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Academic Achievement Among Children With Nonsyndromic Orofacial Clefts : A Population-Based Study.

Publication ,  Journal Article
Watkins, SE; Meyer, RE; Aylsworth, AS; Marcus, JR; Allori, AC; Pimenta, L; Lipinski, RJ; Strauss, RP
Published in: Cleft Palate Craniofac J
January 2018

OBJECTIVE: Children with orofacial clefts (OFCs) may experience poor reading proficiency, learning disabilities, and academic underachievement. We examined the association between nonsyndromic (NS) OFCs and end-of-grade (EOG) performance in reading and math from third through eighth grade in a sample subgroup. PARTICIPANTS: We identified a cohort of 559 children with NS-OFCs and 6822 children without birth defects, classifying cleft type by cleft lip alone, with or without cleft alveolar ridge (CL); cleft lip with cleft palate (CL+P); and cleft palate only (CP). MAIN OUTCOME MEASURES: Using logistic regression, we estimated the odds of not meeting grade-level standards among children with NS-OFCs compared to unaffected peers. Using longitudinal analyses, we estimated the odds of not meeting grade-level standards and average change in test scores through eighth grade. RESULTS: Children with NS-OFCs were 1.22 (95% CI: 0.96, 1.83) times as likely not to meet grade-level standards in reading compared to unaffected peers. The effect was similar for math (OR: 1.17; 95% CI: 0.92, 1.48). Children with CL+P were 1.33 (95% CI: 0.86, 1.83) and 1.74 (95% CI: 1.19, 2.56) times as likely not to meet grade-level standard in reading and in both subjects, respectively, compared to unaffected peers. The average rate of change in both scores was similar for children with and without OFCs. CONCLUSIONS: Poor academic performance appears greatest for children with CL+P, a finding compatible with previous observations and hypothesized mechanisms associating orofacial clefts with subtle abnormalities in brain development. Academic performance monitoring and referral for academic assistance is warranted.

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Published In

Cleft Palate Craniofac J

DOI

EISSN

1545-1569

Publication Date

January 2018

Volume

55

Issue

1

Start / End Page

12 / 20

Location

United States

Related Subject Headings

  • Dentistry
  • 3203 Dentistry
  • 3202 Clinical sciences
  • 1105 Dentistry
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Watkins, S. E., Meyer, R. E., Aylsworth, A. S., Marcus, J. R., Allori, A. C., Pimenta, L., … Strauss, R. P. (2018). Academic Achievement Among Children With Nonsyndromic Orofacial Clefts : A Population-Based Study. Cleft Palate Craniofac J, 55(1), 12–20. https://doi.org/10.1177/1055665617718823
Watkins, Stephanie E., Robert E. Meyer, Arthur S. Aylsworth, Jeffrey R. Marcus, Alexander C. Allori, Luiz Pimenta, Robert J. Lipinski, and Ronald P. Strauss. “Academic Achievement Among Children With Nonsyndromic Orofacial Clefts : A Population-Based Study.Cleft Palate Craniofac J 55, no. 1 (January 2018): 12–20. https://doi.org/10.1177/1055665617718823.
Watkins SE, Meyer RE, Aylsworth AS, Marcus JR, Allori AC, Pimenta L, et al. Academic Achievement Among Children With Nonsyndromic Orofacial Clefts : A Population-Based Study. Cleft Palate Craniofac J. 2018 Jan;55(1):12–20.
Watkins, Stephanie E., et al. “Academic Achievement Among Children With Nonsyndromic Orofacial Clefts : A Population-Based Study.Cleft Palate Craniofac J, vol. 55, no. 1, Jan. 2018, pp. 12–20. Pubmed, doi:10.1177/1055665617718823.
Watkins SE, Meyer RE, Aylsworth AS, Marcus JR, Allori AC, Pimenta L, Lipinski RJ, Strauss RP. Academic Achievement Among Children With Nonsyndromic Orofacial Clefts : A Population-Based Study. Cleft Palate Craniofac J. 2018 Jan;55(1):12–20.

Published In

Cleft Palate Craniofac J

DOI

EISSN

1545-1569

Publication Date

January 2018

Volume

55

Issue

1

Start / End Page

12 / 20

Location

United States

Related Subject Headings

  • Dentistry
  • 3203 Dentistry
  • 3202 Clinical sciences
  • 1105 Dentistry