Joo Hyonoo, Huang Emily Y, Schoo Desi, Agrawal Yuri, Chen Jenny X
Johns Hopkins School of Medicine, Baltimore, MD, USA.
Department of Otolaryngology - Head & Neck Surgery, Johns Hopkins, Baltimore, MD, USA.
Int J Pediatr Otorhinolaryngol. 2023 Apr;167:111489. doi: 10.1016/j.ijporl.2023.111489. Epub 2023 Feb 21.
Children with disabilities may face increased social challenges among peers. The purpose of this study was to investigate the association between hearing loss and reports of bullying victimization among adolescents in the United States.
The 2021 National Health Interview Survey was a nationally representative cross-sectional survey administered to parents/caregivers of adolescent children ages 12 to 17. The effects of hearing loss on reports of bully victimization were assessed using multivariable logistic regression models, controlling for demographic characteristics including socioeconomic status and health status.
Caregivers of 3207 adolescents completed the survey and their responses represented over 25 million children in weighted analyses. Among all respondents, 21% (95% confidence interval, CI 19%-23%) of caregivers reported that their child had been bullied at least once in the past 12 months. Among children with hearing loss, 34.4% (95% CI 21.1%-47.7%) were bullied. Hearing impairment was associated with increased odds of reporting bullying victimization (odds ratio, OR = 2.04, 95% CI 1.03-4.07, p = 0.04) and children with hearing loss who do not use hearing aids had even greater odds of being bullied (OR = 2.40, 95% CI 1.18-4.86, p = 0.015).
In a nationally representative survey of caregivers for U.S. adolescents, hearing impairment among adolescents was associated with increased reported rates of bullying victimization. Further research is needed to investigate how anti-bully interventions can support this at-risk group.
残疾儿童在同龄人中可能面临更多的社交挑战。本研究旨在调查美国青少年听力损失与欺凌受害报告之间的关联。
2021年全国健康访谈调查是一项针对12至17岁青少年家长/照顾者的具有全国代表性的横断面调查。使用多变量逻辑回归模型评估听力损失对欺凌受害报告的影响,并控制包括社会经济地位和健康状况在内的人口统计学特征。
3207名青少年的照顾者完成了调查,在加权分析中他们的回答代表了超过2500万儿童。在所有受访者中,21%(95%置信区间,CI 19%-23%)的照顾者报告称他们的孩子在过去12个月里至少被欺负过一次。在有听力损失的儿童中,34.4%(95%CI 21.1%-47.7%)曾被欺负。听力障碍与报告欺凌受害的几率增加相关(优势比,OR = 2.04,95%CI 1.03-4.07,p = 0.04),而未使用助听器的听力损失儿童被欺负的几率甚至更高(OR = 2.40,95%CI 1.18-4.86,p = 0.015)。
在一项针对美国青少年照顾者的具有全国代表性的调查中,青少年听力障碍与报告的欺凌受害率增加相关。需要进一步研究来调查反欺凌干预措施如何支持这一高危群体。