Morris Erin B, Zhang Bo, Bondy Susan J
J Sch Health. 2006 Nov;76(9):465-70. doi: 10.1111/j.1746-1561.2006.00143.x.
Using data from the 2003 Ontario Student Drug Use Survey (Centre for Addiction and Mental Health, Toronto), the relationships between bullying and smoking in adolescents were examined. A representative sample of 3314 grade 7-12 students was included in the analysis. Models were adjusted for confounders identified in the current literature. Multinomial logistic regression showed that current smokers were more likely to be bullies than nonsmokers (relative risk ratio = 2.3, p < .001); being a current smoker was not associated with being a victim or a bully/victim (one who is both a bully and a victim). Moreover, gender was found to modify the effect of smoking on bullying status. Female smokers were more likely to be bullies and bully/victims than nonsmokers while there were no statistically significant differences for males. The associations between bullying status and smoking are consistent with those found in a multinational World Health Organization survey of adolescent health. Findings of the study suggested that girls were at much higher risk for involvement in bullying if they smoked, although girls were less frequently involved in bullying.
利用2003年安大略省学生药物使用调查（多伦多成瘾与心理健康中心）的数据，对青少年中欺凌行为与吸烟之间的关系进行了研究。分析纳入了3314名7至12年级学生的代表性样本。模型针对当前文献中确定的混杂因素进行了调整。多项逻辑回归显示，当前吸烟者比不吸烟者更有可能成为欺凌者（相对风险比=2.3，p<0.001）；当前吸烟与成为受害者或欺凌者/受害者（既是欺凌者又是受害者的人）无关。此外，发现性别会改变吸烟对欺凌状况的影响。女性吸烟者比不吸烟者更有可能成为欺凌者和欺凌者/受害者，而男性则没有统计学上的显著差异。欺凌状况与吸烟之间的关联与世界卫生组织对青少年健康的一项跨国调查结果一致。该研究的结果表明，女孩如果吸烟，参与欺凌行为的风险要高得多，尽管女孩较少参与欺凌行为。
