Asthma is associated with bullying victimization in rural adolescents.
Asthma is associated with bullying victimization in rural adolescents.
复制标题
哮喘与农村青少年的欺凌行为有关。
DOI：
10.1080/02770903.2022.2151466
复制
发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Bruzzese,Jean-Marie
中科院分区：
文献类型：
--
作者：
Ancheta,AprilJ;Cunningham,PhillippeB;Liu,Jianfang;Powell,JenniferS;Halliday,ColleenA;Bruzzese,Jean-Marie
目的研究农村青少年欺负行为的特征，探讨哮喘与欺负行为之间的关系。方法受试者(N= 1905；44.5%为黑人)是农村高中学生，他们接受了一项针对未控制哮喘的随机试验。筛查问题询问学生哮喘的诊断和症状、欺凌行为和人口统计特征。以学校为固定效应的Logistic回归分析被用来检验人口统计学因素、哮喘诊断、哮喘状况(即当前哮喘、未确诊哮喘、可能未确诊哮喘)以及在当前哮喘者中哮喘严重程度与欺凌行为的关联程度。还进行了以欺负频率为结果的敏感性分析。结果26.0%的人报告被欺负。更年轻的年龄和自我认同为白人与欺凌受害者的风险增加相关。与无哮喘者相比，有哮喘者或可能未确诊哮喘者受欺凌的风险增加(调整后的优势比 = 为2.46；95%可信区间 = 为1.76~3.46和aOR=2.42；95%CI=1.87~3.14)。在当前哮喘患者中，持续的症状增加了欺负行为的风险(AOR=2.59；95%CI=1.45~4.71)。结论在一个较大的农村社区队列中，哮喘与欺负行为有关。研究结果表明，患有哮喘的农村学生，无论是否被诊断为哮喘，都可以受益于学校创造包容的环境，减少基于这种医疗条件的受害情况。学校管理人员应该营造能够接受所有学生能力和状况的环境，医疗保健提供者可以为这些青少年提供适当的哮喘管理教育。
ObjectiveWe characterized bullying among rural adolescents and examined the association between asthma and bullying victimization.MethodsParticipants (N= 1905; 44.5% Black) were students attending rural high schools who were screened for a randomized trial to address uncontrolled asthma. Screening questions asked students about asthma diagnosis and symptoms, bullying victimization, and demographic characteristics. Logistic regression analyses with school as a fixed effect were employed to examine the extent to which demographic factors, asthma diagnosis, asthma status (i.e. current asthma, no asthma, possible undiagnosed asthma), and among those with current asthma, asthma severity, were associated with bullying victimization. Sensitivity analyses using bullying frequency as the outcome were also conducted.Results26.0% reported being bullied. Younger age and self-identifying as White were associated with increased risk of bullying victimization. Compared to those with no asthma, those with current asthma or possible undiagnosed asthma were at increased risk for bullying victimization (adjusted odds ratio [AOR] = 2.46; 95% confidence interval (CI) = 1.76–3.46 and AOR = 2.42; 95% CI = 1.87–3.14, respectively). Among those with current asthma, persistent symptoms increased the risk for bullying victimization (AOR = 2.59; 95% CI = 1.45–4.71). Similar results were obtained with sensitivity analyses.ConclusionsIn a large rural community cohort, asthma was associated with bullying victimization. Findings suggest that rural students with asthma, with or without diagnosis, could benefit from schools creating inclusive environments that reduce victimization based on this medical condition. School administrators should foster environments that are accepting of all students’ abilities and statuses, and healthcare providers can provide proper asthma management education to these adolescents.
登录
查看更多内容
生物合成：弥合信息差距。
DOI：
--
发表时间：
1989
期刊：
Bulletin of the Medical Library Association
影响因子：
--
作者：
Broering,NC;Gault,HR;Epstein,H
通讯作者：
Epstein,H
影响因子：
120.7
作者：
BARNETT, GO;CIMINO, JJ;HOFFER, EP
通讯作者：
HOFFER, EP
学术健康科学中心的学术信息。
影响因子：
--
作者：
N. Matheson;J. A. Cooper
通讯作者：
J. A. Cooper
乔治城大学的 MAClinical 工作站项目。
DOI：
--
发表时间：
1991
期刊：
Bulletin of the Medical Library Association
影响因子：
--
作者：
Broering,NC
通讯作者：
Broering,NC
DOI：
--
发表时间：
1986-09
期刊：
M.D. computing : computers in medical practice
影响因子：
--
作者：
R. Miller;Masarie Fe;J. Myers
通讯作者：
R. Miller;Masarie Fe;J. Myers