Relationship between Eczema and Self-reported Difficulties Keeping up with School Education: A Cross-sectional Study
DOI:
https://doi.org/10.2340/actadv.v103.5268Keywords:
achievement, adolescents, questionnaireAbstract
Eczema is a common chronic disease that affects both children and adults, and may have an adverse impact on school performance, as it is characteristically pruritic, and hence may lead to poor concentration and inadequate sleep. The aim of this study was to elucidate the relationship between eczema and self-reported difficulties keeping up with school education. The study was based on cross-sectional questionnaire data collected in schools among all 9th graders (15–16 years old) within a Swedish county. Logistic regression analyses were used to assess the association between having eczema and self-reported difficulties keeping up with school education. A total of 2,620 pupils participated (50.1% female). An increased odds ratio (OR) of self-reported difficulties keeping up with school education was found in adolescents with eczema compared with those without eczema after adjustment for sex and family residence (OR 2.13, 95% confidence interval (95% CI) 1.32–3.44), and with additional adjustment for sleeping problems, attention-deficit hyperactivity disorder, allergy, rhinitis, asthma, and alcohol consumption (adjusted OR 1.78, CI 1.05–3.00). Eczema may be a relevant risk factor for difficulty keeping up with school education in adolescents. However, studies that can assess temporality, based in different settings with objective reports of both eczema and self-reported difficulties at school, are needed to confirm these findings.
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Johansson SG, Bieber T, Dahl R, Friedmann PS, Lanier BQ, Lockey RF, et al. Revised nomenclature for allergy for global use: report of the Nomenclature Review Committee of the World Allergy Organization, October 2003. J Allergy Clin Immun 2004; 113: 832-836.
https://doi.org/10.1016/j.jaci.2003.12.591 DOI: https://doi.org/10.1016/j.jaci.2003.12.591
Hay RJ, Johns NE, Williams HC, Bolliger IW, Dellavalle RP, Margolis DJ, et al. The global burden of skin disease in 2010: an analysis of the prevalence and impact of skin conditions. J Invest Dermatol 2014; 134: 1527-1534.
https://doi.org/10.1038/jid.2013.446 DOI: https://doi.org/10.1038/jid.2013.446
Beattie P, Lewis-Jones M. A comparative study of impairment of quality of life in children with skin disease and children with other chronic childhood diseases. Br J Dermatol 2006; 155: 145-151.
https://doi.org/10.1111/j.1365-2133.2006.07185.x DOI: https://doi.org/10.1111/j.1365-2133.2006.07185.x
Drucker AM, Wang AR, Li WQ, Sevetson E, Block JK, Qureshi AA. The burden of atopic dermatitis: summary of a report for the national eczema association. J Invest Dermatol 2016; 137: 26-30.
https://doi.org/10.1016/j.jid.2016.07.012 DOI: https://doi.org/10.1016/j.jid.2016.07.012
Camfferman D, Short MA, Kennedy JD, Gold M, Kohler M, Lushington K. Thermoregulation, scratch, itch and sleep deficits in children with eczema. Sleep Med 2016; 25: 145-150.
https://doi.org/10.1016/j.sleep.2016.06.011 DOI: https://doi.org/10.1016/j.sleep.2016.06.011
Ramirez FD, Chen S, Langan SM, Prather AA, McCulloch CE, Kidd SA, et al. Association of atopic dermatitis with sleep quality in children. JAMA Pediatr 2019; 173: e190025-e190025.
https://doi.org/10.1001/jamapediatrics.2019.0025 DOI: https://doi.org/10.1001/jamapediatrics.2019.0025
Reed B, Blaiss, MS. The burden of atopic dermatitis. in Allergy and Asthma Proceedings. OceanSide Publications, Inc, Florida, USA, 2018.
https://doi.org/10.2500/aap.2018.39.4175 DOI: https://doi.org/10.2500/aap.2018.39.4175
von Kobyletzki LB, Beckman L, Smirnova J, Smeeth L, Williams HC, McKee M, et al. Eczema and educational attainment: a systematic review. Br J Dermatol 2016; 177: e47-e49.
https://doi.org/10.1111/bjd.15242 DOI: https://doi.org/10.1111/bjd.15242
Ruijsbroek A, Wijga AH, Gehring U, Kerkhof M, Droomers M. School performance: a matter of health or socio-economic background? Findings from the PIAMA birth cohort study. PloS One 2015; 10: e0134780.
https://doi.org/10.1371/journal.pone.0134780 DOI: https://doi.org/10.1371/journal.pone.0134780
Sundberg R, Torén K, Höglund D, Aberg N, Brisman J. Nasal symptoms are associated with school performance in adolescents. J Adolesc Health 2007; 40: 581-583.
https://doi.org/10.1016/j.jadohealth.2007.01.003 DOI: https://doi.org/10.1016/j.jadohealth.2007.01.003
Smirnova J, von Kobyletzki LB, Lindberg M, Svensson Å, Langan SM, Montgomery S. Atopic dermatitis, educational attainment and psychological functioning: a national cohort study. Br J Dermatol 2019; 180: 559-564.
https://doi.org/10.1111/bjd.17330 DOI: https://doi.org/10.1111/bjd.17330
Schmidt SAJ, Mailhac A, Darvalics B, Mulick A, Deleuran MS, Sørensen HT, et al. Association between atopic dermatitis and educational attainment in Denmark. JAMA Dermatol 2021; 157: 667-675.
https://doi.org/10.1001/jamadermatol.2021.0009 DOI: https://doi.org/10.1001/jamadermatol.2021.0009
Schmitt J, Buske- Kirschbaum A, Roessner V. Is atopic disease a risk factor for attention- deficit/hyperactivity disorder? A systematic review. Allergy 2010; 65: 1506-1524.
https://doi.org/10.1111/j.1398-9995.2010.02449.x DOI: https://doi.org/10.1111/j.1398-9995.2010.02449.x
Riis JL, Vestergaard C, Deleuran MS, Olsen M. Childhood atopic dermatitis and risk of attention deficit/hyperactivity disorder: a cohort study. J. Allergy Clin Immunol 2016; 138: 608-610.
https://doi.org/10.1016/j.jaci.2016.01.027 DOI: https://doi.org/10.1016/j.jaci.2016.01.027
Strom MA, Fishbein AB, Paller AS, Silverberg JI. Association between AD and attention deficit hyperactivity disorder in US children and adults. Br J Dermatol 2016; 175: 920-929.
https://doi.org/10.1111/bjd.14697 DOI: https://doi.org/10.1111/bjd.14697
Lee CY, Chen MH, Jeng MJ, Hsu JW, Tsai SJ, Bai YM, et al., Longitudinal association between early atopic dermatitis and subsequent attention-deficit or autistic disorder: a population-based case-control study. Medicine 2016; 95: e5005.
https://doi.org/10.1097/MD.0000000000005005 DOI: https://doi.org/10.1097/MD.0000000000005005
APA, Diagnostic and statistical manual of mental disorders: DSM-IV-TR. American Psychiatric Association ed. 2000: American Psychiatric Publishing, Inc.
Loe IM, Feldman HM. Academic and educational outcomes of children with ADHD. Ambul Pediatr 2007; 32: 643-654.
https://doi.org/10.1093/jpepsy/jsl054 DOI: https://doi.org/10.1093/jpepsy/jsl054
Arnold LE, Hodgkins P, Kahle J, Madhoo M, Kewley G. Long-term outcomes of ADHD: academic achievement and performance. J Atten Disord 2015; 24: 73-85.
https://doi.org/10.1177/1087054714566076 DOI: https://doi.org/10.1177/1087054714566076
Textor J, Hardt, J, Knüppel S. DAGitty: a graphical tool for analyzing causal diagrams. Epidemiology 2011; 22: 745.
https://doi.org/10.1097/EDE.0b013e318225c2be DOI: https://doi.org/10.1097/EDE.0b013e318225c2be
Hvitfeldt T, Gripe I. [Drug habits in school students]. 2009. Available from https://www.can.se/app/uploads/2020/01/can-rapportserie-118-skolelevers-drogvanor-2009.pdf.
von Kobyletzki LB, Thomas KS, Schmitt J, Chalmers JR, Deckert S, et al., What factors are important to patients when assessing treatment response: an international cross-sectional survey. Acta Derm Venereol 2017; 97: 86-90.
https://doi.org/10.2340/00015555-2480 DOI: https://doi.org/10.2340/00015555-2480
Asher MI, Keil U, Anderson HR, Beasley R, Crane J, Martinez F, et al. International Study of Asthma and Allergies in Childhood (ISAAC): rationale and methods. Eur Resp J 1995; 8: 483-491.
https://doi.org/10.1183/09031936.95.08030483 DOI: https://doi.org/10.1183/09031936.95.08030483
Riley AW. Evidence that school-age children can self-report on their health. Ambul Pediatr 2004; 4: 371-376.
https://doi.org/10.1367/A03-178R.1 DOI: https://doi.org/10.1367/A03-178R.1
Grygiel P, Modzelewski, M, Pisarek J. Academic self-concept and achievement in Polish primary schools: cross-lagged modelling and gender-specific effects. JSTOR 2017; 32: 407-429.
https://doi.org/10.1007/s10212-016-0300-2 DOI: https://doi.org/10.1007/s10212-016-0300-2
Zell E, Krizan Z. Do people have insight into their abilities? A metasynthesis. Perspect Psychol Sci 2014; 9: 111-125.
https://doi.org/10.1177/1745691613518075 DOI: https://doi.org/10.1177/1745691613518075
Valentine JC, DuBois DL, Cooper H. The relation between self-beliefs and academic achievement: a meta-analytic review. Educ Psychol 2004; 39: 111-133.
https://doi.org/10.1207/s15326985ep3902_3 DOI: https://doi.org/10.1207/s15326985ep3902_3
Jansen M, Schroeders U, Lüdtke O. Academic self-concept in science: multidimensionality, relations to achievement measures, and gender differences. Learn Ind Diff 2014; 30: 11-21.
https://doi.org/10.1016/j.lindif.2013.12.003 DOI: https://doi.org/10.1016/j.lindif.2013.12.003
Kuncel NC, Cresé M, Thomas, LL. The validity of self-reported grade point averages, class ranks, and test scores: a meta-analysis and review of the literature. Rev Educ Res 2005; 75: 63-82.
https://doi.org/10.3102/00346543075001063 DOI: https://doi.org/10.3102/00346543075001063
Olsson A, Hasselgren M, Hagquist C, Janson S. The association between medical conditions and gender, well-being, psychosomatic complaints as well as school adaptability. Acta Paed 2013; 102: 550-555.
https://doi.org/10.1111/apa.12174 DOI: https://doi.org/10.1111/apa.12174
Social Board of Welfare. Fortsatt ökad användning av adhd-läkemedel 2017 [Continued increase in ADHD drugs 2017]. 2017. [Accessed May 2, 2023] Available from: https://www.socialstyrelsen.se/globalassets/sharepoint-dokument/artikelkatalog/ovrigt/2018-3-30.pdf.
Kalander Blomqvist M, Janson S, Starrin B. [The life and health of Värmland county people]. Report. 2009. Karlstad: Karlstad University Press (in Swedish).
Russell AE, Ford T, Williams R, Russell G. The association between socioeconomic disadvantage and attention deficit/hyperactivity disorder (ADHD): a systematic review. J Child Pyscol Pychiatry 2016; 47: 440-458.
https://doi.org/10.1007/s10578-015-0578-3 DOI: https://doi.org/10.1007/s10578-015-0578-3
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