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School status and its associations among children with epilepsy in the Republic of Guinea.


ABSTRACT: BACKGROUND:In low-income countries (LICs), there are multiple barriers for children with epilepsy (CWE) to attend school. We examined potentially modifiable associations with poor school performance in CWE in the West African Republic of Guinea. METHODS:Children with epilepsy of school age were recruited using public announcements and a clinical register of people with epilepsy at the Ignace Deen Hospital in Conakry in 2018. A team of Guinean and U.S. neurologists and neurologists-in-training interviewed each CWE and parent for his/her epilepsy history, household finances, educational attainment level, and perceived stigma using the Stigma Scale of Epilepsy (SSE). Each child was also tested using the Wechsler Nonverbal Scale of Ability (WNV). Low school performance was defined as either not attending school or being held back a grade level at least once. Potential predictors of low school performance were analyzed. FINDINGS:Of 128 CWE (mean age: 11.6?years, 48.4% female), 11.7% (n?=?15) never attended school, 23.3% (n?=?30) dropped out, and 64.8% (n?=?83) were currently enrolled. Of CWE attending school, 46.9% (n?=?39) were held back a grade level. Overall, 54 children were defined as low performers (LPs) (42%). ;Greater than 100 lifetime seizures (odds ratio (OR)?=?8.81; 95% confidence interval (CI)?=?2.51, 37.4; p?=?0.001) and lower total WNV score (OR?=?0.954; 95% CI?=?0.926, 0.977; p?

SUBMITTER: Fitts W 

PROVIDER: S-EPMC6702082 | BioStudies | 2019-01-01

REPOSITORIES: biostudies

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