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Associations Between Bullying and Condition Severity Among Youth With Chronic Health Conditions
Hailey Reisert1, Duy Pham1, Eli Rapoport2
1Division of Developmental and Behavioral Pediatrics, Steven and Alexandra Cohen Children's Medical Center of New York, Lake Success, New York.
Children with chronic health conditions face higher risks of bullying. Condition severity, especially for developmental and mental health issues, significantly increases the likelihood of bullying involvement for these children.
Area of Science:
- Pediatric Health
- Child Psychology
- Social Determinants of Health
Background:
- Children with chronic health conditions experience elevated risks for bullying involvement.
- Bullying involvement encompasses both victimization and perpetration, impacting child well-being.
- Understanding the nuances of this relationship is crucial for targeted interventions.
Purpose of the Study:
- To examine the association between chronic health conditions and bullying victimization and perpetration in children.
- To investigate whether the severity of a child's condition correlates with their involvement in bullying.
Main Methods:
- Secondary analysis of the 2018-2019 National Survey of Children's Health data (n=42,716).
- Children aged 6-17 were categorized by bullying involvement: perpetrators, victims-only, or uninvolved.
- Survey-weighted multinomial logistic regressions analyzed associations between 13 chronic conditions and bullying, including condition severity.
Main Results:
- All 13 chronic conditions were linked to increased odds of victimization.
- Seven developmental/mental health conditions correlated with higher odds of perpetration.
- Condition severity was associated with bullying involvement for one medical and six developmental/mental health conditions, notably ADHD, learning disability, and anxiety.
Conclusions:
- Condition severity emerges as a potential risk factor for bullying involvement, particularly in developmental/mental health conditions.
- Further research is recommended to explore bullying involvement in specific conditions (e.g., ADHD, anxiety) using objective measures and multiple informants.
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