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. 2023 Jun 23;18(6):e0287408. doi: 10.1371/journal.pone.0287408

Table 4. Associations between special health care needs and days absent from school due to illness during first grade (n = 1,921)*.

Rate Ratio, adjusted [95% CI] SMD
Overall SHCN
No SHCN (ref)
SHCN 1.37 [1.16; 1.62] 0.40
Individual SHCN consequences
Use or need of prescription medication No (ref)
Yes 1.13 [0.89; 1.45] 0.15
Above average use or need of medical, mental health, or educational services No (ref)
Yes 1.13 [0.88; 1.46] 0.14
Functional limitations compared with others of the same age No (ref)
Yes 1.58 [1.15; 2.17] 0.64
Use or need of specialized therapies No (ref)
Yes 1.17 [0.88; 1.55] 0.19
Treatment or counseling for emotional, behavioral, or developmental problems No (ref)
Yes 1.38 [1.14; 1.68] 0.41
Number of SHCN consequences experienced
0 consequences (ref)
1 SHCN consequence 1.29 [1.08; 1.54] 0.32
>1 SHCN consequences 1.48 [1.23; 1.77] 0.52

* Abbreviations: CI, confidence interval; SHCN, special health care needs; SMD, standardized mean difference.

† Adjusted for gender, immigration status, socio-economic status, multiple at birth, breastfeeding, chronic health condition in the family, health care utilization, and school location.