Amy Hawkins BACCH Annual Scientific Meeting 9 th October 2012

Content Introduction Aim Methods Results Discussion, including study limitations and implications of our findings

Introduction Studies from the US have suggested that transition from primary to secondary education is an ‘at risk’ time for bullying, particularly amongst minority racial groups 1,2 The degree of inter-racial mixing declines as children progress through school 3,4 Little published evidence from the UK Pre-existing data from the ALSPAC cohort not yet examined 1 Bradshaw et al, 2009; 2 Nansel et al, 2001; 3 Virdee et al, 2000; 4 Pitts et al. 2001

The Avon Area Transatlantic slave trade African-Caribbean and Somali communities in St Pauls, Montpellier and Easton Predominantly white population

Aim To examine the differences between white, mixed race and ethnic minority children at the transition to secondary school in terms of: Bullying Racial attitudes and friendships Behavioural difficulties Mood Self-esteem

Methods 1 The Avon Longitudinal Study of Parents and Children (ALSPAC): Children living in Avon with estimated dates of delivery between April 1991 and December ,247 women enrolled during pregnancy 5 15,211 children surviving to 1 year 5 5 Boyd et al, 2012

Methods 2 Study subgroup completed racial attitudes questions from ‘all around me’ at 12 years (n=7017) Self-defined racial categorisation at 12 years based on skin colour 3 categories for meaningful statistical analysis: ‘white’, ‘mixed colour’, ‘racial minority’

Methods 3 Primary outcome: Bullying at 12.5 years (compared with 8 years) Secondary outcomes: Discrimination, racial attitudes and friendships at 12 years, mood at 10.5 and 14 years, self-esteem at 14 years Behavioural difficulties at 11.5 years Statistical methodology STATA: chi-squared or Fisher’s exact tests Logistic regression controlling for gender, maternal education and early puberty

Results 1: Demographics Self-defined racial group at 12 years (n=7017): Child’s perception of his/her skin colourFrequencyPercentage White Mixed Colour Asian Black Other Total

Results 2: Bullying No significant difference in risk of bullying at 8 years Overt bullying at 12.5 years (n=1236): Baseline bullying prevalence amongst white children 40.34% Relational bullying: no significant difference * Adjusted for gender, maternal education and early puberty Bullying prevalenceLogistic regression* Mixed Colour 42.9%OR 1.00 (95% CI 0.52 to 1.93) Ethnic minority 65.7%OR 3.49 (95% CI 1.42 to 8.59)

Results 3: Racial discrimination Verbal and physical racial discrimination at 12 years (n=4991):* Verbal racial discrimination Physical racial discrimination Mixed Colour Prevalence 9.80% OR 6.63 (95% CI 3.76 to 11.69) Prevalence 31.37% OR 2.34 (95%CI 1.47 to 3.70) Ethnic minority Prevalence 12.90% OR 8.29 (95% CI 3.95 to 17.42) Prevalence 32.90% OR 1.29 (95% CI 0.74 to 2.24) * Adjusted for gender, maternal education and early puberty

Results 4: Friendships No significant differences in racial attitudes at 145 months (12.08 years) Mixed race children were more likely to retain friends of a different skin colour at the transition to secondary school (n=4991) There was no significant difference for ethnic minority children OR 2.34, 95% CI 1.47 to 3.70* * Adjusted for gender, maternal education and early puberty

Results 5: Mood, behaviour and self-esteem No statistically significant association between racial group and Depression score at 10.5 or 14 years 2. Behavioural difficulties at 11.5 years 3. Racial attitudes at 12 years 4. Self-esteem at 14 years

Discussion 1: Summary No difference between racial groups in risk of bullying at 8 years Ethnic minority but not mixed race children have an increased risk of being bullied at 12.5 years A decline in inter-racial friendships at the transition to secondary school, except for mixed race children No differences between racial groups in terms of mood, behaviour, racial attitudes or self-esteem

Discussion 2: Limitations Relatively small proportion of non-white children; ‘racial minority’ groups had to be grouped together Children were asked about ‘skin colour’ rather than race or ethnicity Fewer ethnic minority inhabitants than some UK cities Missing data (social and educational bias)

Discussion 3: Results in Context Increased risk of bullying amongst ethnic minority children 6,7 New social hierarchy 8 Puberty 9 Inter-racial mixing declines at the transition to secondary school 3,4, although not for mixed race children Complex relationship between racial discrimination, mood and behavioural disorders 10,11,12,13 6 (Espelage and Swearer 2003) 7 (Smith, Madsen and Moody 1999) 8 (Pellegrini and Long 2002) 9 (Collins 2003) 3 (Virdee et al. 2000) 4 (Pitts et al. 2001) 10 (Coker et al. 2009) 11 (Brody et al. 2006) 12 (Paradies 2006) 13 (Huynh and Fuligni 2010)

Discussion 4: Implications Wide-reaching implications for health professionals and educationalists For paediatricians, the key challenge is to focus on periods of transition to re-assess and support vulnerable children Schools need to take positive action to protect ethnic minority and mixed race children

Any questions?

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