Bullies often pick on kids with health issues such as allergies and weight problems. Bullies make cruel comments, threaten and tease them about their conditions.

Two studies looking at kids with food allergies and kids going through weight-loss programs reported:

• Eyal Shemesh, MD, of Mount Sinai Medical Center in New York City, and colleagues found that almost 32% of kids with food allergies reported bullies harassing them  about their allergy, which often involved threats with food.

• Rebecca Puhl, PhD, of Yale University, and colleagues reported on a study where 64% of teens at weight-loss camps reported weight-related victimization by bullies who were not not just schoolmates but often friends, coaches, teachers, and parents too.

Shemesh’s group analyzed surveys of 251 established food allergy patients, ages 8 to 17, and their parents at a single allergy clinic in the Enhancing, Managing, and Promoting Well-Being and Resiliency program.

Any bullying or harassment of these kids was reported by 45% of them and 36% of their parents, although with poor agreement when related to reasons other than the food allergy.

Being victimized due specifically to food allergies accounted for most of these cases, with 32% of the food allergic kids and about 25% of their parents reporting such bullying.

Almost all the bullies were classmates (80%), and most bullying happened at school (60%).

The most common form was teasing (42%), followed by waving the allergen in front of the child (30%).

Notably, 12% had been forced to touch the food they are allergic to and 10% had food thrown at them by the bullies.

Bullying was significantly associated with poorer quality of life scores and greater anxiety, which the researchers noted was independent of allergy severity. While most of the kids taunted by bullies said they had told someone about what happened, parents knew in only about half of the cases.

To increase disclosure of bullying, “Clinicians might consider asking a screening question about bullying during encounters with children with a food allergy,” Shemesh’s group suggested.

While it’s hard to compare the results with those of other studies, general population rates appear to be 17% to 35%, suggesting that food-allergic kids may be bullied or harassed more than their peers, they pointed out.

Puhl’s study included 361 kids, ages 14 to 18, surveyed online while at two national weight-loss camps.

34% of the respondents were in the normal weight range, while 24% were overweight and 40% were obese.

The large proportion of healthy-weight kids was unexpected, but “program administrators confirmed that a portion of enrollees had experienced significant weight loss and returned to camp for support with weight-loss maintenance.”

The likelihood of weight-based victimization rose with weight, with odds ratios of 8.7 for overweight and 11.7 for obese kids, although those of a normal weight after weight-loss treatment still were at some risk.

The most common form was verbal teasing (75% to 88%), followed by relational victimization (74% to 82%), cyberbullying (59% to 61%), and physical aggression (33% to 61%).

While bullies can be found most anywhere, these studies found that bullying behavior came most frequently from:

• Peers: 92%

• Friends: 70%

• Physical education teachers or sport coaches: 42%

• Parents: 37%

• Teachers: 27%

“For those youth who are targets of weight-based victimization at school and at home, healthcare providers may be among their only remaining allies,” researchers reported. “Thus, it can be especially helpful for providers to promote adaptive coping strategies (e.g., positive self-talk, social support, problem-focused coping) during patient visits with youth who are targets of weight-based victimization.”

Both groups of researchers acknowledged the limitation of self-reported data about bullies without independent verification or a control group and that their sample populations may not have been representative of the general population.

Source: Pediatrics (online)