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Exploring interaction effects of social determinants of health with hospital admission type on academic performance: a data linkage study

Joanna F Dipnall Orcid Logo, Jane Lyons, Ronan Lyons Orcid Logo, Shanthi Ameratunga, Marianna Brussoni, Frederick P Rivara, Fiona Lecky, Amy Schneeberg, James E Harrison, Belinda Gabbe Orcid Logo

Archives of Disease in Childhood

Swansea University Authors: Jane Lyons, Ronan Lyons Orcid Logo, Belinda Gabbe Orcid Logo

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DOI (Published version): 10.1136/archdischild-2024-327096

Abstract

Objective: To investigate the moderating effects of socio-demographic social determinants of health (SDH) in the relationship between types of childhood hospitalisation (ie, none, injury, non-injury, injury+non-injury) and academic performance. Design, setting and patients: Children residing in Wale...

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Published in: Archives of Disease in Childhood
ISSN: 0003-9888 1468-2044
Published: BMJ Publishing Group Ltd 2024
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URI: https://cronfa.swan.ac.uk/Record/cronfa68507
first_indexed 2024-12-10T20:11:30Z
last_indexed 2024-12-11T14:17:32Z
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Design, setting and patients: Children residing in Wales 2009&#x2013;2016 (N=369 310). Secure Anonymised Information Linkage databank linked Tagged Electronic Cohort Cymru (five data sources) from the Wales Electronic Cohort for Children. Main outcome measure: Binary educational achievement (EA) measured across three key educational stage time points: grade 6 (mean age 11 years, SD 0.3), 9 (mean age 14 years, SD 0.3) and 11 (mean age 16 years, SD 0.3). Results: Of the 369 310 children, 51% were males, 25.4% of children were born in the lowest two Townsend deciles. Females were more likely to meet EA than males (adjusted risk ratio (aRR) (95% CI): 1.047 (1.039, 1.055)). EA was lower for injury admissions in males and any admission type in females (interactions: female&#xD7;non-injury 0.982 (0.975, 0.989); female&#xD7;injury+non-injury 0.980 (0.966, 0.994)). Children born into a more deprived decile were less likely to achieve EA (0.979 (0.977, 0.980)) and worsened by an injury admission (interactions: townsend&#xD7;injury 0.991 (0.988, 0.994); Townsend&#xD7;injury+non-injury 0.997 (0.994, 1.000)). Children with special educational needs (SEN) were less likely to meet EA (0.471 (0.459, 0.484) especially for an injury admission (interactions: SEN&#xD7;injury 0.932 (0.892, 0.974)). Conclusion: SDH moderated the impact of hospital admission type on educational outcomes prompting future investigation into the viability of in-hospital routine screening of families for SDH and relevant post-hospital interventions to help reduce the impact of SDH on educational outcomes post-hospitalisation.</abstract><type>Journal Article</type><journal>Archives of Disease in Childhood</journal><volume>0</volume><journalNumber/><paginationStart/><paginationEnd/><publisher>BMJ Publishing Group Ltd</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>0003-9888</issnPrint><issnElectronic>1468-2044</issnElectronic><keywords/><publishedDay>7</publishedDay><publishedMonth>11</publishedMonth><publishedYear>2024</publishedYear><publishedDate>2024-11-07</publishedDate><doi>10.1136/archdischild-2024-327096</doi><url/><notes/><college>COLLEGE NANME</college><department>Medical School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>MEDS</DepartmentCode><institution>Swansea University</institution><apcterm>Not Required</apcterm><funders>VIBES-Junior project: National Health and Medical Research Council of Australia (NHMRC-APP1142325); The Wales Electronic Cohort for Children (WECC) study was funded through Health and Care Research Wales (TRP08-006). Professor Lyons is supported by grants Health Data Research UK (HDR-9006) and UKRI-Economic and Social Research Council (ES/W012227/1). Jane Lyons is supported by grants from Health Data Research UK (HDR-9006) and UKRI-Economic and Social Research Council (ES/W012227/1). Professor Gabbe is supported by an NHMRC Investigator Grant (ID 2009998). 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spelling 2024-12-11T10:41:26.5896247 v2 68507 2024-12-09 Exploring interaction effects of social determinants of health with hospital admission type on academic performance: a data linkage study 1b74fa5125a88451c52c45bcf20e0b47 Jane Lyons Jane Lyons true false 83efcf2a9dfcf8b55586999d3d152ac6 0000-0001-5225-000X Ronan Lyons Ronan Lyons true false 4bdcc94332b2bd10530c5e71ceb04f14 0000-0001-7096-7688 Belinda Gabbe Belinda Gabbe true false 2024-12-09 MEDS Objective: To investigate the moderating effects of socio-demographic social determinants of health (SDH) in the relationship between types of childhood hospitalisation (ie, none, injury, non-injury, injury+non-injury) and academic performance. Design, setting and patients: Children residing in Wales 2009–2016 (N=369 310). Secure Anonymised Information Linkage databank linked Tagged Electronic Cohort Cymru (five data sources) from the Wales Electronic Cohort for Children. Main outcome measure: Binary educational achievement (EA) measured across three key educational stage time points: grade 6 (mean age 11 years, SD 0.3), 9 (mean age 14 years, SD 0.3) and 11 (mean age 16 years, SD 0.3). Results: Of the 369 310 children, 51% were males, 25.4% of children were born in the lowest two Townsend deciles. Females were more likely to meet EA than males (adjusted risk ratio (aRR) (95% CI): 1.047 (1.039, 1.055)). EA was lower for injury admissions in males and any admission type in females (interactions: female×non-injury 0.982 (0.975, 0.989); female×injury+non-injury 0.980 (0.966, 0.994)). Children born into a more deprived decile were less likely to achieve EA (0.979 (0.977, 0.980)) and worsened by an injury admission (interactions: townsend×injury 0.991 (0.988, 0.994); Townsend×injury+non-injury 0.997 (0.994, 1.000)). Children with special educational needs (SEN) were less likely to meet EA (0.471 (0.459, 0.484) especially for an injury admission (interactions: SEN×injury 0.932 (0.892, 0.974)). Conclusion: SDH moderated the impact of hospital admission type on educational outcomes prompting future investigation into the viability of in-hospital routine screening of families for SDH and relevant post-hospital interventions to help reduce the impact of SDH on educational outcomes post-hospitalisation. Journal Article Archives of Disease in Childhood 0 BMJ Publishing Group Ltd 0003-9888 1468-2044 7 11 2024 2024-11-07 10.1136/archdischild-2024-327096 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University Not Required VIBES-Junior project: National Health and Medical Research Council of Australia (NHMRC-APP1142325); The Wales Electronic Cohort for Children (WECC) study was funded through Health and Care Research Wales (TRP08-006). Professor Lyons is supported by grants Health Data Research UK (HDR-9006) and UKRI-Economic and Social Research Council (ES/W012227/1). Jane Lyons is supported by grants from Health Data Research UK (HDR-9006) and UKRI-Economic and Social Research Council (ES/W012227/1). Professor Gabbe is supported by an NHMRC Investigator Grant (ID 2009998). The other authors received no additional funding. 2024-12-11T10:41:26.5896247 2024-12-09T15:35:32.6910245 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Health Data Science Joanna F Dipnall 0000-0001-7543-0687 1 Jane Lyons 2 Ronan Lyons 0000-0001-5225-000X 3 Shanthi Ameratunga 4 Marianna Brussoni 5 Frederick P Rivara 6 Fiona Lecky 7 Amy Schneeberg 8 James E Harrison 9 Belinda Gabbe 0000-0001-7096-7688 10
title Exploring interaction effects of social determinants of health with hospital admission type on academic performance: a data linkage study
spellingShingle Exploring interaction effects of social determinants of health with hospital admission type on academic performance: a data linkage study
Jane Lyons
Ronan Lyons
Belinda Gabbe
title_short Exploring interaction effects of social determinants of health with hospital admission type on academic performance: a data linkage study
title_full Exploring interaction effects of social determinants of health with hospital admission type on academic performance: a data linkage study
title_fullStr Exploring interaction effects of social determinants of health with hospital admission type on academic performance: a data linkage study
title_full_unstemmed Exploring interaction effects of social determinants of health with hospital admission type on academic performance: a data linkage study
title_sort Exploring interaction effects of social determinants of health with hospital admission type on academic performance: a data linkage study
author_id_str_mv 1b74fa5125a88451c52c45bcf20e0b47
83efcf2a9dfcf8b55586999d3d152ac6
4bdcc94332b2bd10530c5e71ceb04f14
author_id_fullname_str_mv 1b74fa5125a88451c52c45bcf20e0b47_***_Jane Lyons
83efcf2a9dfcf8b55586999d3d152ac6_***_Ronan Lyons
4bdcc94332b2bd10530c5e71ceb04f14_***_Belinda Gabbe
author Jane Lyons
Ronan Lyons
Belinda Gabbe
author2 Joanna F Dipnall
Jane Lyons
Ronan Lyons
Shanthi Ameratunga
Marianna Brussoni
Frederick P Rivara
Fiona Lecky
Amy Schneeberg
James E Harrison
Belinda Gabbe
format Journal article
container_title Archives of Disease in Childhood
container_volume 0
publishDate 2024
institution Swansea University
issn 0003-9888
1468-2044
doi_str_mv 10.1136/archdischild-2024-327096
publisher BMJ Publishing Group Ltd
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Health Data Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Health Data Science
document_store_str 0
active_str 0
description Objective: To investigate the moderating effects of socio-demographic social determinants of health (SDH) in the relationship between types of childhood hospitalisation (ie, none, injury, non-injury, injury+non-injury) and academic performance. Design, setting and patients: Children residing in Wales 2009–2016 (N=369 310). Secure Anonymised Information Linkage databank linked Tagged Electronic Cohort Cymru (five data sources) from the Wales Electronic Cohort for Children. Main outcome measure: Binary educational achievement (EA) measured across three key educational stage time points: grade 6 (mean age 11 years, SD 0.3), 9 (mean age 14 years, SD 0.3) and 11 (mean age 16 years, SD 0.3). Results: Of the 369 310 children, 51% were males, 25.4% of children were born in the lowest two Townsend deciles. Females were more likely to meet EA than males (adjusted risk ratio (aRR) (95% CI): 1.047 (1.039, 1.055)). EA was lower for injury admissions in males and any admission type in females (interactions: female×non-injury 0.982 (0.975, 0.989); female×injury+non-injury 0.980 (0.966, 0.994)). Children born into a more deprived decile were less likely to achieve EA (0.979 (0.977, 0.980)) and worsened by an injury admission (interactions: townsend×injury 0.991 (0.988, 0.994); Townsend×injury+non-injury 0.997 (0.994, 1.000)). Children with special educational needs (SEN) were less likely to meet EA (0.471 (0.459, 0.484) especially for an injury admission (interactions: SEN×injury 0.932 (0.892, 0.974)). Conclusion: SDH moderated the impact of hospital admission type on educational outcomes prompting future investigation into the viability of in-hospital routine screening of families for SDH and relevant post-hospital interventions to help reduce the impact of SDH on educational outcomes post-hospitalisation.
published_date 2024-11-07T02:55:01Z
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score 11.04748

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