Academic Achievement in Individuals With Cleft: A Population-Based Register Study
Academic Achievement in Individuals With Cleft: A Population-Based Register Study
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DOI：
10.1597/09-047
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发表时间：
2012-03-01
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影响因子：
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通讯作者：
Svensson, Henry
中科院分区：
文献类型：
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作者：
Persson, Martin;Becker, Magnus;Svensson, Henry
目的：本研究的重点是确定在义务教育的典型毕业时间（通常为16岁），唇腭裂学生与瑞典普通学生之间的学业成绩是否存在显著差异。设计：一项基于人群的回顾性研究。数据来自1973年至1986年的瑞典医学出生登记册，并与瑞典学校年级登记册相关联。参与者：共511例腭裂（CP）， 651例唇裂（CL）和830例唇裂和腭裂（CLP）与对照组（1,249,404人）进行比较。主要衡量指标：(1)未获得离校证书；(2)在以下科目中获得最低分数的几率和获得高分的几率降低：(a)数学，(b)英语，(c)瑞典语，(d)体育，(e)平均绩点（GPA）。结果：与一般人群相比，唇腭裂患者未获得离境证明的几率更高。在被分析的对象中，他们获得最低分数的几率也更高，获得高分的几率也更低，与普通人群相比，他们的平均绩点更低。CP患者受影响最大，其次是CLP患者；受影响最小的是CL患者。结论：本研究清楚地表明，瑞典唇腭裂青少年在义务教育阶段的学业成绩存在显著缺陷。
Objective: The focus of this study was to determine whether there were any significant differences in academic achievement between students with a cleft and the general population of Swedish students at the typical time of graduation from compulsory school (usually 16 years of age).Design: A retrospective population-based study. Data were obtained from the Swedish Medical Birth Register for the years 1973 through 1986 and were linked to the Swedish School-Grade Register.Participants: A total of 511 individuals with cleft palate (CP), 651 individuals with cleft lip (CL), and 830 individuals with cleft lip and palate (CLP) were compared with a control group consisting of 1,249,404 individuals.Main Outcome Measures: (1) Not receiving school leaving certificate; (2) odds of receiving lowest grade and reduced odds of receiving a high grade in the following subjects: (a) Mathematics, (b) English, (c) Swedish, (d) Physical Education, and (e) grade point average (GPA).Results: The group with cleft had higher odds of not receiving leaving certificates in comparison with the general population. They also had higher odds of receiving the lowest grade and/or reduced odds of receiving a high grade in the subjects analyzed together, with strong evidence of lower GPA in comparison with the general population. Individuals with CP were affected the most, followed by individuals with CLP; least affected were individuals with CL.Conclusion: This study clearly indicates that adolescents with cleft lip and/or palate in Sweden experience significant deficits in their educational achievements in compulsory school.