Self-Reported School Difficulties and the Use of the School Nurse Services by Adolescent Students
Abstract
:1. Introduction
2. Materials and Methods
2.1. Data and Participants
2.2. Measures
2.3. Statistical Analysis
2.4. Ethical Considerations
3. Results
3.1. Participants in the Study
3.2. Self-Reported Difficulties in Schooling
3.3. Use of School Health Nurse Services
3.4. The Association between Self-Reported School Difficulties and the Use of School Health Nurse Services
4. Discussion
5. Strengths and Limitations
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Background | All (n = 73,680) % (n) | Girls (n = 36,883) % (n) | Boys (n = 36,276) % (n) |
---|---|---|---|
Gender | |||
Boy | 49.2 (36,276) | ||
Girl | 50.1 (36,883) | ||
Missing | 0.7 (521) | ||
Grade level | |||
8th grade | 49.9 (36,788) | 50.0 (18,426) | 50.0 (18,145) |
9th grade | 49.7 (36,625) | 49.9 (18,389) | 49.8 (18,050) |
Missing | 0.4 (267) | 0.2 (68) | 0.2 (81) |
Mother’s education | |||
Comprehensive school or equivalent | 5.7 (4226) | 6.0 (2202) | 5.5 (1996) |
Upper secondary school, high school or vocational education | 25.8 (19,033) | 26.2 (9652) | 25.6 (9274) |
Occupational studies in addition to upper secondary school, high school, or vocational education | 21.4 (15,737) | 22.8 (8426) | 19.9 (7236) |
University, university of applied sciences or other higher education | 36.1 (26,569) | 37.3 (13,740) | 35.0 (12,693) |
Missing | 11.0 (8115) | 7.8 (2863) | 14.0 (5077) |
Father’s education | |||
Comprehensive school or equivalent | 8.1 (5940) | 8.4 (3084) | 7.8 (2816) |
Upper secondary school, high school or vocational education | 29.5 (21,766) | 30.4 (11,210) | 28.8 (10,448) |
Occupational studies in addition to upper secondary school, high school, or vocational education | 19.3 (14,229) | 20.6 (7582) | 18.1 (6570) |
University, university of applied sciences or other higher education | 30.4 (22,371) | 30.6 (11,301) | 30.2 (10,955) |
Missing | 12.7 (9374) | 10.0 (3706) | 15.1 (5487) |
Whether parents have been unemployed or laid-off during the past 12 months | |||
No | 64.7 (47,662) | 65.1 (24,022) | 64.5 (23,392) |
Yes, one parent | 25.7 (18,908) | 28.0 (10,323) | 23.4 (8481) |
Yes, two or more of the parents | 3.7 (2708) | 3.7 (1348) | 3.7 (1332) |
Missing | 6.0 (4402) | 3.2 (1190) | 8.5 (3071) |
Family’s perceived financial situation | |||
Very good | 21.5 (15,872) | 18.0 (6656) | 25.2 (9124) |
Fairly good | 42.4 (31,253) | 44.0 (16,220) | 41.0 (14,879) |
Moderate | 23.7 (17,498) | 27.3 (10071) | 20.2 (7322) |
Fairly poor | 5.1 (3748) | 6.3 (2338) | 3.8 (1389) |
Very poor | 1.3 (946) | 1.1 (424) | 1.4 (507) |
Missing | 5.9 (4363) | 3.2 (1174) | 8.4 (3055) |
Background by country of birth | |||
Finnish background | 88.6 (65,317) | 92.1 (33,981) | 85.4 (30,995) |
Foreign background | 5.5 (4066) | 5.0 (1832) | 6.0 (2184) |
Missing | 5.8 (4297) | 2.9 (1070) | 8.5 (3097) |
Lived in Finland | |||
All my life | 86.9 (64,046) | 90.0 (33,199) | 84.1 (30,504) |
More than 10 years, but not always | 3.9 (2885) | 4.0 (1470) | 3.9 (1397) |
5–10 years | 2.0 (1450) | 2.0 (750) | 1.9 (683) |
1–4 years | 0.8 (589) | 0.8 (302) | 0.8 (280) |
Less than 1 year | 0.9 (688) | 0.4 (138) | 1.5 (539) |
Missing | 5.5 (4022) | 2.8 (1024) | 7.9 (2873) |
Variable | All (n = 73,680) % (n) | Girls (n = 36,883) % (n) | Boys (n = 36,276) % (n) |
---|---|---|---|
(1) Self-reported learning difficulties | |||
Difficulties in following the teaching in class | |||
Not at all | 33.4 (24,573) | 32.0 (11,808) | 34.9 (12,654) |
Fairly little | 48.1 (35,412) | 48.4 (17,847) | 47.9 (17,373) |
Quite a lot | 14.2 (10,429) | 15.4 (5674) | 12.9 (4681) |
Very much | 3.4 (2503) | 3.6 (1335) | 3.1 (1126) |
Missing | 1.0 (763) | 0.6 (219) | 1.2 (442) |
Difficulties in doing homework or other school tasks | |||
Not at all | 34.8 (25,666) | 36.5 (13,479) | 33.3 (12,083) |
Fairly little | 42.6 (31,366) | 41.9 (15,449) | 43.4 (15,746) |
Quite a lot | 15.7 (11,569) | 15.4 (5680) | 16.0 (5803) |
Very much | 5.8 (4247) | 5.5 (2038) | 5.9 (2151) |
Missing | 1.1 (832) | 0.6 (237) | 1.4 (493) |
Difficulties in preparing for exams | |||
Not at all | 23.6 (17,387) | 22.0 (8110) | 25.3 (9193) |
Fairly little | 43.5 (32,071) | 43.5 (16,051) | 43.7 (15,863) |
Quite a lot | 23.5 (17,348) | 24.9 (9177) | 22.2 (8064) |
Very much | 8.2 (6028) | 8.9 (3289) | 7.4 (2671) |
Missing | 1.1 (846) | 0.7 (256) | 1.3 (485) |
Difficulties in performing tasks that require writing | |||
Not at all | 35.5 (26,127) | 38.3 (14,124) | 32.7 (11,864) |
Fairly little | 43.3 (31,897) | 41.9 (15,441) | 44.9 (16,302) |
Quite a lot | 15.2 (11,233) | 14.6 (5396) | 15.9 (5767) |
Very much | 4.8 (3509) | 4.5 (1648) | 5.0 (1807) |
Missing | 1.2 (914) | 0.7 (274) | 1.5 (536) |
Difficulties in performing tasks that require reading | |||
Not at all | 39.3 (28,943) | 41.3 (15,225) | 37.4 (13,585) |
Fairly little | 39.2 (28,916) | 37.0 (13,630) | 41.7 (15,134) |
Quite a lot | 14.9 (11,012) | 15.3 (5659) | 14.5 (5266) |
Very much | 5.3 (3888) | 5.6 (2081) | 4.9 (1762) |
Missing | 1.3 (921) | 0.8 (288) | 1.5 (529) |
Difficulties in performing tasks that require calculation | |||
Not at all | 34.9 (25,693) | 31.9 (11,777) | 38.0 (13,798) |
Fairly little | 40.8 (30,067) | 40.3 (14,858) | 41.5 (15,052) |
Quite a lot | 16.8 (12,409) | 19.3 (7104) | 14.4 (5229) |
Very much | 6.1 (4495) | 7.6 (2806) | 4.5 (1627) |
Missing | 1.4 (1016) | 0.9 (338) | 1.6 (570) |
(2) Difficulties in oral presentations | |||
Not at all | 25.1 (18,482) | 21.8 (8024) | 28.5 (10,342) |
Fairly little | 40.9 (30,155) | 38.5 (14,210) | 43.6 (15,804) |
Quite a lot | 20.8 (15,327) | 23.3 (8582) | 18.4 (6666) |
Very much | 11.9 (8784) | 15.7 (5773) | 8.1 (2927) |
Missing | 1.3 (932) | 0.8 (294) | 1.5 (534) |
(3) Difficulties in using study devices | |||
Not at all | 52.0 (38,317) | 47.1 (17,378) | 57.2 (20,741) |
Fairly little | 36.6 (26,988) | 41.2 (15,188) | 32.1 (11,655) |
Quite a lot | 7.2 (5288) | 8.1 (2983) | 6.2 (2265) |
Very much | 2.7 (1991) | 2.7 (979) | 2.7 (981) |
Missing | 1.5 (1096) | 1.0 (355) | 1.7 (634) |
Variable | All (n = 73,680) % (n) | Girls (n = 35,830) % (n) | Boys (n = 33,598) % (n) |
---|---|---|---|
Visited the school health nurse, other than for a regular check-up | |||
No, there was no need for it | 56.5 (41,662) | 50.8 (18,741) | 62.6 (22,705) |
No, I tried but could not get an appointment | 2.2 (1632) | 2.5 (911) | 1.9 (704) |
Yes, 1–2 times | 26.7 (19,686) | 30.7 (11,327) | 22.8 (8256) |
Yes, 3–5 times | 5.5 (4018) | 7.7 (2841) | 3.2 (1154) |
Yes, more than 5 times | 3.8 (2819) | 5.4 (2010) | 2.1 (779) |
Missing | 5.2 (3863) | 2.9 (1053) | 7.4 (2678) |
Visited the School Health Nurse, Other Than for a Regular Checkup | |||||
---|---|---|---|---|---|
No, There Was No Need for It % (n) | No, I Tried but Could Not Get an Appointment % (n) | Yes, 1–2 Times % (n) | Yes, 3–5 Times % (n) | Yes, More Than 5 Times % (n) | |
(1) Self-reported learning difficulties | |||||
Difficulties in following the teaching in class | |||||
Not at all | 60.3 (6977) | 1.8 (211) | 29.4 (3404) | 5.6 (653) | 2.9 (333) |
Fairly little | 51.1 (8898) | 2.6 (456) | 33.0 (5749) | 8.1 (1403) | 5.2 (902) |
Quite a lot | 42.5 (2326) | 3.2 (177) | 32.1 (1756) | 11.7 (640) | 10.4 (569) |
Very much | 37.6 (460) | 5.2 (64) | 30.2 (369) | 11.0 (135) | 15.9 (195) |
Difficulties in doing homework or other school tasks | |||||
Not at all | 59.1 (7829) | 1.9 (257) | 29.7 (3936) | 6.1 (814) | 3.1 (412) |
Fairly little | 51.1 (7678) | 2.7 (408) | 33.2 (4999) | 7.8 (1174) | 5.2 (781) |
Quite a lot | 44.0 (2406) | 2.9 (159) | 32.7 (1787) | 11.2 (610) | 9.3 (508) |
Very much | 38.8 (737) | 4.4 (83) | 29.1 (553) | 12.2 (232) | 15.6 (296) |
Difficulties in preparing for exams | |||||
Not at all | 60.6 (4822) | 1.7 (139) | 29.1 (2316) | 5.8 (459) | 2.7 (216) |
Fairly little | 53.9 (8468) | 2.5 (392) | 32.4 (5081) | 7.1 (1110) | 4.1 (646) |
Quite a lot | 46.1 (4093) | 2.8 (246) | 33.2 (2952) | 10.1 (894) | 7.9 (701) |
Very much | 40.5 (1259) | 4.1 (128) | 29.6 (922) | 11.9 (370) | 13.9 (432) |
Difficulties in performing tasks that require writing | |||||
Not at all | 56.4 (7809) | 2.2 (303) | 30.6 (4234) | 7.0 (968) | 3.9 (543) |
Fairly little | 51.6 (7760) | 2.5 (371) | 32.9 (4943) | 7.7 (1158) | 5.4 (810) |
Quite a lot | 46.5 (2416) | 3.2 (166) | 31.9 (1656) | 10.1 (522) | 8.3 (431) |
Very much | 41.9 (648) | 4.1 (64) | 28.9 (447) | 11.6 (180) | 13.4 (208) |
Difficulties in performing tasks that require reading | |||||
Not at all | 57.2 (8557) | 2.1 (319) | 30.5 (4565) | 6.6 (988) | 3.6 (535) |
Fairly little | 51.4 (6822) | 2.6 (349) | 32.7 (4335) | 7.9 (1050) | 5.4 (713) |
Quite a lot | 44.8 (2435) | 3.1 (169) | 33.2 (1804) | 10.3 (560) | 8.6 (469) |
Very much | 41.5 (807) | 3.5 (68) | 29.0 (565) | 11.7 (227) | 14.3 (278) |
Difficulties in performing tasks that require calculation | |||||
Not at all | 57.6 (6644) | 2.3 (266) | 30.1 (3480) | 6.5 (746) | 3.5 (408) |
Fairly little | 52.1 (7556) | 2.4 (343) | 32.5 (4715) | 7.7 (1119) | 5.3 (766) |
Quite a lot | 47.8 (3278) | 2.7 (186) | 32.7 (2245) | 9.5 (653) | 7.3 (501) |
Very much | 42.0 (1121) | 4.1 (109) | 30.5 (814) | 11.5 (306) | 11.9 (316) |
(2) Difficulties in oral presentations | |||||
Not at all | 51.8 (4047) | 2.5 (195) | 32.1 (2514) | 8.1 (637) | 5.5 (427) |
Fairly little | 53.7 (7446) | 2.3 (323) | 32.2 (4475) | 7.2 (1006) | 4.5 (627) |
Quite a lot | 53.4 (4448) | 2.3 (194) | 30.9 (2573) | 7.8 (650) | 5.6 (464) |
Very much | 48.1 (2690) | 3.4 (191) | 30.5 (1705) | 9.6 (539) | 8.4 (473) |
(3) Difficulties in using study devices | |||||
Not at all | 53.5 (9094) | 2.2 (380) | 31.0 (5278) | 7.9 (1342) | 5.3 (907) |
Fairly little | 51.9 (7678) | 2.5 (373) | 32.5 (4809) | 7.9 (1174) | 5.2 (769) |
Quite a lot | 50.0 (1423) | 3.4 (98) | 31.3 (892) | 8.0 (229) | 7.2 (204) |
Very much | 44.3 (407) | 5.3 (49) | 28.8 (265) | 8.9 (82) | 12.6 (116) |
Visited the School Health Nurse, Other Than for a Regular Checkup | |||||
---|---|---|---|---|---|
No, There Was No Need for It % (n) | No, I Tried but Could Not Get an Appointment % (n) | Yes, 1–2 Times % (n) | Yes, 3–5 Times % (n) | Yes, More Than 5 Times % (n) | |
(1) Self-reported learning difficulties | |||||
Difficulties in following the teaching in class | |||||
Not at all | 72.8 (8690) | 1.5 (183) | 21.7 (2585) | 2.4 (284) | 1.6 (195) |
Fairly little | 66.3 (10,804) | 2.1 (336) | 26.2 (4262) | 3.6 (591) | 1.8 (296) |
Quite a lot | 59.5 (2501) | 2.9 (122) | 28.1 (1182) | 5.7 (238) | 3.8 (159) |
Very much | 59.5 (573) | 5.5 (53) | 19.2 (185) | 3.1 (30) | 12.7 (122) |
Difficulties in doing homework or other school tasks | |||||
Not at all | 72.7 (8288) | 1.7 (195) | 21.8 (2487) | 2.3 (263) | 1.4 (164) |
Fairly little | 66.9 (9867) | 1.9 (279) | 26.0 (3829) | 3.5 (517) | 1.7 (256) |
Quite a lot | 61.6 (3259) | 2.7 (145) | 27.2 (1439) | 4.9 (261) | 3.5 (186) |
Very much | 59.6 (1148) | 3.9 (76) | 22.8 (440) | 5.1 (99) | 8.5 (163) |
Difficulties in preparing for exams | |||||
Not at all | 73.4 (6330) | 1.6 (142) | 20.9 (1806) | 2.3 (200) | 1.7 (148) |
Fairly little | 68.2 (10,134) | 1.9 (284) | 25.2 (3744) | 3.2 (474) | 1.6 (232) |
Quite a lot | 62.4 (4650) | 2.4 (182) | 27.6 (2057) | 4.7 (348) | 2.9 (214) |
Very much | 59.6 (1434) | 3.6 (87) | 24.6 (592) | 5.0 (120) | 7.3 (175) |
Difficulties in performing tasks that require writing | |||||
Not at all | 70.7 (7908) | 1.8 (196) | 23.0 (2575) | 2.7 (306) | 1.7 (194) |
Fairly little | 67.7 (10,338) | 1.9 (287) | 25.3 (3877) | 3.5 (535) | 1.6 (246) |
Quite a lot | 63.2 (3337) | 2.7 (143) | 26.6 (1404) | 4.3 (225) | 3.3 (172) |
Very much | 59.5 (955) | 4.1 (65) | 22.2 (356) | 4.6 (73) | 9.7 (155) |
Difficulties in performing tasks that require reading | |||||
Not at all | 70.6 (9072) | 1.9 (243) | 22.9 (2937) | 2.9 (367) | 1.8 (225) |
Fairly little | 67.9 (9592) | 1.8 (251) | 25.2 (3568) | 3.3 (473) | 1.8 (250) |
Quite a lot | 61.9 (2966) | 2.7 (131) | 27.3 (1309) | 4.7 (227) | 3.2 (155) |
Very much | 58.4 (915) | 4.1 (64) | 24.0 (376) | 4.9 (76) | 8.6 (135) |
Difficulties in performing tasks that require calculation | |||||
Not at all | 70.8 (9248) | 1.7 (221) | 23.1 (3014) | 2.8 (365) | 1.7 (216) |
Fairly little | 66.9 (9403) | 1.9 (266) | 25.6 (3598) | 3.7 (513) | 1.9 (266) |
Quite a lot | 62.8 (2973) | 2.9 (138) | 26.9 (1273) | 4.4 (207) | 3.1 (145) |
Very much | 60.9 (884) | 4.5 (65) | 20.9 (303) | 4.0 (58) | 9.7 (141) |
(2) Difficulties in oral presentations | |||||
Not at all | 67.9 (6539) | 1.8 (176) | 24.5 (2360) | 3.4 (330) | 2.4 (230) |
Fairly little | 68.6 (10,156) | 2.0 (298) | 24.5 (3627) | 3.2 (480) | 1.7 (249) |
Quite a lot | 66.7 (4138) | 2.1 (129) | 25.6 (1590) | 3.5 (215) | 2.1 (128) |
Very much | 63.5 (1708) | 3.4 (91) | 22.8 (614) | 4.2 (114) | 6.0 (162) |
(3) Difficulties in using study devices | |||||
Not at all | 68.0 (13,389) | 1.7 (334) | 25.0 (4932) | 3.4 (663) | 2.0 (386) |
Fairly little | 67.8 (7288) | 2.2 (241) | 24.6 (2644) | 3.4 (365) | 2.0 (211) |
Quite a lot | 65.4 (1277) | 3.6 (71) | 23.6 (460) | 4.0 (79) | 3.4 (66) |
Very much | 61.1 (514) | 5.5 (46) | 17.7 (149) | 3.6 (30) | 12.1 (102) |
Visited the School Health Nurse, Other Than for a Regular Check-Up | ||||||
---|---|---|---|---|---|---|
Univariate Model | Multivariate Model | |||||
No, I Tried but Could Not Get an Appointment OR (95% CI) | Yes, 1–2 Times OR (95% CI) | Yes, More Than 2 Times OR (95% CI) | No, I Tried but Could Not Get an Appointment OR (95% CI) | Yes, 1–2 Times OR (95% CI) | Yes, More Than 2 Times OR (95% CI) | |
(1) Self-reported learning difficulties | ||||||
Difficulties in following the teaching in class | ||||||
Not at all (ref.) | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
Fairly little | 1.70 (1.44–2.00) | 1.32 (1.26–1.40) | 1.83 (1.69–1.99) | 1.69 (1.42–2.01) | 1.31 (1.24–1.38) | 1.81 (1.66–1.97) |
Quite a lot or very much | 2.86 (2.37–3.46) | 1.56 (1.46–1.68) | 3.91 (3.57–4.28) | 2.71 (2.21–3.32) | 1.55 (1.44–1.68) | 3.79 (3.44–4.18) |
Difficulties in doing homework or other school tasks | ||||||
Not at all (ref.) | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
Fairly little | 1.62 (1.38–1.90) | 1.30 (1.23–1.37) | 1.63 (1.50–1.76) | 1.62 (1.38–1.92) | 1.28 (1.21–1.36) | 1.59 (1.47–1.73) |
Quite a lot or very much | 2.35 (1.96–2.81) | 1.48 (1.39–1.58) | 3.34 (3.07–3.64) | 2.25 (1.85–2.73) | 1.49 (1.38–1.59) | 3.23 (2.95–3.54) |
Difficulties in preparing for exams | ||||||
Not at all (ref.) | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
Fairly little | 1.61 (1.32–1.96) | 1.25 (1.18–1.33) | 1.48 (1.35–1.63) | 1.69 (1.38–2.08) | 1.24 (1.17–1.32) | 1.48 (1.34–1.64) |
Quite a lot or very much | 2.42 (1.99–2.96) | 1.51 (1.41–1.61) | 3.20 (2.91–3.51) | 2.45 (1.98–3.03) | 1.50 (1.40–1.61) | 3.09 (2.79–3.42) |
Difficulties in performing tasks that require writing | ||||||
Not at all (ref.) | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
Fairly little | 1.23 (1.06–1.44) | 1.18 (1.12–1.24) | 1.31 (1.22–1.41) | 1.27 (1.08–1.50) | 1.16 (1.10–1.23) | 1.28 (1.18–1.38) |
Quite a lot or very much | 1.94 (1.62–2.31) | 1.27 (1.18–1.35) | 2.26 (2.08–2.46) | 1.82 (1.50–2.20) | 1.24 (1.15–1.33) | 2.13 (1.94–2.33) |
Difficulties in performing tasks that require reading | ||||||
Not at all (ref.) | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
Fairly little | 1.37 (1.18–1.60) | 1.19 (1.13–1.26) | 1.45 (1.35–1.56) | 1.39 (1.19–1.64) | 1.19 (1.13–1.26) | 1.40 (1.29–1.51) |
Quite a lot or very much | 1.96 (1.65–2.33) | 1.37 (1.29–1.46) | 2.66 (2.45–2.89) | 1.95 (1.62–2.35) | 1.35 (1.26–1.45) | 2.53 (2.31–2.76) |
Difficulties in performing tasks that require calculation | ||||||
Not at all (ref.) | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
Fairly little | 1.13 (0.96–1.34) | 1.19 (1.13–1.26) | 1.44 (1.33–1.56) | 1.12 (0.94–1.33) | 1.18 (1.11–1.25) | 1.39 (1.27–1.51) |
Quite a lot or very much | 1.68 (1.41–1.99) | 1.33 (1.25–1.41) | 2.32 (2.14–2.53) | 1.66 (1.39–1.99) | 1.33 (1.24–1.42) | 2.23 (2.04–2.44) |
(2) Difficulties in oral presentations | ||||||
Not at all (ref.) | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
Fairly little | 0.90 (0.75–1.08) | 0.97 (0.91–1.03) | 0.83 (0.77–0-91) | 0.93 (0.77–1.12) | 0.95 (0.89–1.02) | 0.82 (0.75–0.90) |
Quite a lot or very much | 1.12 (0.94–1.34) | 0.97 (0.91–1.03) | 1.13 (1.04–1.23) | 1.14 (0.95–1.38) | 0.95 (0.89–1.01) | 1.09 (0.99–1.19) |
(3) Difficulties in using study devices | ||||||
Not at all (ref.) | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
Fairly little | 1.16 (1.01–1.35) | 1.08 (1.03–1.13) | 1.02 (0.96–1.10) | 1.15 (0.98–1.33) | 1.09 (1.03–1.15) | 1.03 (0.96–1.11) |
Quite a lot or very much | 1.92 (1.58–2.34) | 1.09 (1.01–1.18) | 1.39 (1.26–1.54) | 1.81 (1.46–2.23) | 1.09 (1.00–1.18) | 1.37 (1.23–1.53) |
Visited the School Health Nurse, Other Than for a Regular Check-Up | ||||||
---|---|---|---|---|---|---|
Univariate Model | Multivariate Model | |||||
No, I Tried but Could Not Get an Appointment OR (95% CI) | Yes, 1–2 Times OR (95% CI) | Yes, More Than 2 Times OR (95% CI) | No, I Tried but Could Not Get an Appointment OR (95% CI) | Yes, 1–2 Times OR (95% CI) | Yes, More Than 2 Times OR (95% CI) | |
(1) Self-reported learning difficulties | ||||||
Difficulties in following the teaching in class | ||||||
Not at all (ref.) | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
Fairly little | 1.48 (1.23–1.77) | 1.33 (1.25–1.40) | 1.49 (1.33–1.67) | 1.46 (1.20–1.78) | 1.31 (1.23–1.39) | 1.55 (1.37–1.76) |
Quite a lot or very much | 2.70 (2.19–3.34) | 1.50 (1.38–1.62) | 3.24 (2.85–3.69) | 2.33 (1.84–2.95) | 1.48 (1.36–1.61) | 2.84 (2.45–3.28) |
Difficulties in doing homework or other school tasks | ||||||
Not at all (ref.) | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
Fairly little | 1.20 (1.00–1.45) | 1.29 (1.22–1.37) | 1.52 (1.35–1.72) | 1.21 (0.99–1.48) | 1.27 (1.20–1.36) | 1.58 (1.38–1.80) |
Quite a lot or very much | 2.13 (1.75–2.59) | 1.42 (1.33–1.52) | 3.12 (2.75–3.54) | 1.99 (1.60–2.48) | 1.41 (1.31–1.52) | 2.88 (2.51–3.31) |
Difficulties in preparing for exams | ||||||
Not at all (ref.) | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
Fairly little | 1.25 (1.02–1.53) | 1.30 (1.21–1.38) | 1.27 (1.11–1.45) | 1.22 (0.98–1.52) | 1.27 (1.19–1.36) | 1.30 (1.12–1.50) |
Quite a lot or very much | 1.97 (1.60–2.42) | 1.53 (1.42–1.64) | 2.56 (2.25–2.92) | 1.89 (1.51–2.37) | 1.52 (1.41–1.64) | 2.44 (2.12–2.82) |
Difficulties in performing tasks that require writing | ||||||
Not at all (ref.) | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
Fairly little | 1.12 (0.93–1.35) | 1.15 (1.08–1.21) | 1.20 (1.06–1.34) | 1.05 (0.86–1.28) | 1.13 (1.06–1.20) | 1.21 (1.07–1.37) |
Quite a lot or very much | 1.96 (1.60–2.39) | 1.26 (1.17–1.35) | 2.30 (2.04–2.61) | 1.86 (1.50–2.32) | 1.25 (1.16–1.35) | 2.10 (1.83–2.41) |
Difficulties in performing tasks that require reading | ||||||
Not at all (ref.) | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
Fairly little | 0.98 (0.82–1.17) | 1.15 (1.09–1.22) | 1.16 (1.03–1.29) | 0.97 (0.80–1.18) | 1.14 (1.07–1.21) | 1.14 (1.01–1.29) |
Quite a lot or very much | 1.88 (1.55–2.27) | 1.34 (1.25–1.44) | 2.34 (2.08–2.64) | 1.76 (1.42–2.18) | 1.34 (1.24–1.44) | 2.06 (1.80–2.36) |
Difficulties in performing tasks that require calculation | ||||||
Not at all (ref.) | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
Fairly little | 1.18 (0.99–1.42) | 1.17 (1.11–1.24) | 1.32 (1.18–1.47) | 1.13 (0.92–1.38) | 1.17 (1.10–1.24) | 1.39 (1.23–1.57) |
Quite a lot or very much | 2.20 (1.81–2.68) | 1.25 (1.17–1.35) | 2.27 (2.01–2.57) | 2.10 (1.69–2.60) | 1.23 (1.13–1.33) | 2.05 (1.79–2.35) |
(2) Difficulties in oral presentations | ||||||
Not at all (ref.) | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
Fairly little | 1.09 (0.90–1.32) | 0.99 (0.93–1.05) | 0.84 (1.75–0.94) | 1.09 (0.89–1.34) | 0.97 (0.91–1.04) | 0.84 (0.74–0.95) |
Quite a lot or very much | 1.40 (1.14–1.71) | 1.05 (0.98–1.12) | 1.24 (1.10–1.39) | 1.31 (1.05–1.64) | 1.01 (0.94–1.09) | 1.09 (0.96–1.25) |
(3) Difficulties in using study devices | ||||||
Not at all (ref.) | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
Fairly little | 1.33 (1.12–1.57) | 0.99 (0.93–1.04) | 1.01 (0.91–1.12) | 1.19 (0.99–1.44) | 0.98 (0.92–1.04) | 0.99 (0.88–1.11) |
Quite a lot or very much | 2.62 (2.11–3.25) | 0.92 (0.84–1.02) | 1.97 (1.71–2.27) | 1.90 (1.48–2.45) | 0.90 (0.81–1.00) | 1.54 (1.30–1.81) |
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Suoniemi, S.; Rantanen, A.; Koivisto, A.-M.; Joronen, K. Self-Reported School Difficulties and the Use of the School Nurse Services by Adolescent Students. Children 2021, 8, 647. https://doi.org/10.3390/children8080647
Suoniemi S, Rantanen A, Koivisto A-M, Joronen K. Self-Reported School Difficulties and the Use of the School Nurse Services by Adolescent Students. Children. 2021; 8(8):647. https://doi.org/10.3390/children8080647
Chicago/Turabian StyleSuoniemi, Siru, Anja Rantanen, Anna-Maija Koivisto, and Katja Joronen. 2021. "Self-Reported School Difficulties and the Use of the School Nurse Services by Adolescent Students" Children 8, no. 8: 647. https://doi.org/10.3390/children8080647