title: Academic Performance among Children with Inflammatory Bowel Disease: A Population-Based Study.
abstract: OBJECTIVE
  To determine grade 12 academic performance for children with inflammatory bowel disease (IBD).
  
  
  METHODS
  Children diagnosed with IBD at age<17 years identified from the population-based University of Manitoba IBD Epidemiology Database were matched by age-, sex-, and area of residence to 10 randomly selected controls. Grade 12 educational outcomes (scores on the provincial grade 12 language arts and mathematics standards tests, and enrollment-in-grade-12-by- age-17) were determined by linkage to the province wide Manitoba Education Database. Linear and logistic regression analysis were used to compare the educational outcomes, adjusting for socioeconomic status and comorbidities and evaluate predictors of educational outcomes among children with IBD.
  
  
  RESULTS
  Grade 12 educational outcomes among 337 children with IBD were compared with 3093 without IBD. There were no significant differences among the 2 groups in the standardized scores (language arts: P=.31; mathematics: P=.48) or enrollment-in-grade-12-by- age-17 (P=.25). Lower socioeconomic status and diagnosis with mental health problems 6 months prior to and 6 months post-IBD diagnosis were independent predictors of worse educational outcomes. There was no significant effect of age of diagnosis of IBD, type of IBD (ulcerative colitis vs Crohn's disease), use of corticosteroids or immunomodulator agents, hospitalizations, or surgery for IBD.
  
  
  CONCLUSIONS
  Children with IBD on average achieve similar levels of academic achievement in grade 12 as those without IBD. This study underscores the educational impact of mental health conditions at IBD diagnosis among children.
authors.affiliation: University of Manitoba IBD Clinical and Research Center, Winnipeg, Manitoba, Canada; Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada; Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada. Electronic address: Harminder.singh@med.umanitoba.ca.
authors.forename: Harminder
authors.initials: H
authors.lastname: Singh
authors.affiliation: University of Manitoba IBD Clinical and Research Center, Winnipeg, Manitoba, Canada; Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada; Department of Epidemiology and Cancer Registry, CancerCare Manitoba, Winnipeg, Manitoba, Canada.
authors.forename: Zoann
authors.initials: Z
authors.lastname: Nugent
authors.affiliation: Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada; Manitoba Center for Health Policy, University of Manitoba, Winnipeg, Manitoba, Canada.
authors.forename: Marni
authors.initials: M
authors.lastname: Brownell
authors.affiliation: University of Manitoba IBD Clinical and Research Center, Winnipeg, Manitoba, Canada; Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
authors.forename: Laura E
authors.initials: LE
authors.lastname: Targownik
authors.affiliation: Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada; Manitoba Center for Health Policy, University of Manitoba, Winnipeg, Manitoba, Canada.
authors.forename: Leslie L
authors.initials: LL
authors.lastname: Roos
authors.affiliation: University of Manitoba IBD Clinical and Research Center, Winnipeg, Manitoba, Canada; Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
authors.forename: Charles N
authors.initials: CN
authors.lastname: Bernstein
mesh_terms: D000041:Absenteeism; D000124:Achievement; D000293:Adolescent; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D002648:Child; D015331:Cohort Studies; D015897:Comorbidity; D016208:Databases, Factual; D004521:Educational Measurement; D004522:Educational Status; D005260:Female; D006760:Hospitalization; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000503:physiopathology*; D008297:Male; D008350:Manitoba; D008962:Models, Theoretical; D015999:Multivariate Analysis; D012044:Regression Analysis; D012107:Research Design; D012923:Social Class; D016896:Treatment Outcome
chemical_list: D000305:Adrenal Cortex Hormones