**6. Acknowledgment**

The Growing up with Media study was supported by Cooperative Agreement Number U49/CE000206 from the Centers for Disease Control and Prevention (CDC). The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the CDC. The funders were involved in the design and conduct of the study. They were not responsible for data collection, management, analysis, and interpretation of the data; nor were they involved in the preparation, review, or approval of the manuscript.

We would like to thank the entire Growing up with Media Study team from Internet Solutions for Kids, Harris Interactive, Johns Hopkins Bloomberg School of Public Health, and the Centers for Disease Control and Prevention, who contributed to the planning and implementation of the study. Finally, we thank the families for their time and willingness to participate in this study.

## **7. References**

212 Complementary Pediatrics

Environments were queried with the assumption that they were distinct. With the convergence of technology, it is possible now for youth to be bullied on their Facebook profiles, which they could access on their web-capable cell phones during a break at school. In this scenario, youth could potentially click on all three 'environments'. Future research should focus on the conundrum of whether, and if so, how to disentangle these converging environments. This would improve our ability to compare prevalence rates of bullying across the environments in which young people live in order to better target scarce prevention dollars more effectively. It may be however that the "online" "offline" lines have so blurred that the question will quickly become 'have you been bullied', without respect to 'where'. The future challenge for researchers will be to determine when technology is an

With youth more likely to be involved in bullying as a victim or perpetrator at school versus online, programs need to continue to prevent and intervene on bullying behavior within schools. Certainly, schools are appropriately working to create protocols that address cyberaggression and harassment. These prevention efforts should not replace programs that address face-to-face bullying, however; instead, they should be viewed as adjuncts to existing programming. Bullying experiences online could be incorporated into bully prevention programs by simply defining bullying online as bullying which is

The relative frequency of sexual harassment both at school and online speaks to the need for prevention programs at the school level. In contrast to the vigilance paid to bullying, sexual harassment is not a commonly discussed adolescent behavior. As noted above, this needs to

Data from 12-17 year olds nationally suggest that youth are more likely to be involved in bullying at school compared to online, on the way to and from school, and all other environments youth must navigate each day. They are as likely to be a victim of unwanted sexual experiences at school as online. Among bullied youth, 38% were very or extremely upset by their most serious bullying experience at school compared to 15% online. These data do not support a hypothesis that the Internet is introducing a more dangerous environment for youth, nor do they support the supposition that online victimization

The Growing up with Media study was supported by Cooperative Agreement Number U49/CE000206 from the Centers for Disease Control and Prevention (CDC). The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the CDC. The funders were involved in the design and conduct of the

**4.7 Future research implications** 

**4.8 'Real world' implications** 

change.

**5. Conclusion** 

**6. Acknowledgment**

communicated through the online context.

experiences are more distressing overall.

important characteristic to measure and when it is not.

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**12** 

*The Netherlands* 

**A New Approach in Adolescent** 

**Alcohol Intoxication – Clinical Pediatric** 

Misuse of alcohol has become a pediatric health care issue during the last decade. In clinical practice, patients are first treated in an acute care setting. After sobering up, follow-up treatment starts in an outpatient department. To cope with the increasing numbers of underage patients with alcohol intoxication, special programs have been developed to improve follow-up treatment of these patients. The focus has shifted towards underlying neuropsychological and social problems. The main goals of the program are behavioral

The physiology of alcohol metabolism is clear, however in children and adolescents definitions of binge-drinking, problematic alcohol use and alcohol abuse are overlapping. Research is being done on epidemiology, risk factors and consequences that should be cleared up further. In particular, concerns about brain damage in young adolescents are a

Besides medical attention being paid to this new patient group, policymakers should increase awareness of the dangers of alcohol use. National and international policies differ substantially in legal drinking age and location of purchase. Media attention and marketing

also have a huge influence on the drinking behavior of adolescents.

**1. Introduction** 

topic of interest.




changes and prevention of new events.

This chapter deals with the following subjects:

**Experience and Research Combined** 

E. Van Zanten1, J.J. Van Hoof2 and N. Van der Lely1 *1Department of Pediatrics, Reinier de Graaf Groep, Delft,* 

*2Faculty of Behavioral Sciences, University of Twente, Enschede,* 

Ybarra, M. L., Espelage, D. L., & Mitchell, K. J. (2007b). The co-occurrence of Internet harassment and unwanted sexual solicitation victimization and perpetration: Associations with psychosocial indicators. *Journal of Adolescent Health, 41*(6 Suppl 1), S31-41. doi: 10.1016/j.jadohealth.2007.09.010
