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Explore national- and state-level data for hundreds of health, environmental and socioeconomic measures, including background information about each measure. Use features on this page to find measures; view subpopulations, trends and rankings; and download and share content.
South Dakota Value:
Percentage of public school students who miss 10% or more of school days in an academic year
South Dakota Rank:
Percentage of public school students who miss 10% or more of school days in an academic year
16.7% - 22.7%
22.8% - 24.7%
24.8% - 28.5%
28.6% - 33.8%
33.9% - 46.7%
US Value: 27.8 %
Top State(s): New Jersey: 16.7 %
Bottom State(s): Oregon: 43.8 %
Definition: Percentage of public school students who miss 10% or more of school days in an academic year
Data Source and Years(s): U.S. Department of Education, Institute of Education Sciences, National Center for Education Statistics, EDFacts, 2022-2023 School Year
Suggested Citation: America's Health Rankings analysis of U.S. Department of Education, Institute of Education Sciences, National Center for Education Statistics, EDFacts, United Health Foundation, AmericasHealthRankings.org, accessed 2026.
Chronic school absenteeism is defined as missing 10% or more of the school year for any reason, whether excused or unexcused. Research has found that chronic absenteeism is strongly associated with falling behind academically, becoming socially disengaged and dropping out of school. Beyond the classroom, schools are often a key source of nutritious food and a place where many students receive services like physical or occupational therapy and behavioral health therapy.
Chronic school absenteeism became a major problem during the COVID-19 pandemic, with absenteeism rates nearly doubling between the 2018-2019 and 2021-2022 school years. While attendance has slightly improved since, the level of chronic absenteeism in 2023-2024 was still 71% higher on average compared with pre-pandemic figures.
A new report has found that the most common reason that children miss school is sickness, followed by: feeling down or anxious, oversleeping and feeling uninterested in school.
According to data from the U.S. Department of Education, the rate of chronic absenteeism is higher among:
Kindergarteners, first graders and high schoolers are more likely to be chronically absent, as are children living in poverty. Chronic health and mental health conditions are also common causes for absences.
The Department of Education offers resources to help schools, districts and states enhance student engagement and promote regular attendance as a key part of student achievement.
County Health Rankings has evaluated several evidence-based strategies for reducing chronic school absenteeism:
In addition to school-based efforts, pediatricians can play a vital role in addressing chronic absenteeism. The American Academy of Pediatrics recommends that pediatricians routinely inquire about a student’s absences during visits, support parents in overcoming attendance barriers and provide clear guidance on when a child should stay home sick. They can also promote preventive health measures and coordinate care by connecting with school nurses and mental health clinicians.
Dee, Thomas S. “Higher Chronic Absenteeism Threatens Academic Recovery from the COVID-19 Pandemic.” Proceedings of the National Academy of Sciences 121, no. 3 (January 16, 2024): e2312249121. https://doi.org/10.1073/pnas.2312249121.
Diliberti, Melissa Kay, Lisa Chu, Lydia R. Rainey, Samantha E. DiNicola, Robin J. Lake, and Heather L. Schwartz. Chronic Absenteeism Still a Struggle in 2024–2025: Selected Findings from the American School District Panel and the American Youth Panel. Research Report. RAND Corporation, August 14, 2025. https://www.rand.org/pubs/research_reports/RRA956-34.html.
Germain, Emily, Laura E. Hernández, Sarah Klevan, Rebecca S. Levine, and Anna Maier. Reducing Chronic Absenteeism: Lessons from Community Schools. Learning Policy Institute, August 2024.https://doi.org/10.54300/510.597.
America’s Health Rankings builds on the work of the United Health Foundation to draw attention to public health and better understand the health of various populations. Our platform provides relevant information that policymakers, public health officials, advocates and leaders can use to effect change in their communities.
We have developed detailed analyses on the health of key populations in the country, including women and children, seniors and those who have served in the U.S. Armed Forces, in addition to a deep dive into health disparities across the country.