Though preventable, children with disabilities have a high risk of victimization, contributing to worsening health conditions. Hence, this study examined the exposure of school-age children with mental, emotional, developmental, or behavioral (MEDB) disorder to bully victimization. This study used the 2018 National Survey of Children’s Health (NSCH) data of 23,494 children ages 5–17 to estimate multilevel logistic regression with fixed and random effects. Children’s health conditions were treated as level one variables, while family poverty level and neighborhood characteristics such as vandalism and presence/absence of recreational centers were treated as level two variables. The paper presents the prevalence of bullying victimization among children with at least one disorder (MDBB = 39.5%), anxiety (20.6%), depression (10.8%), ADD/ADHD (18.3%), behavioral problems (14.9%), learning disability (11.9%), Tourette syndrome (0.5%), developmental delay (10.1%), Autism spectrum disorder (4.6%), speech disorder (10.7), and intellectual disability (1.6%), respectively. Bullying victimization was positively associated with anxiety (AOR = 1.995, 95% CI = 1.634–2.436), depression (AOR = 2.688, 95% CI = 2.031–3.557), developmental delay (AOR = 1.804, 95% CI = 1.422–2.288), but inversely associated with Autism spectrum disorder (AOR = 0.614, 95% CI = 0.399–0.946). Neighborhood disorganization and poverty were also associated with bullying victimization. The NSCH data suggests that children with disabilities in the US had a higher prevalence rate of victimization. Consequently, effective bullying prevention strategies that can protect and improve children’s quality of life with special needs should be prioritized.
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All data and supporting documentation are publicly available from Data Resources Center for Child & Adolescent Health. https://www.childhealthdata.org/dataset.
For guide to topics and questions asked during the survey, please visit https://www.childhealthdata.org/learn-about-the-nsch/topics_questions/2018-nsch-guide-to-topics-and-questions
Vital documentation for 2018 National Survey of Children’s Health can be found here: https://www.childhealthdata.org/learn-about-the-nsch/methods.
Source and Accuracy Statement: and https://www2.census.gov/programs-surveys/nsch/technical-documentation/source-and-accuracy/2018-NSCH-Source-and-Accuracy-Statement.pdf
Antoniadou, N., Kokkinos, C. M., & Fanti, K. A. (2019). Traditional and cyber bullying/victimization among adolescents: Examining their psychosocial profile through latent profile analysis. International Journal of Bullying Prevention, 1(2), 85–98.
Arseneault, L., Bowes, L., & Shakoor, S. (2010). Bullying victimization in youths and mental health problems:‘much ado about nothing’? Psychological Medicine, 40(5), 717–729.
Bejerot, S., Plenty, S., Humble, A., & Humble, M. B. (2013). Poor motor skills: A risk marker for bully victimization. Aggressive Behavior, 39(6), 453–461.
Bifulco, A., Schimmenti, A., Jacobs, C., Bunn, A., & Rusu, A. C. (2014). Risk factors and psychological outcomes of bullying victimization: A community-based study. Child Indicators Research, 7(3), 633–648.
Blake, J. J., Lund, E. M., Zhou, Q., Kwok, O., & Benz, M. R. (2012). National prevalence rates of bully victimization among students with disabilities in the United States. School Psychology Quarterly, 27(4), 210–222. https://doi.org/10.1037/spq0000008.
Camerini, A.-L., Marciano, L., Carrara, A., & Schulz, P. J. (2020). Cyberbullying perpetration and victimization among children and adolescents: A systematic review of longitudinal studies. Telematics and Informatics, 49, 101362.
Center for Disease Control and Prevention. (2019). Preventing Bullying: Violence Prevention. https://www.cdc.gov/violenceprevention/youthviolence/bullyingresearch/fastfact.html
Child and Adolescent Health Measurement Initiative (CAHMI). (2020). 2018 National Survey of Children’s Health, [(SAS/SPSS/Stata)] Indicator data set. Data resource Center for Child and Adolescent Health supported by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau (MCHB). https://www.childhealthdata.org/dataset/download?rq=9507
Choi, J.-K., Teshome, T., & Smith, J. (2021). Neighborhood disadvantage, childhood adversity, bullying victimization, and adolescent depression: A multiple mediational analysis. Journal of Affective Disorders, 279, 554–562.
Christensen, L. L., Fraynt, R. J., Neece, C. L., & Baker, B. L. (2012). Bullying adolescents with intellectual disability. Journal of Mental Health Research in Intellectual Disabilities, 5(1), 49–65. https://doi.org/10.1080/19315864.2011.637660.
Code, N. (1971). Of professional responsibilities.
D’Urso, G., Symonds, J., & Pace, U. (2020). Positive youth development and being bullied in early adolescence: A sociocultural analysis of national cohort data. The Journal of Early Adolescence, 0272431620931199.
da Silva, J. L., de Oliveira, W. A., Komatsu, A. V., Zequinão, M. A., Pereira, B. O., Caravita, S. C. S., Skrzypiec, G., & Silva, M. A. I. (2020). Associations between bullying and depression among students in school transition. Trends in Psychology, 28(1), 72–84. https://doi.org/10.1007/s43076-020-00017-3.
Halabi, F., Ghandour, L., Dib, R., Zeinoun, P., & Maalouf, F. T. (2018). Correlates of bullying and its relationship with psychiatric disorders in Lebanese adolescents. Psychiatry Research, 261, 94–101. https://doi.org/10.1016/j.psychres.2017.12.039.
Health Resources & Services Administration. (2017). 2018 National Survey of Children’s Health. Data Users: Frequently Asked Questions [text]. Maternal and Child Health Bureau. https://mchb.hrsa.gov/data/national-surveys/data-user
Healthy People Initiatives. (2020). IVP-35 Data Details | Reduce bullying among adolescents. https://www.healthypeople.gov/node/4773/data_details
Holfeld, B., Stoesz, B., & Montgomery, J. (2019). Traditional and cyber bullying and victimization among youth with autism Spectrum disorder: An investigation of the frequency, characteristics, and psychosocial correlates. Journal on Developmental Disabilities, 24(2), 61–76.
Holt, T. J., Turner, M. G., & Exum, M. L. (2014). The impact of self control and neighborhood disorder on bullying victimization. Journal of Criminal Justice, 42(4), 347–355.
Jadambaa, A., Thomas, H. J., Scott, J. G., Graves, N., Brain, D., & Pacella, R. (2019). Prevalence of traditional bullying and cyberbullying among children and adolescents in Australia: A systematic review and meta-analysis. Australian & New Zealand Journal of Psychiatry, 53(9), 878–888. https://doi.org/10.1177/0004867419846393.
Kokkinos, C. M., & Antoniadou, N. (2019). Cyber-bullying and cyber-victimization among undergraduate student teachers through the lens of the general aggression model. Computers in Human Behavior, 98, 59–68.
Kokkinos, C. M., Antoniadou, N., Asdre, A., & Voulgaridou, K. (2016). Parenting and internet behavior predictors of cyber-bullying and cyber-victimization among preadolescents. Deviant Behavior, 37(4), 439–455.
Larrañaga, E., Yubero, S., Ovejero, A., & Navarro, R. (2016). Loneliness, parent-child communication and cyberbullying victimization among Spanish youths. Computers in Human Behavior, 65, 1–8.
Lebrun-Harris, L. A., Sherman, L. J., Limber, S. P., Miller, B. D., & Edgerton, E. A. (2019). Bullying Victimization and Perpetration among U.S. Children and Adolescents: 2016 National Survey of Children’s Health. Journal of Child and Family Studies, 28(9), 2543–2557. https://doi.org/10.1007/s10826-018-1170-9.
Li, R., Lian, Q., Su, Q., Li, L., Xie, M., & Hu, J. (2020). Trends and sex disparities in school bullying victimization among US youth, 2011–2017.
McCann, A. (2018). States with the Biggest Bullying Problems. WalletHub. https://wallethub.com/edu/e/best-worst-states-at-controlling-bullying/9920
Meade, M. S. (2014). Medical geography. The Wiley Blackwell Encyclopedia of Health, Illness, Behavior, and Society, 1375–1381.
Musharraf, S., Bauman, S., Anis-ul-Haque, M., & Malik, J. A. (2019). General and ICT self-efficacy in different participants roles in cyberbullying/victimization among Pakistani university students. Frontiers in Psychology, 10, 1098.
National Academies of Sciences & Medicine. (2019). Fostering healthy mental, emotional, and behavioral development in children and youth: A national agenda. National Academies Press.
PACER’s National Bullying Prevention Center. (2020). Bullying Statistics. https://www.pacer.org/bullying/resources/stats.asp
Piotrowska, P. J., Stride, C. B., Croft, S. E., & Rowe, R. (2015). Socioeconomic status and antisocial behaviour among children and adolescents: A systematic review and meta-analysis. Clinical Psychology Review, 35, 47–55.
Rose, C. A., & Espelage, D. L. (2012). Risk and protective factors associated with the bullying involvement of students with emotional and behavioral disorders. Behavioral Disorders, 37(3), 133–148.
Rose, C. A., & Gage, N. A. (2017). Exploring the involvement of bullying among students with disabilities over time. Exceptional Children, 83(3), 298–314. https://doi.org/10.1177/0014402916667587.
Rose, C. A., & Monda-Amaya, L. E. (2012). Bullying and victimization among students with disabilities: Effective strategies for classroom teachers. Intervention in School and Clinic, 48(2), 99–107.
Salmon, S., Turner, S., Taillieu, T., Fortier, J., & Afifi, T. O. (2018). Bullying victimization experiences among middle and high school adolescents: Traditional bullying, discriminatory harassment, and cybervictimization. Journal of Adolescence, 63, 29–40. https://doi.org/10.1016/j.adolescence.2017.12.005.
Sam, D. L., Bruce, D., Agyemang, C. B., Amponsah, B., & Arkorful, H. (2019). Cyberbullying victimization among high school and university students in Ghana. Deviant Behavior, 40(11), 1305–1321.
Son, E., Parish, S. L., & Peterson, N. A. (2012). National prevalence of peer victimization among young children with disabilities in the United States. Children and Youth Services Review, 34(8), 1540–1545.
Son, E., Peterson, N. A., Pottick, K. J., Zippay, A., Parish, S. L., & Lohrmann, S. (2014). Peer victimization among young children with disabilities: Early risk and protective factors. Exceptional Children, 80(3), 368–384.
Swearer, S. M., Song, S. Y., Cary, P. T., Eagle, J. W., & Mickelson, W. T. (2001). Psychosocial correlates in bullying and victimization: The relationship between depression, anxiety, and bully/victim status. Journal of Emotional Abuse, 2(2–3), 95–121.
Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics. Allyn & Bacon/Pearson Education.
Tippett, N., & Wolke, D. (2014). Socioeconomic status and bullying: A meta-analysis. American Journal of Public Health, 104(6), e48–e59.
U. S. Census Bureau. (2019). Methodology and Data User FAQs: National Survey Of Children’s Health (NSCH). https://www.census.gov/programs-surveys/nsch/technical-documentation/methodology.html
Yoshikawa, H., Aber, J. L., & Beardslee, W. R. (2012). The effects of poverty on the mental, emotional, and behavioral health of children and youth: Implications for prevention. American Psychologist, 67(4), 272–284.
Zablotsky, B., Bradshaw, C. P., Anderson, C., & Law, P. A. (2013). The association between bullying and the psychological functioning of children with autism spectrum disorders. Journal of Developmental & Behavioral Pediatrics, 34(1), 1–8.
Zinner, S. H., Conelea, C. A., Glew, G. M., Woods, D. W., & Budman, C. L. (2012). Peer victimization in youth with Tourette syndrome and other chronic tic disorders. Child Psychiatry & Human Development, 43(1), 124–136. https://doi.org/10.1007/s10578-011-0249-y.
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Iyanda, A.E. Bullying Victimization of Children with Mental, Emotional, and Developmental or Behavioral (MEDB) Disorders in the United States. Journ Child Adol Trauma (2021). https://doi.org/10.1007/s40653-021-00368-8
- Bullying victimization
- Child health
- Medical geography