Health concerns such as poor dental health, vision impairment,

Health Affects Attendance
Children are chronically absent from school for a wide variety of issues
directly related to their physical, mental, and social health.
Physical Health. Asthma is one of the most common causes of school
absences, together with significant health concerns such as poor dental
health, vision impairment, diabetes, and obesity. Research suggests that
U.S. schoolchildren with this treatable and remediable condition miss a
combined 14 million days of school each year. The same research
suggests that dental pain, often due to untreated decay, accounts for
almost two million missed days of school annually.
Mental Health. Fear, depression, social anxiety, and other mental health
issues can make it difficult for children to feel comfortable going to school.
When children are exposed to significant stress, violence, or trauma in their
homes or communities, it can also trigger mental health issues that cause
them to be chronically absent from school.
Safety Issues. Students who fear or experience violence or bullying are at
risk for being chronically absent from school. This is especially true among
racial and ethnic minority students. A 2015 report suggests that nearly 35
percent of black students and more than 28 percent of Hispanic students
were involved in a physical fight the previous year, compared with about
20 percent of white students. The same report indicates 20 percent of
high school students said they had been bullied in the past year.
Social Factors. Food insecurity or hunger, unstable housing arrangements,
unreliable transportation, job loss within the family, and lack of health
insurance also contribute to chronic absenteeism. In spite of substantial
progress in the area of health insurance coverage for children, more than
15 percent of all U.S. children under age 17 remain uninsured, and thus
have more limited ability to access health care and treatment.