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Juvenile idiopathic arthritis (JIA) is the most common arthropathy of childhood. Different diseases affect school attendance to varying degrees. The aim of this study was to assess the impact of juvenile idiopathic arthritis (JIA) on Moroccan children’s schooling. | Bouaddi et al. BMC Pediatrics 2013 13 2 http www.biomedcentral.eom 1471-2431 13 2 BMC Pediatrics RESEARCH ARTICLE Open Access Impact of juvenile idiopathic arthritis on schooling 1 1 1 1 1 2 1 Ilham Bouaddi Samira Rostom Dalal El Badri Asmae Hassani Bouchra Chkirate Bouchra Amine and Najia Hajjaj-Hassouni1 Abstract Background Juvenile idiopathic arthritis JIA is the most common arthropathy of childhood. Different diseases affect school attendance to varying degrees. The aim of this study was to assess the impact of juvenile idiopathic arthritis JIA on Moroccan children s schooling. Methods Thirty-three children with JIA were included in this study having been previously diagnosed according to the classification criteria of the International League of Associations for Rheumatology ILAR . Seventy-four healthy children were recruited to serve as controls. Data was obtained for all children on their school level educational performance and attendance. The rate of absenteeism due to health complications was noted. Results All healthy children were able to attend school p 0.0001 while 33 of children with JIA were unable to attend school due to their condition. The students with JIA who were able to attend school were absent much more often than controls 63 compared to 20 with a highly significant p value p 0.0001 . Slightly less than half of the JIA patients 48.5 failed in their schooling. In univariate analysis there was an association between absenteeism and tender joints p 0.02 disease activity score DAS28 p 0.007 Childhood Health Assessment Questionnaire CHAQ p 0.01 and erythrocyte sedimentation rate ESR p 0.03 . In multivariate analysis the only association persisted between DAS28 and absenteeism. Conclusions Our study suggested that the schooling of children with JIA was negatively impacted due to the disorder. More studies with a larger sample of children are needed to confirm our findings. Keywords Juvenile idiopathic arthritis Children Healthy controls School .
