文献类型：期刊文献

英文题名：Beyond Medical Absence: Grade-Related and Year-To-Year Persistent Patterns of Parent-Reported Psychological/Functional Absence in Routine School Attendance Records

作者：Ren, Yanming[1];Feng, Mengyin[2];Jia, Shuyi[1];He, Li[3]

第一作者：Ren, Yanming

通讯作者：He, L[1]

机构：[1]City Univ Macau, Fac Hlth & Wellness, Macau, Peoples R China;[2]Beijing Normal Univ, High Sch, Beijing, Peoples R China;[3]Beijing Union Univ, Teachers Coll, Beijing, Peoples R China

第一机构：City Univ Macau, Fac Hlth & Wellness, Macau, Peoples R China

通讯机构：[1]corresponding author), Beijing Union Univ, Teachers Coll, Beijing, Peoples R China.|[1141711]北京联合大学师范学院;[11417]北京联合大学;

年份：2026

卷号：96

期号：8

外文期刊名：JOURNAL OF SCHOOL HEALTH

收录：;Scopus(收录号：2-s2.0-105044363438);WOS:【SSCI(收录号:WOS:001818094600001)，SCI-EXPANDED(收录号:WOS:001818094600001)】；

基金：This study was supported by the Outstanding Young Talents Project of the 2022 Beijing Municipal University Teacher Team Construction Support Plan (Grant No. BPHR202203224) and the Beijing Municipal Education Science "14th Five-Year" Research Project, "An Empirical Study of a School Refusal Intervention System Based on Ecological Systems Theory" (Grant No. CAHA25033).

语种：英文

外文关键词：absenteeism; attendance records; mental health; psychological/functional absence; school health

摘要：Background Psychological/functional absences may be obscured within broad medical leave categories in routine attendance records. This study examined whether parent-reported psychological/functional absence is patterned and persistent in a Chinese secondary school context. Methods We analyzed retrospective attendance records from 2183 students and 26,092 absence events across the 2022-2025 academic years. Parent-reported reasons were coded into 8 categories. Event-level logistic regression with student-clustered robust standard errors examined associations with grade, sex, cohort, academic year, and month; student-year lagged models examined recurrence. Results Psychological/functional absence accounted for 5179 events (19.8%). In the fully adjusted event-level model, Grade 11 students had higher odds of psychological/functional absence than Grade 8 students (OR = 2.62, 95% CI [1.45, 4.72], p = 0.001). Prior-year psychological/functional absence predicted current-year occurrence (OR = 3.50, 95% CI [2.67, 4.59], p < 0.001), and prior-year count predicted current-year count (IRR = 1.06, 95% CI [1.04, 1.07], p < 0.001) Implications for School Health Policy, Practice, and Equity Repeated psychological/functional absences may help schools identify students needing timely, non-punitive follow-up. Conclusions Psychological/functional absence appears to be a recurring administrative signal, but should not be interpreted as a clinical diagnosis.