今日文獻聚焦於學生缺課的多元病因，包含二手菸暴露、慢性疲勞症與腰背痛對學校出席率的影響，顯示身體健康問題與學業參與之間的緊密關聯，提醒臨床需從整體健康視角評估拒學行為。
Preventive medicine reports · Secondhand smoke exposure at home and school absenteeism among children in the United States: national estimates of attributable missed school days.
首次量化美國6-11歲兒童因家中二手菸暴露導致的學校缺課，顯示每名暴露兒童平均多缺0.95天，提醒環境衛生介入可改善出席率。
The Journal of pediatrics · Characterizing Pediatric Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Symptom Burden, Functional Impairment, and Comparison With Adults in the Multi-Site Clinical Assessment of ME/CFS (MCAM) Study.
青少年ME/CFS患者教育中斷嚴重，89%因病缺課，平均每月缺課10.8天，顯示身體疾病為拒學重要醫療來源。
Physiotherapy theory and practice · From information to action; co-designing pain neuroscience education for adolescents with low back pain: Focus group insights.
青少年腰背痛患者需具體、實用且易於操作的疼痛教育工具，強調自我管理與資訊易及性，以減少因疼痛導致的學校缺席。