Children in Denmark with cerebral palsy rarely complete elementary school
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To investigate how children with cerebral palsy (CP) perform in the Danish school system and which factors are associated with school performance.
Method
This was a population-based cohort study including 463 126 children born from 1997 to 2003. Data were extracted from seven national registries. The study encompassed 818 children with CP (483 [59.0%] males, 335 [41.0%] females) and 417 731 without CP (214 535 [51.4%] males, 203 196 [48.6%] females). We evaluated two primary outcomes: not completing 10 years of elementary school, defined as attending fewer than eight final mandatory exams; and grade point averages (GPAs). Mann–Whitney U tests were used to analyse differences in GPAs and logistic regressions were used to calculate odds ratios (ORs).
Results
Among children with and without CP, 62.6% and 12.4% did not complete elementary school respectively (OR = 11.85 [10.28–13.66]). Additionally, children with CP who attended all final exams achieved lower overall GPAs than children without CP (6.6 vs 7.3, p = 0.001). In children with CP, comorbidities, maternal education, severity of motor impairments, and intellectual deficits were associated with increased odds of not completing elementary school. Notably, one-third of children with CP with apparent normal intelligence did not complete school, despite special educational measures.
Interpretation
Danish children with CP rarely complete elementary school despite initiatives for a more supportive educational system. The complexity of individual needs in children with CP may be challenging for an inclusive school environment.
Originalsprog | Engelsk |
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Tidsskrift | Developmental Medicine and Child Neurology |
Vol/bind | 65 |
Udgave nummer | 10 |
Sider (fra-til) | 1387-1394 |
Antal sider | 8 |
ISSN | 0012-1622 |
DOI | |
Status | Udgivet - 2023 |
Bibliografisk note
Funding Information:
We thank the Elsass Foundation (no. 21‐3‐0512) and Copenhagen University Hospital‐Rigshospitalet (no. E‐22551‐02) for the funding used to realize this study. The funding sources had no involvement in the study. We acknowledge the high data reporting and coverage in the Danish Cerebral Palsy Registry. We extend special thanks to research assistant Berit Hansen and clerk Claus F. Rasmussen for administrative support. The data that support the findings of this study are available from the Danish Heath Data Authority. Restrictions apply to the availability of these data, which were used under licence for this study.
Publisher Copyright:
© 2023 The Authors. Developmental Medicine & Child Neurology published by John Wiley & Sons Ltd on behalf of Mac Keith Press.
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