142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

311979
Bullying Prevention Policies and Child Behavior: Evidence Using State Laws

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Jeremy Craig Green, Ph.D., M.Phil. , College for Public Health and Social Justice, Saint Louis University, Saint Louis, MO
Amy Estlund, MPH , St Louis University School of Public Health, Prevention Research Center in St Louis, St. Louis, MO
Nishant Jain , Saint Louis University, Saint Louis, MO
Milan Patel , Saint Louis University, Saint Louis, MO
Federal, state, and school authorities are increasingly concerned with student bullying particularly since the 1999 Columbine shooting and increased media attention to suicides and chronic bullying. All but four states have enacted some degree of anti-bullying legislation. However, both the laws and evidence as to their possible effects on health outcomes have been lacking. State laws and policies to prevent bullying neglect to define bullying, neglect to address off-campus behaviors, and do not include model anti-bullying policies for schools. Studies on anti-bullying efforts use questionable methodologies, do not generalize nationally, and produce mixed findings. We pulled data from the Youth Risk Behavior Surveillance System, biennially from 1997 to 2007 and merged to a new dataset of state laws. In this new dataset of about 85,000 high school students, about 35% reported being in a physical fight within the past 12 months, and about 17% reported seriously considering suicide within the past 12 months. Econometric methods were applied to relate the anti-bullying legislation to the student physical and mental health outcomes. After correcting for student age and gender, state unemployment, poverty, and education, state- and year-fixed-effects, and state-specific linear time trends, we found little to no evidence that current policies are effective. Estimated effects of the laws and policies on the probability that a student was in a fight (95% CI: -.014, .024) and on the probability that a student considered suicide (95% CI: -.006, .024) were precisely estimated near zero. State anti-bullying legislation could use improvement before federal implementation.

Learning Areas:

Administration, management, leadership
Conduct evaluation related to programs, research, and other areas of practice
Public health administration or related administration
Public health or related laws, regulations, standards, or guidelines
Public health or related public policy
Public health or related research

Learning Objectives:
Describe policies and laws that states use to prevent student bullying. Formulate an econometric model to estimate associations between the laws and student mental health and physical health outcomes. Analyze multiple years of repeated, cross-sectional data from the Centers for Disease Control and Prevention's Youth Risk Behavior Surveillance System. Evaluate the effects of state bullying prevention policies on child health behaviors.

Keyword(s): School-Based Health, Public Health Policy

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an Assistant Professor of Health Management and Policy. I have substantial academic and applied experience on research projects related to child health policy and mental health policy, including policies in schools. My research portfolio combines public policy and law with child and mental health behaviors and I have published as a senior author in pediatrics, economics, and other journals.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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