Abstract
Background
Amblyopia is a neurodevelopmental condition resulting in reduced vision for which whole population child vision screening is undertaken. Cross-sectional studies have established an association between amblyopia and lower academic self-concept, slower reading speed. No difference has been found in educational performance in adolescence whilst there are mixed associations with educational attainment in adults. Educational trajectories and intentions have not been studied previously. We analyse if those treated for amblyopia have different educational performance and trajectories for core subjects during statutory schooling, or subsequent higher education (university) intentions than their peers without eye conditions.
Methods and findings
Data from the Millennium Cohort Study of children born in the United Kingdom in 2000–01 and followed-up to age 17 years (n = 9989). Using a validated approach drawing on parental self-report on eye conditions and treatment coded by clinical reviewers, participants were grouped into mutually exclusive categories: no eye conditions, strabismus alone, refractive amblyopia, strabismic/mixed (refractive plus strabismic) amblyopia. The outcomes were levels and trajectories of passing English, Maths, Science at ages 7–16 years, passing national exams at age 16, and intentions at ages 14–17 to pursue higher (university) education. Adjusted analyses showed that amblyopia status was not associated with performance in English, Maths, and Science at any key stage, attainment in national exams, or intending to go to university. Similarly, the age-related trajectories of performance in core subjects and higher education intentions did not differ between the groups. There were no significant differences in main reason for having or not having university intentions.
Conclusions
We found no associations between a history of amblyopia and either adverse performance or age-related attainment trajectories in core subjects during key stages of statutory schooling as well as the absence of an association with intentions for higher education. These results should be reassuring to affected children and young people, and their families, teachers and physicians.
Funder
Ulverscroft Foundation
National Institute for Health Research Biomedical Research Centre at Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology
Publisher
Public Library of Science (PLoS)
Reference34 articles.
1. Brooks F. The link between pupil health and wellbeing and attainment: A briefing for head teachers, governors and staff in education settings. Public Health England. London; 2014. http://dera.ioe.ac.uk/id/eprint/23008
2. Public Health England. Health matters: Prevention—a life course approach [Internet]. 2019 [cited 2021 Mar 2]. https://www.gov.uk/government/publications/health-matters-life-course-approach-to-prevention/health-matters-prevention-a-life-course-approach
3. WHO. Synergy between sectors: fostering better education and health outcomes [Internet]. Copenhagen; 2015. http://www.euro.who.int/__data/assets/pdf_file/0007/324619/Health-2020-Education-and-health-through-the-life-course-en.pdf?ua=1
4. Marmot M, Allen J, Boyce T, Goldblatt P, Morrison J. Health Equity in England: The Marmot Review 10 Years On. London; 2020.
5. Children’s educational attainment and the aspirations, attitudes and behaviours of parents and children through childhood;A Goodman;Longit Life Course Stud,2011
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