School Attendance Research Articles

Exploring Students' Knowledge about Hand Washing with Soap Through Video Media at Middle School

Purpose of the study: This research aims to evaluate the effectiveness of using video media in increasing students' knowledge and attitudes about the importance of washing hands with soap at Public Middle School 31 North Bengkulu Methodology: This research uses quantitative methods with a pre-experimental One Group Pretest-Posttest Design. The research population was class III students at Public Middle School 31 North Bengkulu, with a sample of 35 students selected using a purposive sampling technique. Data analysis was carried out using the Wilcoxon test to test the difference between pretest and posttest results. Main Findings: This study concludes that the use of video media as a health promotion tool significantly increases the knowledge and attitudes of students at Public Middle School 31 North Bengkulu towards the importance of washing hands with soap. Video media is proven to be more effective than conventional methods in attracting attention and increasing student participation during the learning process Novelty/Originality of this study: This research is very urgent considering the high rate of transmission of infectious diseases among adolescents which can have a significant impact on their health and school attendance. Infectious diseases such as flu, diarrhea and respiratory infections often spread quickly in the school environment, causing high levels of absenteeism and reducing learning productivity.

Dyslipidemia in insulin dependent diabetic children

Background: Children and adolescents with insulin-dependent diabetes mellitus (IDDM) are at high risk of metabolic disorders that may interfere with lipid metabolism and predispose to dyslipidemia. Objective: To detect the incidence of dyslipidemia and associated factors in children with IDDM in Diyala. Patients and Methods: This was a case-control study that included a total of 100 children with type 1 diabetes mellitus(T1DM) and 100 age- and gender-matched non-diabetic children who presented to the Pediatric Department/Al-Batool Teaching Hospital during the period from April 2022 to April 2023. Demographic data included the child's age, gender, weight, mother’s educational level, mother's job, child's educational level, school attendance, and physical activity. Clinical data included systolic and diastolic blood pressure, HbA1c, family history of illness, disease duration, type of insulin, and insulin dose. Fasting lipid profile and hemoglobin A1c investigations were done for the study groups, and the data were statistically analyzed. Results: The overall dyslipidemia in IDDM children and controls was 46% and 8%, respectively, with a highly significant difference. The mean age and weight in diabetic patients with dyslipidemia were 8.23±3.63 years and 28.96±13.31 kg, respectively, which was higher than that of normolipidemic diabetic patients (10.72±3.23 years and 34.22±12.14 kg, respectively) with significant differences. Furthermore, 28.26% of mothers of dyslipidemia-.diabetic patients were employed, compared with only 11.11% of normolipidemic-diabetic patients, a significant difference. A family history of DM was reported in 47.83% and 27.78% of dyslipidemic and normolipidemic diabetic patients, respectively, with a significant difference. Conclusion: The incidence of dyslipidemia among diabetic children in Diyala is 46%. Older age, increased body weight, and a mother’s job as an employer are significantly associated with the development of dyslipidemia in insulin-dependent diabetes mellitus patients.

A Role for Health Systems in Addressing Chronic Absenteeism

This Viewpoint highlights opportunities for US pediatric health systems to address chronic absenteeism using school attendance data and collaborations between school and health systems.

A Paradox of School Social Organization: Positive School Climate, Friendship Network Density, and Adolescent Violence

Schools are often encouraged to foster a positive climate to reduce adolescent violence, but evidence on the effectiveness of this approach varies significantly. This study investigates the roots of this variation by testing alternative hypotheses about how positive school-level climate and school-level student friendship network density interact to shape adolescent violence perpetration. Research on informal social control and network closure suggests that the violence-reducing association of positive school climate will be enhanced among schools where students are more densely tied through their friendships. Research on youth conflict and subversion of control suggests the opposite. These hypotheses are tested with data from Waves I-II of the National Longitudinal Study of Adolescent to Adult Health (n = 11,771; 49% Female; Age mean = 15.04, SD = 1.60). Consistent with the conflict/subversion hypothesis, analyses indicate that the inverse association between positive school climate and adolescent violence is only evident among schools with a very low density of friendship ties. Strikingly, however, there is evidence that a more positive school climate is associated with increases in violence among youth attending schools with a high density of friendship ties. These findings suggest that efforts to reduce violence by fostering cohesion among youth in their schools and other social contexts can be undermined by youth network processes.

Educational outcomes among children with congenital heart disease compared to peers: a Scotland-wide record-linkage study of 715,850 schoolchildren

BackgroundNine in every thousand children born in the United Kingdom have congenital heart disease, and 250,000 adults are living with the condition. This study aims to investigate the associations between congenital heart disease and educational outcomes among school-aged children in Scotland.MethodsRoutine health and education databases were linked to produce a cohort of all singleton children born in Scotland and attending a local authority run primary, secondary, or special school in Scotland at some point between 2009 and 2013. Children with congenital heart disease within this cohort were compared with children unaffected by congenital conditions. Outcomes investigated were special educational need (SEN), absenteeism, exclusion, academic attainment, and unemployment. All analyses were adjusted for sociodemographic and maternity confounders. Absenteeism was investigated as a mediating factor in the associations with attainment and unemployment.ResultsOf the 715,850 children, 6,295 (0.9%) had congenital heart disease and 4,412 (6.1%) had isolated congenital heart disease. Congenital heart disease and isolated congenital heart disease were both significantly associated with subsequent special educational need (OR 3.45, 95% CI 3.26–3.65, p < 0.001 and OR 1.98, 95% CI 1.84–2.13, p < 0.001 respectively), absenteeism (IRR 1.13, 95% CI 1.10–1.16, p < 0.001 and IRR 1.10, 95% CI 1.06–1.13, p < 0.001 respectively), and low academic attainment (OR 1.69, 95% CI 1.39–2.07, p < 0.001 and OR 1.35, 95% CI 1.07–1.69, p = 0.011 respectively). Neither congenital heart disease nor isolated congenital heart disease were associated with school exclusion. Only congenital heart disease (OR 1.21, 95% CI 1.03–1.42, p = 0.022) but not isolated congenital heart disease was associated with unemployment. When days absent were included in the analyses investigating attainment and unemployment, the conclusions were not altered.ConclusionChildren with congenital heart disease have greater special educational need, lower school attendance, attain lower examination grades and have greater unemployment compared to peers. In addition to healthcare support, affected children need educational support to avoid additional impact on their long-term wellbeing.

MDB-05. PERSONALIZED, RISK ADAPTED THERAPY FOR PEDIATRIC PATIENTS WITH MEDULLOBLASTOMA – A SINGLE CENTER 8-YEAR RETROSPECTIVE REVIEW

Abstract BACKGROUND Clinically relevant risk stratification and optimal therapies for pediatric medulloblastoma molecular subgroups are still being investigated. METHODS We reviewed host/disease characteristics, patient/tumor specific risk adapted therapy and outcomes of patients treated for medulloblastoma at UC Davis since 2016. RESULTS Fifteen patients (age 1-19 years, 12 male, 3 with Li Fraumeni Syndrome (LFS), 2 with spinal cord disease) were included in our review. Tumor histologies included: Classic (n=8), Desmoplastic-Nodular (n=6), Anaplastic (n=1). Tumor genomic profiles were SHHP53WT(n=5), SHHP53 mutated (n=4), Group4 (n=3), NWNSHH (n=2), WNT (n=1). Gross total resection was achieved in 9 patients. Patients with post resection residual tumor, high risk genomic features or disseminated disease were stratified as high risk. We treated all radiation eligible patients (n=13) per COG ACNS0332 maintenance chemotherapy regardless of risk group with 12/13 receiving radiosensitization (Vincristine/Carboplatin) and either 23.4 Gy/36 Gy CSI (two patients treated per Headstart3D2 and ACNS0334 respectively). 2 patients with spinal cord disease were treated with intrathecal topotecan and liposomal cytarabine respectively. During ACNS0332 maintenance bacteremia, weight loss and hypomagnesemia were frequent complications. 5 patients required chemotherapy dose reductions (4 Vincristine/1 Cisplatin). Two patients with LFS developed glioblastoma/undifferentiated pleomorphic sarcoma following ACNS0332 therapy. Two patients (with WNT and NWNSHH subgroup tumors) experienced medulloblastoma relapse. These patients were treated using LITT/Intrathecal chemotherapy and ACNS0821 chemotherapy. Both are alive and one patient is NED off therapy. All patients who have not developed secondary malignancies (n=13) are alive. (follow up 7-72 months). All attend school with support, 10 have hearing impairment and 5 receive endocrine supplements. CONCLUSIONS Utilizing patient specific risk adapted therapy we have achieved favorable clinical outcomes in our patient cohort. Therapy deintensification for patients with WNT medulloblastomas should be approached with caution. Patients with LFS might require radiation sparing therapeutic protocols for longer term benefit.

LMIC-27. MEK INHIBITORS IN PEDIATRIC LOW-GRADE GLIOMAS (PLGG)- EARLY EXPERIENCE IN A RESOURCE LIMITED SETTING

Abstract BACKGROUND Pediatric Low-Grade Gliomas (PLGG), encompass a heterogenous set of tumours, with upregulation of RAS/MAPK pathway, making them amenable to therapeutic targeting. MEK inhibitors are emerging as a promising alternative to conventional chemotherapy strategies which have modest efficacy with significant toxicity/hospitalisation and hence long periods of stay away from home (&amp; school). Recently, we transitioned to use of MEK inhibitors, where feasible, in children with PLGG. METHODOLOGY Retrospective analysis of children(&amp;lt;15 years) with newly diagnosed, recurrent/progressive PLGG who received Trametinib at Tata Memorial Hospital, India between September’2021-October’2023. Diagnosis of PLGG was by histopathology/radiology. Molecular testing was performed by qualitative real-time PCR for BRAFV600E and KIAA1549:BRAF fusion. Decision to start MEK inhibitors was taken at the Neuro-oncology MDT meeting. Financial support for therapy was provided through the childhood cancer foundation (ImPaCCT) and other agencies. RESULTS Twenty four children were treated with Trametinib, of which 22 were evaluable for response (&amp;gt;3 months therapy). Median age at start of Trametinib was 6.4 years(2.3–14.5years). Histopathological confirmation of PLGG was done in 19 patients and 5 had a clinico-radiological diagnosis. 13/18(72%) had KIAA1549:BRAF fusion, and 5 were BRAF-Wild type. While 12/22 children received Trametinib as salvage therapy, 10 children received it upfront. 2 received Trametinib due to chemotherapy intolerance. At a median therapy duration of 18 months(3-28 months), 17/22(77%) showed stable disease and 3/22 showed response(2 Partial and 1 minor) as per RANO criteria. Two patients had disease progression [BRAF status included unavailable (n=1), wild-type (n=1)]. Toxicities noted were skin rash(n=8), paronychia(n=3), oral ulcers(n=2) &amp; thrombocytopenia(n=1). Dose reduction due to toxicity was done in one child. School attendance increased and frequency of hospital visits significantly decreased in this cohort. CONCLUSIONS Early experience with Trametinib as an effective/well tolerated alternative to chemotherapy in PLGG is encouraging. Long-term treatment related toxicities and disease control after Trametinib withdrawal are yet unanswered questions.

Pelatihan Pembuatan Video Animasi 3 Dimensi Fotosintesis Mata Pelajaran IPA pada Anak Sekolah Dasar

Animated video is an audio-visual medium by combining animated images that can move followed by audio corresponds to the animated character. and in this case the service uses 3-dimensional animation. This community service aims to provide knowledge to children to be able to make 3-dimensional animation videos of photosynthesis in natural science subjects so that children can know and learn easily how the photosynthesis process works, using technology. The research method uses the Luther Sutopo method with the following steps: concept, design, material collection, manufacture, testing and distribution. The initial stage that was carried out was to think about the concept, namely the goal, was to produce a 3-dimensional animation video of photosynthesis through the training carried out, and for whom this training was carried out, namely for children who were still attending elementary school. Next, do a 3-dimensional animation design for the video which is made in the form of text, images, audio, video and animation. Then collect the materials needed to make this animated video such as background, images, sound and other supporting materials. After collecting all the materials, this 3-dimensional animated video was made until final editing. Then a test was carried out on the animated video that was made to see whether it was suitable for use as training material for elementary school children. After being declared suitable, it will be immediately distributed to elementary school children. The impact is that it is hoped that children who are still in elementary school will be technologically literate, so that later they can make other animated videos with different material.

Tantangan Manejemen Pelatihan dalam Mengatasi Perbedaan Usia dan Ketersediaan Waktu di Kursus Pelatihan Komputer Alberto

Research conducted at LKP ALBERTO found problems or challenges that included time and differences between the students, considering that the students had their own responsibilities. Starting from minors who are still attending formal school, or adults who are already working. Plus, the age difference creates different ways of thinking and understanding. The purpose of this research is to find out the challenges and how Alberto's LKP overcomes challenges so that we can propose suggestions or solutions for the LKP. The method used in this research is an interview method where we get direct views from the LKP on student instructors. The interview results show that effective time management is very important to achieve learning goals, but age differences can also influence the way participants understand and react to lesson material. These findings provide insight into how appropriate time management can increase the effectiveness of learning in LKP by taking into account the needs and characteristics of participants from various age ranges.

Relationship between adolescent anemia and school attendance observed during a nationally representative survey in India

BackgroundAnemia has been suggested to be related with schooling outcomes in India. Less is known, however, about whether the observed relationship persists after accounting for all household-level factors which may confound the association between anemia and schooling.MethodsNationally representative data on adolescents aged 15–18 years with data on measured hemoglobin level and school attendance were extracted from India’s National Family Health Surveys conducted between 2005 and 2021. We compared school attendance between adolescents living in the same household but with varying levels of hemoglobin concentration, while controlling for age and period effects. We assessed heterogeneity in the relationship between anemia and school attendance across anemia severity groups and socio-demographic characteristics.ResultsThe proportion of adolescents with any anemia is 55.2% (95% CI: 55.0–55.5) among young women and 31.0% (95% CI: 30.6–31.5) among young men. In conventional (between-household) regression models, having any anemia is associated with a 2.5 percentage point reduction (95% CI: 2.1–2.8) in school attendance; however, in household fixed-effects models, anemia has qualitatively small and non-significant effects on school attendance. Our results are consistent using alternative model specifications as well as across anemia severity groups, genders, types of relationship to the household head, household wealth quintiles, and states and union territories in India.ConclusionsThis within-household analysis finds little evidence that anemia is associated with school attendance among adolescents in India. Observational studies likely overstate the connection between anemia and school attendance due to household factors that have not been accounted for.

Predictors of young students’ school participation during the early days of COVID-19 remote learning

When the COVID-19 pandemic forced school closures in the U.S. in March 2020, children’s learning moved home and online, making school participation a challenge for many families, particularly those with low incomes. Although there is not a clear and agreed-upon digital analog for in-person school participation for young elementary students, existing research on young children’s school attendance and engagement in non-pandemic times suggests that family characteristics broadly recognized to shape child development (e.g., parental depressive symptoms, household chaos), children’s own characteristics (e.g., pre-COVID-19 academic skills, demographics), and logistical barriers with particular relevance to remote learning (e.g., internet access) may be determinants of remote learning participation. The current study explores the extent to which student participation during COVID-induced remote learning was predicted by family and child characteristics and logistical barriers by drawing on an existing study of diverse low-income students in Tulsa, OK who were in first grade when the pandemic emerged. We capitalize on unique, comprehensive, multi-informant data collected before and during COVID-19 to examine young children’s participation in remote learning while controlling for pre-existing differences that might otherwise be confounded with both COVID-related stressors and obstacles to remote learning participation. Both family characteristics (e.g., parent depression, household chaos, single mother) and logistical barriers (e.g., internet and device access) predicted children’s remote learning participation. Implications for school administrators and policymakers with a focus on preparation for future disasters that may once again force school closures − are discussed.

Two hours to the office, two minutes to the kitchen table: trends in local public-transportation expenditures from 2018 to 2021

The COVID-19 pandemic altered consumer spending on public transportation, including both intracity (mass transit, taxi, and limousine) and intercity (air, ship, bus, and train). According to the Consumer Expenditure Surveys, spending on public and other transportation fell 66.3 percent in 2020. With shifts toward virtual work and school attendance, many commuters’ 2 hours to the office became 2 minutes to the kitchen table. This article examines changes in dollars spent for public transportation, mainly intracity mass-transit spending from January 2018 to December 2021, among various unique demographic groups: urban and rural residency, occupation type, educational attainment, and selected metropolitan statistical areas. Essential workers generally were unable to telework. Simultaneously, private-transportation costs declined in 2020 for all, while affordability rose for many. Gasoline prices fell 46 cents (17 percent) per gallon in 2020, according to the Consumer Price Index. Furthermore, average annual income fell for certain occupational groups and rose for others (income rose 2 percent for all consumer units). A model of indifference curves and budget constraints is used to show which members of specific education groups are likely to substitute private for public transportation. Results in 2020 show that income growth and lower private-transportation costs compared with those of public transportation resulted in increased private-transportation spending of up to 5 percent, with accompanying public-transportation spending reductions of 40 to 50 percent. Although intracity mass-transit spending rebounded in 2021, it did not reach prepandemic levels.

Less restrictions in daily life: a clinical practice guideline for children with cancer

PurposeIn current clinical practice, recommendations regarding restrictions in daily life for children with cancer are often lacking or not evidence-based. Critically reviewing the evidence and formulating recommendations are therefore of great importance as social restrictions (e.g., swimming, school attendance, sports) can impair the quality of life of these children severely. Therefore, our aim was to develop a clinical practice guideline for clinicians, children, and their parents regarding social restrictions in children with cancer.MethodsA comprehensive multidisciplinary panel was assembled, comprising 21 professionals and patient representatives. A systematic literature review was performed, including dual appraisal of all citations. The GRADE methodology was used to extract, summarize, and assess the evidence. Multiple in-person meetings were held to rank outcomes, discuss evidence, complete evidence-to-decision frameworks, and formulate recommendations. Final recommendations were unanimously supported by all panel members.ResultsSix studies, including 758 children, formed the evidence base for the recommendations. Given the scarcity of the available evidence and various designs of studies in children with cancer, additional evidence was extracted from adult oncology guidelines, and shared expert opinions were utilized. In total, 14 recommendations were formulated of which multiple result in changes in current policy and standard of practice in the Netherlands. Topics covered in this guideline are swimming, having pets, visiting the zoo or farm, performing sports or high-velocity events, attending school or kindergarten, and use of public transport. This guideline is not intended to provide recommendations for patients after end of treatment, for palliative care settings, or for children undergoing a stem cell transplantation.ConclusionsIn this clinical practice guideline, we provide recommendations regarding restrictions in daily life in children with cancer. These include evidence-based recommendations and, in the absence of sufficient evidence, recommendations based on expert evidence. With these recommendations, we provide guidance for clinicians, children, and parents and contribute to improving quality of life for children with cancer.

Behavioral Problems Amidst Initial Face-to-Face Classes: Intervention of Teachers

This study unfolded the feedback of teachers of Talomo District, Davao City on behavioral problems in learning environments. There were ten (10) teachers who participated in the study. This study made use of a phenomenological approach to extract the ideas of the participants. The participants were purposely selected as representatives from the group of teachers in the same division. The virtual in-depth-interview was employed to gather some information as regards to their respective experiences on behavioral issues in learning environments. Using the thematic analysis, the following themes emerged as pertains to the experiences of the participants: cheating, Inappropriate distracting behavior in class and school attendance issues. The coping mechanisms to address the struggles of kindergarten play-based learning were: developing relationship with students, using praise and reward and graduated discipline system. The educational management insights gained from the experiences of the teachers were primarily focused on implementing schoolwide policies and expectations on student behavior. The principals may be more receptive on the current problems and issues of the teachers. The school heads may implement rules and policies that will set the disciplinary tone of the school. The teachers may continuously adapt coping mechanisms to address issues and be vigilant in finding classroom solutions to their problems.

The flip side of the China syndrome: Local labor market effects in China

AbstractUS–China trade is widely thought to have contributed significantly to the decline in US manufacturing employment, sometimes called the China syndrome. Flipping the point of view, we examine its impact on Chinese local labor markets between 2000 and 2010. In prefectures most exposed to export growth, there is a pronounced increase in manufacturing employment, primarily among young, low‐educated, rural people and more for blue‐collar workers. Beyond manufacturing, there is a decline in agricultural, yet an expansion in service employment, exhibiting substantial heterogeneity across demographics. The export‐driven structural transformation is profound and long‐lasting out to 2020. Among nonworking people, export growth primarily increases school attendance and the share of people relying on family support, suggesting an income effect.

Household Size and Access to Education in Rural Burundi: The Case of Mutaho Commune

Abstract While education is recognized as a fundamental human right and an important factor in improving economic and social conditions, child schooling rates in Burundi show that there are still children of school-age who are not attending school and those who drop out very prematurely. This scientific study aims to highlight the relationship between household size and access to education in Mutaho commune (rural Burundi) by documenting the socio-demographic factors of the head of household likely to influence the schooling status of children aged 7–17. The hypothesis put forward in this study is that children’s schooling is influenced by household size. Data from a survey of 215 households in the Mutaho commune were analyzed using binomial logistic regression. The analysis shows that a large household size (OR = 5.463; p &lt; 0.05; 95% CI: 1.311–22.771) is negatively associated with the education of children aged 7–17 living in Mutaho commune. Reducing fertility should be an integral concern for all those involved in the fields of population, education, and development.

Type of Primary School Attended Influences Bribe-Giving Intentions

This study provides specific insights into bribe-giving intentions in developing societies with diverse populations, using Malaysia as a case study. We investigated whether there are significant variations in young adults’ intentions to offer bribes, depending on the type of primary and secondary schools they attended. We surveyed 345 young adults and tested for significant differences using Mann-Whitney U and Kruskal-Wallis tests. We find that those who attended Chinese vernacular primary schools, as opposed to national primary schools, have a higher intention of giving bribes. We found no significant differences for the type of secondary school attended and bribe-giving intention. The results suggest the need for early anti-corruption education in primary schools in curbing corruption. These insights can aid policymakers and anti-corruption agencies in devising targeted interventions and strategies to diminish bribery. Additionally, they can inform future research concentrating on the socialization environment and the act of giving bribes.

The expansion of basic education during ‘deskilling’ technological change in England and Wales, c. 1780–1830

AbstractThe first country to industrialize – England – ostensibly did so without expanding investment in the basic education of its workforce. The empirical evidence underpinning this argument for England rests largely on signature rates at marriage. These are not a perfect indication of educational achievement, particularly as many children never learned to write. More problematically, I argue signatures are likely to have systematically underestimated human capital in industrial districts. In place of signature data, I propose age heaping, a measure widely understood as a proxy for numeracy but shown here to be closely related to both reading and writing abilities. In contrast to signatures, this measure suggests that ‘deskilling’ industrialization induced human capital accumulation. I argue that this occurred not because human capital was directly productive, but rather because schools provided a valuable signal. Sunday school attendance signalled low leisure‐preference among child workers and were popularly attended in industrial districts. Further, such schools taught children to read but not write, which they considered inappropriate for the Sabbath, accounting for the discrepancy between these two measures of human capital.

Real-world utilisation of SARS-CoV-2 rapid antigen testing to enable face-to-face learning in Australian schools, an ecological study

ObjectiveThe objective of this study was to describe the use of SARS-CoV-2 rapid antigen testing of COVID-19 contacts in New South Wales schools to determine return to in-person school attendance instead of home quarantine, between 6 November and 21 December 2021. MethodsCOVID-19 school contacts were required to quarantine for two weeks postexposure to the case. Students who opted into daily rapid antigen testing logged their results in a database, prior to school attendance, and obtained SARS-CoV-2 nucleic amplification acid testing on day 12–16. Secondary attack rates (SARs) in schools utilising rapid antigen testing (Test-to-Stay schools) and those not utilising rapid antigen testing (non–Test-to-Stay school) were calculated. ResultsWe identified 9,887 people in 293 schools who reported performing at least one rapid antigen test (RAT). The SAR in RAT schools was 3.4% (95% confidence interval: 2.7–4.1) and non-RAT schools was 2.8% (95% confidence interval: 2.4–3.3). A total of 30,535 school days were preserved through this program. ConclusionsThe use of RATs preserved in-person learning without a significant increase to SAR. Implication for public healthDisruptions in face-to-face learning have long-term detrimental impacts on children and adolescents. Rapid antigen testing has been shown to be beneficial to maintain face-to-face learning in Australian schools and may be a useful method to safeguard from school disruptions in future pandemics.

Impact of Adverse Childhood Experiences and Mental Health on School Success in Autistic Children: Findings from the 2016-2021 National Survey of Children's Health.

School is an important developmental setting for children. Adverse childhood experiences (ACEs) are linked to overall lower educational attainment and are more prevalent in children with Autism Spectrum Disorder (ASD) than in their neurotypical peers. The aim of this study is to test the association between ACEs and school outcomes among autistic children and whether mental health conditions explain this association. We combined 2016-2021 data from the National Surveys of Children's Health for children, ages 6-17, identified by parents as having ASD (N = 4,997), to examine the relationship between ACEs and school outcomes (grade progression, school attendance, and engagement). We analyzed depression and anxiety variables to investigate the extent to which mental health can explain the relationships between ACEs and school outcomes. ACEs were significantly associated with school outcomes. With increased ACEs, autistic children experienced a significant decrease in the odds of school attendance, grade progression and school engagement (p < .05). Furthermore, although depression and anxiety symptoms were significantly associated with school outcomes, they cannot explain away the enduring, strong relationship between ACEs and level of grade progression, engagement, and school success index. Our findings suggest ACEs predict school success among autistic children, with mental health conditions appearing to mediate the relationship between ACEs and key factors in school success. Efforts should be made to proactively identify and address the impact of ACEs and associated mental health conditions among autistic students.