Section of Adolescent Medicine, Nationwide Children's Hospital, Columbus, Ohio 43205, USA.
J Adolesc Health. 2010 Apr;46(4):366-71. doi: 10.1016/j.jadohealth.2009.10.015. Epub 2010 Jan 29.
To examine the relationship between sexual orientation and past-year reports of bullying victimization and perpetration in a large sample of American youth.
Survey data from 7,559 adolescents aged 14-22 who responded to the 2001 wave questionnaire of the Growing Up Today Study were examined cross-sectionally. Multivariable generalized estimating equations regression was performed using the modified Poisson method. We examined associations between sexual orientation and past-year bully victimization and perpetration with heterosexuals as the referent group, stratifying by gender and controlling for age, race/ethnicity, and weight status.
Compared to heterosexual males, mostly heterosexual males (risk ratio [RR]: 1.45; 95% confidence interval [CI]: 1.13, 1.86) and gay males (RR 1.98; CI: 1.39, 2.82) were more likely to report being bullied. Similarly, mostly heterosexual females (RR: 1.72, 95% CI: 1.45, 2.03), bisexual females (RR: 1.63, 95% CI: 1.14, 2.31), and lesbians (RR: 3.36, 95% CI: 1.76, 6.41) were more likely to report being bullied than were heterosexual females. Gay males (RR: 0.34, 95% CI: 0.14, 0.84) were much less likely to report bullying others than were heterosexual males. Mostly heterosexual females (RR: 1.70, 95% CI: 1.42, 2.04) and bisexual females (RR: 2.41, 95% CI: 1.80, 3.24) were more likely to report bullying others than heterosexual females. No lesbian participants reported bullying others.
There are significant differences in reports of bullying victimization and perpetration between heterosexual and sexual minority youth. Clinicians should inquire about sexual orientation and bullying, and coordinate care for youth who may need additional support.
在一个大型美国青少年样本中,研究性取向与过去一年受欺凌和欺凌行为报告之间的关系。
对参加“今日成长研究”2001 年波问卷调查的 7559 名 14-22 岁青少年进行横断面研究。采用改良泊松法的广义估计方程回归进行多变量分析。我们以异性恋者为参照组,按性别分层,控制年龄、种族/民族和体重状况,检验性取向与过去一年欺凌受害者和欺凌者之间的关系。
与异性恋男性相比,大多数异性恋男性(风险比[RR]:1.45;95%置信区间[CI]:1.13,1.86)和同性恋男性(RR 1.98;CI:1.39,2.82)更有可能报告被欺凌。同样,大多数异性恋女性(RR:1.72,95%CI:1.45,2.03)、双性恋女性(RR:1.63,95%CI:1.14,2.31)和女同性恋者(RR:3.36,95%CI:1.76,6.41)更有可能报告被欺凌,而异性恋女性则较少报告被欺凌。同性恋男性(RR:0.34,95%CI:0.14,0.84)报告欺凌他人的可能性远低于异性恋男性。大多数异性恋女性(RR:1.70,95%CI:1.42,2.04)和双性恋女性(RR:2.41,95%CI:1.80,3.24)报告欺凌他人的可能性高于异性恋女性。没有女同性恋者报告欺凌他人。
在异性恋和性少数青年中,欺凌受害和欺凌行为的报告存在显著差异。临床医生应该询问性取向和欺凌情况,并为可能需要额外支持的青年协调护理。