Research
articles

Chronic health conditions and school absence, exclusions, and non-enrolment: a cohort study using the Education and Child Health Insights from Linked Data database

Author

Matthew A. Jay
Ania Zylbersztejn
Lauren Herlitz
Jessica Deighton
Ruth Gilbert
Ruth Blackburn

Keywords

MissingSchool

sick kids education

chronic illness and attendance

student wellbeing

health-related school absence

school exclusion

educational equity

chronic health conditions

inclusive education

school policy reform

attendance targets

education and health collaboration

school inclusion research

Source

Jay, M. A., Zylbersztejn, A., Herlitz, L., Deighton, J., Gilbert, R., & Blackburn, R. (2025). Chronic health conditions and school absence, exclusions, and non-enrolment: A cohort study using the Education and Child Health Insights from Linked Data database. Journal of Public Health, 47(3), 414–422. https://doi.org/10.1093/pubmed/fdaf064

This study looked at over 1.4 million children in England and found that young people with long-term health conditions are far more likely to miss school for a month or more in a year, be excluded, or not enrolled at all compared to their peers. Notably, about a quarter of 15- to 16-year-olds with a chronic health condition missed that much school, almost double the rate of peers without such conditions.

The research suggests that simply setting attendance targets without providing adequate support may unfairly penalise students whose absences are driven by health, rather than choice. It calls for school systems to adapt their attendance and inclusion policies to recognise and respond to the needs of students with chronic health conditions.

Full article here: https://academic.oup.com/jpubhealth/article/47/3/414/8155220

Author

Matthew A. Jay
Ania Zylbersztejn
Lauren Herlitz
Jessica Deighton
Ruth Gilbert
Ruth Blackburn

Keywords

MissingSchool

sick kids education

chronic illness and attendance

student wellbeing

health-related school absence

school exclusion

educational equity

chronic health conditions

inclusive education

school policy reform

attendance targets

education and health collaboration

school inclusion research

Source

Jay, M. A., Zylbersztejn, A., Herlitz, L., Deighton, J., Gilbert, R., & Blackburn, R. (2025). Chronic health conditions and school absence, exclusions, and non-enrolment: A cohort study using the Education and Child Health Insights from Linked Data database. Journal of Public Health, 47(3), 414–422. https://doi.org/10.1093/pubmed/fdaf064

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