Abdirahman H A, Bah T T, Shrestha H L, Jacobsen K H
Department of Global and Community Health, George Mason University, Fairfax, Virginia 22033, USA.
West Indian Med J. 2012 Aug;61(5):504-8. doi: 10.7727/wimj.2012.212.
To examine the relationships between peer victimization, mental health, and parental involvement among middle school students in the Caribbean.
Data from the Global School-based Student Health Survey (GSHS) conducted in the Cayman Islands, St Lucia, St Vincent and the Grenadines, and Trinidad and Tobago in 2007 were analysed using age- and gender-adjusted logistic regression models.
About one-quarter of the 6780 participants reported having been bullied in the past month. Rates of bullying were similar for boys and girls, and younger children reported higher rates of peer victimization. Nearly 25% of students reported sadness and hopelessness, more than 10% reported loneliness and anxiety and more than 15% reported having seriously considered suicide in the past year. Bullied students were much more likely than non-bullied students to report mental health issues (p < 0.01). Students who felt that their parents were understanding and monitored their free time activities reported fewer mental health issues and were somewhat less likely to report being a victim of a bully.
The strong association between bullying and poor mental health in the Caribbean emphasizes the need to develop and implement strategies for reducing bullying among children and adolescents.
研究加勒比地区中学生中同伴欺凌、心理健康与父母参与度之间的关系。
对2007年在开曼群岛、圣卢西亚、圣文森特和格林纳丁斯以及特立尼达和多巴哥进行的全球学校学生健康调查（GSHS）数据，使用年龄和性别调整后的逻辑回归模型进行分析。
6780名参与者中约四分之一报告在过去一个月曾遭受欺凌。男孩和女孩的欺凌发生率相似，年龄较小的儿童报告的同伴欺凌发生率更高。近25%的学生报告有悲伤和绝望情绪，超过10%报告有孤独和焦虑情绪，超过15%报告在过去一年曾认真考虑过自杀。遭受欺凌的学生比未受欺凌的学生更有可能报告心理健康问题（p < 0.01）。认为父母善解人意并会监督其自由活动时间的学生报告的心理健康问题较少，且报告成为欺凌受害者的可能性也略低。
加勒比地区欺凌与心理健康不佳之间的紧密关联强调了制定和实施减少儿童及青少年欺凌策略的必要性。
