Though preventable, children with disabilities have a high risk of victimization, contributing to worsening health conditions. Hence, this study examined the exposure of school-age children with mental, emotional, developmental, or behavioral (MEDB) disorder to bully victimization. This study used the 2018 National Survey of Children’s Health (NSCH) data of 23,494 children ages 5–17 to estimate multilevel logistic regression with fixed and random effects. Children’s health conditions were treated as level one variables, while family poverty level and neighborhood characteristics such as vandalism and presence/absence of recreational centers were treated as level two variables. The paper presents the prevalence of bullying victimization among children with at least one disorder (MDBB = 39.5%), anxiety (20.6%), depression (10.8%), ADD/ADHD (18.3%), behavioral problems (14.9%), learning disability (11.9%), Tourette syndrome (0.5%), developmental delay (10.1%), Autism spectrum disorder (4.6%), speech disorder (10.7), and intellectual disability (1.6%), respectively. Bullying victimization was positively associated with anxiety (AOR = 1.995, 95% CI = 1.634–2.436), depression (AOR = 2.688, 95% CI = 2.031–3.557), developmental delay (AOR = 1.804, 95% CI = 1.422–2.288), but inversely associated with Autism spectrum disorder (AOR = 0.614, 95% CI = 0.399–0.946). Neighborhood disorganization and poverty were also associated with bullying victimization. The NSCH data suggests that children with disabilities in the US had a higher prevalence rate of victimization. Consequently, effective bullying prevention strategies that can protect and improve children’s quality of life with special needs should be prioritized.

虽然可以预防，但残疾儿童受害的风险很高，导致健康状况恶化。因此，本研究调查了患有精神、情感、发育或行为 (MEDB) 障碍的学龄儿童遭受欺凌受害的情况。本研究使用 2018 年全国儿童健康调查 (NSCH) 数据对 23,494 名 5-17 岁儿童进行评估，以估计具有固定和随机效应的多级逻辑回归。儿童的健康状况被视为一级变量，而家庭贫困程度和邻里特征（例如破坏行为和娱乐中心的存在/不存在）被视为二级变量。该论文介绍了至少患有一种疾病 (MDBB = 39.5%)、焦虑症 (20.6%)、抑郁症 (10.8%)、ADD/ADHD (18.3%)、行为问题（14.9%）、学习障碍（11.9%）、图雷特综合症（0.5%）、发育迟缓（10.1%）、自闭症谱系障碍（4.6%）、言语障碍（10.7）和智力障碍（1.6%），分别。欺凌受害与焦虑（AOR = 1.995，95% CI = 1.634–2.436）、抑郁（AOR = 2.688，95% CI = 2.031–3.557）、发育迟缓（AOR = 1.804，95% CI = 1.422–2.288）呈正相关), 但与自闭症谱系障碍呈负相关 (AOR = 0.614, 95% CI = 0.399–0.946)。邻里解体和贫困也与欺凌受害有关。NSCH 数据表明，美国的残疾儿童受害率更高。最后，