The Association between Long-term Health Problems and GPA over Time

1 Background and Motivation

The purpose of this study was to examine the associations between long-term physical health conditions and academic achievement, as measured by self-reported grades received in school (GPA), among middle and high school students. Specifically, we investigated the extent to which students with long-term physical health problems reported lower academic performance compared to their peers without such conditions.

Additionally we explored whether long-term physical health problems and self-reported health were predictors of identifying students as ‘equipped’ with SEL competencies. Despite increasing attention to mental health and its impact on education, the literature is less developed on how physical health conditions intersect with academic outcomes in school-age children.

In this study, we responded to the need for population-level evidence on how chronic physical health conditions affect education equity. We also interrogated how systemic factors such as racialized status and attendance may moderate or mediate the associations between health and academic outcomes.

2 Methodology

The data were from the Minnesota Student Survey (MSS; MN Department of Education, 2017), developed by the state departments of Education, Health, Human Services, and Public Safety (juvenile justice) and administered triennially and anonymously to students in grades 5, 8, 9, and 11. Generally, about 85% of MN school districts participated in 2013 and 2016, and closer to 65% in 2019 and 2022. Across the four administrations, there are over 600,000 student responses. It is used by the partnering agencies, county agencies, and school districts to monitor trends in youth characteristics, experiences, and attitudes (MDE, 2024).

Variable	Categories
GPA	Mostly A’s Mostly B’s Mostly C’s Mostly D’s
Long-term health problems (LTHP): Do you have any physical disabilities, or long-term health problems (such as asthma, cancer, diabetes, epilepsy or something else)? Long-term means lasting 6 months or more.	Yes No
Self-reported general health (SRGH)	Excellent Very Good Good Fair Poor
BMI (computed from weight and height)	0 = normal weight 1 = overweight 2 = obese
SEL Competency * Commitment to Learning * Social Competency * Positive Identity and Outlook * Family & Community Support * Teacher & School Support * Empowerment	Equipped Not Equipped
Race	White AAPI American Indian Black Multiracial Hispanic Hmong Somali
IEP	No IEP Has IEP
Sex assigned at birth	Male Female

Multiple linear regression models were estimated for the combination of year and student race/ethnicity. GPA served as the outcome variable. LTHP served as the primary explanatory variable addressing variation in GPA, conditioned on age, sex, IEP status, BMI, SRGH, and the six SEL competencies. Separate linear regression models were conducted for each year of administration for each race and ethnicity category, and were structured as follows:

\[ \text{GPA}_i = \beta_0 + \sum^k_{p=1}\beta_p X_{pi} + \sum^{K}_{p = k}\beta_p \text{LTHP} \times X_{pi} + \epsilon_i \]

We ran multiple logistic regressions with ‘Equipped’ as a binary response variable where ‘0’ = Unequipped and  ‘1’ = Equipped, and LTHP, Age, SRGH, BMI as explanatory predictors of the response. Rather than include an interaction term for year and race and ethnicity variables, the full data set were divided by year of administration, and race and ethnicity. A logistic regression model was run for each combination of Year, Race/Ethnicity, and SEL competency [4 x 8 x 6] for a total of 192 models.

\[ \begin{aligned} \text{log}[\text{P(Equip = 1)}] = \ & \beta_0 + \beta_1 \times \text{LTHP} + \beta_2 \times \text{Age } + \\& \beta_3 \times \text{Sex} + \beta_4 \times \text{IEP } + \\& \beta_5 \times \text{SRGH} + \beta_6 \times \text{BMI} + \epsilon_i \end{aligned} \]

3 Results

3.1 Results of Linear Regression

• There were no significant differences in GPA between students with or without LTHP for the years 2013, 2016 and 2019–controlling for the effect of other predictors such as age, sex, race, IEP status, BMI, and SRGH and their interactions with LTHP.

• Interestingly, consistent across Race and Year, students who were equipped with PIO and reported having Long Term Health Problems have higher expected grades than their peers.

	White
	2013		2016		2019		2022
Variable	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI
Intercept	2.20	[2.11, 2.29]	2.23	[2.15, 2.31]	2.34	[2.26, 2.41]	2.37	[2.29, 2.45]
LTHP	0.13	[-0.03, 0.28]	0.02	[-0.12, 0.15]	0.06	[-0.08, 0.2]	-0.20	[-0.36, -0.04]
Age	-0.01	[-0.02, -0.01]	-0.01	[-0.02, -0.01]	-0.01	[-0.02, -0.01]	0.00	[-0.01, 0.01]
Female	0.23	[0.22, 0.24]	0.26	[0.25, 0.28]	0.28	[0.26, 0.29]	0.20	[0.19, 0.22]
IEP	-0.57	[-0.6, -0.55]	-0.55	[-0.58, -0.53]	-0.54	[-0.57, -0.52]	-0.51	[-0.54, -0.48]
Overweight	-0.06	[-0.08, -0.04]	-0.07	[-0.09, -0.05]	-0.06	[-0.08, -0.04]	-0.06	[-0.08, -0.03]
Obese	-0.17	[-0.19, -0.14]	-0.17	[-0.19, -0.15]	-0.16	[-0.19, -0.14]	-0.18	[-0.21, -0.15]
Fair	0.09	[-0.01, 0.18]	0.19	[0.11, 0.27]	0.16	[0.09, 0.23]	0.23	[0.15, 0.31]
Good	0.25	[0.16, 0.34]	0.31	[0.23, 0.39]	0.34	[0.27, 0.41]	0.38	[0.31, 0.46]
Very Good	0.40	[0.31, 0.49]	0.47	[0.39, 0.55]	0.50	[0.43, 0.57]	0.52	[0.44, 0.59]
Excellent	0.45	[0.37, 0.54]	0.54	[0.46, 0.62]	0.55	[0.48, 0.62]	0.57	[0.49, 0.64]
CtL	0.48	[0.46, 0.5]	0.47	[0.45, 0.48]	0.46	[0.44, 0.48]	0.47	[0.45, 0.49]
SC	0.19	[0.17, 0.2]	0.18	[0.16, 0.19]	0.16	[0.15, 0.18]	0.21	[0.19, 0.23]
PIO	0.10	[0.08, 0.11]	0.05	[0.04, 0.07]	0.03	[0.01, 0.05]	0.02	[0, 0.04]
FCS	0.04	[0.02, 0.06]	0.02	[0, 0.04]	0.02	[0.01, 0.04]	0.02	[0, 0.04]
TSS	0.06	[0.04, 0.07]	0.06	[0.05, 0.08]	0.04	[0.03, 0.06]	0.02	[0, 0.04]
Emp	0.12	[0.1, 0.14]	0.11	[0.09, 0.13]	0.08	[0.06, 0.1]	0.08	[0.05, 0.1]
LTHP x Age	0.00	[-0.01, 0.02]	0.00	[-0.01, 0.01]	0.00	[-0.01, 0.01]	0.01	[-0.01, 0.03]
LTHP x Female	-0.03	[-0.06, 0]	0.00	[-0.04, 0.03]	-0.02	[-0.05, 0.02]	0.04	[-0.01, 0.09]
LTHP x IEP	0.04	[-0.01, 0.1]	0.07	[0.02, 0.11]	0.02	[-0.03, 0.08]	0.03	[-0.03, 0.09]
LTHP x Overweight	-0.01	[-0.06, 0.04]	0.00	[-0.05, 0.04]	0.04	[-0.01, 0.09]	-0.01	[-0.08, 0.05]
LTHP x Obese	-0.06	[-0.11, 0]	-0.02	[-0.07, 0.03]	-0.07	[-0.12, -0.01]	-0.03	[-0.09, 0.04]
LTHP x Fair	-0.14	[-0.29, 0.01]	-0.01	[-0.14, 0.11]	-0.04	[-0.16, 0.08]	0.04	[-0.1, 0.19]
LTHP x Good	-0.17	[-0.31, -0.02]	-0.01	[-0.13, 0.11]	-0.11	[-0.23, 0.01]	0.09	[-0.04, 0.23]
LTHP x Very Good	-0.18	[-0.32, -0.04]	-0.06	[-0.18, 0.07]	-0.15	[-0.27, -0.03]	0.13	[-0.01, 0.27]
LTHP x Excellent	-0.19	[-0.34, -0.05]	-0.08	[-0.2, 0.05]	-0.16	[-0.28, -0.03]	0.06	[-0.09, 0.21]
LTHP x CtL	0.02	[-0.02, 0.06]	0.03	[-0.01, 0.07]	0.03	[-0.02, 0.07]	0.04	[-0.01, 0.09]
LTHP x SC	0.03	[-0.01, 0.07]	-0.02	[-0.06, 0.02]	0.06	[0.02, 0.11]	-0.02	[-0.07, 0.03]
LTHP x PIO	0.02	[-0.02, 0.06]	0.03	[-0.01, 0.07]	0.00	[-0.05, 0.04]	0.06	[0.01, 0.12]
LTHP x FCS	-0.05	[-0.09, 0]	0.02	[-0.02, 0.06]	0.01	[-0.03, 0.06]	-0.01	[-0.06, 0.04]
LTHP x TSS	0.00	[-0.04, 0.04]	-0.01	[-0.05, 0.02]	0.00	[-0.05, 0.04]	0.02	[-0.04, 0.07]
LTHP x Emp	0.03	[-0.01, 0.08]	0.01	[-0.04, 0.05]	0.02	[-0.03, 0.06]	0.01	[-0.05, 0.07]

	AmIn
	2013		2016		2019		2022
Variable	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI
Intercept	1.65	[1.32, 1.98]	1.89	[1.6, 2.19]	1.60	[1.25, 1.96]	2.08	[1.6, 2.55]
LTHP	-0.12	[-0.69, 0.44]	-0.66	[-1.16, -0.16]	0.30	[-0.36, 0.95]	-0.35	[-1.18, 0.47]
Age	-0.01	[-0.04, 0.01]	-0.02	[-0.05, 0]	-0.01	[-0.05, 0.02]	0.00	[-0.04, 0.05]
Female	0.29	[0.22, 0.36]	0.28	[0.21, 0.34]	0.32	[0.23, 0.42]	0.13	[0.02, 0.25]
IEP	-0.41	[-0.51, -0.3]	-0.39	[-0.48, -0.3]	-0.32	[-0.44, -0.2]	-0.29	[-0.44, -0.14]
Overweight	-0.08	[-0.18, 0.01]	-0.07	[-0.15, 0.02]	-0.08	[-0.2, 0.05]	-0.12	[-0.27, 0.03]
Obese	-0.08	[-0.18, 0.03]	-0.14	[-0.23, -0.05]	-0.18	[-0.3, -0.05]	-0.15	[-0.3, -0.01]
Fair	0.13	[-0.18, 0.43]	0.10	[-0.18, 0.38]	0.47	[0.13, 0.8]	-0.05	[-0.48, 0.39]
Good	0.34	[0.05, 0.64]	0.22	[-0.04, 0.49]	0.63	[0.31, 0.95]	0.20	[-0.22, 0.62]
Very Good	0.51	[0.21, 0.8]	0.41	[0.14, 0.68]	0.83	[0.51, 1.16]	0.36	[-0.07, 0.79]
Excellent	0.59	[0.29, 0.89]	0.47	[0.19, 0.74]	0.82	[0.49, 1.16]	0.43	[-0.02, 0.88]
CtL	0.57	[0.49, 0.65]	0.56	[0.49, 0.63]	0.57	[0.47, 0.68]	0.67	[0.55, 0.79]
SC	0.14	[0.05, 0.22]	0.18	[0.1, 0.26]	0.27	[0.16, 0.38]	0.24	[0.1, 0.38]
PIO	0.13	[0.04, 0.21]	0.06	[-0.01, 0.14]	0.03	[-0.09, 0.15]	-0.04	[-0.19, 0.11]
FCS	0.07	[-0.01, 0.15]	0.04	[-0.04, 0.11]	-0.09	[-0.2, 0.02]	-0.02	[-0.16, 0.11]
TSS	0.11	[0.03, 0.19]	0.08	[0.01, 0.16]	0.08	[-0.03, 0.19]	0.04	[-0.1, 0.17]
Emp	0.09	[0, 0.18]	0.08	[0, 0.16]	0.06	[-0.06, 0.18]	0.04	[-0.1, 0.17]
LTHP x Age	0.01	[-0.05, 0.07]	0.02	[-0.03, 0.07]	0.06	[-0.02, 0.15]	-0.02	[-0.12, 0.08]
LTHP x Female	0.05	[-0.1, 0.21]	0.15	[0.01, 0.29]	0.01	[-0.21, 0.23]	0.42	[0.15, 0.69]
LTHP x IEP	0.02	[-0.18, 0.22]	0.07	[-0.11, 0.25]	-0.03	[-0.27, 0.22]	-0.18	[-0.48, 0.12]
LTHP x Overweight	0.07	[-0.13, 0.26]	0.25	[0.07, 0.42]	-0.09	[-0.38, 0.2]	-0.29	[-0.64, 0.05]
LTHP x Obese	0.16	[-0.06, 0.38]	0.15	[-0.04, 0.33]	0.01	[-0.26, 0.28]	-0.24	[-0.54, 0.05]
LTHP x Fair	0.01	[-0.49, 0.5]	0.48	[0.04, 0.93]	-0.58	[-1.12, -0.04]	0.42	[-0.24, 1.07]
LTHP x Good	0.02	[-0.45, 0.5]	0.37	[-0.05, 0.79]	-0.41	[-0.93, 0.11]	0.51	[-0.13, 1.15]
LTHP x Very Good	0.02	[-0.47, 0.5]	0.46	[0.03, 0.89]	-0.64	[-1.19, -0.1]	0.29	[-0.39, 0.96]
LTHP x Excellent	0.13	[-0.37, 0.63]	0.41	[-0.04, 0.86]	-0.51	[-1.11, 0.09]	0.12	[-0.63, 0.87]
LTHP x CtL	-0.08	[-0.25, 0.09]	-0.04	[-0.19, 0.12]	-0.14	[-0.38, 0.09]	-0.22	[-0.5, 0.07]
LTHP x SC	0.19	[0, 0.37]	0.04	[-0.13, 0.21]	-0.13	[-0.39, 0.13]	-0.02	[-0.33, 0.3]
LTHP x PIO	0.08	[-0.11, 0.27]	-0.01	[-0.18, 0.17]	0.01	[-0.27, 0.29]	0.69	[0.31, 1.08]
LTHP x FCS	0.03	[-0.15, 0.2]	0.01	[-0.15, 0.18]	0.22	[-0.03, 0.47]	-0.24	[-0.58, 0.09]
LTHP x TSS	-0.17	[-0.34, 0.01]	0.02	[-0.14, 0.18]	0.13	[-0.13, 0.39]	0.12	[-0.22, 0.46]
LTHP x Emp	-0.09	[-0.28, 0.1]	0.02	[-0.16, 0.19]	-0.10	[-0.36, 0.17]	0.11	[-0.22, 0.43]

	AAPI
	2013		2016		2019		2022
Variable	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI
Intercept	2.98	[2.62, 3.35]	3.12	[2.84, 3.4]	2.97	[2.72, 3.23]	3.20	[2.93, 3.47]
LTHP	0.44	[-0.4, 1.29]	-0.37	[-0.96, 0.22]	-0.75	[-1.41, -0.09]	-0.35	[-0.94, 0.24]
Age	-0.06	[-0.08, -0.03]	-0.05	[-0.07, -0.04]	-0.02	[-0.04, 0]	-0.03	[-0.05, -0.01]
Female	0.18	[0.12, 0.24]	0.19	[0.14, 0.24]	0.18	[0.12, 0.23]	0.10	[0.04, 0.16]
IEP	-0.39	[-0.54, -0.24]	-0.66	[-0.77, -0.55]	-0.49	[-0.6, -0.38]	-0.33	[-0.47, -0.19]
Overweight	-0.16	[-0.26, -0.06]	-0.21	[-0.29, -0.13]	-0.14	[-0.22, -0.05]	-0.07	[-0.16, 0.03]
Obese	-0.17	[-0.3, -0.04]	-0.23	[-0.35, -0.12]	-0.17	[-0.28, -0.07]	-0.28	[-0.39, -0.16]
Fair	0.06	[-0.3, 0.41]	0.01	[-0.27, 0.29]	-0.14	[-0.38, 0.11]	0.01	[-0.24, 0.26]
Good	-0.02	[-0.36, 0.33]	0.06	[-0.21, 0.32]	0.11	[-0.13, 0.34]	0.09	[-0.15, 0.33]
Very Good	-0.03	[-0.38, 0.31]	0.16	[-0.1, 0.43]	0.15	[-0.09, 0.38]	0.17	[-0.07, 0.41]
Excellent	0.03	[-0.32, 0.38]	0.21	[-0.06, 0.48]	0.15	[-0.09, 0.39]	0.10	[-0.15, 0.35]
CtL	0.50	[0.41, 0.59]	0.45	[0.37, 0.52]	0.40	[0.33, 0.47]	0.40	[0.33, 0.47]
SC	0.17	[0.09, 0.25]	0.11	[0.04, 0.17]	0.23	[0.16, 0.3]	0.17	[0.1, 0.24]
PIO	0.04	[-0.03, 0.11]	0.02	[-0.05, 0.08]	0.00	[-0.06, 0.07]	-0.02	[-0.09, 0.05]
FCS	-0.01	[-0.08, 0.06]	-0.09	[-0.15, -0.03]	-0.04	[-0.11, 0.03]	-0.04	[-0.11, 0.03]
TSS	0.10	[0.03, 0.17]	0.04	[-0.02, 0.1]	0.05	[-0.01, 0.11]	0.06	[-0.01, 0.12]
Emp	0.13	[0.04, 0.21]	0.10	[0.03, 0.17]	0.10	[0.02, 0.17]	0.08	[0, 0.15]
LTHP x Age	0.00	[-0.07, 0.06]	-0.04	[-0.1, 0.02]	-0.01	[-0.07, 0.05]	0.06	[-0.01, 0.12]
LTHP x Female	-0.01	[-0.19, 0.18]	-0.03	[-0.19, 0.12]	-0.07	[-0.23, 0.09]	-0.06	[-0.24, 0.11]
LTHP x IEP	-0.22	[-0.59, 0.14]	0.30	[0.02, 0.57]	-0.12	[-0.38, 0.14]	-0.07	[-0.4, 0.26]
LTHP x Overweight	-0.11	[-0.39, 0.16]	0.00	[-0.22, 0.22]	0.10	[-0.15, 0.34]	-0.02	[-0.3, 0.25]
LTHP x Obese	-0.21	[-0.59, 0.18]	0.04	[-0.26, 0.34]	-0.15	[-0.45, 0.15]	-0.10	[-0.4, 0.2]
LTHP x Fair	-0.39	[-1.22, 0.44]	0.22	[-0.33, 0.76]	1.13	[0.51, 1.75]	-0.03	[-0.52, 0.46]
LTHP x Good	-0.28	[-1.08, 0.52]	0.45	[-0.06, 0.96]	0.65	[0.06, 1.25]	0.17	[-0.3, 0.64]
LTHP x Very Good	-0.21	[-1.01, 0.59]	0.38	[-0.13, 0.9]	0.79	[0.19, 1.39]	0.32	[-0.16, 0.81]
LTHP x Excellent	-0.33	[-1.13, 0.48]	0.35	[-0.18, 0.88]	0.92	[0.31, 1.54]	0.28	[-0.24, 0.79]
LTHP x CtL	-0.06	[-0.31, 0.19]	0.13	[-0.07, 0.33]	0.06	[-0.13, 0.26]	0.04	[-0.18, 0.25]
LTHP x SC	-0.04	[-0.27, 0.18]	0.16	[-0.02, 0.35]	0.02	[-0.17, 0.22]	-0.02	[-0.23, 0.18]
LTHP x PIO	0.13	[-0.09, 0.36]	-0.07	[-0.25, 0.11]	0.03	[-0.16, 0.23]	0.06	[-0.16, 0.28]
LTHP x FCS	-0.06	[-0.28, 0.16]	-0.26	[-0.44, -0.08]	0.07	[-0.13, 0.26]	0.02	[-0.18, 0.22]
LTHP x TSS	-0.07	[-0.28, 0.15]	0.16	[-0.02, 0.33]	0.10	[-0.08, 0.28]	-0.31	[-0.51, -0.11]
LTHP x Emp	0.02	[-0.23, 0.26]	0.02	[-0.19, 0.23]	-0.17	[-0.39, 0.04]	-0.03	[-0.25, 0.19]

	Black
	2013		2016		2019		2022
Variable	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI
Intercept	2.21	[1.81, 2.62]	2.24	[1.91, 2.57]	2.06	[1.66, 2.46]	2.69	[2.34, 3.03]
LTHP	-0.90	[-1.68, -0.11]	-1.53	[-2.38, -0.68]	0.44	[-0.28, 1.16]	-0.44	[-1.17, 0.29]
Age	-0.04	[-0.07, -0.01]	-0.05	[-0.07, -0.02]	-0.04	[-0.07, -0.02]	-0.07	[-0.1, -0.04]
Female	0.24	[0.16, 0.32]	0.28	[0.21, 0.35]	0.29	[0.22, 0.37]	0.23	[0.14, 0.31]
IEP	-0.36	[-0.48, -0.23]	-0.34	[-0.44, -0.24]	-0.39	[-0.51, -0.27]	-0.32	[-0.45, -0.18]
Overweight	-0.10	[-0.2, 0]	-0.10	[-0.19, -0.01]	-0.05	[-0.15, 0.05]	-0.11	[-0.21, 0]
Obese	-0.24	[-0.37, -0.12]	-0.13	[-0.24, -0.03]	-0.07	[-0.18, 0.04]	-0.21	[-0.32, -0.1]
Fair	-0.01	[-0.41, 0.38]	-0.14	[-0.47, 0.18]	0.23	[-0.16, 0.62]	0.00	[-0.33, 0.32]
Good	0.23	[-0.15, 0.61]	0.11	[-0.19, 0.42]	0.44	[0.08, 0.81]	0.21	[-0.1, 0.52]
Very Good	0.27	[-0.11, 0.65]	0.20	[-0.11, 0.5]	0.64	[0.27, 1.01]	0.35	[0.04, 0.66]
Excellent	0.21	[-0.17, 0.59]	0.22	[-0.09, 0.52]	0.70	[0.32, 1.07]	0.34	[0.02, 0.65]
CtL	0.47	[0.38, 0.57]	0.47	[0.39, 0.55]	0.51	[0.43, 0.6]	0.53	[0.45, 0.62]
SC	0.16	[0.06, 0.25]	0.26	[0.17, 0.34]	0.19	[0.1, 0.28]	0.19	[0.1, 0.28]
PIO	0.05	[-0.05, 0.15]	0.02	[-0.06, 0.11]	0.02	[-0.08, 0.11]	-0.05	[-0.15, 0.05]
FCS	-0.03	[-0.12, 0.05]	0.03	[-0.05, 0.1]	-0.06	[-0.15, 0.03]	0.04	[-0.05, 0.14]
TSS	0.18	[0.09, 0.26]	0.05	[-0.02, 0.13]	0.11	[0.03, 0.2]	0.11	[0.01, 0.2]
Emp	0.02	[-0.09, 0.12]	0.07	[-0.02, 0.16]	-0.05	[-0.15, 0.05]	-0.07	[-0.17, 0.03]
LTHP x Age	0.00	[-0.07, 0.07]	0.02	[-0.04, 0.08]	-0.05	[-0.12, 0.01]	-0.04	[-0.12, 0.04]
LTHP x Female	0.02	[-0.17, 0.21]	0.03	[-0.13, 0.2]	0.12	[-0.07, 0.31]	0.02	[-0.2, 0.25]
LTHP x IEP	-0.09	[-0.34, 0.16]	0.13	[-0.07, 0.33]	0.08	[-0.17, 0.33]	0.15	[-0.14, 0.43]
LTHP x Overweight	-0.02	[-0.27, 0.22]	0.15	[-0.05, 0.36]	-0.15	[-0.4, 0.1]	-0.06	[-0.32, 0.2]
LTHP x Obese	0.09	[-0.16, 0.34]	0.13	[-0.1, 0.36]	-0.16	[-0.42, 0.1]	0.08	[-0.19, 0.35]
LTHP x Fair	0.94	[0.2, 1.68]	1.28	[0.48, 2.08]	-0.20	[-0.84, 0.45]	0.58	[-0.04, 1.2]
LTHP x Good	0.86	[0.15, 1.58]	1.25	[0.47, 2.03]	-0.24	[-0.86, 0.37]	0.45	[-0.14, 1.04]
LTHP x Very Good	0.86	[0.13, 1.58]	1.19	[0.41, 1.98]	-0.25	[-0.87, 0.37]	0.26	[-0.35, 0.86]
LTHP x Excellent	0.90	[0.16, 1.63]	1.36	[0.56, 2.15]	-0.28	[-0.92, 0.36]	0.27	[-0.37, 0.92]
LTHP x CtL	-0.19	[-0.4, 0.03]	0.09	[-0.11, 0.29]	-0.01	[-0.22, 0.19]	0.22	[-0.01, 0.44]
LTHP x SC	0.07	[-0.15, 0.29]	0.05	[-0.15, 0.24]	0.04	[-0.18, 0.27]	0.12	[-0.12, 0.36]
LTHP x PIO	0.15	[-0.09, 0.38]	0.10	[-0.09, 0.29]	-0.06	[-0.29, 0.17]	-0.02	[-0.28, 0.25]
LTHP x FCS	0.00	[-0.22, 0.22]	-0.06	[-0.25, 0.12]	0.04	[-0.17, 0.25]	-0.19	[-0.43, 0.06]
LTHP x TSS	-0.27	[-0.48, -0.06]	0.11	[-0.07, 0.29]	-0.05	[-0.26, 0.16]	-0.06	[-0.31, 0.18]
LTHP x Emp	0.16	[-0.08, 0.4]	-0.15	[-0.36, 0.06]	-0.01	[-0.24, 0.22]	0.11	[-0.14, 0.37]

	MultiRacial
	2013		2016		2019		2022
Variable	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI
Intercept	1.99	[1.56, 2.41]	2.59	[2.25, 2.93]	2.82	[2.48, 3.16]	2.53	[2.22, 2.84]
LTHP	-0.01	[-0.68, 0.65]	-0.58	[-1.17, 0.01]	-0.58	[-1.17, 0.02]	-0.89	[-1.52, -0.27]
Age	-0.05	[-0.08, -0.02]	-0.03	[-0.05, 0]	-0.05	[-0.08, -0.02]	-0.02	[-0.05, 0.01]
Female	0.19	[0.11, 0.26]	0.19	[0.13, 0.26]	0.20	[0.12, 0.28]	0.14	[0.06, 0.22]
IEP	-0.62	[-0.77, -0.48]	-0.54	[-0.66, -0.42]	-0.64	[-0.78, -0.5]	-0.54	[-0.69, -0.39]
Overweight	-0.03	[-0.14, 0.08]	-0.05	[-0.14, 0.04]	-0.17	[-0.28, -0.05]	-0.15	[-0.26, -0.04]
Obese	-0.15	[-0.28, -0.02]	-0.13	[-0.23, -0.02]	-0.38	[-0.51, -0.25]	-0.22	[-0.35, -0.1]
Fair	0.26	[-0.16, 0.68]	-0.17	[-0.51, 0.16]	0.07	[-0.25, 0.38]	0.14	[-0.14, 0.42]
Good	0.45	[0.06, 0.85]	-0.03	[-0.35, 0.29]	0.04	[-0.26, 0.34]	0.31	[0.04, 0.57]
Very Good	0.63	[0.24, 1.03]	0.10	[-0.22, 0.43]	0.24	[-0.06, 0.54]	0.42	[0.15, 0.69]
Excellent	0.63	[0.23, 1.03]	0.18	[-0.15, 0.5]	0.29	[-0.01, 0.6]	0.46	[0.18, 0.74]
CtL	0.52	[0.43, 0.62]	0.48	[0.4, 0.56]	0.44	[0.35, 0.53]	0.52	[0.43, 0.61]
SC	0.26	[0.17, 0.35]	0.19	[0.11, 0.27]	0.15	[0.06, 0.25]	0.21	[0.11, 0.3]
PIO	0.05	[-0.04, 0.14]	-0.01	[-0.09, 0.07]	0.04	[-0.06, 0.13]	-0.10	[-0.2, 0]
FCS	0.08	[-0.01, 0.17]	-0.05	[-0.12, 0.03]	-0.09	[-0.19, 0]	0.00	[-0.09, 0.1]
TSS	0.12	[0.03, 0.2]	0.14	[0.07, 0.21]	0.12	[0.03, 0.21]	0.10	[0.01, 0.2]
Emp	0.13	[0.03, 0.23]	0.11	[0.02, 0.2]	0.13	[0.02, 0.23]	0.09	[-0.01, 0.19]
LTHP x Age	0.08	[0.01, 0.15]	0.04	[-0.02, 0.09]	0.00	[-0.07, 0.06]	0.04	[-0.03, 0.11]
LTHP x Female	0.07	[-0.11, 0.24]	0.01	[-0.14, 0.15]	0.09	[-0.08, 0.27]	0.08	[-0.13, 0.28]
LTHP x IEP	0.31	[0.02, 0.61]	0.10	[-0.11, 0.32]	0.01	[-0.25, 0.27]	0.04	[-0.25, 0.34]
LTHP x Overweight	-0.14	[-0.39, 0.11]	-0.08	[-0.29, 0.13]	-0.04	[-0.27, 0.19]	-0.01	[-0.28, 0.26]
LTHP x Obese	-0.04	[-0.31, 0.22]	-0.08	[-0.3, 0.15]	0.24	[-0.02, 0.49]	0.01	[-0.27, 0.29]
LTHP x Fair	-0.47	[-1.07, 0.13]	0.36	[-0.21, 0.93]	0.16	[-0.37, 0.69]	0.59	[0.07, 1.11]
LTHP x Good	-0.36	[-0.92, 0.21]	0.38	[-0.16, 0.92]	0.44	[-0.05, 0.94]	0.63	[0.14, 1.12]
LTHP x Very Good	-0.42	[-0.99, 0.15]	0.30	[-0.24, 0.84]	0.23	[-0.27, 0.73]	0.44	[-0.07, 0.95]
LTHP x Excellent	-0.49	[-1.08, 0.09]	0.34	[-0.22, 0.9]	0.25	[-0.29, 0.78]	0.66	[0.1, 1.23]
LTHP x CtL	-0.03	[-0.23, 0.17]	0.06	[-0.12, 0.24]	0.28	[0.08, 0.49]	0.17	[-0.04, 0.38]
LTHP x SC	0.10	[-0.12, 0.31]	0.03	[-0.15, 0.2]	0.11	[-0.09, 0.31]	0.00	[-0.23, 0.23]
LTHP x PIO	0.00	[-0.21, 0.21]	0.14	[-0.04, 0.32]	-0.10	[-0.32, 0.11]	-0.02	[-0.28, 0.24]
LTHP x FCS	-0.21	[-0.42, 0]	0.04	[-0.14, 0.22]	0.03	[-0.17, 0.24]	-0.04	[-0.28, 0.2]
LTHP x TSS	0.01	[-0.2, 0.21]	-0.08	[-0.25, 0.09]	-0.04	[-0.24, 0.16]	-0.05	[-0.31, 0.21]
LTHP x Emp	0.07	[-0.16, 0.3]	-0.09	[-0.29, 0.1]	0.01	[-0.22, 0.23]	0.08	[-0.17, 0.32]

	Latino
	2013		2016		2019		2022
Variable	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI
Intercept	1.93	[1.64, 2.21]	1.93	[1.73, 2.14]	1.88	[1.63, 2.12]	2.13	[1.88, 2.38]
LTHP	0.11	[-0.42, 0.64]	-0.13	[-0.54, 0.29]	0.30	[-0.19, 0.8]	-0.13	[-0.64, 0.39]
Age	-0.02	[-0.04, 0]	-0.03	[-0.05, -0.01]	-0.02	[-0.04, 0]	-0.04	[-0.06, -0.01]
Female	0.24	[0.18, 0.3]	0.29	[0.24, 0.33]	0.30	[0.24, 0.35]	0.13	[0.06, 0.19]
IEP	-0.33	[-0.43, -0.24]	-0.31	[-0.38, -0.25]	-0.35	[-0.43, -0.26]	-0.37	[-0.47, -0.27]
Overweight	-0.10	[-0.17, -0.02]	-0.06	[-0.12, 0]	-0.08	[-0.15, 0]	-0.10	[-0.18, -0.02]
Obese	-0.23	[-0.31, -0.14]	-0.20	[-0.26, -0.14]	-0.19	[-0.27, -0.11]	-0.19	[-0.28, -0.11]
Fair	0.03	[-0.25, 0.3]	0.17	[-0.03, 0.37]	0.29	[0.06, 0.52]	0.25	[0.02, 0.48]
Good	0.08	[-0.19, 0.34]	0.22	[0.03, 0.42]	0.36	[0.14, 0.58]	0.42	[0.21, 0.64]
Very Good	0.28	[0.01, 0.54]	0.41	[0.21, 0.6]	0.52	[0.3, 0.74]	0.55	[0.33, 0.77]
Excellent	0.27	[0, 0.53]	0.43	[0.24, 0.63]	0.50	[0.27, 0.73]	0.54	[0.3, 0.77]
CtL	0.58	[0.51, 0.65]	0.55	[0.5, 0.61]	0.59	[0.52, 0.65]	0.57	[0.51, 0.64]
SC	0.21	[0.14, 0.27]	0.21	[0.16, 0.27]	0.22	[0.16, 0.29]	0.26	[0.19, 0.34]
PIO	0.10	[0.03, 0.17]	0.01	[-0.04, 0.07]	0.05	[-0.02, 0.12]	0.01	[-0.08, 0.09]
FCS	0.00	[-0.06, 0.07]	0.05	[0, 0.1]	0.05	[-0.01, 0.12]	0.11	[0.04, 0.19]
TSS	0.10	[0.03, 0.16]	0.08	[0.03, 0.13]	0.08	[0.02, 0.15]	0.01	[-0.06, 0.09]
Emp	0.06	[-0.01, 0.14]	0.06	[0, 0.12]	0.02	[-0.05, 0.09]	-0.01	[-0.09, 0.06]
LTHP x Age	-0.02	[-0.07, 0.04]	0.01	[-0.04, 0.05]	0.00	[-0.06, 0.05]	0.03	[-0.03, 0.09]
LTHP x Female	-0.01	[-0.16, 0.15]	-0.05	[-0.17, 0.06]	0.05	[-0.1, 0.2]	0.05	[-0.13, 0.22]
LTHP x IEP	-0.06	[-0.28, 0.16]	0.03	[-0.12, 0.17]	-0.06	[-0.25, 0.13]	0.18	[-0.04, 0.4]
LTHP x Overweight	0.06	[-0.13, 0.26]	0.05	[-0.1, 0.2]	-0.11	[-0.29, 0.07]	-0.17	[-0.4, 0.05]
LTHP x Obese	0.02	[-0.19, 0.24]	-0.01	[-0.16, 0.15]	0.02	[-0.17, 0.21]	0.04	[-0.17, 0.25]
LTHP x Fair	-0.20	[-0.68, 0.27]	0.08	[-0.29, 0.46]	-0.25	[-0.68, 0.19]	-0.10	[-0.51, 0.3]
LTHP x Good	0.00	[-0.44, 0.44]	0.18	[-0.17, 0.53]	-0.22	[-0.64, 0.2]	-0.18	[-0.57, 0.22]
LTHP x Very Good	-0.08	[-0.54, 0.37]	0.04	[-0.32, 0.39]	-0.30	[-0.73, 0.13]	0.04	[-0.38, 0.46]
LTHP x Excellent	0.08	[-0.39, 0.55]	0.00	[-0.37, 0.37]	-0.21	[-0.67, 0.25]	-0.10	[-0.57, 0.37]
LTHP x CtL	0.12	[-0.06, 0.29]	0.08	[-0.06, 0.21]	0.04	[-0.12, 0.2]	0.11	[-0.07, 0.29]
LTHP x SC	0.18	[-0.01, 0.37]	0.03	[-0.11, 0.17]	-0.09	[-0.26, 0.08]	-0.17	[-0.38, 0.04]
LTHP x PIO	-0.12	[-0.31, 0.07]	0.14	[-0.01, 0.28]	0.08	[-0.11, 0.26]	0.06	[-0.19, 0.3]
LTHP x FCS	0.03	[-0.15, 0.21]	-0.19	[-0.33, -0.05]	0.01	[-0.16, 0.18]	0.01	[-0.19, 0.21]
LTHP x TSS	-0.13	[-0.31, 0.05]	0.00	[-0.13, 0.14]	0.07	[-0.11, 0.25]	-0.17	[-0.38, 0.04]
LTHP x Emp	-0.11	[-0.3, 0.08]	0.00	[-0.15, 0.15]	-0.01	[-0.19, 0.17]	0.13	[-0.08, 0.34]

	Somali
	2013		2016		2019		2022
Variable	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI
Intercept	2.08	[1.36, 2.8]	2.45	[1.92, 2.98]	2.21	[1.65, 2.76]	2.70	[2.11, 3.29]
LTHP	0.51	[-0.96, 1.98]	-0.18	[-1.27, 0.9]	0.06	[-1.23, 1.34]	-0.55	[-1.96, 0.86]
Age	-0.06	[-0.11, -0.01]	-0.04	[-0.08, -0.01]	-0.02	[-0.06, 0.02]	-0.05	[-0.09, -0.01]
Female	0.24	[0.09, 0.39]	0.30	[0.19, 0.41]	0.30	[0.18, 0.41]	0.21	[0.09, 0.33]
IEP	-0.27	[-0.56, 0.02]	-0.16	[-0.36, 0.05]	-0.49	[-0.76, -0.23]	-0.50	[-0.82, -0.18]
Overweight	0.03	[-0.18, 0.24]	-0.08	[-0.26, 0.09]	-0.12	[-0.3, 0.07]	-0.14	[-0.3, 0.01]
Obese	0.03	[-0.25, 0.3]	-0.34	[-0.55, -0.13]	-0.34	[-0.56, -0.12]	0.13	[-0.06, 0.33]
Fair	-0.04	[-0.75, 0.67]	0.04	[-0.5, 0.57]	0.06	[-0.49, 0.62]	0.10	[-0.48, 0.67]
Good	0.40	[-0.27, 1.07]	0.15	[-0.34, 0.64]	0.28	[-0.23, 0.8]	0.22	[-0.33, 0.76]
Very Good	0.40	[-0.26, 1.05]	0.22	[-0.27, 0.71]	0.28	[-0.23, 0.79]	0.23	[-0.32, 0.78]
Excellent	0.27	[-0.39, 0.92]	0.29	[-0.2, 0.79]	0.21	[-0.31, 0.72]	0.32	[-0.24, 0.87]
CtL	0.49	[0.29, 0.7]	0.32	[0.16, 0.47]	0.56	[0.4, 0.72]	0.41	[0.27, 0.55]
SC	0.19	[-0.01, 0.39]	0.11	[-0.04, 0.26]	0.21	[0.06, 0.36]	0.09	[-0.05, 0.23]
PIO	0.04	[-0.15, 0.24]	0.03	[-0.12, 0.17]	0.08	[-0.08, 0.23]	0.23	[0.08, 0.37]
FCS	0.00	[-0.18, 0.18]	-0.09	[-0.22, 0.04]	-0.10	[-0.24, 0.05]	-0.12	[-0.27, 0.02]
TSS	0.11	[-0.05, 0.28]	0.08	[-0.04, 0.2]	0.05	[-0.08, 0.18]	0.03	[-0.1, 0.16]
Emp	0.19	[-0.04, 0.42]	0.11	[-0.06, 0.27]	-0.07	[-0.26, 0.11]	-0.08	[-0.24, 0.09]
LTHP x Age	-0.17	[-0.33, -0.02]	-0.03	[-0.15, 0.09]	-0.04	[-0.18, 0.09]	0.12	[-0.03, 0.27]
LTHP x Female	-0.03	[-0.48, 0.42]	-0.14	[-0.43, 0.15]	0.11	[-0.28, 0.5]	-0.20	[-0.58, 0.19]
LTHP x IEP	-0.11	[-0.74, 0.51]	-0.37	[-0.81, 0.07]	0.18	[-0.57, 0.93]	NA	[NA, NA]
LTHP x Overweight	0.75	[-0.25, 1.76]	0.09	[-0.31, 0.5]	0.67	[0.12, 1.21]	0.11	[-0.35, 0.57]
LTHP x Obese	-0.56	[-1.45, 0.33]	0.23	[-0.33, 0.79]	1.02	[0.36, 1.68]	-1.19	[-2.21, -0.16]
LTHP x Fair	0.66	[-0.66, 1.98]	-0.33	[-1.28, 0.61]	-0.32	[-1.47, 0.84]	0.03	[-1.18, 1.25]
LTHP x Good	0.40	[-0.89, 1.69]	-0.25	[-1.15, 0.64]	0.08	[-0.96, 1.13]	0.28	[-0.87, 1.42]
LTHP x Very Good	0.49	[-0.76, 1.75]	-0.39	[-1.29, 0.52]	-0.04	[-1.08, 0.99]	0.34	[-0.83, 1.51]
LTHP x Excellent	0.54	[-0.77, 1.84]	-0.41	[-1.34, 0.51]	0.24	[-0.82, 1.31]	0.04	[-1.19, 1.27]
LTHP x CtL	0.05	[-0.43, 0.53]	0.31	[-0.08, 0.71]	0.03	[-0.42, 0.48]	0.07	[-0.36, 0.5]
LTHP x SC	-0.83	[-1.46, -0.19]	0.06	[-0.33, 0.46]	0.06	[-0.43, 0.54]	0.14	[-0.27, 0.55]
LTHP x PIO	0.23	[-0.41, 0.87]	0.15	[-0.22, 0.53]	-0.36	[-0.77, 0.05]	-0.16	[-0.58, 0.27]
LTHP x FCS	0.17	[-0.4, 0.74]	-0.13	[-0.49, 0.24]	0.32	[-0.19, 0.84]	0.19	[-0.24, 0.62]
LTHP x TSS	-0.14	[-0.65, 0.38]	0.07	[-0.25, 0.39]	-0.11	[-0.51, 0.3]	-0.26	[-0.67, 0.16]
LTHP x Emp	0.12	[-0.48, 0.73]	0.43	[-0.01, 0.87]	-0.05	[-0.57, 0.46]	-0.12	[-0.6, 0.37]

	Hmong
	2013		2016		2019		2022
Variable	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI
Intercept	2.78	[2.45, 3.11]	3.05	[2.76, 3.34]	2.79	[2.41, 3.17]	3.24	[2.77, 3.72]
LTHP	0.45	[-0.44, 1.34]	-1.18	[-2.36, 0]	0.42	[-0.77, 1.62]	1.08	[-1.01, 3.17]
Age	-0.06	[-0.09, -0.03]	-0.11	[-0.14, -0.08]	-0.08	[-0.12, -0.05]	-0.10	[-0.14, -0.05]
Female	0.25	[0.18, 0.33]	0.30	[0.23, 0.38]	0.23	[0.13, 0.33]	0.04	[-0.08, 0.17]
IEP	-0.33	[-0.5, -0.15]	-0.42	[-0.57, -0.28]	-0.47	[-0.65, -0.29]	-0.65	[-0.97, -0.33]
Overweight	-0.03	[-0.13, 0.07]	-0.05	[-0.15, 0.04]	-0.04	[-0.17, 0.1]	-0.06	[-0.22, 0.1]
Obese	-0.16	[-0.27, -0.04]	-0.14	[-0.24, -0.04]	-0.26	[-0.4, -0.13]	-0.10	[-0.27, 0.06]
Fair	0.03	[-0.27, 0.32]	-0.14	[-0.4, 0.11]	0.18	[-0.16, 0.52]	0.04	[-0.38, 0.47]
Good	0.02	[-0.27, 0.31]	-0.07	[-0.31, 0.18]	0.33	[0, 0.66]	0.04	[-0.38, 0.45]
Very Good	0.10	[-0.19, 0.39]	0.03	[-0.22, 0.28]	0.38	[0.04, 0.72]	0.27	[-0.16, 0.69]
Excellent	0.02	[-0.29, 0.32]	0.00	[-0.26, 0.25]	0.37	[0.02, 0.73]	0.24	[-0.22, 0.7]
CtL	0.53	[0.41, 0.64]	0.52	[0.42, 0.62]	0.50	[0.38, 0.62]	0.51	[0.37, 0.65]
SC	0.15	[0.06, 0.23]	0.16	[0.07, 0.25]	0.08	[-0.03, 0.2]	0.07	[-0.08, 0.22]
PIO	0.05	[-0.04, 0.14]	0.04	[-0.05, 0.13]	0.10	[-0.02, 0.22]	0.07	[-0.09, 0.23]
FCS	-0.06	[-0.15, 0.03]	-0.06	[-0.15, 0.02]	-0.06	[-0.17, 0.05]	-0.05	[-0.21, 0.1]
TSS	0.07	[-0.02, 0.15]	0.05	[-0.03, 0.14]	0.01	[-0.11, 0.12]	0.08	[-0.07, 0.23]
Emp	-0.02	[-0.11, 0.07]	0.07	[-0.02, 0.16]	0.07	[-0.05, 0.19]	-0.05	[-0.2, 0.1]
LTHP x Age	-0.04	[-0.15, 0.07]	0.09	[-0.02, 0.2]	-0.04	[-0.19, 0.1]	-0.15	[-0.34, 0.03]
LTHP x Female	-0.11	[-0.44, 0.22]	0.00	[-0.29, 0.28]	0.19	[-0.21, 0.59]	-0.31	[-0.85, 0.24]
LTHP x IEP	0.37	[-0.13, 0.86]	-0.15	[-0.57, 0.26]	-0.11	[-0.65, 0.44]	0.98	[-0.08, 2.03]
LTHP x Overweight	0.00	[-0.54, 0.55]	0.23	[-0.15, 0.6]	-0.06	[-0.55, 0.43]	0.16	[-0.49, 0.81]
LTHP x Obese	0.09	[-0.3, 0.49]	-0.12	[-0.49, 0.24]	-0.19	[-0.67, 0.28]	-0.26	[-0.86, 0.35]
LTHP x Fair	0.07	[-0.63, 0.77]	0.70	[-0.21, 1.6]	0.05	[-0.92, 1.02]	-0.54	[-2.46, 1.37]
LTHP x Good	0.20	[-0.49, 0.89]	0.99	[0.12, 1.86]	0.03	[-0.89, 0.95]	-0.84	[-2.72, 1.03]
LTHP x Very Good	0.30	[-0.39, 0.99]	0.89	[-0.02, 1.8]	0.08	[-0.87, 1.03]	-0.71	[-2.68, 1.26]
LTHP x Excellent	0.42	[-0.36, 1.2]	1.09	[0.14, 2.03]	-0.73	[-1.82, 0.35]	-1.38	[-3.53, 0.78]
LTHP x CtL	-0.55	[-1.02, -0.09]	-0.12	[-0.51, 0.27]	-0.28	[-0.7, 0.15]	0.43	[-0.21, 1.06]
LTHP x SC	0.21	[-0.17, 0.6]	-0.10	[-0.45, 0.25]	-0.03	[-0.48, 0.43]	0.41	[-0.22, 1.05]
LTHP x PIO	0.07	[-0.33, 0.46]	-0.23	[-0.59, 0.12]	0.05	[-0.55, 0.64]	-0.40	[-1.15, 0.34]
LTHP x FCS	-0.12	[-0.5, 0.26]	0.30	[-0.04, 0.64]	0.06	[-0.4, 0.53]	0.23	[-0.37, 0.83]
LTHP x TSS	0.00	[-0.38, 0.38]	-0.14	[-0.45, 0.17]	0.24	[-0.22, 0.7]	-0.06	[-0.71, 0.59]
LTHP x Emp	-0.04	[-0.45, 0.37]	0.06	[-0.29, 0.41]	-0.16	[-0.64, 0.32]	-0.15	[-0.78, 0.47]

3.2 Results of Logistic Regression

• Long term health problems do not seem to predict whether a student is identified as being ‘equipped’ with a SEL competency regardless of race and year of administration.

• Students who did report having Excellent self reported general health where associated with much larger likelihoods of being ‘Equipped’ across all SEL measures, and this pattern was consistent across years and racial/ethnic identity.

	White
	2013		2016		2019		2022
Variable	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI
Commitment to Learning
Intercept	-0.26	[-0.44, -0.08]	-0.22	[-0.39, -0.05]	-0.78	[-0.95, -0.62]	-1.09	[-1.27, -0.91]
LTHP	0.09	[0.04, 0.13]	0.10	[0.05, 0.14]	0.11	[0.06, 0.16]	0.05	[0, 0.11]
Age	-0.07	[-0.08, -0.06]	-0.08	[-0.1, -0.07]	-0.03	[-0.04, -0.01]	-0.02	[-0.04, -0.01]
Female	0.54	[0.5, 0.57]	0.55	[0.51, 0.59]	0.57	[0.54, 0.61]	0.54	[0.5, 0.58]
IEP	-0.29	[-0.35, -0.23]	-0.33	[-0.38, -0.27]	-0.25	[-0.31, -0.19]	-0.26	[-0.32, -0.19]
Fair	0.42	[0.24, 0.6]	0.45	[0.29, 0.62]	0.39	[0.24, 0.55]	0.33	[0.16, 0.5]
Good	1.00	[0.83, 1.17]	1.00	[0.85, 1.16]	0.98	[0.83, 1.12]	0.94	[0.78, 1.1]
Very Good	1.72	[1.55, 1.89]	1.77	[1.61, 1.93]	1.74	[1.59, 1.89]	1.65	[1.49, 1.81]
Excellent	2.16	[1.99, 2.33]	2.27	[2.11, 2.43]	2.24	[2.09, 2.4]	2.23	[2.06, 2.4]
Overweight	0.05	[0, 0.1]	-0.02	[-0.08, 0.03]	0.03	[-0.03, 0.08]	-0.04	[-0.1, 0.01]
Obese	0.18	[0.12, 0.24]	0.07	[0.02, 0.13]	0.06	[0, 0.13]	0.02	[-0.04, 0.08]
Social Competency
Intercept	-0.76	[-0.96, -0.56]	-0.86	[-1.06, -0.68]	-1.37	[-1.56, -1.18]	-1.83	[-2.05, -1.61]
LTHP	0.06	[0.01, 0.1]	0.09	[0.05, 0.14]	0.10	[0.05, 0.15]	0.10	[0.04, 0.16]
Age	-0.09	[-0.1, -0.08]	-0.10	[-0.11, -0.09]	-0.05	[-0.07, -0.04]	-0.01	[-0.03, 0]
Female	0.55	[0.51, 0.58]	0.43	[0.4, 0.46]	0.50	[0.47, 0.54]	0.45	[0.41, 0.49]
IEP	-0.35	[-0.41, -0.29]	-0.34	[-0.4, -0.29]	-0.31	[-0.36, -0.25]	-0.31	[-0.38, -0.25]
Fair	0.32	[0.12, 0.52]	0.36	[0.17, 0.56]	0.46	[0.28, 0.65]	0.41	[0.2, 0.63]
Good	0.78	[0.59, 0.98]	0.96	[0.78, 1.14]	1.13	[0.95, 1.3]	1.15	[0.95, 1.36]
Very Good	1.57	[1.38, 1.76]	1.82	[1.65, 2.01]	2.01	[1.84, 2.19]	2.00	[1.8, 2.21]
Excellent	2.29	[2.09, 2.48]	2.58	[2.4, 2.77]	2.78	[2.6, 2.96]	2.78	[2.58, 2.99]
Overweight	-0.04	[-0.09, 0.01]	-0.06	[-0.11, -0.01]	-0.02	[-0.07, 0.03]	-0.09	[-0.14, -0.03]
Obese	0.02	[-0.04, 0.08]	0.04	[-0.02, 0.09]	0.00	[-0.06, 0.06]	-0.07	[-0.13, 0]
Positive Identity & Outlook
Intercept	-1.11	[-1.36, -0.88]	-1.20	[-1.44, -0.96]	-1.93	[-2.19, -1.68]	-2.24	[-2.59, -1.92]
LTHP	-0.06	[-0.1, -0.02]	-0.02	[-0.06, 0.02]	-0.01	[-0.06, 0.04]	-0.01	[-0.08, 0.05]
Age	-0.06	[-0.07, -0.05]	-0.09	[-0.1, -0.07]	-0.04	[-0.05, -0.02]	-0.05	[-0.07, -0.04]
Female	-0.34	[-0.37, -0.3]	-0.40	[-0.43, -0.37]	-0.42	[-0.46, -0.39]	-0.58	[-0.62, -0.54]
IEP	-0.35	[-0.41, -0.29]	-0.36	[-0.42, -0.3]	-0.20	[-0.26, -0.14]	-0.12	[-0.2, -0.05]
Fair	0.34	[0.11, 0.58]	0.29	[0.05, 0.53]	0.27	[0.02, 0.54]	0.14	[-0.2, 0.5]
Good	0.96	[0.74, 1.2]	1.08	[0.85, 1.32]	1.25	[1.01, 1.51]	1.16	[0.85, 1.5]
Very Good	1.81	[1.58, 2.04]	2.05	[1.82, 2.28]	2.31	[2.07, 2.57]	2.30	[1.98, 2.64]
Excellent	2.69	[2.47, 2.93]	3.03	[2.81, 3.27]	3.33	[3.09, 3.59]	3.36	[3.05, 3.7]
Overweight	0.06	[0.01, 0.1]	0.01	[-0.04, 0.05]	0.03	[-0.03, 0.08]	-0.03	[-0.09, 0.04]
Obese	0.08	[0.02, 0.14]	0.08	[0.02, 0.14]	0.05	[-0.02, 0.11]	0.06	[-0.02, 0.14]
Family & Community Support
Intercept	-0.67	[-0.87, -0.47]	-0.65	[-0.84, -0.46]	-1.08	[-1.27, -0.89]	-1.32	[-1.54, -1.1]
LTHP	-0.06	[-0.11, -0.02]	-0.07	[-0.12, -0.03]	-0.02	[-0.07, 0.03]	0.00	[-0.06, 0.06]
Age	-0.07	[-0.08, -0.06]	-0.08	[-0.09, -0.07]	-0.05	[-0.07, -0.04]	-0.06	[-0.07, -0.04]
Female	0.12	[0.08, 0.15]	0.03	[0, 0.07]	-0.02	[-0.06, 0.02]	-0.15	[-0.19, -0.11]
IEP	-0.17	[-0.22, -0.11]	-0.20	[-0.25, -0.14]	-0.12	[-0.18, -0.06]	-0.07	[-0.13, 0]
Fair	0.35	[0.16, 0.55]	0.44	[0.26, 0.63]	0.55	[0.37, 0.74]	0.53	[0.32, 0.75]
Good	1.02	[0.83, 1.21]	1.17	[1, 1.35]	1.40	[1.22, 1.57]	1.38	[1.18, 1.59]
Very Good	1.77	[1.59, 1.96]	2.05	[1.88, 2.23]	2.34	[2.17, 2.52]	2.27	[2.07, 2.48]
Excellent	2.40	[2.21, 2.59]	2.72	[2.55, 2.9]	3.04	[2.86, 3.22]	3.04	[2.84, 3.26]
Overweight	0.00	[-0.05, 0.05]	-0.03	[-0.08, 0.02]	-0.07	[-0.13, -0.02]	-0.13	[-0.19, -0.07]
Obese	0.08	[0.02, 0.13]	0.02	[-0.04, 0.07]	-0.01	[-0.07, 0.05]	-0.07	[-0.14, -0.01]
Teacher & School Support
Intercept	-1.26	[-1.48, -1.05]	-1.07	[-1.28, -0.88]	-1.86	[-2.07, -1.66]	-2.00	[-2.25, -1.77]
LTHP	0.01	[-0.03, 0.05]	-0.03	[-0.08, 0.01]	-0.03	[-0.07, 0.02]	0.00	[-0.06, 0.05]
Age	-0.04	[-0.06, -0.03]	-0.07	[-0.08, -0.06]	0.01	[-0.01, 0.02]	-0.01	[-0.02, 0.01]
Female	0.08	[0.05, 0.11]	-0.03	[-0.06, 0]	-0.04	[-0.08, -0.01]	-0.19	[-0.23, -0.15]
IEP	0.23	[0.17, 0.28]	0.19	[0.13, 0.24]	0.26	[0.21, 0.32]	0.35	[0.28, 0.41]
Fair	0.35	[0.13, 0.57]	0.33	[0.13, 0.53]	0.43	[0.23, 0.64]	0.41	[0.18, 0.66]
Good	0.78	[0.57, 0.99]	0.78	[0.59, 0.97]	0.97	[0.78, 1.16]	1.03	[0.81, 1.27]
Very Good	1.41	[1.2, 1.62]	1.44	[1.25, 1.64]	1.69	[1.5, 1.88]	1.69	[1.47, 1.93]
Excellent	1.86	[1.66, 2.08]	1.97	[1.78, 2.17]	2.23	[2.04, 2.43]	2.25	[2.03, 2.49]
Overweight	0.05	[0.01, 0.1]	0.07	[0.02, 0.11]	0.07	[0.02, 0.12]	0.04	[-0.02, 0.1]
Obese	0.19	[0.13, 0.25]	0.17	[0.12, 0.22]	0.23	[0.17, 0.29]	0.18	[0.11, 0.25]
Empowerment
Intercept	-0.66	[-0.86, -0.47]	-0.80	[-0.99, -0.61]	-1.01	[-1.2, -0.83]	-0.98	[-1.19, -0.78]
LTHP	-0.09	[-0.14, -0.04]	-0.06	[-0.11, -0.01]	-0.08	[-0.14, -0.03]	-0.03	[-0.09, 0.04]
Age	0.02	[0.01, 0.04]	0.01	[0, 0.02]	0.03	[0.01, 0.04]	0.01	[-0.01, 0.02]
Female	-0.13	[-0.17, -0.09]	-0.18	[-0.22, -0.14]	-0.27	[-0.31, -0.23]	-0.44	[-0.49, -0.4]
IEP	-0.44	[-0.5, -0.37]	-0.45	[-0.51, -0.39]	-0.35	[-0.41, -0.29]	-0.30	[-0.37, -0.22]
Fair	0.51	[0.32, 0.7]	0.62	[0.44, 0.81]	0.59	[0.42, 0.77]	0.49	[0.3, 0.68]
Good	1.25	[1.07, 1.43]	1.43	[1.26, 1.61]	1.51	[1.35, 1.68]	1.38	[1.2, 1.57]
Very Good	2.19	[2.01, 2.37]	2.47	[2.29, 2.64]	2.58	[2.41, 2.75]	2.47	[2.29, 2.66]
Excellent	2.92	[2.73, 3.11]	3.29	[3.11, 3.47]	3.44	[3.27, 3.61]	3.35	[3.16, 3.54]
Overweight	0.03	[-0.03, 0.08]	-0.04	[-0.09, 0.02]	0.01	[-0.04, 0.07]	0.06	[0, 0.13]
Obese	0.10	[0.03, 0.16]	0.08	[0.02, 0.14]	0.03	[-0.04, 0.1]	0.01	[-0.06, 0.08]

	AmIn
	2013		2016		2019		2022
Variable	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI
Commitment to Learning
Intercept	-0.15	[-0.66, 0.35]	-0.71	[-1.21, -0.22]	-1.00	[-1.62, -0.41]	-1.37	[-2.12, -0.66]
LTHP	-0.01	[-0.16, 0.14]	0.01	[-0.13, 0.16]	0.13	[-0.07, 0.34]	0.06	[-0.17, 0.29]
Age	-0.03	[-0.07, 0.02]	0.00	[-0.05, 0.04]	-0.03	[-0.09, 0.03]	0.04	[-0.04, 0.11]
Female	0.25	[0.13, 0.38]	0.32	[0.2, 0.45]	0.40	[0.23, 0.57]	0.25	[0.07, 0.44]
IEP	-0.40	[-0.57, -0.23]	-0.20	[-0.36, -0.03]	-0.21	[-0.42, -0.01]	0.07	[-0.17, 0.3]
Fair	0.13	[-0.32, 0.59]	0.32	[-0.13, 0.78]	0.62	[0.09, 1.17]	0.30	[-0.32, 0.97]
Good	0.64	[0.2, 1.07]	0.87	[0.45, 1.31]	1.04	[0.54, 1.58]	0.84	[0.24, 1.48]
Very Good	1.05	[0.61, 1.49]	1.54	[1.11, 1.99]	1.65	[1.14, 2.18]	1.43	[0.83, 2.08]
Excellent	1.35	[0.9, 1.8]	1.95	[1.51, 2.41]	2.07	[1.54, 2.63]	1.79	[1.16, 2.47]
Overweight	-0.02	[-0.18, 0.15]	-0.03	[-0.19, 0.13]	0.03	[-0.19, 0.25]	0.03	[-0.21, 0.28]
Obese	0.13	[-0.06, 0.31]	0.25	[0.07, 0.42]	0.26	[0.04, 0.48]	-0.02	[-0.25, 0.21]
Social Competency
Intercept	-1.43	[-2.07, -0.83]	-1.03	[-1.57, -0.51]	-2.33	[-3.27, -1.53]	-2.43	[-3.71, -1.41]
LTHP	0.06	[-0.09, 0.21]	0.15	[0.01, 0.3]	0.05	[-0.17, 0.26]	-0.09	[-0.37, 0.18]
Age	-0.04	[-0.09, 0.01]	-0.05	[-0.09, 0]	-0.02	[-0.09, 0.04]	0.02	[-0.06, 0.11]
Female	0.30	[0.18, 0.43]	0.23	[0.11, 0.35]	0.16	[-0.01, 0.33]	0.00	[-0.21, 0.21]
IEP	-0.12	[-0.3, 0.06]	-0.12	[-0.29, 0.04]	-0.12	[-0.34, 0.09]	-0.08	[-0.35, 0.18]
Fair	0.35	[-0.21, 0.97]	-0.29	[-0.79, 0.24]	1.06	[0.31, 1.97]	0.59	[-0.37, 1.83]
Good	0.80	[0.26, 1.39]	0.31	[-0.15, 0.8]	1.60	[0.88, 2.48]	1.30	[0.37, 2.51]
Very Good	1.61	[1.07, 2.2]	1.21	[0.75, 1.7]	2.42	[1.69, 3.3]	2.05	[1.12, 3.26]
Excellent	2.03	[1.48, 2.62]	1.89	[1.42, 2.39]	2.86	[2.12, 3.76]	2.66	[1.72, 3.89]
Overweight	-0.06	[-0.23, 0.1]	0.08	[-0.08, 0.23]	0.03	[-0.19, 0.25]	-0.10	[-0.38, 0.17]
Obese	0.01	[-0.18, 0.2]	0.06	[-0.12, 0.23]	0.07	[-0.15, 0.3]	-0.09	[-0.36, 0.18]
Positive Identity & Outlook
Intercept	-1.54	[-2.24, -0.91]	-1.27	[-1.93, -0.66]	-2.63	[-4.08, -1.56]	-2.40	[-4.27, -1.1]
LTHP	0.03	[-0.12, 0.19]	-0.06	[-0.21, 0.09]	-0.02	[-0.26, 0.22]	-0.09	[-0.41, 0.23]
Age	-0.01	[-0.06, 0.04]	-0.05	[-0.1, 0]	-0.05	[-0.12, 0.02]	-0.08	[-0.17, 0.02]
Female	-0.51	[-0.64, -0.38]	-0.56	[-0.68, -0.43]	-0.66	[-0.85, -0.48]	-0.84	[-1.09, -0.6]
IEP	-0.01	[-0.19, 0.18]	-0.02	[-0.19, 0.15]	-0.11	[-0.34, 0.12]	0.04	[-0.26, 0.34]
Fair	0.26	[-0.35, 0.94]	0.08	[-0.52, 0.74]	1.26	[0.21, 2.7]	0.01	[-1.34, 1.89]
Good	0.84	[0.27, 1.49]	0.74	[0.18, 1.36]	1.82	[0.82, 3.24]	1.49	[0.29, 3.31]
Very Good	1.73	[1.16, 2.38]	1.62	[1.07, 2.24]	2.77	[1.77, 4.19]	2.34	[1.13, 4.16]
Excellent	2.32	[1.75, 2.98]	2.44	[1.87, 3.07]	3.65	[2.63, 5.07]	3.32	[2.11, 5.15]
Overweight	-0.02	[-0.19, 0.15]	0.07	[-0.09, 0.24]	0.15	[-0.1, 0.39]	-0.20	[-0.54, 0.12]
Obese	0.18	[-0.02, 0.38]	0.19	[0.01, 0.37]	0.11	[-0.13, 0.36]	0.03	[-0.27, 0.34]
Family & Community Support
Intercept	-0.61	[-1.17, -0.07]	-1.04	[-1.64, -0.48]	-1.68	[-2.56, -0.92]	-1.47	[-2.74, -0.46]
LTHP	-0.03	[-0.18, 0.12]	0.01	[-0.13, 0.16]	-0.01	[-0.22, 0.2]	-0.18	[-0.44, 0.08]
Age	-0.07	[-0.12, -0.02]	-0.06	[-0.11, -0.02]	-0.08	[-0.14, -0.02]	-0.14	[-0.22, -0.06]
Female	-0.19	[-0.31, -0.07]	-0.20	[-0.32, -0.08]	-0.20	[-0.37, -0.04]	-0.48	[-0.68, -0.28]
IEP	-0.09	[-0.26, 0.09]	-0.09	[-0.25, 0.07]	0.00	[-0.21, 0.2]	0.15	[-0.1, 0.41]
Fair	0.03	[-0.47, 0.56]	0.47	[-0.06, 1.05]	1.03	[0.31, 1.88]	0.83	[-0.13, 2.06]
Good	0.72	[0.25, 1.23]	1.09	[0.59, 1.65]	1.79	[1.1, 2.61]	1.63	[0.7, 2.84]
Very Good	1.32	[0.84, 1.83]	1.82	[1.32, 2.38]	2.52	[1.84, 3.35]	2.38	[1.45, 3.59]
Excellent	1.64	[1.16, 2.15]	2.43	[1.91, 2.99]	2.99	[2.28, 3.82]	2.95	[2, 4.18]
Overweight	0.05	[-0.11, 0.21]	0.06	[-0.1, 0.21]	0.04	[-0.18, 0.26]	-0.17	[-0.44, 0.1]
Obese	0.03	[-0.15, 0.22]	0.05	[-0.12, 0.22]	0.04	[-0.17, 0.26]	-0.02	[-0.28, 0.23]
Teacher & School Support
Intercept	-1.44	[-2.08, -0.84]	-1.69	[-2.38, -1.07]	-1.85	[-2.65, -1.13]	-1.80	[-2.72, -0.97]
LTHP	-0.04	[-0.19, 0.12]	0.10	[-0.04, 0.25]	0.03	[-0.2, 0.24]	-0.19	[-0.47, 0.09]
Age	-0.02	[-0.07, 0.03]	-0.06	[-0.11, -0.02]	-0.02	[-0.09, 0.04]	0.03	[-0.05, 0.11]
Female	-0.14	[-0.27, -0.01]	-0.21	[-0.33, -0.09]	-0.24	[-0.41, -0.06]	-0.36	[-0.58, -0.15]
IEP	0.09	[-0.1, 0.27]	0.23	[0.07, 0.39]	0.27	[0.06, 0.48]	0.63	[0.38, 0.88]
Fair	0.17	[-0.4, 0.79]	0.56	[-0.04, 1.23]	0.54	[-0.14, 1.31]	0.00	[-0.75, 0.85]
Good	0.64	[0.11, 1.24]	1.00	[0.43, 1.65]	0.76	[0.12, 1.51]	0.37	[-0.34, 1.19]
Very Good	1.11	[0.58, 1.7]	1.60	[1.03, 2.24]	1.42	[0.78, 2.16]	1.00	[0.28, 1.82]
Excellent	1.40	[0.86, 2]	2.04	[1.47, 2.69]	1.87	[1.22, 2.62]	1.37	[0.63, 2.21]
Overweight	-0.01	[-0.18, 0.17]	0.04	[-0.12, 0.21]	0.24	[0.01, 0.47]	-0.04	[-0.33, 0.25]
Obese	0.28	[0.08, 0.47]	0.38	[0.21, 0.56]	0.17	[-0.06, 0.4]	0.31	[0.05, 0.57]
Empowerment
Intercept	-1.03	[-1.6, -0.48]	-0.97	[-1.52, -0.44]	-1.38	[-2.12, -0.7]	-1.07	[-2.06, -0.19]
LTHP	0.02	[-0.14, 0.17]	-0.08	[-0.23, 0.07]	-0.04	[-0.26, 0.18]	-0.30	[-0.56, -0.04]
Age	0.03	[-0.02, 0.08]	-0.01	[-0.06, 0.04]	0.00	[-0.06, 0.07]	-0.05	[-0.13, 0.03]
Female	-0.22	[-0.35, -0.08]	-0.20	[-0.33, -0.08]	-0.48	[-0.66, -0.31]	-0.56	[-0.76, -0.35]
IEP	-0.26	[-0.45, -0.08]	-0.21	[-0.38, -0.04]	-0.03	[-0.25, 0.19]	-0.03	[-0.29, 0.23]
Fair	0.53	[0.03, 1.05]	0.47	[-0.02, 0.98]	0.76	[0.14, 1.44]	0.73	[-0.06, 1.66]
Good	1.12	[0.64, 1.62]	1.15	[0.69, 1.64]	1.59	[1, 2.25]	1.46	[0.69, 2.37]
Very Good	2.02	[1.54, 2.53]	1.98	[1.51, 2.47]	2.46	[1.87, 3.13]	2.32	[1.55, 3.24]
Excellent	2.28	[1.79, 2.8]	2.75	[2.27, 3.26]	2.93	[2.31, 3.62]	2.98	[2.17, 3.93]
Overweight	0.10	[-0.07, 0.28]	0.16	[-0.01, 0.32]	0.12	[-0.11, 0.36]	-0.03	[-0.3, 0.25]
Obese	0.23	[0.04, 0.43]	0.32	[0.14, 0.49]	0.31	[0.08, 0.55]	-0.10	[-0.35, 0.15]

	AAPI
	2013		2016		2019		2022
Variable	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI
Commitment to Learning
Intercept	0.62	[-0.26, 1.53]	0.34	[-0.36, 1.05]	-0.46	[-1.13, 0.21]	-0.39	[-1.03, 0.25]
LTHP	-0.34	[-0.63, -0.05]	-0.18	[-0.44, 0.08]	-0.12	[-0.37, 0.14]	0.07	[-0.18, 0.33]
Age	-0.06	[-0.13, 0.02]	-0.01	[-0.08, 0.06]	0.01	[-0.05, 0.08]	0.02	[-0.04, 0.09]
Female	0.63	[0.42, 0.84]	0.22	[0.03, 0.41]	0.48	[0.31, 0.65]	0.43	[0.26, 0.6]
IEP	-0.37	[-0.77, 0.06]	-0.60	[-0.91, -0.27]	-0.07	[-0.38, 0.26]	-0.25	[-0.6, 0.11]
Fair	0.30	[-0.57, 1.14]	0.46	[-0.21, 1.11]	0.42	[-0.2, 1.05]	0.19	[-0.37, 0.76]
Good	0.70	[-0.15, 1.5]	0.99	[0.36, 1.6]	1.08	[0.48, 1.69]	0.77	[0.23, 1.32]
Very Good	1.35	[0.49, 2.15]	1.61	[0.97, 2.23]	1.79	[1.19, 2.39]	1.34	[0.8, 1.89]
Excellent	1.49	[0.63, 2.31]	1.93	[1.28, 2.57]	2.07	[1.46, 2.69]	1.90	[1.33, 2.47]
Overweight	-0.13	[-0.43, 0.19]	-0.23	[-0.49, 0.05]	0.18	[-0.09, 0.46]	0.17	[-0.09, 0.45]
Obese	0.03	[-0.35, 0.44]	-0.15	[-0.49, 0.2]	0.26	[-0.06, 0.6]	-0.10	[-0.4, 0.2]
Social Competency
Intercept	-1.01	[-1.92, -0.15]	-1.91	[-3.02, -1.01]	-0.77	[-1.55, -0.05]	-1.22	[-1.96, -0.53]
LTHP	0.17	[-0.09, 0.43]	-0.12	[-0.34, 0.1]	-0.09	[-0.32, 0.14]	0.09	[-0.15, 0.33]
Age	-0.02	[-0.08, 0.04]	-0.04	[-0.1, 0.01]	-0.08	[-0.14, -0.03]	0.01	[-0.05, 0.07]
Female	0.50	[0.33, 0.66]	0.23	[0.08, 0.38]	0.28	[0.14, 0.43]	0.27	[0.11, 0.43]
IEP	-0.65	[-1.03, -0.28]	-0.50	[-0.79, -0.2]	-0.32	[-0.61, -0.03]	-0.43	[-0.8, -0.07]
Fair	0.36	[-0.48, 1.26]	1.33	[0.43, 2.43]	0.27	[-0.43, 1.05]	0.18	[-0.46, 0.87]
Good	0.91	[0.1, 1.78]	1.92	[1.06, 3]	0.82	[0.15, 1.57]	0.68	[0.08, 1.35]
Very Good	1.53	[0.73, 2.4]	2.74	[1.88, 3.82]	1.68	[1.02, 2.42]	1.41	[0.8, 2.07]
Excellent	2.10	[1.29, 2.98]	3.47	[2.6, 4.56]	2.41	[1.73, 3.16]	2.32	[1.69, 3]
Overweight	-0.14	[-0.4, 0.13]	0.15	[-0.08, 0.39]	0.05	[-0.19, 0.28]	-0.24	[-0.5, 0.01]
Obese	0.40	[0.05, 0.75]	0.18	[-0.13, 0.49]	-0.11	[-0.4, 0.18]	-0.02	[-0.33, 0.28]
Positive Identity & Outlook
Intercept	-1.31	[-2.46, -0.35]	-1.25	[-2.35, -0.35]	-0.99	[-1.93, -0.18]	-2.06	[-3.52, -0.97]
LTHP	0.14	[-0.11, 0.39]	-0.25	[-0.47, -0.04]	-0.01	[-0.24, 0.23]	0.07	[-0.21, 0.35]
Age	-0.04	[-0.09, 0.02]	-0.09	[-0.15, -0.04]	-0.11	[-0.17, -0.06]	-0.11	[-0.18, -0.04]
Female	-0.36	[-0.52, -0.19]	-0.48	[-0.62, -0.33]	-0.47	[-0.62, -0.32]	-0.60	[-0.77, -0.42]
IEP	-0.32	[-0.71, 0.06]	-0.19	[-0.48, 0.11]	0.12	[-0.19, 0.42]	-0.19	[-0.61, 0.22]
Fair	0.27	[-0.71, 1.42]	0.44	[-0.48, 1.56]	-0.52	[-1.39, 0.45]	0.08	[-1.05, 1.56]
Good	0.76	[-0.17, 1.88]	1.22	[0.36, 2.3]	0.48	[-0.28, 1.4]	1.35	[0.32, 2.78]
Very Good	1.51	[0.58, 2.62]	2.02	[1.16, 3.1]	1.41	[0.65, 2.31]	2.05	[1.03, 3.48]
Excellent	2.42	[1.49, 3.54]	2.66	[1.8, 3.75]	2.42	[1.66, 3.33]	3.10	[2.07, 4.53]
Overweight	0.05	[-0.22, 0.32]	0.05	[-0.18, 0.28]	0.04	[-0.21, 0.28]	0.05	[-0.23, 0.33]
Obese	0.35	[0, 0.7]	-0.01	[-0.33, 0.3]	0.04	[-0.28, 0.35]	0.37	[0.02, 0.72]
Family & Community Support
Intercept	-1.21	[-2.35, -0.25]	-1.02	[-1.83, -0.29]	-1.40	[-2.41, -0.56]	-1.90	[-3.13, -0.93]
LTHP	-0.06	[-0.3, 0.19]	0.03	[-0.18, 0.24]	0.02	[-0.21, 0.25]	0.10	[-0.14, 0.34]
Age	-0.06	[-0.12, -0.01]	-0.06	[-0.11, -0.01]	-0.13	[-0.18, -0.07]	-0.10	[-0.16, -0.04]
Female	-0.05	[-0.21, 0.11]	0.00	[-0.15, 0.14]	0.04	[-0.11, 0.18]	-0.23	[-0.38, -0.07]
IEP	-0.16	[-0.52, 0.2]	-0.11	[-0.4, 0.19]	0.49	[0.19, 0.79]	-0.18	[-0.54, 0.17]
Fair	0.62	[-0.34, 1.76]	0.42	[-0.31, 1.23]	0.62	[-0.23, 1.62]	1.46	[0.53, 2.68]
Good	1.18	[0.26, 2.29]	1.08	[0.4, 1.86]	1.61	[0.81, 2.59]	2.04	[1.13, 3.25]
Very Good	1.91	[0.99, 3.02]	1.89	[1.2, 2.66]	2.49	[1.7, 3.47]	2.73	[1.82, 3.93]
Excellent	2.41	[1.48, 3.53]	2.45	[1.75, 3.23]	3.14	[2.34, 4.12]	3.34	[2.42, 4.55]
Overweight	0.00	[-0.26, 0.26]	0.11	[-0.11, 0.34]	0.28	[0.05, 0.52]	-0.03	[-0.28, 0.21]
Obese	0.26	[-0.07, 0.6]	0.19	[-0.11, 0.49]	0.14	[-0.15, 0.43]	0.03	[-0.28, 0.33]
Teacher & School Support
Intercept	-1.40	[-2.55, -0.43]	-1.35	[-2.23, -0.57]	-2.30	[-3.54, -1.34]	-0.99	[-1.78, -0.27]
LTHP	-0.28	[-0.53, -0.03]	-0.11	[-0.32, 0.1]	-0.18	[-0.4, 0.05]	0.13	[-0.11, 0.37]
Age	0.01	[-0.05, 0.07]	-0.02	[-0.07, 0.03]	-0.02	[-0.07, 0.03]	-0.06	[-0.11, 0]
Female	0.07	[-0.09, 0.23]	-0.22	[-0.36, -0.08]	-0.14	[-0.28, 0]	-0.44	[-0.59, -0.28]
IEP	0.21	[-0.16, 0.58]	0.13	[-0.16, 0.41]	0.75	[0.46, 1.04]	0.20	[-0.15, 0.55]
Fair	0.15	[-0.83, 1.3]	0.62	[-0.17, 1.5]	0.93	[-0.04, 2.17]	0.33	[-0.35, 1.09]
Good	0.82	[-0.12, 1.94]	1.18	[0.44, 2.03]	1.73	[0.8, 2.94]	0.68	[0.04, 1.42]
Very Good	1.40	[0.47, 2.52]	1.71	[0.97, 2.56]	2.34	[1.42, 3.56]	1.23	[0.59, 1.96]
Excellent	1.88	[0.95, 3]	2.21	[1.47, 3.07]	2.91	[1.99, 4.13]	1.82	[1.17, 2.56]
Overweight	-0.06	[-0.32, 0.21]	0.03	[-0.19, 0.25]	-0.03	[-0.26, 0.2]	-0.09	[-0.34, 0.15]
Obese	0.13	[-0.22, 0.47]	0.22	[-0.08, 0.51]	0.16	[-0.13, 0.45]	0.15	[-0.16, 0.45]
Empowerment
Intercept	-0.08	[-0.95, 0.81]	-0.59	[-1.33, 0.11]	-0.59	[-1.36, 0.12]	-0.49	[-1.22, 0.21]
LTHP	0.02	[-0.25, 0.29]	-0.08	[-0.31, 0.15]	0.21	[-0.04, 0.47]	-0.04	[-0.3, 0.22]
Age	0.04	[-0.03, 0.1]	0.00	[-0.06, 0.06]	-0.08	[-0.14, -0.02]	-0.07	[-0.13, 0]
Female	-0.02	[-0.2, 0.16]	-0.13	[-0.3, 0.03]	-0.23	[-0.4, -0.07]	-0.37	[-0.54, -0.2]
IEP	-0.42	[-0.81, -0.02]	-0.50	[-0.81, -0.19]	-0.04	[-0.36, 0.29]	-0.10	[-0.48, 0.29]
Fair	-0.43	[-1.3, 0.41]	0.36	[-0.32, 1.08]	0.29	[-0.39, 1.04]	0.37	[-0.26, 1.04]
Good	0.25	[-0.58, 1.07]	1.16	[0.52, 1.85]	1.38	[0.73, 2.09]	1.00	[0.4, 1.65]
Very Good	1.15	[0.31, 1.96]	1.98	[1.34, 2.67]	2.35	[1.7, 3.06]	1.87	[1.27, 2.53]
Excellent	1.69	[0.84, 2.52]	2.76	[2.1, 3.47]	3.10	[2.43, 3.83]	2.96	[2.32, 3.65]
Overweight	0.16	[-0.13, 0.45]	0.14	[-0.11, 0.4]	0.12	[-0.14, 0.38]	0.21	[-0.06, 0.49]
Obese	0.33	[-0.04, 0.71]	-0.04	[-0.35, 0.29]	0.12	[-0.19, 0.44]	0.31	[-0.01, 0.64]

	Black
	2013		2016		2019		2022
Variable	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI
Commitment to Learning
Intercept	-0.99	[-1.66, -0.34]	-0.50	[-1.09, 0.09]	-0.43	[-1.03, 0.17]	-1.00	[-1.59, -0.42]
LTHP	-0.07	[-0.26, 0.13]	0.12	[-0.06, 0.31]	-0.13	[-0.31, 0.05]	-0.19	[-0.38, 0.01]
Age	0.08	[0.02, 0.13]	0.00	[-0.05, 0.05]	0.03	[-0.03, 0.08]	0.08	[0.03, 0.14]
Female	0.41	[0.25, 0.57]	0.38	[0.24, 0.52]	0.58	[0.43, 0.73]	0.55	[0.41, 0.7]
IEP	-0.26	[-0.48, -0.05]	-0.25	[-0.43, -0.06]	-0.27	[-0.46, -0.06]	-0.26	[-0.48, -0.04]
Fair	0.59	[-0.01, 1.21]	0.65	[0.1, 1.21]	0.23	[-0.34, 0.79]	0.16	[-0.37, 0.69]
Good	1.35	[0.77, 1.94]	1.09	[0.57, 1.62]	0.57	[0.04, 1.11]	0.38	[-0.12, 0.89]
Very Good	1.71	[1.13, 2.3]	1.56	[1.05, 2.09]	1.06	[0.52, 1.6]	1.03	[0.53, 1.55]
Excellent	2.01	[1.42, 2.6]	1.90	[1.37, 2.43]	1.58	[1.04, 2.13]	1.61	[1.1, 2.14]
Overweight	0.13	[-0.07, 0.34]	0.02	[-0.17, 0.2]	-0.07	[-0.26, 0.12]	-0.03	[-0.21, 0.16]
Obese	0.18	[-0.05, 0.42]	0.09	[-0.12, 0.3]	-0.10	[-0.3, 0.11]	0.08	[-0.12, 0.27]
Social Competency
Intercept	-1.41	[-2.16, -0.71]	-1.04	[-1.71, -0.4]	-0.83	[-1.52, -0.17]	-1.89	[-2.7, -1.17]
LTHP	-0.06	[-0.25, 0.12]	0.02	[-0.15, 0.19]	0.00	[-0.18, 0.19]	0.01	[-0.21, 0.23]
Age	0.06	[0.01, 0.12]	0.01	[-0.04, 0.06]	-0.01	[-0.06, 0.04]	0.05	[-0.01, 0.11]
Female	0.24	[0.09, 0.39]	0.13	[0, 0.26]	0.22	[0.08, 0.36]	0.11	[-0.05, 0.26]
IEP	-0.23	[-0.45, -0.02]	-0.27	[-0.45, -0.09]	-0.26	[-0.47, -0.06]	-0.27	[-0.53, -0.02]
Fair	0.19	[-0.49, 0.91]	0.09	[-0.53, 0.75]	-0.26	[-0.9, 0.41]	0.39	[-0.3, 1.17]
Good	0.90	[0.26, 1.59]	0.64	[0.06, 1.27]	0.31	[-0.29, 0.94]	0.80	[0.15, 1.56]
Very Good	1.31	[0.68, 2.01]	1.23	[0.64, 1.85]	0.87	[0.28, 1.51]	1.50	[0.85, 2.25]
Excellent	1.86	[1.22, 2.56]	1.81	[1.23, 2.45]	1.57	[0.97, 2.21]	2.34	[1.68, 3.1]
Overweight	-0.08	[-0.26, 0.11]	-0.02	[-0.19, 0.15]	0.05	[-0.13, 0.23]	-0.12	[-0.32, 0.08]
Obese	0.14	[-0.08, 0.37]	0.17	[-0.03, 0.37]	0.00	[-0.21, 0.2]	0.11	[-0.11, 0.32]
Positive Identity & Outlook
Intercept	-0.99	[-1.79, -0.26]	-1.31	[-2.18, -0.55]	-1.04	[-1.84, -0.31]	-2.83	[-4.67, -1.59]
LTHP	-0.31	[-0.5, -0.12]	-0.05	[-0.22, 0.12]	-0.08	[-0.27, 0.12]	0.12	[-0.12, 0.36]
Age	0.05	[0, 0.1]	-0.06	[-0.1, -0.01]	-0.03	[-0.09, 0.02]	-0.03	[-0.09, 0.03]
Female	-0.47	[-0.62, -0.33]	-0.40	[-0.53, -0.27]	-0.40	[-0.54, -0.25]	-0.64	[-0.81, -0.47]
IEP	-0.04	[-0.26, 0.17]	-0.22	[-0.4, -0.03]	0.03	[-0.18, 0.25]	0.11	[-0.16, 0.38]
Fair	0.10	[-0.61, 0.88]	0.85	[0.1, 1.71]	-0.25	[-0.98, 0.56]	1.38	[0.15, 3.22]
Good	0.65	[-0.03, 1.4]	1.38	[0.67, 2.22]	0.57	[-0.1, 1.33]	1.82	[0.64, 3.64]
Very Good	1.19	[0.52, 1.93]	1.97	[1.26, 2.81]	1.23	[0.56, 1.98]	2.69	[1.51, 4.51]
Excellent	1.94	[1.27, 2.69]	2.73	[2.02, 3.57]	2.12	[1.45, 2.88]	3.78	[2.6, 5.6]
Overweight	-0.13	[-0.31, 0.06]	0.08	[-0.09, 0.25]	0.04	[-0.15, 0.23]	-0.22	[-0.44, 0.01]
Obese	0.05	[-0.18, 0.27]	0.19	[-0.01, 0.4]	-0.03	[-0.25, 0.18]	0.12	[-0.12, 0.35]
Family & Community Support
Intercept	-0.97	[-1.73, -0.28]	-0.09	[-0.71, 0.51]	-0.30	[-0.92, 0.29]	-0.40	[-1.09, 0.25]
LTHP	-0.06	[-0.24, 0.12]	-0.15	[-0.32, 0.01]	-0.05	[-0.23, 0.12]	-0.06	[-0.27, 0.15]
Age	-0.04	[-0.09, 0.01]	-0.11	[-0.16, -0.07]	-0.09	[-0.14, -0.04]	-0.08	[-0.14, -0.02]
Female	-0.07	[-0.21, 0.07]	-0.11	[-0.24, 0.02]	-0.11	[-0.25, 0.02]	-0.39	[-0.54, -0.24]
IEP	0.23	[0.03, 0.43]	-0.04	[-0.22, 0.14]	0.15	[-0.05, 0.35]	-0.02	[-0.25, 0.21]
Fair	0.22	[-0.45, 0.96]	-0.03	[-0.61, 0.58]	-0.09	[-0.67, 0.51]	-0.17	[-0.79, 0.5]
Good	1.01	[0.37, 1.72]	0.76	[0.22, 1.34]	0.64	[0.1, 1.21]	0.54	[-0.04, 1.17]
Very Good	1.45	[0.81, 2.15]	1.12	[0.58, 1.7]	1.14	[0.6, 1.7]	1.24	[0.66, 1.87]
Excellent	1.86	[1.22, 2.57]	1.60	[1.05, 2.18]	1.67	[1.13, 2.24]	1.69	[1.1, 2.32]
Overweight	0.03	[-0.15, 0.21]	-0.12	[-0.29, 0.04]	0.09	[-0.09, 0.27]	-0.07	[-0.26, 0.12]
Obese	0.12	[-0.09, 0.34]	-0.02	[-0.21, 0.17]	0.10	[-0.1, 0.29]	-0.04	[-0.24, 0.16]
Teacher & School Support
Intercept	-1.63	[-2.48, -0.87]	-1.23	[-1.91, -0.6]	-0.77	[-1.4, -0.16]	-1.70	[-2.52, -0.98]
LTHP	-0.18	[-0.37, 0.01]	0.04	[-0.13, 0.2]	-0.04	[-0.23, 0.14]	0.01	[-0.22, 0.23]
Age	0.03	[-0.03, 0.08]	0.02	[-0.02, 0.07]	0.02	[-0.04, 0.07]	0.04	[-0.02, 0.1]
Female	-0.14	[-0.29, 0]	-0.19	[-0.31, -0.06]	-0.17	[-0.31, -0.03]	-0.38	[-0.54, -0.23]
IEP	0.40	[0.19, 0.62]	0.25	[0.07, 0.42]	0.43	[0.23, 0.62]	0.37	[0.13, 0.61]
Fair	0.23	[-0.52, 1.07]	0.11	[-0.51, 0.78]	-0.52	[-1.12, 0.1]	-0.16	[-0.88, 0.64]
Good	0.71	[0.01, 1.52]	0.34	[-0.24, 0.97]	-0.24	[-0.79, 0.33]	0.42	[-0.23, 1.18]
Very Good	1.14	[0.44, 1.94]	0.69	[0.11, 1.32]	0.17	[-0.38, 0.74]	0.98	[0.32, 1.73]
Excellent	1.40	[0.7, 2.21]	1.20	[0.63, 1.84]	0.53	[-0.02, 1.11]	1.49	[0.83, 2.25]
Overweight	0.14	[-0.05, 0.33]	-0.07	[-0.24, 0.1]	0.02	[-0.16, 0.21]	-0.13	[-0.34, 0.08]
Obese	0.21	[-0.02, 0.44]	0.20	[0.01, 0.4]	-0.01	[-0.21, 0.2]	0.18	[-0.03, 0.39]
Empowerment
Intercept	-0.92	[-1.65, -0.24]	-0.41	[-1.06, 0.21]	-0.18	[-0.86, 0.47]	-1.04	[-1.81, -0.34]
LTHP	-0.21	[-0.4, -0.01]	-0.12	[-0.3, 0.06]	0.00	[-0.2, 0.2]	0.16	[-0.07, 0.39]
Age	0.04	[-0.01, 0.1]	-0.02	[-0.07, 0.03]	-0.03	[-0.09, 0.02]	-0.01	[-0.07, 0.05]
Female	-0.02	[-0.18, 0.14]	-0.09	[-0.23, 0.05]	-0.24	[-0.39, -0.08]	-0.40	[-0.57, -0.24]
IEP	-0.27	[-0.5, -0.04]	-0.29	[-0.48, -0.09]	-0.18	[-0.4, 0.04]	0.20	[-0.06, 0.47]
Fair	0.71	[0.07, 1.39]	0.46	[-0.14, 1.07]	0.10	[-0.52, 0.74]	0.46	[-0.2, 1.18]
Good	1.31	[0.7, 1.97]	1.00	[0.44, 1.59]	0.81	[0.23, 1.43]	1.18	[0.56, 1.88]
Very Good	1.83	[1.21, 2.48]	1.63	[1.06, 2.22]	1.44	[0.86, 2.05]	1.96	[1.33, 2.66]
Excellent	2.39	[1.77, 3.06]	2.25	[1.68, 2.85]	2.11	[1.52, 2.74]	2.93	[2.28, 3.64]
Overweight	0.15	[-0.06, 0.36]	0.03	[-0.16, 0.21]	-0.06	[-0.25, 0.14]	-0.31	[-0.52, -0.1]
Obese	-0.05	[-0.28, 0.18]	0.27	[0.06, 0.49]	-0.09	[-0.31, 0.12]	-0.05	[-0.27, 0.17]

	MultiRacial
	2013		2016		2019		2022
Variable	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI
Commitment to Learning
Intercept	-0.20	[-0.89, 0.48]	-0.01	[-0.62, 0.59]	-0.70	[-1.37, -0.05]	-0.60	[-1.19, -0.03]
LTHP	-0.12	[-0.32, 0.08]	0.11	[-0.08, 0.29]	0.21	[0, 0.43]	-0.06	[-0.27, 0.15]
Age	0.01	[-0.05, 0.07]	-0.09	[-0.15, -0.04]	-0.03	[-0.09, 0.04]	-0.06	[-0.12, 0]
Female	0.32	[0.16, 0.49]	0.36	[0.21, 0.5]	0.24	[0.07, 0.42]	0.32	[0.16, 0.48]
IEP	-0.46	[-0.72, -0.2]	-0.47	[-0.69, -0.24]	-0.31	[-0.59, -0.04]	-0.21	[-0.48, 0.06]
Fair	0.12	[-0.51, 0.76]	0.27	[-0.31, 0.85]	0.67	[0.08, 1.29]	0.21	[-0.3, 0.74]
Good	0.62	[0.02, 1.23]	0.73	[0.19, 1.28]	1.12	[0.57, 1.71]	0.71	[0.23, 1.21]
Very Good	1.31	[0.71, 1.92]	1.46	[0.92, 2.01]	1.68	[1.12, 2.26]	1.32	[0.83, 1.82]
Excellent	1.48	[0.87, 2.1]	1.93	[1.37, 2.49]	2.04	[1.47, 2.64]	1.74	[1.24, 2.27]
Overweight	0.06	[-0.17, 0.3]	0.22	[0.01, 0.43]	-0.24	[-0.48, 0]	0.23	[0.01, 0.45]
Obese	0.20	[-0.06, 0.47]	-0.04	[-0.26, 0.18]	0.03	[-0.24, 0.3]	-0.11	[-0.35, 0.14]
Social Competency
Intercept	-1.38	[-2.21, -0.62]	-0.78	[-1.52, -0.11]	-1.52	[-2.37, -0.76]	-1.71	[-2.43, -1.05]
LTHP	0.02	[-0.18, 0.21]	0.05	[-0.13, 0.22]	-0.01	[-0.21, 0.19]	0.11	[-0.12, 0.33]
Age	-0.02	[-0.08, 0.04]	-0.12	[-0.17, -0.07]	-0.04	[-0.11, 0.02]	0.02	[-0.04, 0.08]
Female	0.35	[0.19, 0.5]	0.15	[0.01, 0.29]	0.21	[0.04, 0.38]	0.30	[0.13, 0.47]
IEP	-0.23	[-0.51, 0.04]	-0.38	[-0.61, -0.15]	-0.15	[-0.44, 0.13]	-0.42	[-0.74, -0.11]
Fair	0.46	[-0.27, 1.27]	0.25	[-0.42, 0.99]	0.67	[-0.06, 1.5]	0.10	[-0.53, 0.78]
Good	1.11	[0.42, 1.88]	0.95	[0.32, 1.65]	1.23	[0.54, 2.02]	0.65	[0.08, 1.29]
Very Good	1.66	[0.98, 2.44]	1.78	[1.15, 2.48]	1.95	[1.27, 2.74]	1.65	[1.08, 2.29]
Excellent	2.36	[1.66, 3.14]	2.34	[1.7, 3.04]	2.54	[1.85, 3.35]	2.34	[1.75, 2.99]
Overweight	-0.02	[-0.24, 0.2]	-0.04	[-0.24, 0.15]	-0.16	[-0.39, 0.08]	-0.31	[-0.54, -0.07]
Obese	-0.01	[-0.26, 0.25]	0.06	[-0.16, 0.28]	-0.20	[-0.47, 0.07]	-0.10	[-0.36, 0.17]
Positive Identity & Outlook
Intercept	-1.10	[-2.06, -0.28]	-0.85	[-1.69, -0.12]	-1.92	[-3.17, -0.94]	-2.54	[-3.79, -1.56]
LTHP	-0.10	[-0.3, 0.1]	-0.01	[-0.19, 0.16]	-0.01	[-0.23, 0.21]	-0.11	[-0.38, 0.16]
Age	-0.06	[-0.12, 0]	-0.07	[-0.12, -0.01]	-0.05	[-0.12, 0.02]	-0.01	[-0.09, 0.06]
Female	-0.51	[-0.66, -0.35]	-0.63	[-0.77, -0.49]	-0.58	[-0.76, -0.4]	-0.60	[-0.79, -0.4]
IEP	-0.14	[-0.42, 0.14]	-0.24	[-0.48, 0]	-0.22	[-0.53, 0.09]	-0.15	[-0.52, 0.21]
Fair	0.15	[-0.69, 1.1]	-0.30	[-1.07, 0.55]	0.31	[-0.7, 1.58]	-0.01	[-1.06, 1.27]
Good	0.97	[0.21, 1.88]	0.61	[-0.08, 1.41]	1.23	[0.31, 2.44]	0.88	[-0.03, 2.09]
Very Good	1.63	[0.87, 2.54]	1.48	[0.79, 2.27]	2.13	[1.21, 3.33]	2.21	[1.31, 3.41]
Excellent	2.37	[1.6, 3.28]	2.30	[1.61, 3.1]	3.04	[2.12, 4.25]	3.35	[2.44, 4.55]
Overweight	0.18	[-0.04, 0.4]	0.11	[-0.09, 0.31]	-0.19	[-0.46, 0.07]	-0.13	[-0.41, 0.14]
Obese	-0.01	[-0.27, 0.26]	0.01	[-0.22, 0.24]	-0.13	[-0.44, 0.17]	0.34	[0.02, 0.64]
Family & Community Support
Intercept	-0.43	[-1.15, 0.25]	-0.69	[-1.43, -0.02]	-0.77	[-1.48, -0.1]	-1.34	[-2.11, -0.64]
LTHP	-0.08	[-0.27, 0.11]	-0.12	[-0.29, 0.05]	-0.05	[-0.25, 0.15]	-0.08	[-0.3, 0.14]
Age	-0.05	[-0.11, 0]	-0.09	[-0.14, -0.04]	-0.04	[-0.1, 0.02]	-0.07	[-0.13, 0]
Female	-0.05	[-0.2, 0.11]	-0.14	[-0.28, -0.01]	-0.05	[-0.22, 0.12]	-0.19	[-0.36, -0.02]
IEP	-0.19	[-0.45, 0.07]	-0.15	[-0.37, 0.08]	0.07	[-0.2, 0.35]	-0.08	[-0.37, 0.22]
Fair	-0.37	[-1.04, 0.34]	0.39	[-0.27, 1.12]	0.17	[-0.46, 0.84]	0.37	[-0.29, 1.12]
Good	0.45	[-0.16, 1.11]	1.07	[0.45, 1.77]	0.99	[0.4, 1.63]	1.01	[0.39, 1.72]
Very Good	1.16	[0.55, 1.82]	1.77	[1.14, 2.47]	1.50	[0.92, 2.14]	2.04	[1.43, 2.74]
Excellent	1.53	[0.91, 2.19]	2.36	[1.72, 3.06]	2.22	[1.62, 2.87]	2.75	[2.12, 3.47]
Overweight	0.09	[-0.13, 0.3]	-0.01	[-0.2, 0.18]	-0.23	[-0.46, 0.01]	-0.04	[-0.27, 0.19]
Obese	-0.09	[-0.34, 0.16]	0.07	[-0.15, 0.29]	-0.09	[-0.35, 0.17]	0.01	[-0.26, 0.27]
Teacher & School Support
Intercept	-1.71	[-2.57, -0.93]	-1.19	[-1.98, -0.49]	-2.32	[-3.34, -1.46]	-2.06	[-2.9, -1.31]
LTHP	-0.08	[-0.28, 0.12]	-0.06	[-0.23, 0.11]	0.02	[-0.19, 0.23]	-0.19	[-0.43, 0.04]
Age	0.05	[-0.01, 0.11]	-0.03	[-0.08, 0.02]	0.06	[-0.01, 0.12]	0.04	[-0.03, 0.1]
Female	-0.07	[-0.22, 0.09]	-0.15	[-0.29, -0.02]	-0.24	[-0.41, -0.07]	-0.37	[-0.54, -0.2]
IEP	0.07	[-0.21, 0.34]	0.02	[-0.21, 0.24]	0.07	[-0.21, 0.35]	0.13	[-0.18, 0.42]
Fair	0.08	[-0.69, 0.94]	-0.04	[-0.76, 0.76]	0.58	[-0.27, 1.58]	0.28	[-0.44, 1.11]
Good	0.62	[-0.09, 1.43]	0.47	[-0.19, 1.24]	1.21	[0.42, 2.19]	0.81	[0.15, 1.6]
Very Good	1.10	[0.39, 1.92]	1.04	[0.37, 1.8]	1.68	[0.9, 2.65]	1.43	[0.77, 2.21]
Excellent	1.55	[0.84, 2.37]	1.51	[0.85, 2.28]	2.13	[1.34, 3.11]	1.84	[1.17, 2.63]
Overweight	-0.01	[-0.23, 0.22]	0.05	[-0.14, 0.25]	-0.14	[-0.39, 0.1]	0.15	[-0.09, 0.38]
Obese	0.40	[0.15, 0.65]	0.11	[-0.11, 0.33]	0.06	[-0.22, 0.33]	0.26	[-0.01, 0.53]
Empowerment
Intercept	-0.29	[-1.03, 0.43]	-0.58	[-1.26, 0.06]	-1.15	[-1.89, -0.45]	-1.51	[-2.29, -0.79]
LTHP	-0.10	[-0.3, 0.11]	-0.12	[-0.3, 0.06]	0.01	[-0.21, 0.22]	-0.18	[-0.41, 0.06]
Age	-0.01	[-0.08, 0.05]	-0.01	[-0.07, 0.05]	0.08	[0.01, 0.15]	0.02	[-0.05, 0.08]
Female	-0.28	[-0.46, -0.12]	-0.25	[-0.41, -0.1]	-0.25	[-0.43, -0.06]	-0.45	[-0.62, -0.27]
IEP	-0.37	[-0.65, -0.09]	-0.46	[-0.7, -0.22]	-0.14	[-0.44, 0.16]	-0.02	[-0.33, 0.29]
Fair	0.18	[-0.49, 0.89]	0.39	[-0.23, 1.04]	0.31	[-0.32, 0.99]	0.97	[0.32, 1.71]
Good	1.02	[0.39, 1.69]	1.04	[0.46, 1.67]	1.20	[0.61, 1.85]	1.65	[1.03, 2.36]
Very Good	1.67	[1.04, 2.34]	1.99	[1.41, 2.62]	1.96	[1.37, 2.61]	2.59	[1.97, 3.31]
Excellent	2.14	[1.5, 2.83]	2.69	[2.08, 3.33]	2.74	[2.11, 3.41]	3.47	[2.81, 4.21]
Overweight	0.08	[-0.16, 0.32]	0.12	[-0.09, 0.34]	-0.23	[-0.48, 0.03]	-0.06	[-0.3, 0.19]
Obese	-0.17	[-0.43, 0.1]	0.07	[-0.16, 0.31]	-0.25	[-0.52, 0.03]	0.16	[-0.11, 0.43]

	Latino
	2013		2016		2019		2022
Variable	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI
Commitment to Learning
Intercept	-0.29	[-0.74, 0.15]	-0.51	[-0.89, -0.14]	-1.38	[-1.81, -0.95]	-1.16	[-1.57, -0.77]
LTHP	-0.23	[-0.38, -0.08]	-0.10	[-0.23, 0.03]	-0.08	[-0.22, 0.07]	-0.07	[-0.22, 0.09]
Age	0.02	[-0.02, 0.06]	0.03	[0, 0.07]	0.10	[0.06, 0.14]	0.02	[-0.02, 0.06]
Female	0.41	[0.3, 0.52]	0.37	[0.27, 0.46]	0.43	[0.32, 0.54]	0.44	[0.33, 0.55]
IEP	-0.22	[-0.39, -0.05]	-0.19	[-0.32, -0.06]	-0.37	[-0.52, -0.21]	-0.22	[-0.38, -0.06]
Fair	0.21	[-0.19, 0.62]	0.33	[-0.01, 0.68]	0.70	[0.32, 1.09]	0.44	[0.09, 0.8]
Good	0.60	[0.21, 0.99]	0.82	[0.49, 1.15]	1.13	[0.76, 1.51]	0.93	[0.6, 1.28]
Very Good	1.18	[0.79, 1.57]	1.43	[1.1, 1.76]	1.73	[1.36, 2.11]	1.49	[1.14, 1.84]
Excellent	1.46	[1.06, 1.86]	1.81	[1.47, 2.15]	2.06	[1.68, 2.46]	1.87	[1.51, 2.24]
Overweight	0.07	[-0.07, 0.22]	0.20	[0.07, 0.33]	0.03	[-0.1, 0.17]	0.07	[-0.07, 0.21]
Obese	0.04	[-0.12, 0.21]	0.08	[-0.05, 0.21]	0.20	[0.05, 0.35]	0.16	[0.02, 0.3]
Social Competency
Intercept	-1.21	[-1.73, -0.72]	-1.43	[-1.91, -0.98]	-1.38	[-1.89, -0.9]	-1.95	[-2.47, -1.46]
LTHP	-0.11	[-0.26, 0.05]	0.08	[-0.05, 0.2]	-0.05	[-0.2, 0.1]	0.06	[-0.11, 0.24]
Age	-0.02	[-0.06, 0.02]	-0.04	[-0.07, 0]	-0.01	[-0.05, 0.03]	0.04	[-0.01, 0.08]
Female	0.18	[0.07, 0.29]	0.10	[0.01, 0.19]	0.17	[0.07, 0.28]	0.22	[0.1, 0.34]
IEP	-0.21	[-0.38, -0.03]	-0.14	[-0.27, -0.01]	-0.14	[-0.3, 0.01]	-0.31	[-0.5, -0.12]
Fair	0.18	[-0.29, 0.69]	0.49	[0.06, 0.95]	0.19	[-0.26, 0.68]	0.22	[-0.23, 0.72]
Good	0.76	[0.31, 1.24]	1.01	[0.6, 1.45]	0.76	[0.34, 1.22]	0.81	[0.38, 1.28]
Very Good	1.27	[0.83, 1.75]	1.82	[1.41, 2.26]	1.47	[1.04, 1.93]	1.60	[1.17, 2.07]
Excellent	1.98	[1.53, 2.47]	2.39	[1.97, 2.84]	2.12	[1.68, 2.59]	2.33	[1.88, 2.81]
Overweight	0.09	[-0.05, 0.23]	0.06	[-0.05, 0.18]	-0.09	[-0.23, 0.04]	-0.07	[-0.22, 0.08]
Obese	0.06	[-0.1, 0.23]	0.07	[-0.06, 0.2]	0.11	[-0.04, 0.25]	-0.08	[-0.24, 0.07]
Positive Identity & Outlook
Intercept	-1.22	[-1.84, -0.67]	-1.54	[-2.1, -1.03]	-2.11	[-2.83, -1.48]	-2.38	[-3.23, -1.67]
LTHP	-0.18	[-0.33, -0.02]	-0.15	[-0.28, -0.02]	-0.16	[-0.33, 0]	-0.12	[-0.33, 0.08]
Age	-0.01	[-0.05, 0.03]	-0.03	[-0.07, 0]	0.00	[-0.04, 0.04]	-0.01	[-0.06, 0.04]
Female	-0.65	[-0.75, -0.54]	-0.54	[-0.63, -0.45]	-0.52	[-0.63, -0.41]	-0.75	[-0.88, -0.61]
IEP	-0.17	[-0.35, 0]	-0.10	[-0.23, 0.04]	-0.14	[-0.31, 0.03]	-0.32	[-0.54, -0.1]
Fair	0.41	[-0.13, 1.01]	0.36	[-0.14, 0.92]	0.51	[-0.11, 1.22]	0.37	[-0.33, 1.21]
Good	0.92	[0.4, 1.5]	1.19	[0.72, 1.73]	1.11	[0.52, 1.8]	1.14	[0.48, 1.95]
Very Good	1.56	[1.04, 2.13]	2.03	[1.56, 2.57]	2.00	[1.41, 2.68]	2.08	[1.42, 2.89]
Excellent	2.19	[1.67, 2.77]	2.82	[2.34, 3.36]	2.80	[2.21, 3.5]	3.11	[2.44, 3.92]
Overweight	0.04	[-0.1, 0.18]	0.08	[-0.04, 0.2]	0.03	[-0.11, 0.18]	0.02	[-0.16, 0.2]
Obese	0.02	[-0.14, 0.19]	0.15	[0.02, 0.28]	0.27	[0.11, 0.42]	0.16	[-0.02, 0.34]
Family & Community Support
Intercept	-1.08	[-1.65, -0.56]	-1.02	[-1.49, -0.59]	-0.95	[-1.44, -0.48]	-1.16	[-1.68, -0.68]
LTHP	-0.12	[-0.27, 0.02]	-0.08	[-0.2, 0.04]	-0.09	[-0.23, 0.06]	-0.11	[-0.27, 0.05]
Age	-0.08	[-0.12, -0.04]	-0.08	[-0.11, -0.05]	-0.07	[-0.11, -0.03]	-0.06	[-0.11, -0.02]
Female	-0.15	[-0.25, -0.04]	-0.12	[-0.21, -0.04]	-0.15	[-0.25, -0.04]	-0.34	[-0.45, -0.23]
IEP	0.07	[-0.09, 0.24]	0.00	[-0.12, 0.13]	0.02	[-0.14, 0.17]	-0.08	[-0.25, 0.1]
Fair	0.56	[0.05, 1.11]	0.58	[0.17, 1.03]	0.57	[0.13, 1.03]	0.54	[0.1, 1.02]
Good	1.23	[0.74, 1.76]	1.27	[0.87, 1.7]	1.10	[0.68, 1.55]	1.14	[0.72, 1.61]
Very Good	1.82	[1.34, 2.36]	1.94	[1.54, 2.37]	1.80	[1.39, 2.26]	1.84	[1.41, 2.31]
Excellent	2.31	[1.83, 2.85]	2.48	[2.08, 2.92]	2.34	[1.91, 2.8]	2.26	[1.82, 2.74]
Overweight	-0.04	[-0.18, 0.09]	0.06	[-0.06, 0.18]	-0.13	[-0.26, 0]	-0.11	[-0.25, 0.04]
Obese	0.10	[-0.06, 0.26]	0.09	[-0.04, 0.21]	0.08	[-0.07, 0.22]	0.01	[-0.14, 0.15]
Teacher & School Support
Intercept	-1.25	[-1.82, -0.72]	-1.27	[-1.72, -0.84]	-1.56	[-2.08, -1.08]	-1.77	[-2.31, -1.28]
LTHP	0.07	[-0.08, 0.22]	0.05	[-0.08, 0.17]	-0.15	[-0.31, 0]	-0.20	[-0.37, -0.02]
Age	-0.02	[-0.06, 0.02]	-0.03	[-0.07, 0]	0.02	[-0.02, 0.06]	0.02	[-0.03, 0.06]
Female	-0.19	[-0.3, -0.08]	-0.18	[-0.27, -0.09]	-0.28	[-0.38, -0.17]	-0.33	[-0.45, -0.22]
IEP	0.15	[-0.02, 0.32]	0.31	[0.18, 0.43]	0.32	[0.17, 0.47]	0.22	[0.05, 0.39]
Fair	0.14	[-0.38, 0.69]	0.28	[-0.13, 0.72]	0.18	[-0.28, 0.67]	0.41	[-0.05, 0.92]
Good	0.58	[0.09, 1.11]	0.69	[0.29, 1.11]	0.56	[0.12, 1.03]	0.79	[0.34, 1.27]
Very Good	1.04	[0.56, 1.57]	1.25	[0.86, 1.68]	1.17	[0.74, 1.64]	1.29	[0.85, 1.78]
Excellent	1.43	[0.94, 1.96]	1.72	[1.32, 2.14]	1.58	[1.14, 2.06]	1.76	[1.31, 2.26]
Overweight	0.07	[-0.07, 0.22]	0.08	[-0.03, 0.2]	0.03	[-0.11, 0.17]	0.05	[-0.1, 0.2]
Obese	0.19	[0.02, 0.35]	0.20	[0.07, 0.33]	0.22	[0.07, 0.37]	0.15	[-0.01, 0.3]
Empowerment
Intercept	-0.72	[-1.22, -0.25]	-0.91	[-1.32, -0.5]	-1.13	[-1.62, -0.65]	-0.90	[-1.37, -0.44]
LTHP	-0.19	[-0.34, -0.04]	-0.18	[-0.31, -0.05]	-0.22	[-0.38, -0.07]	-0.02	[-0.19, 0.15]
Age	0.01	[-0.03, 0.05]	0.05	[0.02, 0.09]	0.05	[0.01, 0.1]	0.00	[-0.04, 0.05]
Female	-0.20	[-0.32, -0.09]	-0.21	[-0.31, -0.11]	-0.34	[-0.45, -0.23]	-0.42	[-0.54, -0.3]
IEP	-0.23	[-0.41, -0.05]	-0.34	[-0.48, -0.21]	-0.24	[-0.4, -0.07]	-0.28	[-0.46, -0.1]
Fair	0.43	[-0.01, 0.89]	0.26	[-0.11, 0.64]	0.58	[0.15, 1.03]	0.46	[0.05, 0.88]
Good	1.08	[0.66, 1.52]	1.04	[0.68, 1.4]	1.19	[0.77, 1.62]	1.09	[0.7, 1.5]
Very Good	1.77	[1.35, 2.22]	1.95	[1.59, 2.33]	2.10	[1.69, 2.54]	2.05	[1.66, 2.47]
Excellent	2.33	[1.89, 2.78]	2.55	[2.18, 2.94]	2.75	[2.32, 3.21]	2.62	[2.2, 3.06]
Overweight	0.19	[0.04, 0.34]	0.14	[0.02, 0.27]	-0.01	[-0.15, 0.14]	-0.03	[-0.19, 0.13]
Obese	0.15	[-0.02, 0.32]	0.24	[0.1, 0.37]	0.20	[0.05, 0.35]	0.18	[0.03, 0.34]

	Somali
	2013		2016		2019		2022
Variable	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI
Commitment to Learning
Intercept	0.12	[-1.06, 1.28]	-0.36	[-1.43, 0.71]	-1.02	[-2.1, 0.04]	-0.10	[-1.15, 0.95]
LTHP	-0.59	[-1.06, -0.12]	-0.19	[-0.55, 0.18]	-0.16	[-0.57, 0.28]	0.00	[-0.41, 0.43]
Age	-0.06	[-0.18, 0.06]	0.02	[-0.09, 0.12]	0.09	[-0.01, 0.2]	0.02	[-0.07, 0.12]
Female	0.41	[0.07, 0.77]	0.40	[0.12, 0.68]	0.65	[0.37, 0.94]	0.32	[0.06, 0.58]
IEP	-0.81	[-1.36, -0.23]	-0.28	[-0.72, 0.2]	0.37	[-0.27, 1.09]	-0.50	[-1.13, 0.16]
Fair	0.43	[-0.65, 1.54]	0.24	[-0.74, 1.21]	1.02	[0.03, 2.04]	-0.15	[-1.11, 0.8]
Good	1.26	[0.22, 2.32]	1.19	[0.26, 2.12]	1.27	[0.34, 2.21]	0.60	[-0.32, 1.49]
Very Good	1.23	[0.2, 2.27]	1.87	[0.93, 2.8]	1.70	[0.77, 2.63]	0.87	[-0.05, 1.77]
Excellent	2.05	[1.02, 3.11]	2.25	[1.3, 3.19]	2.16	[1.23, 3.1]	1.46	[0.53, 2.38]
Overweight	-0.01	[-0.52, 0.53]	0.13	[-0.3, 0.58]	0.26	[-0.18, 0.73]	-0.15	[-0.48, 0.19]
Obese	0.21	[-0.4, 0.87]	0.45	[-0.07, 1.02]	-0.06	[-0.53, 0.45]	-0.02	[-0.43, 0.41]
Social Competency
Intercept	0.79	[-0.42, 1.99]	-0.85	[-2.09, 0.26]	-0.55	[-1.71, 0.52]	-0.85	[-2.22, 0.34]
LTHP	-0.73	[-1.2, -0.26]	0.25	[-0.09, 0.6]	-0.08	[-0.47, 0.33]	0.02	[-0.4, 0.44]
Age	-0.17	[-0.27, -0.06]	-0.10	[-0.19, -0.01]	-0.10	[-0.19, -0.01]	-0.07	[-0.16, 0.03]
Female	0.18	[-0.14, 0.5]	0.34	[0.09, 0.58]	0.24	[-0.01, 0.49]	-0.02	[-0.28, 0.24]
IEP	-0.42	[-1, 0.17]	-0.24	[-0.66, 0.2]	0.60	[0.03, 1.23]	-0.27	[-1, 0.47]
Fair	-0.49	[-1.69, 0.72]	0.51	[-0.56, 1.72]	0.69	[-0.34, 1.81]	0.59	[-0.53, 1.92]
Good	0.14	[-0.97, 1.28]	1.20	[0.21, 2.36]	1.01	[0.05, 2.09]	1.09	[0.03, 2.37]
Very Good	0.69	[-0.41, 1.81]	2.12	[1.12, 3.28]	1.63	[0.67, 2.7]	1.66	[0.6, 2.95]
Excellent	1.19	[0.09, 2.32]	2.61	[1.61, 3.77]	2.11	[1.15, 3.19]	2.17	[1.1, 3.46]
Overweight	0.39	[-0.09, 0.9]	0.02	[-0.36, 0.42]	0.04	[-0.35, 0.43]	-0.19	[-0.52, 0.15]
Obese	-0.30	[-0.89, 0.3]	-0.11	[-0.56, 0.36]	-0.11	[-0.55, 0.34]	-0.22	[-0.65, 0.22]
Positive Identity & Outlook
Intercept	1.44	[0.29, 2.63]	-0.29	[-1.52, 0.81]	-0.74	[-2.09, 0.42]	-2.05	[-4.99, -0.33]
LTHP	-0.44	[-0.92, 0.04]	0.12	[-0.21, 0.45]	-0.36	[-0.75, 0.03]	0.32	[-0.13, 0.76]
Age	-0.19	[-0.3, -0.08]	-0.13	[-0.22, -0.04]	-0.04	[-0.13, 0.05]	-0.06	[-0.16, 0.04]
Female	-0.33	[-0.65, -0.01]	-0.16	[-0.4, 0.08]	-0.33	[-0.58, -0.08]	-0.56	[-0.82, -0.3]
IEP	-0.33	[-0.92, 0.26]	-0.20	[-0.62, 0.23]	0.70	[0.12, 1.34]	-0.21	[-0.96, 0.54]
Fair	-1.01	[-2.18, 0.13]	0.13	[-0.94, 1.35]	0.74	[-0.38, 2.07]	1.37	[-0.33, 4.3]
Good	-0.28	[-1.35, 0.77]	0.85	[-0.14, 2]	0.88	[-0.18, 2.17]	1.67	[0.04, 4.58]
Very Good	0.27	[-0.79, 1.31]	1.63	[0.64, 2.79]	1.59	[0.54, 2.86]	2.56	[0.93, 5.46]
Excellent	1.12	[0.06, 2.17]	2.42	[1.42, 3.58]	2.38	[1.33, 3.67]	3.47	[1.84, 6.38]
Overweight	0.09	[-0.38, 0.57]	0.02	[-0.36, 0.4]	-0.11	[-0.5, 0.28]	-0.06	[-0.42, 0.29]
Obese	-0.37	[-0.97, 0.23]	-0.20	[-0.66, 0.26]	-0.23	[-0.67, 0.21]	-0.48	[-0.98, 0]
Family & Community Support
Intercept	0.87	[-0.28, 2.02]	-0.39	[-1.56, 0.68]	0.06	[-0.97, 1.05]	0.02	[-1.23, 1.13]
LTHP	-0.38	[-0.83, 0.07]	0.12	[-0.2, 0.45]	-0.29	[-0.66, 0.1]	0.17	[-0.24, 0.6]
Age	-0.18	[-0.28, -0.07]	-0.14	[-0.22, -0.06]	-0.07	[-0.16, 0.02]	-0.18	[-0.27, -0.08]
Female	0.22	[-0.09, 0.53]	0.23	[0, 0.46]	0.21	[-0.04, 0.47]	-0.25	[-0.5, 0.01]
IEP	-0.51	[-1.07, 0.04]	-0.09	[-0.48, 0.32]	0.20	[-0.35, 0.79]	0.01	[-0.69, 0.75]
Fair	-0.79	[-1.92, 0.34]	0.41	[-0.63, 1.55]	-0.38	[-1.35, 0.62]	0.52	[-0.53, 1.72]
Good	-0.32	[-1.37, 0.73]	0.96	[-0.02, 2.04]	0.52	[-0.37, 1.45]	0.84	[-0.15, 1.99]
Very Good	0.45	[-0.58, 1.5]	1.65	[0.67, 2.73]	1.16	[0.28, 2.08]	1.56	[0.58, 2.71]
Excellent	1.15	[0.12, 2.2]	2.21	[1.23, 3.3]	1.72	[0.83, 2.64]	2.39	[1.39, 3.55]
Overweight	-0.03	[-0.49, 0.43]	0.15	[-0.21, 0.52]	-0.17	[-0.55, 0.21]	-0.35	[-0.69, -0.02]
Obese	0.01	[-0.56, 0.58]	0.24	[-0.21, 0.7]	-0.59	[-1.03, -0.16]	-0.39	[-0.82, 0.04]
Teacher & School Support
Intercept	0.25	[-0.91, 1.42]	-1.14	[-2.36, -0.06]	-1.66	[-2.99, -0.54]	-1.70	[-3.25, -0.45]
LTHP	-0.50	[-0.97, -0.04]	0.18	[-0.13, 0.49]	-0.27	[-0.66, 0.11]	-0.09	[-0.52, 0.32]
Age	-0.02	[-0.12, 0.08]	-0.02	[-0.1, 0.06]	0.05	[-0.03, 0.14]	0.03	[-0.06, 0.12]
Female	0.01	[-0.28, 0.31]	-0.12	[-0.33, 0.1]	-0.11	[-0.35, 0.12]	-0.46	[-0.71, -0.21]
IEP	0.09	[-0.46, 0.64]	0.30	[-0.09, 0.69]	1.01	[0.49, 1.55]	0.68	[0.03, 1.36]
Fair	-0.94	[-2.12, 0.23]	-0.01	[-1.1, 1.21]	0.38	[-0.75, 1.72]	0.40	[-0.83, 1.94]
Good	-0.68	[-1.76, 0.4]	0.58	[-0.42, 1.73]	0.48	[-0.56, 1.76]	0.82	[-0.32, 2.3]
Very Good	-0.63	[-1.69, 0.44]	1.27	[0.28, 2.42]	1.07	[0.04, 2.33]	1.30	[0.17, 2.78]
Excellent	0.23	[-0.83, 1.28]	1.62	[0.63, 2.77]	1.46	[0.44, 2.73]	1.86	[0.72, 3.34]
Overweight	0.06	[-0.39, 0.51]	0.25	[-0.1, 0.59]	-0.07	[-0.44, 0.29]	0.06	[-0.28, 0.39]
Obese	0.08	[-0.5, 0.64]	0.15	[-0.28, 0.59]	-0.15	[-0.61, 0.29]	0.08	[-0.36, 0.5]
Empowerment
Intercept	0.72	[-0.51, 1.93]	0.10	[-1, 1.18]	0.54	[-0.57, 1.66]	-1.35	[-2.94, -0.03]
LTHP	-0.75	[-1.22, -0.27]	0.14	[-0.23, 0.53]	-0.54	[-0.96, -0.1]	0.15	[-0.32, 0.64]
Age	-0.14	[-0.27, -0.02]	-0.06	[-0.16, 0.05]	-0.09	[-0.19, 0.02]	-0.04	[-0.15, 0.07]
Female	0.03	[-0.33, 0.39]	-0.03	[-0.31, 0.25]	0.02	[-0.28, 0.33]	-0.33	[-0.64, -0.03]
IEP	-0.82	[-1.41, -0.22]	-0.31	[-0.78, 0.17]	0.33	[-0.36, 1.12]	-1.17	[-1.95, -0.38]
Fair	0.31	[-0.84, 1.48]	0.02	[-0.98, 1.03]	0.15	[-0.87, 1.18]	1.56	[0.36, 3.08]
Good	0.89	[-0.19, 2]	0.84	[-0.09, 1.79]	0.67	[-0.3, 1.65]	2.16	[1.01, 3.65]
Very Good	1.42	[0.34, 2.52]	2.01	[1.06, 2.98]	1.56	[0.59, 2.54]	2.95	[1.79, 4.45]
Excellent	2.03	[0.95, 3.14]	2.08	[1.13, 3.05]	2.05	[1.07, 3.04]	3.77	[2.58, 5.29]
Overweight	-0.06	[-0.57, 0.48]	-0.03	[-0.46, 0.41]	-0.18	[-0.61, 0.27]	0.24	[-0.16, 0.66]
Obese	-0.07	[-0.68, 0.57]	0.01	[-0.49, 0.53]	-0.07	[-0.56, 0.46]	0.04	[-0.45, 0.53]

	Hmong
	2013		2016		2019		2022
Variable	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI
Commitment to Learning
Intercept	-0.18	[-0.94, 0.6]	0.15	[-0.56, 0.86]	0.40	[-0.51, 1.36]	-0.99	[-2.08, 0.03]
LTHP	-0.48	[-0.9, -0.03]	-0.01	[-0.4, 0.41]	-0.39	[-0.84, 0.08]	0.29	[-0.24, 0.85]
Age	0.07	[-0.02, 0.15]	-0.06	[-0.13, 0.02]	0.03	[-0.07, 0.12]	0.01	[-0.09, 0.11]
Female	0.68	[0.44, 0.93]	0.63	[0.41, 0.85]	0.31	[0.04, 0.57]	0.30	[0.02, 0.58]
IEP	-0.22	[-0.65, 0.25]	-0.53	[-0.88, -0.15]	-0.34	[-0.78, 0.12]	0.02	[-0.6, 0.68]
Fair	0.59	[-0.05, 1.21]	0.74	[0.15, 1.31]	-0.52	[-1.37, 0.27]	0.92	[0.01, 1.89]
Good	1.16	[0.54, 1.77]	1.34	[0.78, 1.9]	0.34	[-0.49, 1.11]	1.21	[0.33, 2.16]
Very Good	1.61	[0.97, 2.23]	1.75	[1.17, 2.33]	1.06	[0.21, 1.85]	1.87	[0.97, 2.84]
Excellent	2.00	[1.3, 2.69]	2.28	[1.64, 2.93]	1.13	[0.24, 1.97]	2.32	[1.33, 3.37]
Overweight	0.12	[-0.19, 0.45]	0.07	[-0.21, 0.36]	0.01	[-0.33, 0.36]	0.29	[-0.07, 0.66]
Obese	0.35	[0.01, 0.7]	0.19	[-0.09, 0.49]	0.38	[0.02, 0.75]	0.19	[-0.17, 0.56]
Social Competency
Intercept	-1.25	[-1.98, -0.55]	-1.93	[-2.73, -1.2]	-2.59	[-3.69, -1.63]	-3.39	[-5.31, -1.99]
LTHP	-0.23	[-0.61, 0.15]	-0.15	[-0.48, 0.17]	0.06	[-0.38, 0.49]	0.68	[0.14, 1.21]
Age	0.08	[0.02, 0.15]	0.05	[-0.01, 0.1]	0.13	[0.04, 0.21]	0.17	[0.07, 0.28]
Female	0.46	[0.28, 0.64]	0.16	[-0.01, 0.33]	0.20	[-0.02, 0.43]	0.09	[-0.2, 0.37]
IEP	-0.47	[-0.85, -0.1]	-0.42	[-0.75, -0.09]	-0.39	[-0.8, 0.02]	0.42	[-0.25, 1.08]
Fair	0.25	[-0.38, 0.91]	0.75	[0.09, 1.5]	0.43	[-0.47, 1.47]	0.97	[-0.34, 2.85]
Good	0.63	[0.03, 1.28]	1.35	[0.71, 2.07]	1.37	[0.52, 2.37]	1.72	[0.45, 3.57]
Very Good	1.07	[0.45, 1.71]	2.15	[1.51, 2.89]	2.09	[1.23, 3.1]	2.23	[0.96, 4.09]
Excellent	1.56	[0.93, 2.23]	2.56	[1.89, 3.31]	2.73	[1.84, 3.76]	3.27	[1.94, 5.16]
Overweight	0.03	[-0.21, 0.27]	0.27	[0.05, 0.5]	0.15	[-0.16, 0.46]	0.08	[-0.28, 0.45]
Obese	0.16	[-0.1, 0.43]	0.28	[0.05, 0.52]	0.42	[0.11, 0.74]	0.17	[-0.21, 0.55]
Positive Identity & Outlook
Intercept	-1.12	[-1.91, -0.38]	-1.25	[-2.15, -0.45]	-2.42	[-3.93, -1.24]	-16.50	[NA, 11.19]
LTHP	-0.30	[-0.71, 0.09]	-0.39	[-0.75, -0.04]	-0.18	[-0.68, 0.31]	-0.08	[-0.78, 0.57]
Age	0.03	[-0.04, 0.09]	-0.09	[-0.15, -0.03]	-0.01	[-0.11, 0.08]	0.04	[-0.09, 0.16]
Female	-0.27	[-0.45, -0.09]	-0.41	[-0.58, -0.24]	-0.66	[-0.9, -0.41]	-0.71	[-1.04, -0.38]
IEP	-0.15	[-0.53, 0.22]	-0.03	[-0.38, 0.3]	0.07	[-0.37, 0.49]	0.16	[-0.68, 0.94]
Fair	0.04	[-0.64, 0.78]	0.60	[-0.14, 1.47]	0.68	[-0.47, 2.16]	13.82	[253.27, 223.81]
Good	0.59	[-0.06, 1.3]	1.16	[0.44, 2]	1.50	[0.42, 2.95]	15.03	[-13, NA]
Very Good	0.97	[0.32, 1.69]	1.91	[1.2, 2.76]	2.39	[1.31, 3.85]	15.87	[-12.17, NA]
Excellent	1.73	[1.06, 2.46]	2.59	[1.85, 3.45]	3.29	[2.18, 4.75]	16.81	[-11.16, NA]
Overweight	-0.20	[-0.45, 0.04]	-0.01	[-0.24, 0.21]	-0.02	[-0.36, 0.32]	0.23	[-0.2, 0.64]
Obese	0.11	[-0.16, 0.38]	0.27	[0.02, 0.51]	0.61	[0.28, 0.95]	0.49	[0.06, 0.92]
Family & Community Support
Intercept	-1.27	[-2.23, -0.43]	-0.32	[-1.09, 0.4]	-2.13	[-3.62, -0.98]	-2.20	[-5.13, -0.51]
LTHP	0.13	[-0.26, 0.51]	-0.21	[-0.55, 0.12]	-0.38	[-0.83, 0.06]	0.48	[-0.05, 1.01]
Age	-0.14	[-0.21, -0.07]	-0.17	[-0.23, -0.11]	-0.09	[-0.17, -0.01]	-0.11	[-0.21, 0]
Female	-0.10	[-0.28, 0.08]	-0.39	[-0.56, -0.23]	-0.32	[-0.54, -0.09]	-0.58	[-0.86, -0.3]
IEP	0.00	[-0.37, 0.36]	0.05	[-0.28, 0.38]	0.10	[-0.29, 0.5]	0.20	[-0.48, 0.86]
Fair	1.02	[0.24, 1.94]	0.33	[-0.33, 1.05]	1.26	[0.15, 2.72]	1.42	[-0.22, 4.33]
Good	1.13	[0.37, 2.04]	0.79	[0.16, 1.49]	2.15	[1.09, 3.6]	2.38	[0.79, 5.28]
Very Good	1.61	[0.85, 2.53]	1.45	[0.82, 2.16]	2.99	[1.92, 4.44]	2.71	[1.11, 5.6]
Excellent	2.19	[1.41, 3.11]	1.88	[1.23, 2.6]	3.06	[1.97, 4.52]	3.50	[1.86, 6.41]
Overweight	0.00	[-0.24, 0.24]	0.04	[-0.18, 0.26]	0.28	[-0.02, 0.58]	0.04	[-0.32, 0.4]
Obese	0.32	[0.05, 0.58]	0.16	[-0.08, 0.39]	0.55	[0.24, 0.87]	-0.13	[-0.51, 0.25]
Teacher & School Support
Intercept	-0.63	[-1.39, 0.09]	-0.94	[-1.71, -0.22]	-1.71	[-2.8, -0.75]	-2.38	[-4.3, -0.99]
LTHP	-0.10	[-0.49, 0.29]	0.17	[-0.15, 0.49]	-0.13	[-0.58, 0.32]	0.14	[-0.4, 0.66]
Age	-0.07	[-0.13, 0]	-0.09	[-0.15, -0.03]	-0.03	[-0.12, 0.05]	0.02	[-0.09, 0.12]
Female	0.01	[-0.17, 0.19]	-0.30	[-0.47, -0.14]	-0.29	[-0.52, -0.06]	-0.50	[-0.78, -0.22]
IEP	0.47	[0.1, 0.84]	0.50	[0.18, 0.83]	0.41	[0.01, 0.81]	0.84	[0.2, 1.49]
Fair	0.39	[-0.26, 1.08]	0.55	[-0.1, 1.28]	0.04	[-0.89, 1.1]	1.32	[0.02, 3.19]
Good	0.23	[-0.4, 0.91]	0.80	[0.17, 1.51]	0.97	[0.12, 1.98]	1.52	[0.25, 3.37]
Very Good	0.78	[0.14, 1.46]	1.32	[0.68, 2.03]	1.77	[0.91, 2.78]	1.86	[0.59, 3.72]
Excellent	0.98	[0.33, 1.67]	1.69	[1.03, 2.41]	2.12	[1.24, 3.15]	3.10	[1.77, 4.98]
Overweight	0.07	[-0.17, 0.31]	0.11	[-0.11, 0.33]	0.40	[0.09, 0.7]	0.30	[-0.07, 0.66]
Obese	0.07	[-0.2, 0.33]	0.35	[0.12, 0.58]	0.60	[0.29, 0.92]	0.44	[0.07, 0.81]
Empowerment
Intercept	-1.04	[-1.86, -0.28]	-0.92	[-1.61, -0.26]	-1.06	[-2.02, -0.17]	-2.38	[-4.3, -0.98]
LTHP	-0.45	[-0.83, -0.06]	-0.16	[-0.49, 0.17]	-0.69	[-1.14, -0.24]	-0.11	[-0.66, 0.44]
Age	-0.02	[-0.09, 0.05]	0.03	[-0.03, 0.09]	0.03	[-0.06, 0.12]	0.04	[-0.07, 0.15]
Female	-0.01	[-0.2, 0.18]	-0.07	[-0.25, 0.1]	-0.29	[-0.53, -0.06]	-0.27	[-0.56, 0.01]
IEP	-0.51	[-0.89, -0.13]	-0.34	[-0.68, -0.01]	0.04	[-0.39, 0.48]	0.31	[-0.38, 1.04]
Fair	1.04	[0.35, 1.8]	0.44	[-0.14, 1.05]	0.42	[-0.38, 1.29]	1.55	[0.25, 3.42]
Good	1.56	[0.89, 2.31]	1.08	[0.52, 1.68]	1.07	[0.3, 1.91]	2.25	[0.98, 4.1]
Very Good	2.21	[1.53, 2.96]	1.81	[1.24, 2.42]	2.06	[1.28, 2.92]	3.17	[1.88, 5.03]
Excellent	2.52	[1.81, 3.29]	2.39	[1.79, 3.03]	2.55	[1.71, 3.44]	4.15	[2.76, 6.07]
Overweight	0.04	[-0.21, 0.29]	0.22	[-0.01, 0.46]	-0.04	[-0.35, 0.28]	0.12	[-0.26, 0.49]
Obese	0.19	[-0.08, 0.47]	0.21	[-0.03, 0.45]	0.62	[0.28, 0.97]	0.29	[-0.1, 0.68]

4 Significance

Adolescence represents a critical period of physical, cognitive, and social development in which academic achievement serves as a key determinant of future education and health outcomes. Although researchers have increasingly acknowledged the impact of mental health on academic performance, far less attention has been devoted to the association between chronic physical health conditions and scholastic achievement during this developmental stage. Through this study we contribute to filling this gap by examining the association between long-term physical health (LTH) problems and academic performance—measured via self-reported GPA—among middle and high school students across multiple time points.

We provide a foundation for future longitudinal and qualitative research that explores mechanisms, such as school absences, health-related stigma, or access to support services, that may mediate this association. Furthermore, armed with these results, we offer actionable insight for educators, school nurses, and policymakers committed to supporting the academic success of all learners, including those navigating long-term health challenges