School Completion Research Articles

Risk Based Regulation in Quality Assurance: Selection of (and Benefits Experienced by) Registrants Undertaking Regulator-mandated Peer Review

ABSTRACT: Purpose: To identify risk and protective factors associated with physician performance in practice; to use this information to create a risk assessment scale; and, to test use of the risk assessment scale with a new population of assessed physicians. Design: Physician assessments that were completed by community-based physicians between March 2016 and February 2022 (n =2708) were gathered to determine what professional characteristics and practice context factors were associated with poor peer practice assessment (PPA). The predictive capacity of the resulting model was then tested against a new sample of physician assessments completed between March 2022 and February 2023 (n =320). Results: N=2401 physicians were eligible for inclusion in a logistic regression analysis, which resulted in an empirical model containing 11 variables that was able to account for 21.6% of the variance in the likelihood of receiving a poor PPA generated by the College of Physicians and Surgeons of British Columbia. The resulting model, when tested against 320 new cases, was able to predict good versus poor PPA performance with a sensitivity of 0.79 and specificity of 0.75. Not having undertaken peer review (OR=1.47) created a risk like that arising from a full decade passing since completion of medical school (OR=1.50). Conclusion: In addition to being the largest known study of its type, this work builds on similar studies by demonstrating the capacity to use regulator-mandated peer review to empirically identify physicians who are at risk of substandard performance using factors that are safe from claims of violating Human Rights Codes; that emphasize modifiable aspects of practice; and that can be readily updated to account for change over time.

The long-term effects of cash transfer programmes on young adults' mental health: A quasi-experimental study of Colombia, Mexico and South Africa.

Poverty is associated with poorer mental health in early adulthood. Cash transfers (CTs) have been shown to improve child health and education outcomes, but it is unclear whether these effects may translate into better mental health outcomes as children reach young adulthood. Using a quasi-experimental approach that exploits variation across countries in the timing of national CT programme introduction, we examine whether longer exposure to CTs during childhood (0-17 years) reduces depressive symptoms in early adulthood (18-30 years). Based on harmonized data from Colombia, Mexico and South Africa (N= 14 431) we applied logistic regression models with country- and birth-cohort fixed effects to estimate the impact of cumulative years of CT exposure on mental health, educational attainment and employment outcomes. Our findings indicate that each additional year of CT exposure during childhood is associated with a 4% reduction in the odds of serious depressive symptoms in early adulthood (OR = 0.96, 95% CIs: 0.93 to 0.98). We find no consistent effect of years of exposure on completion of secondary school (OR = 1.01, 95% CIs: 0.99, 1.03), and a negative effect on the probability of employment in early adulthood (OR = 0.90, 95% CIs: 0.88, 0.91). These results suggest that longer exposure to CTs may contribute to modest but meaningful reductions in population level depressive symptoms during early adulthood.

Students’ perceptions of teachers and teaching as determinants of primary school completion in Ethiopia

Purpose This study analysed students’ perceptions of teachers’ behaviours, teachers’ management practices and the use of inputs by teachers and whether these are associated with primary school progression and completion.Design/methodology/approach School-level fixed effect analysis is conducted using cross-sectional data collected from 4,000 randomly selected primary school-aged students and their schools.Findings Our findings reveal that students’ perceptions of teachers’ behaviours are associated with the probability of grade progression during primary school, and whether students complete primary school. Particularly important are positive behaviours, like students perceiving their teachers to be engaged and being praised by their teachers while in primary schools. It increased the likelihood of school progression by at least 15%. The use of inputs such as worksheets/written handouts and reading stories/books in the language of instruction were also found to have a statistically significant positive effect on students’ primary school performance. These are important results which hold after accounting for school management, household and child-level factors and regional differences.Originality/value Our findings provide a deeper understanding of the teaching practices which pupils perceive as beneficial to retention. While we are unable to conclude that learning is taking place, our contention is that greater time in school could increase the opportunity to learn. In this respect, beyond its policy relevance in improving educational outcomes, the paper contributes to the limited literature on the student–teacher classroom relationships particularly when looking from the perspective of students’ perception of their teachers’ teaching behaviours in developing countries.

Exploring Entrepreneurial Intention and Student Engagement of Youth Living in Poverty

Graduating from secondary education for adolescents living in poverty is challenging. Strong entrepreneurial intention and student engagement among youth living in poverty often play a protective role in reducing school dropout and fostering school completion, which results in improved educational attainment. However, research on this topic is scarce. A total of 1135 adolescents took part in this cross-sectional study, 50.9% of which were females. On average, they were 16.4 years old. They were all upper secondary school students from ten public and private schools in Lebanon. They completed instruments measuring entrepreneurial intention and student engagement. This study explored the covariate associations between risk and promotive factors through four dimensions of entrepreneurial intention and two components of student engagement (cognitive and psychological engagement). It shows positive associations for entrepreneurial intention with both individual factors (age) and social factors (working mother and private school). Negative associations for student engagement were found in all (individual and social) factors with the exception of the father’s job, which did not present any association. The findings provide insight for policymaking to empower schools to promote school completion and educational attainment among these youth by providing policy initiatives and school-based interventions that target entrepreneurial exposure and engagement strengthening, hence meeting young people’s individual, family, and school community needs.

Challenges Experienced by Youths Leaving Kinship Foster Care in Johannesburg, South Africa

Young people who leave kinship foster care in South Africa typically encounter greater difficulties transitioning to adulthood when compared to their peers who grow up with their biological parents. The aim of this study was to explore the challenges experienced by youths leaving kinship foster care in the City of Johannesburg Metropolitan Municipality, Gauteng, South Africa. The study used a qualitative approach and exploratory, descriptive and contextual research designs. Twenty-three participants were selected by using purposive sampling. The researchers utilised semi-structured interviews as an in-depth data collection tool. Thematic analysis was used to analyse the data. The findings demonstrated that although youths leaving kinship foster care had access to education, some were unable to finish their secondary education. In addition, the findings showed that poverty and job insecurity were some of the challenges experienced by youths leaving kinship foster care. Furthermore, the findings indicated that youths leaving kinship foster care required social support services such as educational and financial support. Thus, the study recommends developing initiatives to improve school completion rates for youths in kinship foster care; establishing financial support programmes; creating job placement services; offering comprehensive social support; and advocating for policy reforms to help these youths transition to adulthood and independent living.

Projecting the impact of COVID-19 on education and intergenerational mobility in Sub-Saharan Africa

AbstractUsing microsimulations, we project the effect of instructional losses caused by COVID-19 on secondary school completion rates and intergenerational mobility of education in eight countries in Sub-Saharan Africa. On average, secondary school completion rates could decrease by 12 percentage points overall and by 16 points for children with low-educated parents. Interestingly, in most countries the gender gap diminishes because, for men, the projected decrease in secondary school completion is higher. A small additional impact on girls’ education due to the potential rise in teenage pregnancy is observed in some countries. Intergenerational mobility of education in the eight Sub-Saharan countries in our sample is expected to decrease, on average, by 10%.

Cannabis Use During Adolescence and Young Adulthood and Academic Achievement

Cannabis use during adolescence and young adulthood may affect academic achievement; however, the magnitude of association remains unclear. To conduct a systematic review evaluating the association between cannabis use and academic performance. CINAHL, EMBASE, MEDLINE, PsycInfo, PubMed, Scopus, and Web of Science from inception to November 10, 2023. Observational studies examining the association of cannabis use with academic outcomes were selected. The literature search identified 17 622 unique citations. Pairs of reviewers independently assessed risk of bias and extracted data. Both random-effects models and fixed-effects models were used for meta-analyses, and the Grading of Recommendations Assessment, Development, and Evaluation approach was applied to evaluate the certainty of evidence for each outcome. Data were analyzed from April 6 to May 25, 2024. School grades, school dropout, school absenteeism, grade retention, high school completion, university enrollment, postsecondary degree attainment, and unemployment. Sixty-three studies including 438 329 individuals proved eligible for analysis. Moderate-certainty evidence showed cannabis use during adolescence and young adulthood was probably associated with lower school grades (odds ratio [OR], 0.61 [95% CI, 0.52-0.71] for grade B and above); less likelihood of high school completion (OR, 0.50 [95% CI, 0.33-0.76]), university enrollment (OR, 0.72 [95% CI, 0.60-0.87]), and postsecondary degree attainment (OR, 0.69 [95% CI, 0.62-0.77]); and increased school dropout rate (OR, 2.19 [95% CI, 1.73-2.78]) and school absenteeism (OR, 2.31 [95% CI, 1.76-3.03]). Absolute risk effects ranged from 7% to 14%. Low-certainty evidence suggested that cannabis use may be associated with increased unemployment (OR, 1.50 [95% CI, 1.15-1.96]), with an absolute risk increase of 9%. Subgroup analyses with moderate credibility showed worse academic outcomes for frequent cannabis users and for students who began cannabis use earlier. Cannabis use during adolescence and young adulthood was probably associated with increases in school absenteeism and dropout; reduced likelihood of obtaining high academic grades, graduating high school, enrolling in university, and postsecondary degree attainment; and perhaps increased unemployment. Further research is needed to identify interventions and policies that mitigate upstream and downstream factors associated with early cannabis exposure.

Provider and facility factors in relation to receipt of dose-reduced chemotherapy among patients with breast cancer.

310 Background: Little is known about how provider and facility factors relate to patients’ receipt of dose-reduced adjuvant chemotherapy. Methods: In a cohort of 8,581 stage I-IIIA women with breast cancer treated with chemotherapy at Kaiser Permanente Northern California between 2006 and 2019, we evaluated the associations between provider- and facility-level factors related to chemotherapy dosing with a primary interest in the first cycle dose reduction (FCDR). Here, FCDR is defined as a first cycle dose proportion <90% of that expected based on the intended regimen, reflecting clinician intent at the outset of chemotherapy. Provider-level factors examined included provider gender, age, race, Hispanic ethnicity, years since completion of medical school, volume of breast cancer patients treated per year, and patient-provider racial concordance; we also examined practice size and rurality. Prevalence ratios (PR) were calculated using generalized linear models of the Poisson family with a log-link function and robust standard errors, accounting for significant patient factors and clustering at the provider level. Results were further mutually-adjusted for significant provider- and facility-level factors to ensure independence of associations. Results: Patients treated by providers practicing for longer (30+ years since medical school vs <10 years) were more likely to be dose-reduced at the outset of chemotherapy (PR: 1.94; 95% CI: 1.15-3.25; p-trend: 0.02). Patients treated by providers in a larger practice (10+ vs ≤5 oncologists) were less likely to be dose reduced (PR: 0.53; 95% CI: 0.34-0.84; p-trend: 0.03) as were patients treated by providers treating a higher volume of breast cancer patients (30+ vs ≤15 patients/year: PR 0.64 (95% CI: 0.41-0.99; p-trend: 0.03). Other factors examined were not significantly associated with use of FCDR. Conclusions: These results indicate provider years of experience, as well as practice size and the volume of breast cancer patients treated per year are significantly associated with first cycle dose reductions in chemotherapy. This is a complex, multi-factorial issue, and these results indicate that provider- and provider- and facility-level factors should be considered when evaluating sources of heterogeneity in chemotherapy delivery.

Influence of Cooperative Learning Practices on Students Motivation in Entrepreneurship Subject in Public Secondary Schools in Rwanda

Purpose: The study aimed to assess the "Influence of Cooperative Learning Practices on Student Motivation in the Entrepreneurship Subject in Public Secondary Schools in Rwanda," with a focus on Gasabo District. Materials and Methods: A descriptive research design was employed, targeting teachers, head teachers, and local administrators as participants. Out of a population of 1,520, a sample of 317 respondents was selected using Taro Yamane's formula. Data were collected through questionnaires, and analysis included regression, correlation, and descriptive statistics. Qualitative data were analyzed using thematic analysis. Findings: The study found that while 58.9% of teachers reported that students rarely applied Entrepreneurship skills in business contexts, 25.8% noted that students engaged with these skills about once a week. A majority of teachers (60.2%) agreed that cooperative learning practices improved school completion rates, with a mean score of 3.5 and a standard deviation of 1.1, although students' overall academic progress in Entrepreneurship remained low. Furthermore, Entrepreneurship usage was shown to influence students' academic performance by 77.2%, with the remaining 22.8% affected by other factors. A significant positive correlation (r = .684, p = .024) was observed between Entrepreneurship usage and academic performance. Conclusion: The study concludes that implementing high standards of cooperative learning practices in Entrepreneurship instruction can significantly enhance students' academic performance in public secondary schools in Gasabo District.

Relationship Between Happiness, Culture, Socio-Economic Status, And Religious Coping Among Muslim Women Students Residing In Sokoto State, Nigeria

The goal of happiness is to have a stress-free and functional society. Yet, stress from cultural and socio-economic factors may arise when Muslim women student’s issues are discussed within society practices; which has resulted in illiteracy in Nigeria due to low enrolment attendance and school completion rates. Despite this, the World Happiness Report (WHR, 2023) ranked Nigeria as 95th happiest country in the world, and the fifth happiest country in Africa. Nevertheless, not many researches on happiness among Muslim women students in Northern Nigeria have been reported. This study investigated the relationship between happiness, culture, socio-economic status (SES), and religious coping, among Muslim women students at the Women Centre for Continuing Education (WCCE), in Sokoto, Northern Nigeria. A total number of 269 Muslim women students were selected to participate in this study using purposive random sampling. Instruments namely Orientation to Happiness Scale (OHS), Cultural Questionnaire for Women, (CQW), Socio-Economic Status Scale (SESS), Islamic Religious Coping Scale (RCOPE) were used for data collection. The total Cronbach’s alpha Coefficiency was 0.937, which was found to be reliable. The results were analysed using Partial Least Squares-Structural Equation Modelling (PLS-SEM). The measurement model was evaluated using items loading of average variance extracted (AVE) and composite reliability (CR). The findings of this study showed that the direct relationship of culture, socio-economic status and religious coping towards happiness were significant. As a conclusion, this study provides useful information for counsellors who can assist their clients in improving and maintaining their positive religious coping practices, as well as their ability to encounter positive feelings, engage in Islamic practices, have a meaningful life, and cope with stressors. Future research on happiness in other Northern states of Nigeria is recommended.

Spatio-temporal modeling to identify factors associated with stunting in Indonesia using a Modified Generalized Lasso

This study investigates the factors associated with stunting prevalence in Indonesia, utilizing a generalized lasso framework with modified penalty matrices to accommodate spatio-temporal data structures. Novel approaches are introduced to construct the penalty matrices, with particular focus on defining neighborhood structures. The proposed method is applied to data from 34 Indonesian provinces, covering the years 2019 to 2023. The primary outcome is stunting prevalence, modeled against nine predictor variables: poverty, exclusive breastfeeding, low birth weight (LBW), high school completion, access to proper sanitation, unmet health service needs, Gross Domestic Product (GDP), calorie consumption, and protein consumption. A total of nine spatio-temporal models were compared, including a modified generalized lasso with three distinct penalty matrices for each two tuning selection methods and a generalized ridge regression with three penalty matrices. Results indicate that the generalized lasso model with a 3-nearest neighbor adjacency matrix outperformed the alternatives. Temporal variations were observed in the effects of exclusive breastfeeding, LBW, high school completion, and unmet health service needs. Positive associations with stunting prevalence were identified for poverty, exclusive breastfeeding, LBW, and unmet health service needs, while negative associations were found for high school completion rates, access to proper sanitation, GDP, calorie intake, and protein consumption. The strongest associations were observed in parts of Sumatra, Sulawesi, and Jakarta. These findings suggest that government interventions aimed at improving education, healthcare access, and poverty reduction may help alleviate stunting in Indonesia, particularly in regions with the greatest need.

The Impact of Child Protection Service Experience and Secondary School Completion on Employment Outcomes

This study utilizes registry data and logistic regression to investigate the relationship between Child Protection Service (CPS) experience, completion of upper secondary school, and subsequent gainful employment. The findings show that completion of upper secondary school is associated with later gainful employment. However, when control variables are included to adjust for substantial differences between the two groups, the results reveal that completion of upper secondary school has a more substantial impact on future gainful employment for former CPS clients compared to non-CPS clients.

Quality of care transitions from hospital to home for COVID-19 patients discharged from Brazilian university hospitals

PurposeTo analyze the quality of transitional care for patients with COVID-19 at discharge from Brazilian university hospitals.Design/methodology/approachA cross-sectional descriptive study was carried out in five Brazilian university hospitals between April and December 2021. The sample consisted of 527 participants. Data collection consisted of a sociodemographic questionnaire and the Care Transitions Measure (CTM-15), a care transition assessment instrument, which was translated and validated in Portuguese.FindingsMost participants were patients (n = 369; 70.0%), with primary school completion (n = 218; 43.4%), multiracial (n = 218; 43.5%) and with an income of up to two minimum wages (n = 182; 42.8%). Dimension 1 – management preparation – obtained the highest score (71.2 points, SD = 16.5), while Dimension 4 – care plan – obtained the lowest score (62.2 points, SD = 23.4). Among the participating hospitals, there was a difference in the overall mean with results ranging from 67.0 to 72.9 points.Originality/valueA satisfactory quality of care transition was found, considering the context of a pandemic. The main weaknesses in the care transitions were related to the care planning after hospital discharge.

Using Administrative Data to Identify Factors Associated with Healthy Development After Experiencing Household Challenge Adversity in Early Childhood

This study aimed to identify factors associated with healthy development after experiencing household challenge adversity in early childhood. A cohort of 42,505 children born in Manitoba, Canada was created using linkable health, social, and education administrative data. Children were divided into 5 groups according to whether they experienced adversity between birth and four years of age in the following categories: 1) having a parent diagnosed with a mental health disorder, 2) having a parent diagnosed with a substance use disorder, 3) having a parent who received income assistance for at least 2 months, 4) experiencing at least one of the 3 adversities, and 5) having none of the adversities listed. For each group, multiple linear regression models were computed to determine the association of the independent variables (age, sex, birth order, team parenting, neighbourhood-level socio-economic status, parent high school completion, being an established resident in Canada, not having a major illness, residential stability, program participation, and connectedness to health care services) on child development, represented by their Early Development Instrument scores. In each group, factors associated with healthy development included at minimum: older age, being female, being firstborn, team parenting, higher neighbourhood-level socio-economic status, parent high school completion, being an established resident in Canada, and not having a major illness. Several of these factors are associated with increased access to material resources. As such, policies that facilitate the delivery of resources to lower-income families and neighbourhoods with lower socioeconomic status could translate into improved developmental outcomes for children.

The importance of academic advising for dual credit and early college high school students

AbstractAcademic advising for dual credit and early college high school students is significant to postsecondary matriculation and degree completion of these students after high school graduation. Unstructured advising can lead students to take excess credits and have an unclear path to a postsecondary credential. This study focused on the importance of academic advising, ensuring a clear path is identified for each student participating in a dual credit or early college high school program. A qualitative survey identifying high school personnel's understanding of advising, needs to better serve students, and current challenges facing high school counselors is discussed. Quantitative data landscapes student demographics and attempted versus completed credits for both dual credit and early college high school students at multiple high schools. Practitioner recommendations underscore the need for college advising by a college advisor who is familiar with the college advisement process versus a high school counselor who focuses on high school completion needs.

Parental socioeconomic status and adolescent development in Indonesia

ABSTRACT We examine the impact of parental socioeconomic status on adolescent cognitive and non-cognitive development using data on adolescents from the 2014–15 Indonesian Family Life Survey. The analysis is relatively new for a developing country, by including non-cognitive skills and by looking at adolescents rather than young children. Parental education has a greater cognitive skills effect than parental income and job status, especially for fathers. For non-cognitive skills, parental job status is important but only for mothers. Education policy could therefore focus especially on high school completion and higher education enrolment, while employment policy could improve women’s job flexibility.

Prevention of vision disorders at school age: view of secondary school teachers on the problem

Background. The relevance of the study is due to the importance of maintaining full vision functions from childhood, which allows for having healthy visual perception for a quality life, learning and work capacity in adolescence and adulthood. The problem is gaining global importance, because according to the forecasts of international experts, the spread of ophthalmic pathology in 2050 will reach such a scale that almost a third of the planet’s population will have impaired vision, with most of cases diagnosed already in childhood. Scientific studies reveal an increase in the frequency of visual impairment among school-aged children. Thus, 8–10 % of the first-graders are diagnosed with ophthalmic pathology, and upon completion of schooling, this indicator can increase to 30–50 %. The purpose was to study the awareness of teachers and lecturers of secondary educational institutions (schools, lyceums) regarding the problems of visual impairment among schoolchildren, their attitude to the problem and willingness to participate in preventive measures. Materials and methods. The materials for the research were the results of a sociological survey of educators of secondary educational institutions from all regions of Ukraine (lecturers, teachers at schools and lyceums), a total of 6,215 questionnaires were subject to analy­sis. The tool for conducting sociological research was the deve­loped Questionnaire of secondary school educators regarding their awareness and willingness to participate in preventive programs to preserve eyesight from childhood. The procedure for filling out the questionnaire included an interview with an interviewer, who verbally informed about the purpose, tasks of sociological research, and its anonymity. Only after obtaining preliminary voluntary verbal consent to participate in the study, respondents were offered to proceed to filling out the questionnaire, which took an average of 15–20 minutes. The research methods were sociological survey, analytical-synthetic, medical-statistical methods, in particular the latter was used to calculate the representativeness and reliability of the survey results. Results. The results of the study prove the importance of the participation of secondary school educators in measures to prevent impairment of visual functions in school-aged children. Despite the high readiness of lecturers and secondary school teachers to engage in preventive activities, their awareness of preventing visual impairment among schoolchildren was found to be insufficient, as was the level of preventive work of medical personnel in schools. It was found that most educators are convinced that a school education worker should be aware of the signs of visual impairment in children (90.46 ± 0.37 %), participate in preventive measures and be familiar with the hygienic norms of visual stress in children (86.39 ± 0.43 %). Most respondents expressed the feasibility of introducing regular systematic supervision of vision functions in school-aged children (99.40 ± 0.10 %) and supporting the implementation of state preventive programs to preserve vision from childhood in Ukraine (97.38 ± 0.20 %), self-critically recognizing the need for informational support regarding the detection of signs and symptoms of these diseases in children (71.70 ± 0.57 %). Conclusions. Visual impairments in children of different ages are of great medical and social importance, as they affect the formation of disorders of socialization and human performance. The results of the study open the prospect of involving secondary school educators in the activities of interdisciplinary comprehensive programs to prevent the development of ophthalmic pathology among school-aged children. The search for effective ways of informational support for educators on the issues of modern preventive technologies, risk factors for the formation of visual impairments in schoolchildren in order to prevent the formation of stigma about children with disabilities and visual impairments in their environment requires scientific justification.

The Role of Muslim Youth in Promotion Education in Cambodia

The Muslim community in Cambodia, generally known as “Cham”, descended from refugees from the ancient Kingdom of Champa who fled central Vietnam 500 years ago. The community has faced two main dramatic periods of persecution. The first began with the end of the Champa kingdom in the 16th century and the Khmer Rouge period lives on in the collective memory of Cambodians from 1975 to 1979, up to 2 million Cambodians were killed, with many more displaced and separated from their families. This study is to describe the situational context of the Cham Muslim minority setting in Cambodia as well as specific problems in the formal education using literature review and data analysis. On the way towards universal primary education, Cambodia has made good progress over the past fifteen years. In 2014, the net enrolment rate in primary school was 98.4 per cent, the primary school completion rate was 89.9 per cent and the literacy rate of people aged 15-24 years was 91 per cent. In Islamic education, MoEYS allocated 1,500 teaching positions with civil service status to the Islamic education school system. Of those, currently, 1,391 Islamic school teachers hold that title and receive their salaries from the RGC. Recruitment of the 1,391 Islamic school teachers to become civil service teachers was done by MoEYS, in collaboration with the Highest Council for Islamic Religious Affairs in Cambodia (referred to as Mufti), which has a leadership team appointed by the RGC. The qualitative data confirms that Islamic schools are not a monolithic entity. There are a variety of ways Islamic schools are administered, offering different curricula and serving diverse Muslim communities across Cambodia

School Dropout, Absenteeism and Coverage of Sexual and Reproductive Health Services in South Africa: Are Those Most at Risk Reached?

School attendance or completion is important for adolescents’ development. Adolescents who drop out or are regularly absent from school are at higher risk of adverse sexual and reproductive health (SRH) outcomes. However, there is little evidence evaluating SRH service coverage among adolescents in and out of school. In the context of a large-scale combination HIV and pregnancy prevention intervention funded by the Global Fund, we compared the SRH intervention coverage and SRH risks among adolescent girls who dropped out of school with those who were still in school or who had completed grade 12 in South Africa. Among those still in school, we compared the SRH intervention coverage and SRH risk profiles of those with high versus low or no absenteeism. In 2017 to 2018, we conducted a household survey of adolescent girls aged 15 to 19 years in six of the ten combination intervention districts. Of 2515 participants, 7.6% had dropped out of school. Among the 1864 participants still in school, 10.8% had high absenteeism. Ever having had sex, and condomless sex were more prevalent among dropouts compared with non-dropouts. Dropouts were more likely to access SRH services such as condoms and contraceptives, except the combination prevention intervention services which were more likely to reach those who had not dropped out and were equally likely to reach those in school with high versus low/no absenteeism. Combination SRH prevention programmes can improve the accessibility of SRH services for adolescents in school/who complete school.

Completion of Upper Secondary Mainstream School in Autistic Students in Sweden.

Higher education is an increasingly necessary achievement to attain employment. However, even in cases where a student has the academic skills to succeed, educational environments may not support students across all other domains necessary for education success, including social and communication needs. This is especially true for students with disabilities and autistic students, where the rate of completion of non-compulsory education is unknown. We used the Stockholm Youth Cohort (children aged 0-17 years from 2001 to 2011), a total population cohort (N = 736,180) including 3,918 autistic individuals, to investigate the association between autism without intellectual disability and completion of upper secondary education. We assessed the impact of sex and co-occurring Attention-Deficit/Hyperactivity Disorder (ADHD) on this association. By age 20 years (the expected age of completion), 68% of autistic students and 91% of non-autistic students admitted to upper secondary education had completed. In logistic regression models adjusted for student demographics, autistic students had almost five-fold higher odds of not completing secondary school (OR 4.90, 95% CI 4.56 5.26) compared to their non-autistic peers. Autistic students with ADHD had particularly high odds of non-completion of upper secondary school. Autistic students without intellectual disability attending mainstream education are substantially less likely to complete upper secondary education as compared to their peers. These findings have implications for the appraisal of how inclusive school policies serve autistic students' academic and social needs, ultimately addressing population health and independent living.