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Factors Related to School Absence Among Children With Cardiac Conditions
Mary Glenn Fowler, MD;
Mary P. Johnson, RN, MSN;
Kathleen J. Welshimer, MS;
Susan S. Atkinson, MS;
Frank A. Loda, MD
Am J Dis Child. 1987;141(12):1317-1320.
Abstract
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• This study compared psychosocial and health factors related to school absence among 62 children with cardiac disease and 62 age-, sex-, and racematched peers without chronic health conditions. Parents of children with cardiac conditions perceived their children as more vulnerable and rated themselves and their children as having less control over improving their children's health status than did parents of the well children. Increased school absentee rates for the cardiac group were associated with measures of illness severity, parental patterns of absenting their child from school for minor illnesses, and decreased belief in their child's ability to improve his or her health status. For the well comparison group, increased absence was related to external health iocus of control beliefs, increased maternal sick days, and demographic factors. School absence was not significantly related to social adaptation, self-esteem, or school achievement for either the well or cardiac groups.
(AJDC 1987;141:1317-1320)
Author Affiliations
From the Division of Community Pediatrics (Drs Fowler and Loda), Department of Pediatrics (Drs Fowler and Loda and Ms Johnson), School of Medicine, and the Departments of Health Education (Ms Welshimer) and Biostatistics (Ms Atkinson), School of Public Health, University of North Carolina, Chapel Hill, NC.
Footnotes
Accepted for publication July 6, 1987.
Reprint requests to the Division of Community Pediatrics, University of North Carolina School Medicine, Chapel Hill, NC 27514 (Dr Fowler).
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