Rutgers School of Public Health, Rutgers University, Piscataway, NJ, USA.
Department of Neurology, Penn State College of Medicine, Hershey, PA, USA.
J Sch Nurs. 2024 Dec;40(6):696-702. doi: 10.1177/10598405241277837. Epub 2024 Sep 9.
Adolescents with food allergies (FA) face unique challenges, including an increased risk of bullying, yet comprehensive national studies on this intersection are lacking. Our study examines the prevalence and association between FA and bullying among US high-school adolescents, utilizing Youth Risk Behavior Survey (2015-2019) data. Analyzing responses from 27,781 adolescents, we found that 19.1% reported on-campus bullying, and 14.9% reported electronic bullying, while 15.8% reported FA. Food allergy was significantly more common among those who reported bullying (23% vs. 13.9%, < .001). Logistic regressions revealed that adolescents with FA were more likely to experience on-campus (adjusted odds ratio [AOR] 1.51, 95% CI 1.35-1.69) and electronic bullying (AOR 1.42, 95% CI 1.27-1.58) compared to their peers without FA. These findings underscore the vital role of school nurses in identifying and addressing bullying among FA adolescents, thereby ensuring supportive environments, promoting well-being, and fostering academic success.
青少年食物过敏（FA）面临独特的挑战，包括遭受欺凌的风险增加，但缺乏关于这一交叉点的全面国家研究。我们的研究利用 2015-2019 年青少年风险行为调查（YRBS）数据，调查了美国高中生中 FA 和欺凌的流行率及其相关性。分析了 27781 名青少年的回答，我们发现 19.1%的人报告在校园内受到欺凌，14.9%的人报告电子欺凌，而 15.8%的人报告 FA。食物过敏在报告欺凌的人群中更为常见（23%比 13.9%，<0.001）。逻辑回归显示，与没有 FA 的同龄人相比，患有 FA 的青少年更有可能遭受校园欺凌（调整后的优势比 [AOR] 1.51，95%可信区间 [CI] 1.35-1.69）和电子欺凌（AOR 1.42，95% CI 1.27-1.58）。这些发现强调了学校护士在识别和解决 FA 青少年欺凌问题方面的重要作用，从而确保了支持性环境、促进幸福感和培养学业成功。
