Pediatric rheumatology

School Absence Among Children With Juvenile Idiopathic Arthritis: A National Matched Comparison Study

J RheumatolPublished Retrospective cohort study

Authors' conclusion

Children with JIA had more sickness and legal absence from school.

Study context

Population
All children attending public Danish schools between 2010 and 2019 diagnosed with juvenile idiopathic arthritis (JIA), and their schoolmates; primary study: diagnosed after starting schoolmatched cohort
Participants
786 vs 3,908
Exposure
Children with JIA vs matched schoolmates
  • JIAn = 786
  • Matched controlsn = 3,908reference
Outcome
Rates of differentiated and total school absence before and after JIA diagnosis
Methodological detailsregister-based, matched cohort, national
  • Register-based
  • Matched cohort
  • National

Main finding

As reported in the abstract

School absence, primary study (JIA diagnosed after starting school)
  • Higher rates of sickness school absence (SA) and total SA among children with JIA from 3 years before diagnosis and the following 5 years after diagnosis
  • After diagnosis, children with JIA also had significantly more legal (planned) SA
  • Matched cohort

Observational data: associations, not effects.

Further findings

School absence, secondary study (JIA diagnosed before starting school; 382 JIA vs 1910 matched controls) · up to grade 8

Children with JIA had significantly more SA (both sickness SA and legal school SA) up to grade 8

School absence by socioeconomic status (SES) (both studies)

Children from low SES backgrounds, with and without JIA, had the highest rates of SA; no difference in the JIA–SA association across SES groups

Original publication

School Absence Among Children With Juvenile Idiopathic Arthritis: A National Matched Comparison Study. J Rheumatol. Published 15 April 2025. doi:10.3899/jrheum.2024-1182

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