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Educational achievement of children with selected major congenital anomalies and associated factors: a Finnish registry-based study

Lookup NU author(s): Dr Svetlana Glinyanaya, Professor Judith RankinORCiD

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

© The Author(s) 2023. Published by Oxford University Press on behalf of the European Public Health Association. BACKGROUND: Children with major congenital anomalies may be at risk of poor educational outcomes. We aimed to evaluate the educational achievement of children born with major congenital anomalies compared with children without major congenital anomalies in relation to sociodemographic factors. METHODS: We performed a registry-based study including 401 544 children in Finland, graduates of the compulsory school who applied to secondary education. We used health data from the Finnish Register of Congenital Malformations for children born from 1995 to 2002 linked with education data from the Finnish Ministry of Education and Culture. We used generalized linear regression to compare the mean grade differences of children with specific major congenital anomalies and 'All anomalies' subgroup (major congenital anomalies, chromosomal syndromes, and multiple anomalies) with reference children. RESULTS: Children with major congenital anomalies were less likely to apply for further education than reference children (88.0% vs. 96.8%; odds ratio = 4.13; 95% confidence interval, 3.92-4.36). For most non-chromosomal congenital anomalies, children born with congenital anomalies had similar educational achievement to the reference children. For the 'All anomalies' subgroup, children with congenital anomalies had lower educational achievement than reference children. Among children with congenital anomalies, male sex, lower maternal educational levels and younger maternal age were associated with lower educational achievement. CONCLUSIONS: For children applying to further education, most non-chromosomal congenital anomalies were not associated with lower educational achievement. Nevertheless, efforts are needed to improve educational achievement in children with major congenital anomalies associated with maternal sociodemographic background.


Publication metadata

Author(s): Roustaei Z, Heino A, Kiuru-Kuhlefelt S, Morris JK, Glinianaia SV, Garne E, Loane M, Rankin J, Gissler M

Publication type: Article

Publication status: Published

Journal: European Journal of Public Health

Year: 2023

Volume: 33

Issue: 6

Pages: 1027-1034

Print publication date: 01/12/2023

Online publication date: 18/08/2023

Acceptance date: 02/04/2018

Date deposited: 03/01/2024

ISSN (print): 1101-1262

ISSN (electronic): 1464-360X

Publisher: Oxford University Press

URL: https://doi.org/10.1093/eurpub/ckad149

DOI: 10.1093/eurpub/ckad149

Data Access Statement: The data underlying this article cannot be shared publicly. The data maintained by the Finnish Institute for Health and Welfare and the National Board of Education used under license for this study. The data are, however, available upon authorization application from the THL to researchers who meet the criteria for access to confidential data.

PubMed id: 37594898


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Funding

Funder referenceFunder name
733001Commission of the European Communities

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