Implication of Inflammatory Bowel Disease Diagnosed Before the Age of 18 for Achieving an Upper Secondary Education: A Nationwide Population-Based Cohort Study

Julie Rasmussen*, Bente Mertz Nørgård, Rasmus Gaardskær Nielsen, Henrik Bøggild, Niels Qvist, René Børge Korsgaard Brund, Niels Henrik Bruun, Kirsten Fonager

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

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 <FOR VERIFICATION>= <FOR VERIFICATION>1344, ulcerative colitis [UC] n <FOR VERIFICATION>= <FOR VERIFICATION>1834) and matched them with 28 <FOR VERIFICATION>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.

Original languageEnglish
Article numberizad157
JournalInflammatory Bowel Diseases
Volume30
Issue number2
Pages (from-to)247-256
Number of pages10
ISSN1078-0998
DOIs
Publication statusPublished - 1 Feb 2024

Bibliographical note

© The Author(s) 2023. Published by Oxford University Press on behalf of Crohn’s & Colitis Foundation. All rights reserved. For permissions, please e-mail: [email protected].

Keywords

  • Adolescent
  • Cohort Studies
  • Colitis, Ulcerative/complications
  • Comorbidity
  • Crohn Disease/complications
  • Humans
  • Inflammatory Bowel Diseases/epidemiology
  • education
  • Crohn's disease
  • ulcerative colitis

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