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The analysis was based on a sample of 138 sixth-grade students. Our findings revealed (a) the trend in MW performance followed the hierarchy of mathematics ability levels (HP &gt; TD &gt; MD), whereas all groups displayed similar performance in general writing (HP = TD = MD), (b) although all three groups were able to organize their ideas in general writing, they had difficulty structuring their ideas effectively in MW, and (c) students with MD were less likely to incorporate technical mathematics vocabulary and symbols in their MW; they were also more likely to write incomplete sentences and make punctuation mistakes in their MW. Implications for educational strategies, teaching methodologies, and targeted support interventions are discussed.<\/jats:p>","DOI":"10.1177\/00222194251391829","type":"journal-article","created":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T10:24:24Z","timestamp":1764584664000},"page":"185-201","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Mathematics-Writing Performance of Students Experiencing Mathematics Difficulties in China"],"prefix":"10.1177","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-8949-1212","authenticated-orcid":false,"given":"Xiaonan","family":"Han","sequence":"first","affiliation":[{"name":"University of Macau, Taipa, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8077-5134","authenticated-orcid":false,"given":"Xin","family":"Lin","sequence":"additional","affiliation":[{"name":"University of Macau, Taipa, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,1]]},"reference":[{"key":"e_1_3_2_2_1","author":"Adams M. 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