TY - JOUR
T1 - School and Community Involvement of Adolescents With Chronic Health Conditions
AU - Noonan, Kelly
AU - Reichman, Nancy E.
AU - Corman, Hope
AU - Jiménez, Manuel E.
N1 - Funding Information:
Research reported in this publication was supported by the National Center for Advancing Translational Sciences , a component of the National Institutes of Health under award number UL1TR003017 , as well as the Robert Wood Johnson Foundation through its support of the Child Health Institute of New Jersey (Grant 74260 ) and Dr. Jimeénez through the Robert Wood Johnson Foundation Harold Amos Medical Faculty Development Program. The Fragile Families and Child Wellbeing data collection was supported in part by Award Numbers R25HD074544 , P2CHD058486 , and 5R01HD036916 from the Eunice Kennedy Shriver National Institute of Child Health & Human Development . The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health, the Robert Wood Johnson Foundation, or the Eunice Kennedy Shriver National Institute of Child Health & Human Development.
Publisher Copyright:
© 2020 Society for Adolescent Health and Medicine
PY - 2020/10
Y1 - 2020/10
N2 - Purpose: To investigate associations between chronic health conditions and participation in school and community activities at age 15 years. Methods: Secondary analysis of data from an urban U.S. birth cohort study was conducted to investigate associations between chronic health conditions and participation in specific types of school and community activities. Logistic regression was used to adjust for potentially confounding factors. Results: Over one third of the teens had a chronic health condition. Having a chronic developmental or behavioral health condition (vs. no chronic developmental or behavioral health condition) was associated with lower odds of participation in sports (odds ratio [OR], .714; 95% confidence interval [CI], .577–.883), volunteer activities (OR, .751; 95% CI, 0.611–.924), and any activities (OR, .690; 95% CI, .516–.921), after adjusting for potential confounders. The associations for having a chronic physical health condition were less consistent. Conclusions: Chronic developmental or behavioral conditions of teens are negatively associated with school and community participation, particularly sports and volunteering, both of which can substantially enhance their development. Schools can play a role in promoting participation by offering activities designed for students with disabilities that may also include typical students or by referring families to such activities in the community. Clinicians can play a role by educating families about the benefits of extracurricular activities, providing information about laws and regulations requiring schools and other organizations to provide accommodations, and linking families to activities and programs in their community.
AB - Purpose: To investigate associations between chronic health conditions and participation in school and community activities at age 15 years. Methods: Secondary analysis of data from an urban U.S. birth cohort study was conducted to investigate associations between chronic health conditions and participation in specific types of school and community activities. Logistic regression was used to adjust for potentially confounding factors. Results: Over one third of the teens had a chronic health condition. Having a chronic developmental or behavioral health condition (vs. no chronic developmental or behavioral health condition) was associated with lower odds of participation in sports (odds ratio [OR], .714; 95% confidence interval [CI], .577–.883), volunteer activities (OR, .751; 95% CI, 0.611–.924), and any activities (OR, .690; 95% CI, .516–.921), after adjusting for potential confounders. The associations for having a chronic physical health condition were less consistent. Conclusions: Chronic developmental or behavioral conditions of teens are negatively associated with school and community participation, particularly sports and volunteering, both of which can substantially enhance their development. Schools can play a role in promoting participation by offering activities designed for students with disabilities that may also include typical students or by referring families to such activities in the community. Clinicians can play a role by educating families about the benefits of extracurricular activities, providing information about laws and regulations requiring schools and other organizations to provide accommodations, and linking families to activities and programs in their community.
KW - Adolescents
KW - Behavioral health conditions
KW - Chronic health conditions
KW - Community and school activities
KW - Developmental health conditions
KW - Extracurricular activities
KW - Inclusion
KW - Social participation
KW - Sports
KW - Volunteering
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U2 - 10.1016/j.jadohealth.2020.02.028
DO - 10.1016/j.jadohealth.2020.02.028
M3 - Article
C2 - 32340847
AN - SCOPUS:85083704967
SN - 1054-139X
VL - 67
SP - 576
EP - 582
JO - Journal of Adolescent Health
JF - Journal of Adolescent Health
IS - 4
ER -