Malta Deborah Carvalho, do Prado Rogério Ruscitto, Dias Antônio José Ribeiro, Mello Flavia Carvalho M, Silva Marta Angelica Iossi, da Costa Michelle Ralil, Caiaffa Waleska Teixeira
Department of Non-Communicable Diseases Surveillance and Health Promotion, Ministry of Health, Brasília, DF, Brazil.
Brazilian Institute of Geography and Statistics, Rio de Janeiro, RJ, Brazil.
Rev Bras Epidemiol. 2014;17 Suppl 1:131-45. doi: 10.1590/1809-4503201400050011.
To estimate the prevalence of bullying from the victim's perspective in Brazilian school children and to analyze its association with individual and family context variables.
An analysis of the data on 109,104 adolescents, obtained by the National Adolescent School-based Health Survey, held in schools in 2012, was carried out. An association model between bullying and explanatory variables was tested in different contexts: sociodemographic, risk behaviors, mental health and family context. Univariate and multivariate analyzes were performed, calculating the Odds Ratio and confidence intervals.
The prevalence of bullying found in this study was of 7.2% (95%CI 6.6 - 7.8). A higher chance of bullying was found among male students (OR = 1.58; 95%CI 1.51 - 1.66), with an inverse relation between age and bullying, with the magnitude of risk among adolescents younger than 13 years of age being higher when compared to those with 16 years of age or more. Of individual risk behaviors, only being a smoker remained in the final model (OR = 1.11; 95%CI 1.01 - 1.23). Mental health variables associated with bullying were: feeling lonely (OR = 2.66; 95%CI 2.52 - 2.81), insomnia (OR = 1.92; 95%CI 1.80 - 2.05), not having friends (OR = 1.71; 95%CI 1.54 - 1.89), and, in the family context, those who skip class without telling their parents (OR = 1.13; 95%CI 1,07 - 1,19) and those who suffer physical abuse by family members (OR = 2.03; 95%CI 1.91 - 2.146).
Bullying was associated to male students, younger, of black color, smokers, with mental health vulnerabilities and victims of domestic violence. This suggests the need for a holistic approach from education and health professionals, parents and the community in seeking measures for the prevention of bullying.
从受害者角度评估巴西在校儿童中欺凌行为的发生率,并分析其与个人及家庭背景变量之间的关联。
对2012年在学校开展的全国青少年学校健康调查所获得的109104名青少年的数据进行分析。在不同背景下测试欺凌行为与解释变量之间的关联模型:社会人口统计学、风险行为、心理健康和家庭背景。进行单变量和多变量分析,计算优势比和置信区间。
本研究中发现的欺凌行为发生率为7.2%(95%置信区间6.6 - 7.8)。男学生遭受欺凌的可能性更高(优势比 = 1.58;95%置信区间1.51 - 1.66),年龄与欺凌行为呈反比关系,13岁以下青少年的风险程度高于16岁及以上青少年。在个人风险行为中,最终模型中仅吸烟行为留存(优势比 = 1.11;95%置信区间1.01 - 1.23)。与欺凌行为相关的心理健康变量包括:感到孤独(优势比 = 2.66;95%置信区间2.52 - 2.81)、失眠(优势比 = 1.92;95%置信区间1.80 - 2.05)、没有朋友(优势比 = 1.71;95%置信区间1.54 - 1.89),在家庭背景方面,那些不告知父母就逃课的学生(优势比 = 1.13;95%置信区间1.07 - 1.19)以及遭受家庭成员身体虐待的学生(优势比 = 2.03;95%置信区间1.91 - 2.146)。
欺凌行为与男学生(年龄较小、肤色为黑色、吸烟者)、存在心理健康问题者以及家庭暴力受害者相关。这表明教育和卫生专业人员、家长及社区需要采取整体方法来寻求预防欺凌行为的措施。