Van Cleave Jeanne, Davis Matthew M
Robert Wood Johnson Clinical Scholars Program, University of Michigan, Ann Arbor, Michigan, USA.
Pediatrics. 2006 Oct;118(4):e1212-9. doi: 10.1542/peds.2005-3034.
Dr Van Cleave's current address is Department of Pediatrics, Center for Child and Adolescent Health Policy, MassGeneral Hospital for Children, 50 Staniford St, Room 901, Boston, MA 02114. The association between bullying, being bullied, or being a bully/victim and having a special health care need has not been well described in a national sample of children with a broad variety of special needs.
We aimed to determine the prevalence of bullying, being bullied, or being a bully/victim in children with special health care needs and associations of behaviors with particular types of special needs.
We performed a secondary data analysis using the National Survey of Children's Health, a nationally representative telephone survey conducted by the National Center for Health Statistics of >102,000 US households.
We measured associations between having a special health care need and being a victim of bullying, bullying other children, and being a bully/victim in children and adolescents aged 6 to 17 years. Multiple logistic-regression models were used to examine the association of children with special health care needs overall, and of particular special needs, with the bullying measures.
Overall, children with special health care needs were 21% of the population. In multivariate models adjusting for sociodemographic factors, being a child with special health care needs was associated with being bullied but not with bullying or being a bully/victim. Having a chronic behavioral, emotional, or developmental problem was associated with bullying others and with being a bully/victim.
Having a special health care need generally is associated with being bullied, and having a behavioral, emotional, or developmental problem is associated with bullying others and being a bully/victim. These findings may help pediatricians, mental health providers, and schools use targeted screening and interventions to address bullying for children with special health care needs.
范克利夫博士目前的工作单位是麻省总医院儿童医院儿童与青少年健康政策中心儿科，地址为马萨诸塞州波士顿市斯坦尼福德街50号901室，邮编02114。在全国范围内对具有广泛特殊需求的儿童样本进行的研究中，尚未充分描述欺凌行为、受欺凌情况或既是欺凌者又是受害者与有特殊医疗需求之间的关联。
我们旨在确定有特殊医疗需求的儿童中欺凌行为、受欺凌情况或既是欺凌者又是受害者的发生率，以及这些行为与特定类型特殊需求之间的关联。
我们使用了全国儿童健康调查进行二次数据分析，这是一项由国家卫生统计中心开展的具有全国代表性的电话调查，涉及超过10.2万户美国家庭。
我们测量了6至17岁儿童及青少年中有特殊医疗需求与成为欺凌行为受害者、欺凌其他儿童以及既是欺凌者又是受害者之间的关联。使用多元逻辑回归模型来检验有特殊医疗需求的儿童总体以及特定特殊需求与欺凌行为指标之间的关联。
总体而言，有特殊医疗需求的儿童占总人口的21%。在调整了社会人口学因素的多变量模型中，有特殊医疗需求的儿童与受欺凌相关，但与欺凌行为或既是欺凌者又是受害者无关。患有慢性行为、情绪或发育问题与欺凌他人以及既是欺凌者又是受害者相关。
有特殊医疗需求通常与受欺凌相关，而有行为、情绪或发育问题与欺凌他人以及既是欺凌者又是受害者相关。这些发现可能有助于儿科医生、心理健康服务提供者和学校采用有针对性的筛查和干预措施来解决有特殊医疗需求儿童的欺凌问题。
