Iyanda Ayodeji Emmanuel
Department of Geography, Texas State University, San Marcos, TX 78666 USA.
J Child Adolesc Trauma. 2021 Jun 15;15(2):221-233. doi: 10.1007/s40653-021-00368-8. eCollection 2022 Jun.
Though preventable, children with disabilities have a high risk of victimization, contributing to worsening health conditions. Hence, this study examined the exposure of school-age children with mental, emotional, developmental, or behavioral (MEDB) disorder to bully victimization. This study used the 2018 National Survey of Children's Health (NSCH) data of 23,494 children ages 5-17 to estimate multilevel logistic regression with fixed and random effects. Children's health conditions were treated as level one variables, while family poverty level and neighborhood characteristics such as vandalism and presence/absence of recreational centers were treated as level two variables. The paper presents the prevalence of bullying victimization among children with at least one disorder (MDBB = 39.5%), anxiety (20.6%), depression (10.8%), ADD/ADHD (18.3%), behavioral problems (14.9%), learning disability (11.9%), Tourette syndrome (0.5%), developmental delay (10.1%), Autism spectrum disorder (4.6%), speech disorder (10.7), and intellectual disability (1.6%), respectively. Bullying victimization was positively associated with anxiety (AOR = 1.995, 95% CI = 1.634-2.436), depression (AOR = 2.688, 95% CI = 2.031-3.557), developmental delay (AOR = 1.804, 95% CI = 1.422-2.288), but inversely associated with Autism spectrum disorder (AOR = 0.614, 95% CI = 0.399-0.946). Neighborhood disorganization and poverty were also associated with bullying victimization. The NSCH data suggests that children with disabilities in the US had a higher prevalence rate of victimization. Consequently, effective bullying prevention strategies that can protect and improve children's quality of life with special needs should be prioritized.
The online version contains supplementary material available at 10.1007/s40653-021-00368-8.
尽管可预防，但残疾儿童遭受伤害的风险很高，这会导致健康状况恶化。因此，本研究调查了患有精神、情感、发育或行为（MEDB）障碍的学龄儿童遭受欺凌的情况。本研究使用了2018年全国儿童健康调查（NSCH）中23494名5至17岁儿童的数据，来估计具有固定效应和随机效应的多层逻辑回归。儿童的健康状况被视为一级变量，而家庭贫困水平以及诸如破坏行为和是否存在娱乐中心等邻里特征被视为二级变量。该论文分别呈现了至少患有一种疾病的儿童（MDBB = 39.5%）、焦虑症（20.6%）、抑郁症（10.8%）、注意力缺陷多动障碍（ADD/ADHD，18.3%）、行为问题（14.9%）、学习障碍（11.9%）、妥瑞氏症（0.5%）、发育迟缓（10.1%）、自闭症谱系障碍（4.6%）、言语障碍（10.7%）和智力障碍（1.6%）遭受欺凌的患病率。遭受欺凌与焦虑症（优势比[AOR]=1.995，95%置信区间[CI]=1.634 - 2.436）、抑郁症（AOR = 2.688，95% CI = 2.031 - 3.557）、发育迟缓（AOR = 1.804，95% CI = 1.422 - 2.288）呈正相关，但与自闭症谱系障碍呈负相关（AOR = 0.614，95% CI = 0.399 - 0.946）。邻里混乱和贫困也与遭受欺凌有关。NSCH数据表明，美国残疾儿童的受伤害患病率更高。因此，应优先制定有效的预防欺凌策略，以保护和提高有特殊需求儿童的生活质量。
在线版本包含可在10.1007/s40653 - 021 - 00368 - 8获取的补充材料。
