Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, People's Republic of China; Epidemiology, Biostatistics and Clinical Research Centre, School of Public Health, Université Libre de Bruxelles (ULB), Belgium.
Epidemiology Research Unit, Clinical trails Center, The First Affiliated Hospital, Sun Yat-sen University, No. 58, Zhongshan 2nd Road, Yuexiu, Guangzhou 510000, People's Republic of China.
Psychiatry Res. 2016 Mar 30;237:282-9. doi: 10.1016/j.psychres.2016.01.027. Epub 2016 Jan 14.
This school-based study aimed to investigate the prevalence of being at risk for depression, bullying behavior, and current smoking among Chinese adolescents in order to explore gender differences in the vulnerability of adolescents with these behaviors to develop a smoking habit. A total of 35,893 high school students sampled from high schools in eighteen cities in China participated in the study from 2011 to 2012. Overall, the prevalence of current smoking was estimated at 6.4%. In total, 1.7% (618) of the participants admitted to bullying others, 5.8% (2071) reported being bullied, 3.5% (1269) were involved in both bullying others and being bullied, and 5.6% (2017) were at high risk for depression. Logistic regression analysis indicated that among girls, with high depression risk, bullying others, being bullied, and both bullying others and being bullied were independently and positively associated with current smoking habits, while the final results among boys showed that bullying others and both bullying others and being bullied were independently associated with an increased risk of current smoking. School-based prevention programs are highly recommended, and we should focus on high-risk students, particularly girls with high risk of depression or involved in school bullying and boys who are involved in school bullying.
本项基于学校的研究旨在调查中国青少年抑郁风险、欺凌行为和当前吸烟的流行情况，以探讨具有这些行为的青少年易吸烟习惯的性别差异。共有来自中国 18 个城市的 35893 名高中生参与了 2011 年至 2012 年的研究。总体而言，当前吸烟的流行率估计为 6.4%。共有 1.7%（618 人）的参与者承认欺负他人，5.8%（2071 人）报告被欺负，3.5%（1269 人）既欺负他人又被欺负，5.6%（2017 人）有抑郁高风险。逻辑回归分析表明，在女孩中，具有高抑郁风险、欺负他人、被欺负和同时欺负他人和被欺负与当前吸烟习惯独立且呈正相关，而男孩的最终结果表明，欺负他人和同时欺负他人和被欺负与当前吸烟的风险增加独立相关。强烈推荐基于学校的预防计划，我们应关注高风险学生，特别是有高抑郁风险或参与学校欺凌的女孩和参与学校欺凌的男孩。
