Institute of Public Health, Georgia State University, P.O. Box 3995, Atlanta, GA 30302-3995, USA.
J Environ Public Health. 2013;2013:215126. doi: 10.1155/2013/215126. Epub 2013 Jun 27.
Using nationally representative data, this study examined the prevalence of very frequent physical fighting (≥12 times per year) among youth in 27 countries and cities. Frequent physical fighting has rarely been reported in the previous literature despite the implications for research and practice.
Analyses were based on the Global School-based Student Health Survey (2003-2008) and the 2009 US Youth Risk Behavior Survey. Multinomial regression analyses were conducted to determine gender differences in frequent fighting. Countries were categorized into five regions (Sub-Saharan Africa, Central and South America, Asia, Eastern Mediterranean, and the United States), and one-way ANOVA tests were used to determine regional differences.
The prevalence of frequent fighting was highest in Zambia (7.7%) and lowest in Myanmar (0.5%). Gender differences were found in 20 countries, with boys being more likely to report frequent fighting than girls. The prevalence of frequent fighting varied by region (F(3,22) = 4.78, P = .01), with the Eastern Mediterranean having a significantly higher prevalence of frequent fighting than Asia (P < .01).
The prevalence of frequent fighting varies by gender in many countries and varies across world regions. More cross-national research is needed to better understand the sociocultural context of frequent fighting and to inform youth violence prevention efforts.
本研究利用具有全国代表性的数据，调查了 27 个国家和城市青少年中非常频繁的身体打架（≥12 次/年）的流行率。尽管频繁身体打架对研究和实践有重要意义，但在之前的文献中很少有报道。
分析基于全球学校学生健康调查（2003-2008 年）和 2009 年美国青少年风险行为调查。采用多项回归分析确定频繁打架的性别差异。将国家分为五个区域（撒哈拉以南非洲、中美洲和南美洲、亚洲、东地中海和美国），并采用单向方差分析检验区域差异。
频繁打架的流行率在赞比亚最高（7.7%），在缅甸最低（0.5%）。在 20 个国家发现了性别差异，男孩比女孩更有可能报告频繁打架。频繁打架的流行率因区域而异（F(3,22) = 4.78, P =.01），东地中海地区的频繁打架流行率明显高于亚洲（P <.01）。
在许多国家，频繁打架的流行率因性别而异，且在世界各区域也存在差异。需要进行更多的跨国研究，以更好地了解频繁打架的社会文化背景，并为青少年暴力预防工作提供信息。
