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Objective: The objective of this study was to examine associations between chronic health conditions and school disconnectedness, trouble getting along with others at school, and peer victimization at age 15. Method: We conducted a secondary analysis of population-based data from the Fragile Families and Child Wellbeing birth cohort to investigate associations between chronic developmental/behavioral and physical health conditions and school disconnectedness, trouble getting along with others at school, and peer victimization of adolescents using mother-reported child health conditions and youth-reported relationships/experiences at school ascertained from standardized scales. Associations were examined using linear and logistic regression models adjusting for confounding factors. Results: Of the 2874 adolescents included, more than one-third had at least 1 chronic health condition. Compared with those with no chronic health conditions, adolescents with developmental/behavioral health conditions felt more disconnected from school (by 0.22 SDs), had more trouble getting along with others at school (0.22 SD), and were more victimized by peers at school (0.20 SD). Teens with physical health conditions also felt more disconnected from school (0.10 SD), had more trouble getting along with others at school (0.12 SD), and were more victimized by peers (0.12 SD). One noteworthy difference was that adolescents with developmental/behavioral conditions were more likely than those with no conditions to report trouble getting along with teachers, but adolescents with physical health conditions were not. Conclusion: Chronic health conditions were associated with disconnectedness from school and negative school social interactions in this study of US urban youth, suggesting that targeted resources and interventions for this population are needed.

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of COVID-19 patients without and with an MHD was 5.36% vs 6.82% (p < 0.05). After adjustment for age, regression analysis showed that the relative risk of mortality was 29% (relative risk [RR] ¼ 1.29; 95% CI, 1.1-1.6; p ¼ 0.001) in COVID-19 patients with an MHD compared to those without. Finally, the mortality rate in African American COVID-19 patients was significantly higher (6.72% and 7.6% without and with an MHD, respectively) as compared to other ethnicities. The age-adjusted regression analysis showed that the RR of mortality was 35% (RR ¼ 1.35; 95% CI, 1.25-2.67; p ¼ 0.01) in African American COVID-19 patients with and without MHD, compared to the corresponding groups with other ethnicities. Conclusions: The findings of this study reveal an increased risk of mortality in COVID-19 patients across all ages, which is significantly higher in those with an MHD. Furthermore, the mortality rate was disproportionately higher in African Americans compared to the other ethnicities. In children and adolescents, COVID-19 and its related mortality, while uncommon, are still present.