National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing, China.
Jiangyou Center for Disease Control and Prevention, Sichuan, China.
J Adolesc Health. 2018 Aug;63(2):213-218. doi: 10.1016/j.jadohealth.2018.02.008. Epub 2018 Apr 25.
Early pubertal onset may relate to more involvement in bullying in adolescent girls, both as a target and as a perpetrator. However, the few studies of the association between early menarche and school bullying have shown mixed findings. The present study examined whether early menarche is associated with bullying victimization and perpetration.
We obtained survey data on adolescent girls from the 2001-2002, 2005-2006, and 2009-2010 cycles of the Health Behaviour in School-aged Children study in 35 European and North American countries. We identified school bullying in the past 2 months using the Revised Olweus Bully/Victim Questionnaire. We defined early menarche as a reported onset of menarche before 11 years and tested the associations between early menarche and bullying victimization and perpetration using three-level logistic regression models.
The sample included 227,443 adolescent girls with a mean age of 13.64 (standard deviation [SD] 1.63) years, of which 10,172 (4.47%) were early matured; 62,528 (28.33%) and 56,582 (25.67%) were occasional victims and perpetrators, respectively; and 21,985 (9.96%) and 14,115 (6.40%) were frequent victims and perpetrators, respectively. Early menarche related to occasional victimization (adjusted odds ratio [OR] [95% confidence interval [CI] = 1.21 [1.12-1.31]) and perpetration (aOR [95% CI] = 1.19 [1.11-1.27]) and to frequent victimization (aOR [95% CI] = 1.35 [1.22-1.50]) and perpetration (aOR [95% CI] = 1.46 [1.31-1.63]).
Early menarche in European and North American adolescent girls positively relates to bullying victimization and perpetration. Early-maturing girls should not be neglected in antibullying programs.
青春期早期初潮可能与少女更多地参与欺凌行为有关，无论是作为受害者还是欺凌者。然而，少数关于初潮早与学校欺凌之间关联的研究结果喜忧参半。本研究旨在探讨初潮早是否与受欺凌和欺凌他人有关。
我们从 2001-2002 年、2005-2006 年和 2009-2010 年欧洲和北美 35 个国家的青少年健康行为研究中获得了青春期女孩的调查数据。我们使用修订后的 Olweus 欺凌/受害者问卷在过去 2 个月内识别出学校欺凌行为。我们将初潮早定义为报告的初潮年龄在 11 岁之前，并使用三级逻辑回归模型测试了初潮早与欺凌受害者和欺凌者之间的关联。
样本包括 227443 名平均年龄为 13.64 岁（标准差[SD]为 1.63）的青春期女孩，其中 10172 名（4.47%）为早熟；62528 名（28.33%）和 56582 名（25.67%）分别为偶尔的受害者和欺凌者；21985 名（9.96%）和 14115 名（6.40%）分别为频繁的受害者和欺凌者。初潮早与偶尔的受害者身份（调整后的优势比[OR] [95%置信区间[CI] = 1.21 [1.12-1.31]）和欺凌者身份（aOR [95% CI] = 1.19 [1.11-1.27]）以及频繁的受害者身份（aOR [95% CI] = 1.35 [1.22-1.50]）和欺凌者身份（aOR [95% CI] = 1.46 [1.31-1.63]）相关。
欧洲和北美的青春期少女初潮早与欺凌受害和欺凌行为呈正相关。在反欺凌计划中不应忽视早熟的女孩。
