Okumu Moses, Mengo Cecilia, Ombayo Bernadette, Small Eusebius
Factor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor Street W, Toronto, Ontario, M5S 1V4, Canada.
The Ohio State University, 1947 College Road, Columbus, OH 43210.
J Sch Health. 2017 Oct;87(10):743-750. doi: 10.1111/josh.12547.
Teen dating violence (TDV), bullying, and HIV risk behaviors are public health concerns that impact adolescents in the United States. National estimates reveal high rates of these risk behaviors among high school students. Based on theoretical and empirical evidence, we hypothesized that experiencing teen dating violence (sexual and physical) would mediate the impact of bullying on HIV risk.
Data were from the 2013 National Youth Behavior Risk Surveillance Survey (YRBSS) among students who answered questions on bullying, TDV, and HIV risk (N = 13,571). The YRBSS is conducted biennially among 9th- to 12th-grade students nationally. We used multiple regression analysis and Hayes' SPSS process macro to examine the 2 study hypotheses.
Findings from bivariate analysis suggest an association between bullying and HIV risk. The study also found associations between physical, sexual teen dating violence and HIV risk. Results also indicate that both physical and sexual teen dating violence mediate the association between bullying and HIV risk.
Our findings suggest that multidimensional interventions should be developed to reduce the rate of teen dating violence and combat bullying as a preventative method for HIV risk among high school students.
青少年约会暴力（TDV）、欺凌行为和感染艾滋病毒的风险行为是影响美国青少年的公共卫生问题。全国性估计显示，这些风险行为在高中生中发生率很高。基于理论和实证证据，我们假设经历青少年约会暴力（性暴力和身体暴力）会介导欺凌行为对感染艾滋病毒风险的影响。
数据来自2013年全国青少年行为风险监测调查（YRBSS），调查对象为回答了有关欺凌行为、青少年约会暴力和感染艾滋病毒风险问题的学生（N = 13571）。YRBSS每两年在全国9至12年级的学生中进行一次。我们使用多元回归分析和海斯的SPSS过程宏来检验这两个研究假设。
双变量分析结果表明欺凌行为与感染艾滋病毒风险之间存在关联。该研究还发现身体暴力、性方面的青少年约会暴力与感染艾滋病毒风险之间存在关联。结果还表明，身体暴力和性方面的青少年约会暴力均介导了欺凌行为与感染艾滋病毒风险之间的关联。
我们的研究结果表明，应制定多维度干预措施，以降低青少年约会暴力的发生率，并打击欺凌行为，作为预防高中生感染艾滋病毒风险的一种方法。
