{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T18:52:26Z","timestamp":1788375146195,"version":"build-2803163510"},"reference-count":33,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2023,12,19]],"date-time":"2023-12-19T00:00:00Z","timestamp":1702944000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Children with chronic illnesses report being bullied by peers, yet little is known about bullying among children with heart conditions. Using 2018\u20132020 National Survey of Children\u2019s Health data, the prevalence and frequency of being bullied in the past year (never; annually or monthly; weekly or daily) were compared between children aged 6\u201317 years with and without heart conditions. Among children with heart conditions, associations between demographic and health characteristics and being bullied, and prevalence of diagnosed anxiety or depression by bullying status were examined. Differences were assessed with chi-square tests and multivariable logistic regression using predicted marginals to produce adjusted prevalence ratios and 95% confidence intervals. Weights yielded national estimates. Of 69,428 children, 2.2% had heart conditions. Children with heart conditions, compared to those without, were more likely to be bullied (56.3% and 43.3% respectively; adjusted prevalence ratio [95% confidence interval] = 1.3 [1.2, 1.4]) and bullied more frequently (weekly or daily = 11.2% and 5.3%; p &lt; 0.001). Among children with heart conditions, characteristics associated with greater odds of weekly or daily bullying included ages 9\u201311 years compared to 15\u201317 years (3.4 [2.0, 5.7]), other genetic or inherited condition (1.7 [1.0, 3.0]), ever overweight (1.7 [1.0, 2.8]), and a functional limitation (4.8 [2.7, 8.5]). Children with heart conditions who were bullied, compared to never, more commonly had anxiety (40.1%, 25.9%, and 12.8%, respectively) and depression (18.0%, 9.3%, and 4.7%; p &lt; 0.01 for both). Findings highlight the social and psychological needs of children with heart conditions.<\/jats:p>","DOI":"10.1017\/s1047951123004225","type":"journal-article","created":{"date-parts":[[2023,12,19]],"date-time":"2023-12-19T08:44:15Z","timestamp":1702975455000},"page":"1091-1099","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":3,"title":["Bullying among children with heart conditions, National Survey of Children\u2019s Health, 2018\u20132020"],"prefix":"10.1017","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9097-548X","authenticated-orcid":false,"given":"Brittany N.","family":"Wright","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Jill","family":"Glidewell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3063-1781","authenticated-orcid":false,"given":"Karrie F.","family":"Downing","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin J.","family":"Vagi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael P.","family":"Fundora","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sherry L.","family":"Farr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2023,12,19]]},"reference":[{"key":"S1047951123004225_ref2","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.jpeds.2014.09.006","article-title":"Long-term outcomes in children with congenital heart disease: national health interview survey","volume":"166","author":"Razzaghi","year":"2015","journal-title":"J Pediatr"},{"key":"S1047951123004225_ref11","doi-asserted-by":"crossref","first-page":"e0252459","DOI":"10.1371\/journal.pone.0252459","article-title":"Bullying experience in urban adolescents: prevalence and correlations with health-related quality of life and psychological issues","volume":"16","author":"Ngo","year":"2021","journal-title":"PLOS ONE"},{"key":"S1047951123004225_ref1","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.15585\/mmwr.mm6738a1","article-title":"Children with heart conditions and their special health care needs \u2014 United States, 2016","volume":"67","author":"Chen","year":"2018","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"S1047951123004225_ref18","volume-title":"Analysis","year":"2020"},{"key":"S1047951123004225_ref21","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1111\/j.1365-2214.2005.00559.x","article-title":"Parental reported bullying among nordic children: a population-based study","volume":"31","author":"Nordhagen","year":"2005","journal-title":"Child Care Health Dev"},{"key":"S1047951123004225_ref32","volume-title":"Office of Disease Prevention and Health Promotion"},{"key":"S1047951123004225_ref3","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1111\/chd.12621","article-title":"Functional limitations and educational needs among children and adolescents with heart disease","volume":"13","author":"Farr","year":"2018","journal-title":"Congenit Heart Dis"},{"key":"S1047951123004225_ref15","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1111\/chd.12576","article-title":"Quality of life and sexual well-being in patients with a fontan circulation: an explorative pilot study with a mixed method design","volume":"13","author":"Wolff","year":"2018","journal-title":"Congenit Heart Dis"},{"key":"S1047951123004225_ref10","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1186\/s12889-019-7115-4","article-title":"Associations between self-efficacy, bullying and health-related quality of life in a school sample of adolescents: a cross-sectional study","volume":"19","author":"Haraldstad","year":"2019","journal-title":"BMC Public Health"},{"key":"S1047951123004225_ref28","doi-asserted-by":"crossref","first-page":"e000110","DOI":"10.1161\/HCQ.0000000000000110","article-title":"Psychological outcomes and interventions for individuals with congenital heart disease: a scientific statement from the American heart association","volume":"15","author":"Kovacs","year":"2022","journal-title":"Circ Cardiovasc Qual Outcomes"},{"key":"S1047951123004225_ref33","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1001\/jamapediatrics.2020.3541","article-title":"Assessment of school anti-bullying interventions: a meta-analysis of randomized clinical trials","volume":"175","author":"Fraguas","year":"2021","journal-title":"JAMA Pediatrics"},{"key":"S1047951123004225_ref5","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1111\/josh.12282","article-title":"Extracurricular activities and bullying perpetration: results from a nationally representative sample","volume":"85","author":"Riese","year":"2015","journal-title":"J Sch Health"},{"key":"S1047951123004225_ref6","unstructured":"6. Gladden, RM , Vivolo-Kantor, AM , Hamburger, ME , Lumpkin, CD. Bullying Surveillance Among Youths : Uniform Definitions for Public Health and Recommended Data Elements, Version 1.0. National Center for Injury Prevention and Control, Centers for Disease Control and Prevention and U.S. Department of Education, Atlanta, GA, 2014."},{"key":"S1047951123004225_ref31","unstructured":"31. U.S. Department of Health and Human Services. Build a Safe Environment. U.S Department of Health and Human Services, Washington, DC, 2017. 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Healthcare Epidemiology of America, 2023","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"To the extent this work is subject to copyright outside of the United States, such copyright shall be assigned to The Society for Healthcare Epidemiology of America and licensed to the Publisher. Outside of the United States, the US Government retains a paidup, nonexclusive, irrevocable worldwide licence to reproduce, prepare derivative works, distribute copies to the pubils and display publicly the Contribution, and to permit others to do so. This is a work of the US Government and is not subject to copyright protection within the United States. Published by Cambridge University Press.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}