Centre for Addiction and Mental Health, Social and Epidemiological Research Department, Health Systems and Health Equity Research Group, Toronto, Ontario, Canada.
Soc Sci Med. 2013 Mar;81:70-8. doi: 10.1016/j.socscimed.2012.12.011. Epub 2012 Dec 21.
The effect of school violence on mental health was examined among 12,366 Aboriginal children and adolescents, primarily First Nations, Métis, and Inuit residing off reservations in the Canadian provinces and territories. Analyses were based on the 2006 Aboriginal Peoples' Survey, a postcensal national survey of Aboriginal youth aged 6-14 years. More than one-fifth of students in the sample attended schools where violence was perceived as a problem. The occurrence of psychological or nervous disorders was about 50% higher among students exposed to school violence than among other students. School violence was a significant predictor of mental health difficulties, irrespective of socioeconomic and demographic characteristics. Virtually the entire effect was mediated by interpersonal processes, or negative quality of parent-child and peer relationships, while the effect was not explained by cultural detachment through lack of interactions with Elders and traditional language ability/use. Results underscored school violence as a significant public health concern for Aboriginal elementary and high school students, and the need for evidence-based mental health interventions for at-risk populations.
本研究调查了加拿大省份和地区保留地之外的 12366 名主要为第一民族、梅蒂斯和因纽特原住民青少年的校园暴力对心理健康的影响。分析数据基于 2006 年的原住民调查，这是一项针对 6-14 岁原住民青少年的全国人口普查后调查。在样本中，超过五分之一的学生就读于他们认为存在暴力问题的学校。与其他学生相比，暴露于校园暴力的学生出现心理或神经紊乱的几率要高出 50%。无论社会经济和人口特征如何，校园暴力都是心理健康问题的一个重要预测因素。实际上，人际过程（即亲子和同伴关系质量差）几乎完全解释了这种影响，而文化脱节（缺乏与长辈的互动以及传统语言能力/使用）并不能解释这种影响。研究结果强调了校园暴力对原住民小学生和高中生的严重公共卫生问题，需要为高危人群提供基于证据的心理健康干预措施。
