Food allergy-related bullying and associated peer dynamics among Black and White children in the FORWARD study.

Food allergy-related bullying and associated peer dynamics among Black and White children in the FORWARD study.
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DOI:
10.1016/j.anai.2020.10.013
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发表时间:
2021-03
期刊:
Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology
影响因子:
--
通讯作者:
Warren C
Warren C
中科院分区:
其他
文献类型:
--
作者:
Brown D;Negris O;Gupta R;Herbert L;Lombard L;Bozen A;Assa'ad A;Chura A;Andy-Nweye AB;Fox S;Mahdavinia M;Tobin M;Robinson A;Sharma H;Coleman A;Jiang J;Bilaver L;Fierstein JL;Galic I;Newmark P;Pongracic JA;Pappalardo AA;Warren C

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与食物过敏(FA)的黑人儿童的经验没有很好的特点,特别是在欺凌受害和其他心理社会后果。评估患有FA的黑人和白色儿童的欺凌经历,包括与同伴关系、焦虑和学校政策的关联。对252名医生诊断为FA的儿童的父母进行了调查,这些儿童参加了多地点FORWARD队列。这些调查评估了人口统计学、特应性疾病、欺凌受害情况和学校FA管理实践和政策。用χ2检验比较不同种族欺负行为的描述性统计量。多元逻辑回归分析调整种族,年龄,父母的教育,家庭收入,儿童性别和多FA比较调整后的欺凌受害的概率由学校政策。近20%的学龄儿童因FA而受到欺凌,总体上没有实质性的种族差异,但对于11岁及以上的儿童,白色儿童报告的欺凌率较高。然而,黑人儿童经历非FA相关的欺凌事件的频率是白色儿童的两倍(38.6%对17.7%; P = .002)。大多数的照顾者(85.7%)谁干预他们的孩子的欺凌报告说,这是有帮助的。在父母中,17.3%的人报告说,他们被取笑或欺负,由于他们的孩子的FA。超过一半的受访者(54.8%)报告说,一些过敏原是禁止从他们的孩子的学校,最典型的花生。在禁止花生的学校,所有食物过敏的学生都不太经常报告与花生有关的欺凌行为。由于FA的欺凌是常见的,照顾者,医疗专业人员和学校管理人员可以通过筛查欺凌和支持和教育学校政策来帮助减少欺凌。
The experiences of Black children with food allergy (FA) are not well characterized, particularly with respect to bullying victimization and other psychosocial outcomes. To evaluate bullying experiences of Black and White children with FA, including associations with peer relationships, anxiety, and school policies. Surveys were administered to parents of 252 children with physician-diagnosed FA enrolled in the multisite FORWARD cohort. The surveys assessed demographics, atopic disease, bullying victimization, and school FA management practices and policies. Descriptive statistics of bullying by race were compared by χ2 tests. Multiple logistic regression analyses adjusting for race, age, parental education, household income, child sex, and multi-FA compared adjusted probabilities of bullying victimization by school policies. Nearly 20% of school-aged children were bullied for FA with no substantial racial differences overall, though for children ages 11 years and up, White children reported higher rates of bullying. However, Black children experienced non-FA-related bullying twice as frequently as White children (38.6% vs 17.7%; P = .002). Most of the caregivers (85.7%) who intervened in their child’s bullying reported that it was helpful. Among parents, 17.3% reported that they were teased or bullied owing to their child’s FA. More than half of the respondents (54.8%) reported that some allergens are banned from their child’s school, most typically peanut. In schools banning peanuts, FA-related bullying was less frequently reported by all students who have food allergy. Bullying owing to FA is common, and caregivers, medical professionals, and school administrators can help reduce bullying by screening for bullying and supporting and educating school policies.
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