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

Autor: Brown D; Center for Food Allergy and Asthma Research, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois., Negris O; Center for Food Allergy and Asthma Research, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois., Gupta R; Center for Food Allergy and Asthma Research, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois; Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois. Electronic address: R-gupta@northwestern.edu., Herbert L; Division of Allergy and Immunology, Department of Pediatrics, Children's National Health Systems, Washington, District of Columbia., Lombard L; Center for Food Allergy and Asthma Research, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois., Bozen A; Center for Food Allergy and Asthma Research, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois., Assa'ad A; Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio., Chura A; Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio., Andy-Nweye AB; Rush University Medical Center, Chicago, Illinois., Fox S; Rush University Medical Center, Chicago, Illinois., Mahdavinia M; Rush University Medical Center, Chicago, Illinois., Tobin M; Rush University Medical Center, Chicago, Illinois., Robinson A; Division of Allergy and Immunology, Department of Pediatrics, Children's National Health Systems, Washington, District of Columbia., Sharma H; Division of Allergy and Immunology, Department of Pediatrics, Children's National Health Systems, Washington, District of Columbia., Coleman A; Division of Allergy and Immunology, Department of Pediatrics, Children's National Health Systems, Washington, District of Columbia., Jiang J; Center for Food Allergy and Asthma Research, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois., Bilaver L; Center for Food Allergy and Asthma Research, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois., Fierstein JL; Center for Food Allergy and Asthma Research, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois., Galic I; Center for Food Allergy and Asthma Research, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois., Newmark P; Center for Food Allergy and Asthma Research, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois., Pongracic JA; Center for Food Allergy and Asthma Research, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois; Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois., Pappalardo AA; University of Illinois at Chicago, Illinois, Chicago., Warren C; Center for Food Allergy and Asthma Research, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois; Stanford University School of Medicine, Stanford, California.
Jazyk: angličtina
Zdroj: Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology [Ann Allergy Asthma Immunol] 2021 Mar; Vol. 126 (3), pp. 255-263.e1. Date of Electronic Publication: 2020 Nov 04.
DOI: 10.1016/j.anai.2020.10.013
Abstrakt: Background: The experiences of Black children with food allergy (FA) are not well characterized, particularly with respect to bullying victimization and other psychosocial outcomes.
Objective: To evaluate bullying experiences of Black and White children with FA, including associations with peer relationships, anxiety, and school policies.
Methods: 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 χ 2 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.
Results: 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.
Conclusion: 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.
(Copyright © 2020. Published by Elsevier Inc.)
Databáze: MEDLINE