Association of common health symptoms with bullying in primary school children
BMJ 1996; 313 doi: https://doi.org/10.1136/bmj.313.7048.17 (Published 06 July 1996) Cite this as: BMJ 1996;313:17
- Katrina Williams, lecturera,
- Mike Chambers, lecturera,
- Stuart Logan, senior lecturerb,
- Derek Robinson, consultant community paediatricianc
- aDepartment of Epidemiology and Medical Statistics, St Bartholomew's and Royal London School of Medicine and Dentistry, Queen Mary and Westfield College, London E1 4NS
- bDepartment of Epidemiology, Institute of Child Health, London WC1N 1EH
- cLondon WC1N 1EH, c Newham Health Care, Beacontree House, London E15 4EE
- Correspondence to: Dr Logan
- Accepted 12 April 1996
Abstract
Objectives: To estimate the prevalence of bullying in primary school children and to examine its association with common symptoms in childhood.
Design: Semistructured health interview conducted by school nurses as part of a school medical.
Setting: Newham, east London.
Subjects: All children in year 4 of school during the academic year 1992-93.
Main outcome measures: Reported bullying and common health symptoms.
Results: 2962 children (93.1% of those on the school roll) were interviewed (ages 7.6 to 10.0 years). Information about bullying was not recorded for 114 children. 22.4% (95% confidence interval 20.9 to 24.0) of children for whom information was available reported that they had been bullied. There was an association between children reporting being bullied sometimes or more often and reporting not sleeping well (odds ratio 3.6, 2.5 to 5.2), bed wetting (1.7, 1.3 to 2.4), feeling sad (3.6, 1.9 to 6.8), and experiencing more than occasional headaches (2.4, 1.8 to 3.4) and tummy aches (2.4, 1.8 to 3.3). A significant trend for increasing risk of symptoms with increased frequency of bullying was shown for all reported health symptoms (P<0.001).
Conclusions: Health professionals seeing primary schoolchildren who present with headaches, tummy ache, feeling sad or very sad, bed wetting, and sleeping difficulties should consider bullying as a possible contributory factor.
Key messages
Many children report having frequent headaches or tummy aches, that they sleep poorly, wet the bed, or feel sad
Children who report these symptoms also report being bullied substantially more often than do their peers
Although it is not clear whether the association is causal, health professionals seeing such children should ask about bullying
Footnotes
Funding Newham Health Authority (now East London and the City Health Authority) and Newham Community Health Services (now NHS Trust).
Conflict of interest None.
- Accepted 12 April 1996