Chronic health conditions and school performance in first graders : a prospective cohort study

Isabell Hoffmann, Christiane Diefenbach, Christine Gräf, Jochem König, Martina F. Schmidt, Kathleen Schnick-Vollmer, Maria Blettner & Michael S. Urschitz
Objective Children with chronic health conditions may perform poorer at school. Associations may be confounded by numerous social factors. We aimed to estimate the effects of a chronic health condition on overall school performance in first graders with an emphasis on rigorous adjustment for potential confounders. Methods A population-based cohort study was performed in the area of Mainz-Bingen (Germany). In 2015 all preschoolers were approached and the presence of a chronic health condition was assessed...
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