TUCSON, Ariz. -- It is getting to be "back-to-school" time in Arizona, and pediatricians say a visit to the doctor is as important for kids as getting a three-ring binder or new shoes before they return to the classroom.

Since so many children have been home-schooled for the past year, a new report showed they may have fallen behind on their annual wellness checkup and their childhood vaccinations.

The report from the American Academy of Pediatrics and the Georgetown University Health Policy Institute indicated there was a 27% drop in kids' doctor visits during the past year.

Dr. Sean Elliott, professor emeritus of pediatrics at the University of Arizona School of Medicine, said the COVID-19 pandemic has prevented many Arizona kids from keeping their childhood vaccines current.

"Children beginning at age two months, and certainly kids who are school age, should have been fully vaccinated," Elliott explained. "But because of the global pandemic, they may not have been able to see a doctor, not able to complete their vaccine series."

Some parents do not immunize their children for religious reasons or concerns about the potential health risks of some vaccines, although those are reported to be extremely rare.

Children in Arizona are not required to get the COVID-19 vaccination to enter school.

Elliot noted the vaccines required for children to enter most Arizona public schools are designed to prevent the spread of several serious diseases.

"Current ones that we're very concerned about are pertussis, i.e. whooping cough; measles (it is not gone, it is absolutely here); mumps; chicken pox; pneumococcal disease, which can cause anything from a simple ear infection all the way to meningitis," Elliot outlined.

Dr. Lee Beers, president of the American Academy of Pediatrics, said it is important for public-health officials to ensure that every child in the community has equal access to a clean bill of health to return to school.

"Children from households that are low-income and children of color are more likely to have missed vaccines, and more likely to have missed their well visits," Beers pointed out. "It's so important that we remove any barriers we can to make sure that all kids can get in to see their pediatrician as soon as possible."

The report estimated 11 million children have missed routine vaccinations during the pandemic. It warned such a decline in vaccination rates could result in fewer communities reaching herd immunity for preventable diseases.

October is National Bullying Prevention Month and a recent study showed teens bullied in high school tend to become pessimistic about life prospects.

The study, published in the Journal of Research on Adolescence found students who experienced relational bullying were more likely to develop depressive symptoms and over time became more pessimistic about both academics and career prospects beyond high school. Relational bullying includes things like starting rumors, being deliberately ignored and exclusion from group activities.

Hannah L. Schacter, assistant professor of psychology at Wayne State University in Detroit, said a student's perception of social inadequacy can spread into other parts of life.

"You're receiving a message from your peers that you are someone who doesn't deserve positive treatment, and that may then generalize to these other life domains," Schacter explained. "Now you expect that you're not going to be able to do well academically, or perhaps you won't be able to achieve what you wanted in terms of your work or kind of life plans."

Maryland requires county boards of education to track and report on bullying. This year's report showed there were more than 7,800 incidences of bullying reported during the 2022-23 school year, an increase of 25% over the year prior.

Researchers found students who experienced overt victimization such as direct verbal or physical attacks did not report lower future expectations. Earlier research showed relational victimization had negative effects on elementary students' academic performance and standardized test scores over time. Schacter argued schools need to see the effects of bullying not just as a challenging social issue but also an educational priority.

"As there's been increased recognition of how it can negatively impact teens, more and more schools have, at the very least, adopted anti bullying policies," Schacter acknowledged. "Unfortunately, it's very time intensive, and can be quite costly to implement evidence based large scale school interventions for bullying."

Maryland's State Department of Education adopted a model policy to address bullying, harassment and intimidation in 2009 and has updated it in the years since. Last year the department began offering an online introduction to bullying prevention for educators.


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October is National Bullying Prevention Month and a new study showed teens bullied in high school tend to become pessimistic about their future.

Researchers found adolescents who experienced relational bullying were more likely to develop depressive symptoms and over time became more pessimistic about academics and career prospects beyond high school. Relational bullying includes things like starting rumors, being deliberately ignored and exclusion from group activities.

Hannah L. Schacter, assistant professor of psychology at Wayne State University in Detroit, said a student's perception of social inadequacy can spread into other parts of life.

"You're receiving a message from your peers that you are someone who doesn't deserve positive treatment, and that may then generalize to these other life domains," Schacter explained. "Now you expect that you're not going to be able to do well academically, or perhaps you won't be able to achieve what you wanted in terms of your work or kind of life plans."

The study began with more than 300 9th graders at 38 different high schools across Michigan. Students completed online surveys multiple times per year over three years.

Researchers found students who experienced overt victimization such as direct verbal or physical attacks did not report lower future expectations. Prior research established relational victimization affected elementary students' academic performance and standardized test scores over time. Schacter argued schools need to see the effects of bullying not just as a challenging social issue but also as an educational priority.

"As there's been increased recognition of how it can negatively impact teens, more and more schools have, at the very least, adopted anti-bullying policies," Schacter acknowledged. "Unfortunately, it's very time intensive, and can be quite costly to implement evidence-based large-scale school interventions for bullying."

She added it is important to have strong communication between researchers, policymakers and administrators to address bullying so it is not too burdensome for schools and is backed by what researchers have learned.

The biannual Pro-Kid Scorecard from the Children Now Action Fund was released today.

In it, 12 state Assembly members and seven state Senators earned a 100% rating.

Kelly Hardy, senior managing director of health and research at the nonprofit Children Now Action Fund, said the scoring reflects more than how lawmakers vote.

"They voted the right way on health and child welfare, child care, education," Hardy outlined. "They also supported kids in the budget, which is not always an easy thing to do when we've got budget deficits."

The lowest scores hovered around 48%, awarded to lawmakers who voted against certain bills but also voted for proposals like forced outing policies for LGBTQ+ students in schools.

Hardy noted the report is intended to inform voters as they head to the ballot box next month.

"Kids may not vote but we want to elect legislators who do their best to support kids," Hardy explained.

California ranks 35th in the nation for child well-being, according to the latest Annie E. Casey Foundation report and is just above the national average for per-pupil spending on K-12 education.