Victims of Bullying Among Students With a Disability or Chronic Illness and Their Peers: A Cross-National Study Between Ireland and France



      To explore bullying victimization among French and Irish students with a disability or chronic illness (D/CI), considering individual, social, and family factors. We investigated this issue in France and Ireland because of the documented differences between these two countries on relevant contextual factors.


      Data from 12,048 students aged 11, 13, and 15 years (50.1% were boys) as part of the cross-national study 2006 Health Behaviour in School-aged Children were analyzed. Self-completion questionnaires were administered in classrooms; information on socio-demographic characteristics, bullying involvement, D/CI, school participation, social network, and family were collected. Multivariate logistic regressions were performed with individual, social, and family cofactors.


      Overall, the prevalence of bullying victimization was significantly higher in France compared with Ireland (34.2% [33.1–35.5] and 25.9% [24.5–27.4, respectively]). Youngest were more likely to report victimization; however, no gender differences were observed. In both countries, students with D/CI were significantly more likely to report that they have been bullied compared with students without D/CI, and a significant additional risk of being bullied was found when students reported D/CI with restriction in school participation. Regardless of country and D/CI status, being bullied was significantly associated with weaker social support and difficulty of communication with fathers, with even stronger associations found among students with D/CI.


      Adolescents with D/CI are more likely to be victimized than their peers, with a similar risk in both countries. Besides individual, social and family factors are consistently associated to bullying victimization across countries. These results will guide future antibullying prevention programs.


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        • Nansel T.R.
        • Overpeck M.
        • Pilla R.S.
        • et al.
        Bullying behaviors among US youth: Prevalence and association with psychosocial adjustment.
        JAMA. 2001; 285: 2094-2100
        • Stassen Berger K.
        Update on bullying at school: Science forgotten?.
        Dev Rev. 2007; 27: 90-126
        • Analitis F.
        • Velderman M.K.
        • Ravens-Sieberer U.
        • et al.
        Being bullied: Associated factors in children and adolescents 8 to 18 years old in 11 European countries.
        Pediatrics. 2009; 123: 569-577
        • Currie C.
        • Nic Gabhainn S.
        • Godeau E.
        • et al.
        Inequalities in young people's health: International Report from the HBSC 2005/06 Survey.
        WHO Regional Office for Europe, Copenhagen, Denmark2008
        • Nordhagen R.
        • Nielsen A.
        • Stigum H.
        • Köhler L.
        Parental reported bullying among Nordic children: A population-based study.
        Child Care Health Dev. 2005; 31: 693-701
        • Molcho M.
        • Craig W.
        • Due P.
        • et al.
        Cross-national time trends in bullying behaviour 1994–2006: Findings from Europe and North America.
        Int J Public Health. 2009; 54: 225-234
        • Olweus D.
        Bullying at school: What we know and what we can do.
        Blackwell Publishers, Oxford, UK1993
        • Barboza G.E.
        • Schiamberg L.B.
        • Oehmke J.
        • et al.
        Individual characteristics and the multiple contexts of adolescent bullying: An ecological perspective.
        J Youth Adolesc. 2009; 38: 101-121
        • Limber S.P.
        Addressing youth bullying behaviors.
        in: Fleming M. Towey K. Proceedings of Educational Forum on Adolescent Health: Youth Bullying. 48. American Medical Association, Chicago, IL2002
        • Wang J.
        • Iannotti R.J.
        • Nansel T.R.
        School bullying among adolescents in the United States: Physical, verbal, relational, and cyber.
        J Adolesc Health. 2009; 45: 368-375
        • Youngblade L.M.
        • Theokas C.
        • Schulenberg J.
        • et al.
        Risk and promotive factors in families, schools, and communities: A contextual model of positive youth development in adolescence.
        Pediatrics. 2007; 119: S47-S53
        • Montes G.
        • Halterman J.S.
        Bullying among children with autism and the influence of comorbidity with ADHD: A population-based study.
        Ambul Pediatr. 2007; 7: 253-257
      1. Pittet I, Berchtold A, Akre C, et al. Are adolescents with chronic conditions particularly at risk of bullying? Arch Dis Child (in press).

        • Spriggs A.L.
        • Iannotti R.J.
        • Nansel T.R.
        • Haynie D.L.
        Adolescent bullying involvement and perceived family, peer and school relations: Commonalities and differences across race/ethnicity.
        J Adolesc Health. 2007; 41: 283-293
        • Gortmaker S.L.
        • Walker D.K.
        • Weitzman M.
        • Sobol A.M.
        Chronic conditions, socioeconomic risks, and behavioral-problems in children and adolescents.
        Pediatrics. 1990; 85: 267-276
        • Van Cleave J.
        • Davis M.M.
        Bullying and peer victimization among children with special health care needs.
        Pediatrics. 2006; 118: e1212-e1219
        • Nabuzoka D.
        • Smith P.K.
        Sociometric status and social behaviour of children with and without learning difficulties.
        J Child Psychol Psychiatry. 1993; 34: 1435-1448
        • Nadeau L.
        • Tessier R.
        Social adjustment of children with cerebral palsy in mainstream classes: Peer perception.
        Dev Med Child Neurol. 2006; 48: 331-336
        • Dawkins J.L.
        Bullying, physical disability and the paediatric patient.
        Dev Med Child Neurol. 1996; 38: 603-612
        • Sweeting H.
        • West P.
        Being different: Correlates of the experience of teasing and bullying at age 11.
        Res Paper Educ. 2001; 16: 225-246
        • Yeo M.
        • Sawyer S.
        Chronic illness and disability.
        BMJ. 2005; 330: 721-723
        • Law M.
        • Petrenchik T.
        • King G.
        • Hurley P.
        Perceived environmental barriers to recreational, community, and school participation for children and youth with physical disabilities.
        Arch Phys Med Rehabil. 2007; 88: 1636-1642
        • Mihaylov S.I.
        • Jarvis S.N.
        • Colver A.F.
        • Beresford B.
        Identification and description of environmental factors that influence participation of children with cerebral palsy.
        Dev Med Child Neurol. 2004; 46: 299-304
        • Roberts C.
        • Freeman J.
        • Samdal O.
        • et al.
        The Health Behaviour in School-aged Children (HBSC) study: Methodological developments and current tensions.
        Int J Public Health. 2009; 54: 140-150
        • Raman S.R.
        • Boyce W.F.
        • Pickett W.
        Associations between adolescent risk behaviors and injury: The modifying role of disability.
        J Sch Health. 2009; 79: 8-16
        • Currie C.
        • Molcho M.
        • Boyce W.
        • et al.
        Researching health inequalities in adolescents: The development of the Health Behaviour in School-Aged Children (HBSC) family affluence scale.
        Soc Sci Med. 2008; 66: 1429-1436
      2. Stata Corp, ed. Stata Corporation, Stata Statistical Software: Release 9.
        Stata Corporation, College Station, TX2005
        • Tisdall K.
        National contexts affecting the lives of disabled children in Denmark, France, Germany, Ireland, Italy, Sweden and UK (England and Northern Ireland).
        University of Newcastle upon Tyne, Robinson Library, Newcastle, UK2006
        • Due P.
        • Holstein B.E.
        • Lynch J.
        • et al.
        Bullying and symptoms among school-aged children: International comparative cross sectional study in 28 countries.
        Eur J Public Health. 2005; 15: 128-132
        • Hay D.F.
        • Payne A.
        • Chadwick A.
        Peer relations in childhood.
        J Child Psychol Psychiatry. 2004; 45: 84-108
        • Fox C.L.
        • Boulton M.J.
        The social skills problems of victims of bullying: Self, peer and teacher perceptions.
        Br J Educ Psychol. 2005; 75: 313-328
        • Bollmer J.M.
        • Milich R.
        • Harris M.J.
        • Maras M.A.
        A friend in need—The role of friendship quality as a protective factor in peer victimization and bullying.
        J Interpers Violence. 2005; 20: 701-712
        • Lightfoot J.
        • Wright S.
        • Sloper P.
        Supporting pupils in mainstream school with an illness or disability: Young people's views.
        Child Care Health Dev. 1999; 25: 267-284
        • Baker K.
        • Donelly M.
        The social experiences of children with disability and the influence of environment: A framework for intervention.
        Disabil Soc. 2001; 16: 71-85
        • Amato P.R.
        • Rivera F.
        Paternal involvement and children's behavior problems.
        J Marriage Fam. 1999; 61: 375-384
        • Amato P.R.
        • Gilbreth J.G.
        Nonresident fathers and children's well-being: A meta-analysis.
        J Marriage Fam. 1999; 61: 557-573
        • McDougall J.
        • King G.
        • De Wit D.
        • et al.
        Chronic physical health conditions and disability among Canadian school-aged children: A national profile.
        Disabil Rehabil. 2004; 26: 35-45
        • Svavarsdottir E.K.
        • Orlygsdottir B.
        Health-related quality of life in Icelandic school children.
        Scand J Caring Sci. 2006; 20: 209-215
        • Allison S.
        • Roeger L.
        • Reinfeld-Kirkman N.
        Does school bullying affect adult health?.
        Aust N Z J Psychiatry. 2009; 43: 1163-1170
        • Vignes C.
        • Godeau E.
        • Sentenac M.
        • et al.
        Determinants of students' attitudes towards peers with disabilities.
        Dev Med Child Neurol. 2009; 51: 473-479