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Continuous admission to primary school and mental health problems

Author: Reijneveld, S.A. · Wiefferink, C.H. · Brugman, E. · Verhulst, F.C. · Verloove-Vanhorick, S.P. · Paulussen, T.G.W.
Institution: TNO Kwaliteit van Leven
Source:BMC Public Health, 6
Identifier: 239311
doi: doi:10.1186/1471-2458-6-145
Article number: 145
Keywords: Health · Adolescent · Age distribution · Child · Child Behavior Checklist · Child health · Controlled study · Health care personnel · Human · Male · Mental disease · Mental health · Mental performance · Parent · Prevalence · Preventive health service · Primary school · Psychosocial disorder · school admission


Background: Younger children in a school class have higher rates of mental health problems if admission to primary school occurs once a year. This study examines whether this relative age effect also occurs if children are admitted to school continuously throughout the year. Methods: We assessed mental health problems based on parent-reports (using the Child Behavior Checklist, CBCL) and on professional assessments, among two Dutch national samples of in total 12,221 children aged 5-15 years (response rate: 86.9%). Results: At ages 5-6, we found a higher occurrence of mental health problems in relatively young children, both for mean CBCL scores (p = 0.017) and for problems assessed by child health professionals (p < 0.0001). At ages 7-15, differences by relative age did not reach statistical significance. Conclusion: Continuous admission to primary school does not prevent mental health problems among young children, but may do so at older ages. Its potential for the prevention of mental problems deserves further study. © 2006 Reijneveld et al; licensee BioMed Central Ltd.