Paediatric Respiratory Service, Staffordshire Children's Hospital at Royal Stoke, Stoke-on-Trent, UK.
Princess Amalia Children's Clinic, Isala Klinieken, Zwolle, The Netherlands.
Arch Dis Child. 2022 Jun;107(6):612-615. doi: 10.1136/archdischild-2021-321641. Epub 2021 Nov 30.
The links between bullying and asthma have not been explored in children. We wanted to determine the child/parent factors and attitudes associated with asthma-related bullying. Individual child/parent responses of children with asthma (N=943) from the Room to Breathe survey were analysed. 1 in 10 children reported asthma-related bullying/teasing (n=93). Children with well-controlled asthma were less likely to report being a victim of asthma-related bullying/teasing (OR 0.51, 95% CI 0.23 to 0.84, p=0.006). Being a victim of bullying/teasing was more common in children reporting activity restriction (OR 1.74, 95% CI 1.11 to 2.75, p=0.010), who described their asthma as 'bad' (OR 3.02, 95% CI 1.86 to 4.85, p<0.001) and those whose parents reported ongoing asthma-related health worries (OR 1.64, 95% CI 1.04 to 2.58, p=0.024). Asthma consultations should incorporate specific questions about bullying and be child-focused in order to gain a representative appreciation of asthma control and its impact on the child's life.
在儿童中,欺凌与哮喘之间的关联尚未得到探索。我们希望确定与哮喘相关的欺凌有关的儿童/父母因素和态度。对呼吸空间调查中的哮喘儿童(N=943)的个体儿童/父母反应进行了分析。10 个孩子中有 1 个报告了与哮喘相关的欺凌/戏弄(n=93)。哮喘控制良好的儿童报告成为哮喘相关欺凌/戏弄的受害者的可能性较小(OR 0.51,95%CI 0.23 至 0.84,p=0.006)。报告活动受限的儿童(OR 1.74,95%CI 1.11 至 2.75,p=0.010)、将哮喘描述为“严重”的儿童(OR 3.02,95%CI 1.86 至 4.85,p<0.001)和父母报告持续存在哮喘相关健康担忧的儿童(OR 1.64,95%CI 1.04 至 2.58,p=0.024)更有可能成为欺凌/戏弄的受害者。哮喘咨询应包含有关欺凌的具体问题,并以儿童为重点,以便全面了解哮喘控制及其对儿童生活的影响。