The Prevalence of Bullying Among Pediatric Orthopaedic Patients.
The Prevalence of Bullying Among Pediatric Orthopaedic Patients.
复制标题
儿科骨科患者中欺凌行为的发生率。
DOI：
10.1097/bpo.0000000000001911
复制
发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Livingston,KristinS
中科院分区：
文献类型：
--
作者：
Carrillo,LauraA;Sabatini,ColeenS;Brar,RavinderK;Jagodzinski,JasonE;Sabharwal,Sanjeev;Delgado,Eliana;Livingston,KristinS
背景：欺凌是破坏性的和普遍的。虽然文献表明患有慢性疾病的儿童被欺负的风险更高，但关于患有骨科疾病的儿童被欺负的普遍程度的研究很少。本研究旨在评估儿科骨科门诊患者的欺凌发生率，并评估骨科状况和骨科器械使用与欺凌感知的关系。方法：采用儿童-青少年欺凌量表-9对10 ~ 17岁儿童骨科门诊患者及其家长进行问卷调查。此外，还收集了儿童的基本人口统计信息、儿童的骨科状况信息以及家长对孩子遭受欺凌的看法。儿童被问及他们是否在过去3个月内使用过任何矫形设备，他们是否因为他们的设备而受到欺凌，以及欺凌是否影响了他们对设备使用的依从性。该分析利用t检验或方差分析来比较不同群体中儿童-青少年欺凌量表-9的平均得分。结果：在接受调查的198名患者中，61%（N= 121）认为没有到最低程度的欺凌暴露，36%（N= 72）中度暴露，3%（N= 5）严重暴露。10至13岁的儿童（N= 100）和14至17岁的儿童（N= 98）报告的欺凌率相似（P= 0.97）。有足部畸形（80%）、多种骨科诊断（55%）、慢性疼痛（39%）、骨折/急性损伤（37%）和脊柱侧凸（33%）的患者报告的中重度欺凌发生率较高。37%的患者使用石膏，40%的患者使用支具/矫形器，52%的患者使用多种矫形装置。父母对孩子被欺凌的担忧与孩子的欺凌得分高度相关（P= 0.0002）。结论：超过三分之一的儿科骨科门诊患者（39%）经历过中度至重度的欺凌，高于一般人群报告的20%至35%的比例。在某些诊断或使用某些矫形装置时，暴露于欺凌可能更高。需要进一步的研究来确定谁的风险最高。证据等级：四级。欺凌是一种广泛存在的破坏性现象，影响着所有年龄段的儿童和青少年。这种同伴受害与持久的身体、情感和学业后果有关，包括抑郁、焦虑、社会孤立、低自尊和逃避学校。1-3《校园犯罪与安全指标：2019年报告》估计，全国20%的青少年在校期间遭受欺凌。4
Background:Bullying is destructive and pervasive. Although the literature suggests children with chronic health conditions are at higher risk of being bullied, there is minimal research regarding the prevalence of bullying among children with orthopaedic conditions. Our study aimed to assess the prevalence of bullying among pediatric orthopaedic outpatients and evaluate the association of orthopaedic conditions and use of orthopaedic devices with perceptions of bullying.Methods:Patients in outpatient pediatric orthopaedic clinics, ages 10 to 17 and their parents were surveyed using the Child-Adolescent Bullying Scale-9. Basic demographic, information about the child’s orthopaedic condition, and parent’s perception of their child being subject to bullying were also collected. Children were asked if they had used any orthopaedic devices in the last 3 months, whether they were bullied because of their device, and if bullying affected their compliance with device use. The analysis utilized a t test or analysis of variance to compare mean Child-Adolescent Bullying Scale-9 scores across different groups.Results:Among the 198 patients surveyed, 61%(N= 121) perceived no-to-minimal exposure to bullying, 36%(N= 72) moderate exposure, and 3%(N= 5) severe exposure. Children ages 10 to 13 (N= 100) and children ages 14 to 17 (N= 98) reported similar rates of bullying (P= 0.97). Higher rates of moderate to severe bullying were reported by patients with foot deformity (80%), multiple orthopaedic diagnoses (55%), chronic pain (39%), fracture/acute injury (37%), and scoliosis (33%). Moderate to severe bullying was reported by 37% of patients who wore a cast, 40% who wore a brace/orthotic, and 52% who used multiple orthopaedic devices. Parental concern that their child was being bullied was highly correlated with their child’s bullying score (P= 0.0002).Conclusions:More than one third of our pediatric orthopaedic outpatients (39%) experience moderate to severe levels of bullying, which is higher than the general population’s reported rates of 20% to 35%. Exposure to bullying may be higher in certain diagnoses or with use of certain orthopaedic devices. Further research is needed to delineate who is at highest risk.Level of Evidence:Level IV.Bullying is a widespread and destructive phenomenon affecting children and adolescents of all ages. Such peer victimization has been associated with lasting physical, emotional, and academic consequences including depression, anxiety, social isolation, low self-esteem, and school avoidance. 1–3 The Indicators of School Crime and Safety: 2019 report estimated that 20% of youth nationwide are bullied while at school. 4