Institute of Health Policy and Management, and.
Institute of Health Policy and Management, and Department of Public Health, College of Public Health, National Taiwan University, Taipei, Taiwan
Pediatrics. 2015 Jan;135(1):18-25. doi: 10.1542/peds.2014-1798. Epub 2014 Dec 22.
Bullying is a commonly occurring problem behavior in youths that could lead to long-term health effects. However, the impact of school bullying experiences on health-related quality of life (HRQOL) among college students has been relatively underexplored. This study aimed to describe school bullying experiences and to empirically examine their associations with HRQOL among college students in Taiwan.
Self-administered survey data (response rate 84.2%) were collected from 1452 college students in 2013 by using proportional stratified cluster sampling. Different types of bullying experiences (ie, physical, verbal, relational, and cyber) before and in college, for bullies and victims, were measured. HRQOL was assessed by the World Health Organization Quality of Life (WHOQOL-BREF) Taiwan version.
College students with cyber bullying-victimization experiences before college (β 0.060) reported significantly higher HRQOL in physical health. Regarding social relationships, those with verbal (β -0.086) and relational (β -0.056) bullying-victimization experiences, both before and in college, reported significantly lower HRQOL, whereas those with verbal (β 0.130) and relational (β 0.072) bullying-perpetration experiences in both periods reported significantly higher HRQOL. Students with cyber bullying-victimization experiences in college (β 0.068) reported significantly higher HRQOL in the environment domain. Last, the effects of verbal and relational bullying-victimization experiences on psychological HRQOL could be mediated and manifested through depression.
Various types of bullying experiences occurring before and in college were differentially associated with HRQOL in different domains. These findings underscore the importance of developing school policies and health education initiatives to prevent school bullying and ameliorate its short-term and long-term effects on HRQOL.
欺凌是青少年中常见的问题行为，可能导致长期的健康影响。然而，校园欺凌经历对大学生健康相关生活质量（HRQOL）的影响尚未得到充分探讨。本研究旨在描述校园欺凌经历，并实证检验其与台湾大学生 HRQOL 的关系。
2013 年采用比例分层聚类抽样，从 1452 名大学生中收集了自我管理调查数据（应答率 84.2%）。测量了大学生之前和在校期间不同类型的欺凌经历（即身体、言语、关系和网络），包括欺凌者和受害者。采用世界卫生组织生活质量（WHOQOL-BREF）台湾版评估 HRQOL。
有校园前网络欺凌受害经历的大学生报告身体健康的 HRQOL 显著更高（β 0.060）。在社会关系方面，那些有校园前和在校期间言语（β -0.086）和关系（β -0.056）欺凌受害经历的大学生报告 HRQOL 显著更低，而那些有校园前和在校期间言语（β 0.130）和关系（β 0.072）欺凌加害经历的大学生报告 HRQOL 显著更高。有校园期间网络欺凌受害经历的大学生报告环境领域的 HRQOL 显著更高（β 0.068）。最后，言语和关系欺凌受害经历对心理 HRQOL 的影响可以通过抑郁来中介和表现。
在校前和在校期间发生的各种类型的欺凌经历与不同领域的 HRQOL 存在差异相关。这些发现强调了制定学校政策和健康教育计划的重要性，以预防校园欺凌，并减轻其对 HRQOL 的短期和长期影响。
