Objective To understand the incidence of school bullying and its influencing factors among adolescents in low-income and middle-income countries, and to explore the association between school bullying and mental health of adolescent students, so as to provide reference for prevention and control of school bullying and mental health intervention.
Methods Data was obtained from the 2009–2015 Global School Student Health Survey from 19 low-income and middle-income countries ( n = 22 963). Binary Logistic regression was used to analyze the influencing factors of school bullying, and multiple linear regression was used to analyze the relationship between school bullying and mental health.
Results The average score of students’ mental health was (5.75±2.09), and approximately 35.1% of adolescent students reported suffering from school bullying. The rates of school bullying among students in low-income and middle-income countries were 39.4% amd 34.3%, respectively. Students with lower grades, overweight, poor family economic status, low family learning and psychological support, poor perceived family relationship, more truancy, and poor relationship with classmates were more likely to suffer from school bullying ( P<0.05). Exposure to school bullying was positively associated with adverse mental health outcomes for women ( B = 1.27, P<0.01).
Conclusion Not only were school bullying more common in low-income countries, but also school bullying had a greater negative impact on the mental health of girls. We need to pay more attention to school bullying among adolescent students, especially in low-income countries and girls, with cost-effective interventions to reduce or mitigate the consequences of bullying.
【摘要】 目的 了解中低收人国家青少年遭受校园欺凌的发生率及其与青少年学生心理健康的关系, 为青少年校园欺凌 防控与心理健康干预提供参考。 方法 数据来源于19个中低收人国家 2009—2015 年全球校园健康调查, 共 22 963 名 13~17 岁中学生。采用二元 Logistic 回归分析遭受校园欺凌的影响因素, 多元线性回归分析遭受校园欺凌与心理健康的关 系。 结果 学生心理健康平均得分为 (5.75±2.09) 分, 有 35.1% 的学生报告曾遭受校园欺凌, 低收人和中等收人国家学生 遭受过校园欺凌的比例分别为 39.4%, 34.3%。低年级、超重、家庭经济状况差、家庭学习和心理支持低、感知家庭关系较 差、逃学多、同学关系差的学生更容易遭受校园欺凌 ( P 值均<0.05), 遭受校园欺凌与女生的不利心理健康状态呈正相关 ( B =1.27, P<0.01)。 结论 遭受校园欺凌在低收人国家更为普遍, 且对女性心理健康的负面影响更大。需要对低收人国 家和女性青少年学生群体中的校园欺凌问题给予更多地关注, 采取具有成本效益的干预措施, 以减少或减轻欺凌的后果。