Bullying and Lower Urinary Tract Symptoms: Why the Pediatric Urologist Should Care about School Bullying Christina B. Ching,* Haerin Lee, Matthew D. Mason, Douglass B. Clayton, John C. Thomas, John C. Pope IV, Mark C. Adams, John W. Brock III and Stacy T. Tanaka From the Division of Pediatric Urology, Vanderbilt University Medical Center and Monroe Carell Jr. Children’s Hospital at Vanderbilt, Nashville, Tennessee

Abbreviations and Acronyms LUTS ¼ lower urinary tract symptoms VSS ¼ Vancouver Symptom Score Accepted for publication August 26, 2014. Study received institutional review board approval (No. 130863). The use of REDCap and the Synthetic Derivative was supported by Clinical and Translational Science Award No. UL1TR000445 from the National Center for Advancing Translational Sciences. Its contents are solely the responsibility of the authors and do not necessarily represent official views of the National Center for Advancing Translational Sciences or the National Institutes of Health. * Correspondence: Division of Pediatric Urology, Monroe Carell Jr. Children’s Hospital at Vanderbilt, 4102 Doctors’ Office Tower, 2200 Children’s Way, Nashville, Tennessee 372329820 (telephone: 615-936-1060; FAX: 615-9361061; e-mail: [email protected]).

Purpose: Bullying has become a social plague associated with various deleterious outcomes. We hypothesized that pediatric lower urinary tract symptoms could be associated with exposure to bullying. Materials and Methods: We assessed exposure to school bullying via the Setting the Record Straight bullying questionnaire in children 8 to 11 years old being evaluated for lower urinary tract symptoms at our pediatric urology clinic. Lower urinary tract symptoms were quantified with the Vancouver Symptom Score. Children 8 to 11 years old presenting for pediatric well visits also completed the questionnaires. Linear regression assessed the relationship between Vancouver Symptom Score and bullying score. Categorical variables were compared by chi-square test, while continuous variables were compared using the Student t-test. Results: A total of 113 children at the urology clinic and 63 children in the primary care setting consented to participate. There were significant differences between the 2 populations, including gender and race, with significantly more perpetrators of bullying in the primary care group (7.9% vs 0.9%, p ¼ 0.02). When looking specifically at the urology group, there was a significant association between Vancouver Symptom Score and self-perceived (p

Bullying and lower urinary tract symptoms: why the pediatric urologist should care about school bullying.

Bullying has become a social plague associated with various deleterious outcomes. We hypothesized that pediatric lower urinary tract symptoms could be...
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