Azeredo Catarina Machado, Levy Renata Bertazzi, Araya Ricardo, Menezes Paulo Rossi
Federal University of Uberlandia - School of Medicine (Universidade Federal de Uberlândia - Faculdade de Medicina), Av. Pará, n° 1720, Bloco 2U, sala 20. Campus Umuarama. Bairro Umuarama, Uberlândia, Minas Gerais, 38.405-320, Brasil.
University of Sao Paulo - School of Medicine (Universidade de São Paulo - Faculdade de Medicina), Av. Dr. Arnaldo 455, 1° andar, São Paulo, São Paulo, 01246-903, Brasil.
BMC Pediatr. 2015 May 1;15:49. doi: 10.1186/s12887-015-0367-y.
Few studies have been carried out in low- middle-income countries assessing contextual characteristics associated with bullying. This study aimed to assess the relative importance of contextual (school and city) and individual-level factors to explain the variance in verbal bullying among a nationally representative sample of Brazilian adolescents.
59,348 students from 1,453 schools and 26 state capitals and the Federal District participated in the National Survey of School Health among 9th Grade Students (PeNSE, 2009). We performed multilevel logistic regression in a three level model (individual, school and city).
The 30-day prevalence of verbal bullying among these students was 14.2%. We found that 1.8% and 0.3% of the total variance in bullying occurred at school-level and city-level, respectively, and 97.9% at individual-level. At city-level, all factors included failed to demonstrate a significant association with bullying (p < 0.05) whereas at school-level, private schools presented more bullying than public schools (OR = 1.17, CI 1.04-1.31). At individual-level, male gender, younger age, not living with both parents, exposed to domestic violence, under or overweight were all associated with bullying.
All socioeconomic indicators assessed contributed little to explain the variance in bullying at individual, school or city-level. Population subgroups at risk identified according to their individual profile could be targeted in future interventions in Brazil.
在低收入和中等收入国家,很少有研究评估与欺凌相关的背景特征。本研究旨在评估背景(学校和城市)及个体层面因素对解释巴西青少年全国代表性样本中言语欺凌差异的相对重要性。
来自1453所学校以及26个州首府和联邦区的59348名九年级学生参与了全国九年级学生学校健康调查(PeNSE,2009)。我们在一个三级模型(个体、学校和城市)中进行了多水平逻辑回归分析。
这些学生中言语欺凌的30天患病率为14.2%。我们发现,欺凌行为总差异的1.8%和0.3%分别发生在学校层面和城市层面,而97.9%发生在个体层面。在城市层面,所有纳入的因素均未显示出与欺凌有显著关联(p<0.05),而在学校层面,私立学校的欺凌行为比公立学校更多(OR = 1.17,CI 1.04 - 1.31)。在个体层面,男性、年龄较小、并非与父母双方同住、遭受家庭暴力、体重过轻或超重均与欺凌行为相关。
所有评估的社会经济指标对解释个体、学校或城市层面欺凌行为差异的贡献都很小。根据个体特征确定的高危人群亚组在巴西未来的干预措施中可作为目标对象。