AI Article Synopsis
- - This study explored how being diagnosed with inflammatory bowel disease (IBD) during childhood or adolescence affects the likelihood of completing upper secondary education, considering the severity of the disease and any mental health issues.
- - Researchers analyzed data from 3,178 young IBD patients and compared them with over 28,000 matched peers without the condition, revealing a slightly higher chance of educational achievement for those with IBD.
- - However, those with more severe forms of IBD or additional psychiatric conditions faced a greater risk of not finishing their upper secondary education, highlighting the challenges related to both physical and mental health.
Article Abstract
Background: Educational achievement may be adversely affected by chronic conditions in childhood and adolescence. This study aimed to examine the effect of being diagnosed with IBD on achievement of an upper secondary education and the influence of disease severity and psychiatric comorbidity.
Methods: This cohort study was based on nationwide Danish administrative registries. We compared a cohort of patients with IBD with a matched population-based cohort. The IBD cohort included patients born between 1970 and 1994 who were diagnosed with IBD (age <18 years). The outcome was achieving an upper secondary education and was analyzed using Cox regression. The impact of disease severity (expressed by surgery or corticosteroid prescriptions) or psychiatric comorbidity within the IBD cohort was assessed using Poisson regression.
Results: We identified 3178 patients with IBD (Crohn's disease [CD] n = 1344, ulcerative colitis [UC] n = 1834) and matched them with 28 204 references. The hazard ratio of achieving an upper secondary education was 1.14 (95% confidence interval, 1.07-1.21) for CD and 1.16 (95% confidence interval, 1.10-1.23) for UC. In the IBD cohort, having surgery, a steroid prescription, or a comorbid psychiatric condition was associated with a lower chance of achieving an upper secondary education.
Conclusion: Being diagnosed with IBD before 18 years of age increased the chance of achieving an upper secondary education. However, patients with more severe disease or psychiatric comorbidity were at higher risk of not achieving an upper secondary education than patients with milder disease.
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| http://dx.doi.org/10.1093/ibd/izad157 | DOI Listing |
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