American Journal of Nursing Research
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American Journal of Nursing Research. 2018, 6(6), 418-429
DOI: 10.12691/ajnr-6-6-9
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Risk Factors of Academic Underachievement among Preparatory School Students in El-Behira Governorate

Naglaa Kamel Abduallah Hussein1, and Marwa Mohamed Ahmed Ouda2

1Community Health Nursing Department, Faculty of Nursing, Damanhour University, Damanhour, Egypt

2Pediatric Nursing Department, Faculty of Nursing, Damanhour University, Damanhour, Egypt

Pub. Date: October 08, 2018

Cite this paper:
Naglaa Kamel Abduallah Hussein and Marwa Mohamed Ahmed Ouda. Risk Factors of Academic Underachievement among Preparatory School Students in El-Behira Governorate. American Journal of Nursing Research. 2018; 6(6):418-429. doi: 10.12691/ajnr-6-6-9


Background: Adolescence is a period of considerable physical and mental changes, of which transition to higher levels of study and planning for a future career is significant. Academic achievements assume importance and is a key factor for personal progress and personal worth and it considered a benchmark of a child's intelligence. In today's competitive society, Academic underachievement is a major concern among parents and teachers, and it assumes significance as it is a key factor for personal and professional growth. Aim of study: Is to identify risk factors of academic underachievement among preparatory school students in El-Behira Governorate. Design: Descriptive design. Setting: The study was conducted in ten (10) governmental preparatory schools in five (5) educational directorates of the eighteen (18) educational directorates in El-Beheira Governorate Subjects: using systematic random sample technique to select the required sample size of 400 students (200 achievers and 200 underachievers) which were halved by sex. Tools: data was collected using two tools for Students assessment, Family Socioeconomic Status Scale (SES) and Strengths and Difficulties Questionnaire (SDQ). Results: according to the liner regression model for the predictors of academic achievement among the studied students the following variables show a significant effect, Students' age, Socioeconomic score, Students' labor , Finishing daily homework, Private tutoring, Years of previous grade repetition and total strengths and difficulties score. Conclusion and recommendations: Several personal risk factors were highlighted at the present study to have significant association with students' underachievement so it is recommended to Developing evidence based guidelines for underachievement based on the underlying causes and awareness of the community about adolescents' underachievement in schools.

adolescence risk factors life style school performance academic underachievement academic achievement

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[1]  United Nations Children's Fund (UNICEF). Progress for children; A report card on adolescents. USA: New York; 2012 [Cited 2014 Oct 11]. Available from: <>.
[2]  WHO (2017). Adolescents: health risks and solutions. Fact sheet. Updated May 2017. Available from:
[3]  Unicief 2015. Children in Egypt 2015. A statistical digest. Available from:
[4]  Mirowsky J, Ross C. Education, Social Status, and Health. New York, NY: Aldine de Gruyter; 2003.
[5]  Karen J, Robert M, Hal B, Richard E. Nelson Essentials of pediatrics. 6th ed. Canada: Saunders Elsevier; 2011.
[6]  Badawi A, Al-Ghassani A, Jemni M, Masri M. Entrepreneurship Education in the Arab States. A joint project of UNESCO and the StratREAL Foundation, United Kingdom. Case Studies on the Arab States (Jordan, Tunisia, Oman and Egypt) and Regional Synthesis Report: UNESCO; 2010 [Cited 2014 March 20]. Available from:
[7]  Nayak R, Mohanty N, Beriha S and Mohapatra S. Study of Risk Factors of Academic Underperformance in Rural School Children in a Coastal District of Odisha. Nayak, et al., J Child Adolesc Behav 2017, 5: 1.
[8]  Balduf M. Underachievement among College Students. Fairfax county public schools. Journal of Advanced Academics 2009(20): 274-94.
[9]  Hanushek E, Woessmann L. The Economics of International Differences in Educational Achievement. Discussion Paper No. 4925. The Institute for the Study of Labor (IZA). Handbook of the Economics of Education. Amsterdam: North Holland; 2012.
[10]  Population Council, Survey of Young People in Egypt (SYPE). Final Report, West Asia and North Africa Office; 2011 [Cited 2014 Feb 15]. Available from:
[11]  Ministry of Education, General Administration for Information and Statistics, El-Beheira Governorate; 2015.
[12]  Zsolani A. relationship between children's social competence, learning motivation and school achievement. Educational psychology 2012; 22(3):317-30.
[13]  Voegeli S. Academic Underachievement: Understanding and Implications for Educators [Master thesis] in guidance and counseling. The Graduate School University of Wisconsin-Stout; 2008 [Cited 2014 Nov 20]. Available from
[14]  Jeynes W. Family Factors and the Educational Success of Children. 2nd ed. USA; Routledge; Taylor & Francis; 2010.
[15]  Daniel K. Kipkemboi F. The impact of school environment and peer influences on students' academic performance in Vihiga County, Kenya. Journal of Education and Practice 2014; 11(5): 1-11.
[16]  Carlow B. Literature review on the support needs of parents of children with behavioral problems. Centre for social & educational research, Dublin institute of technology. 2007 [Cited 2015 Oct 12]. Available from:
[17]  Quin J. Deris A. Bischoff G. Johnson J. The correlation between leadership, culture, and student achievement. The Online Journal of New Horizons in Education 2015; 5(2):54-62.
[18]  American Nurses Association & National Association of School Nurses. Scope and standards of practice - School nursing. 2nd ed. Silver Spring, MD: 2011.
[19]  Eddy L. Caring for Children with Special Healthcare Needs and Their Families: A hand book for health professional. USA: Wiley-Blackwell; 2013.
[20]  Nossier S (1983): A study of low achievement child on school age (6: 12 Years): Thesis submitted in partial fulfillment for master degree in psychiatry and neurology, Faculty of Medicine, Ain Shams University.
[21]  Hassan E 1999. Epidemiology study of scholastic underachievement also among primary school children in Alexandria: prevalence and causes. Thesis, faculty of nursing, Alexandria University.
[22]  Jelliffe B, Jelliffe P, Zerfas A. Newman GG. Community nutritional assessment. London: Oxford University Press; 1989.
[23]  De-Onis M, Onyango W, Borghi E, Siyam A, Nishida C, Siekmann J. Development of WHO growth reference for school-aged children and adolescents. Bull WHO. 2007; 85:660-7.
[24]  El-Gilany A, El-Wehady A, El-Wasify M. Updating and validation of the socioeconomic status scale for health research in Egypt. Eastern Mediterranean Health Journal 2012; 18(9): 962-68.
[25]  Goodman R, Meltzer H, Bailey V. The Strengths and Difficulties Questionnaire: A pilot study on the validity of the self-report version. European Child and Adolescent Psychiatry 1998; 7: 125-30.
[26]  Goodman R. The extended version of the Strengths and Difficulties Questionnaire as a guide to child psychiatric caseness and consequent burden. Journal of Child Psychology and Psychiatry 1999; 40: 791-801.
[27]  Alyahri A. Goodman R. Validation of the Arabic Strengths and Difficulties Questionnaire and the Development and Well-Being Assessment. Eastern Mediterranean health journal 2006; 12 (2):138-46.
[28]  Shashidhar S, Rao C, Hegde R. Factors Affecting Scholastic Performances of Adolescents. Indian Journal of Pediatrics 2009(76): 495-9.
[29]  Abubakar R. Oguguo O. Age and gender as determinants of academic achievements in college mathematics. Asian journal of natural & applied sciences 2012; 1(2): 203-13.
[30]  Naderi H. Abdullah R. Aizan R. Sharir J. Kumar V. Creativity, age and gender as predictors of academic achievement among undergraduate students. Journal of American Science 2009; 5(5): 101-12.
[31]  Mlambo V. An analysis of some factors affecting student academic performance in an introductory biochemistry course at the University of the West Indies. Journal of Caribbean Teaching Scholar 2011; 1(2): 79-92.
[32]  Trautmann M, Zepf F. Attentional performance, age and scholastic achievement in healthy children. Journal of PLoS ONE 2012; 7(3): 1-5.
[33]  Laird G, Shelton J. From an Adlerian Perspective: Birth order, dependency, and Bing drinking on a historically black University Campus. The Journal of Individual Psychology 2006; 62 (1): 18-35.
[34]  Suleman Q, Hussain I, Akhtar Z. Effects of Family Structure on the Academic Performance of Students at Elementary Level in District Karak, Khyber Pukhtunkhwa (Pakistan). Journal of Sociological Research 2011; 2(3): 235-47.
[35]  Hotz V. Pantano J. Strategic Parenting, Birth Order and School Performance. forthcoming in Journal of Population Economics 2015.
[36]  Gorman L. Birth Order and Student Performance. EBSCO host Connection. NBER Digest 2014; p6.
[37]  Sun Ha T, Lian Tam C. A Study of Birth Order, Academic Performance, and Personality. International Conference on Social Science and Humanity 2011(5): 28-32.
[38]  Joseph T. Influence of Family Size and Family Birth Order on Academic Performance of Adolescents in Higher Institution. Pakistan Journal of Social Sciences 2009; 6 (3): 110-4.
[39]  Bae D. Family socioeconomic status and academic achievement among korean adolescents. Linking mechanisms of family processes and adolescents' time use. The Journal of Early Adolescence September. 2014(11).
[40]  Ushie A, Emeka O, Ononga I, Owolabi O. Influence of family structure on students’ academic performance in Agege local government area, Lagos state, Nigeria. European Journal of Educational Studies 2012; 4(2): 177-87.
[41]  Ahmar F, Anwar E. Socio economic status and its relation to academic achievement of higher secondary school students. Journal of Humanities and Social Science 2013; 6(13): 13-20.
[42]  Igbo J, Okafor R, Eze J. The role of socio-economic background on self-concept and academic achievement of in-school adolescents in Nigeria. International Journal of Research in Humanities, Arts and Literature 2014; 2( 2): 1-10.
[43]  Stephens S. Children with chronic health conditions less likely to graduate from high school. Journal of Adolescents Health 2014; (6): 1-12.
[44]  Forrest C. Bevans K. Riley A. Crespo R. Louis L. Health and school outcomes during children’s transition into adolescence. Journal of Adolescents Health 2013; 52(2):186-94.
[45]  More S. Shivkumar B. Gangane N. Shende S. Effects of Iron Deficiency on Cognitive Function in School Going Adolescent Females in Rural Area of Central India. Hindawi Publishing Corporation 2013 (2013):1-5.
[46]  Prajapati P, Oza J, Prajapati J, Kedia G, Chudasama K. Prevalence of Ocular Morbidity among School Adolescents of Gandhinagar District, Gujarat. Journal of Health & Allied Sciences 2010; 9(4): 4-5.
[47]  Nayak R, Mohanty N, Beriha S, Mohapatra S (2017) Study of Risk Factors of Academic Underperformance in Rural School Children in a Coastal District of Odisha. J Child Adolesc Behav 5: 332.
[48]  Khopkar S, Virtanen S, Kulathinal S. Anthropometric characteristics of underprivileged adolescents: A study from urban slums of India. Journal of Anthropology. 2014; (2014): 1-9.
[49]  Zavodny M. Does weight affect children’s test scores and teacher assessments differently? Economic Education Review 2013; 34: 135-45.
[50]  Abdelalim A, Ajaj N, Al-Tmimy A. Childhood obesity and academic achievement among male students in public primary schools in Kuwait. Med Princ Pract 2012; 21(1): 14-9.
[51]  Nyaradi A, Hickling S, Foster K, Jacques A, Ambrosini L, Oddy H. A Western dietary pattern is associated with poor academic performance in Australian adolescents. Nutrients 2015; 7(4): 2961-82.
[52]  Stea T, Torstveit M. Association of lifestyle habits and academic achievement in Norwegian adolescents: a cross-sectional study. BMC Public Health 2014; (14): 1-8.
[53]  Adolphus K, Lawton L, Dye L. The Relationship between Habitual Breakfast Consumption Frequency and Academic Performance in British Adolescents Front Public Health 2015; 6(3): 68.
[54]  Hillman C, Kamijo K, Scudder M. A Review of Chronic and Acute Physical Activity Participation on Neuroelectric Measures of Brain Health and Cognition during Childhood. Prev Med 2011; 1 (52): 52-8.
[55]  So W. Association between physical activity and academic performance in Korean adolescent students. BMC Public Health 2012; (12): 1-7.
[56]  Dewald F, Meijer M, Oort J, Kerkhof A, Bogels M. The influence of sleep quality, sleep duration and sleepiness on school performance in children and adolescents: A meta-analytic review. Sleep Medicine Reviews 2010; 14: 179-89.
[57]  Ming X, Koransky R, Kang V, Buchman S, Sarris C, Wagner G. Sleep insufficiency, sleep health problems and performance in high school students. Journal of Clinical Medicine Insights Circulatory Respiratory Pulmonary Medicine 2011; (5): 71-9.
[58]  Mak K, Lee L, Ho Y, Lo S, Lam H. Sleep and academic performance in Hong Kong adolescents. Journal of School Health 2012; 82(11): 522-7.
[59]  Stea H, Knutsen T, Torstveit K. Association between short time in bed, health-risk behaviors and poor academic achievement among Norwegian adolescents. Sleep Med 2014; 15(6): 666-71.
[60]  Idrizovic K. Zenic N. Tahiraj N. Rausavljevic N. Sekulic D. Cigarette smoking among 17-18 year old adolescents - prevalence and association with socio-demographic, familial, sport, and scholastic factors. Medycyna Pracy 2015; 66(2): 1-11.
[61]  Latvala A. Rose J. Pulkkinen L. Dick M. Korhonen T. Kaprio J. Drinking, smoking, and educational achievement: cross-lagged associations from adolescence to adulthood. Drug Alcohol Depend 2014; 137(1):106-13.
[62]  Fetuga B, Njokanma F, Ogunlesi A. Do working children have worse academic performance? Indian J Pediatr 2007; 74(10): 933-6.
[63]  Sabia J. School-year employment and academic performance of young adolescents. Economics of Education Review 2009; 28 (2): 268-76.
[64]  Holgado D, Maya-Jariego I, Ramos I, Palacio J, Oviedo-Trespalacios O, Romero-Mendoza V, Amar J. Impact of child labor on academic performance: Evidence from the program “Edu came Primero Colombia”. International Journal of Educational Development 2014; (34) 58-66.
[65]  Nadeem N, Ahamd J, Ahamd S. Study habits and academic achievement of Kashmiri & Ladakhi adolescent girls: A Comparative Study. Turkish Online Journal of Distance Education-TOJDE 2014; 15(7): 91-7.
[66]  Bugge L, Wıkan G. Student Level Factors Influencing Performance and Study Progress. The Online Journal of New Horizons in Education 2014; 3(2): 30-8.
[67]  Ng S, Zakariaa R, Laia S, Confessoreb G. A study of time use and academic achievement among secondary-school students in the state of Kelantan, Malaysia. International Journal of Adolescence and Youth 2015; (2): 1-16.
[68]  Shashidhar S, Rao C, Hegde R. Factors affecting scholastic performances of adolescents. Indian Journal of Pediatrics 2009; (76): 495-9.
[69]  Xu J. School location, student achievement, and homework management reported by middle school students. The School Community Journal 2009; 19(2): 27-44.
[70]  Bagala B. Private tutoring and public corruption: a cost-effective education system for developing countries. The Developing Economies journal 2007; 37(2): 222- 40.
[71]  Ali S, Haider Z, Munir F, Khan H, Ahmed A. “Factors contributing to the students' academic performance: a case study of Islamia university sub-campus.” American Journal of Educational Research. 2013; 1(8): 283-9.
[72]  Berberoglu G, Demirtasl N, Best C, Arikan S, Libby Tuncer C. School of foreign relations of the student success factors: Effects on factors of out-of-school students' achievement. Cito Education: Theory and Practice 2010; 1 (7): 28-38.
[73]  Jimerson S, Ferguson S. A Longitudinal study of grade retention: academic and behavioral outcomes of retained students through adolescence. School Psychology Quarterly 2007; 22( 3): 314-39.
[74]  Mertens S, Anfara V, Roney K. An look at educating young adolescents. Motivational perspective 2009; (78):100-50.
[75]  Shapiro k. Academic Underachievement: A neurodevelopmental perspective. Rev. Med. Clin. Condes 2011; 22(2): 212-17.
[76]  Hossain S. A study of determining the relationship between academic achievement and problem behavior of urban secondary school students in Bangladesh. International journal of social sciences 2013; 8(1): 1-10.
[77]  Tempelaar W, Otjes C, Bun C, Plevier C, Van Gastel W, MacCabe J, Kahn R, Boks M. Delayed school progression and mental health problems in adolescence: a population-based study in 10.803 adolescents. Journal of BMC Psychiatry 2014; 14(244): 2-6.