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Why are children with asthma bullied? A risk factor analysis
Rebecca Charles1, Paul L P Brand2, Francis J Gilchrist1,3
1Paediatric Respiratory Service, Staffordshire Children's Hospital at Royal Stoke, Stoke-on-Trent, UK.
Archives of Disease in Childhood
|December 1, 2021
Summary
Asthma-related bullying affects 1 in 10 children. Well-controlled asthma reduces bullying risk, while poor control, activity limits, and parental worries increase it.
Area of Science:
- Pediatric Pulmonology
- Child Psychology
- Social Determinants of Health
Background:
- Bullying's impact on child health is significant.
- The specific link between bullying and childhood asthma remains under-explored.
- Understanding factors associated with asthma-related bullying is crucial for intervention.
Purpose of the Study:
- To investigate child and parent factors associated with asthma-related bullying in children.
- To identify attitudes and conditions that correlate with experiencing or perpetrating asthma-related bullying.
Main Methods:
- Analysis of individual child and parent responses from the 'Room to Breathe' survey (N=943).
- Statistical analysis, including odds ratios (OR) and confidence intervals (CI), to determine associations.
- Focus on children diagnosed with asthma.
Main Results:
- Approximately 10% of children with asthma reported experiencing asthma-related bullying or teasing.
- Children with well-controlled asthma were less likely to be victims (OR 0.51).
- Victimization was higher in children with activity restrictions (OR 1.74), those perceiving their asthma as 'bad' (OR 3.02), and those with parental health worries (OR 1.64).
Conclusions:
- Asthma-related bullying is a notable issue affecting children with asthma.
- Asthma control, perceived asthma severity, activity limitations, and parental anxiety are linked to bullying experiences.
- Healthcare providers should routinely inquire about bullying during asthma consultations to better assess and manage the condition's impact.
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