as likely to receive third grade special education (SE) services compared to unaffected peers. The prevalence odds was highest among children with CL+P (OR: 4.61, 95% CI: 3.49, 6.09) declining by 54% by fifth grade. The prevalence odds of SE for white children was approximately 1.50 times that for African American children in fourth and fifth grades. Approximately 33% of children with NS OFCs within each racial/ethnic group received SE in third grade. African American children were twice as likely to receive services under specific learning disability. Children with NS OFCs receiving EC services were 44% (OR: 0.56; 95% CI: 0.13, 2.38) less likely to be retained in third grade compared to children with NS OFCs who were not receiving services.ConclusionsChildren with NS OFCs are more likely to receive SE services in elementary school compared to their unaffected peers. The eligibility category differed by racial/ethnic group.