Health Promotion Research Centre, School of Health Sciences, NUI Galway, Ireland.
Children's Studies, School of Languages, NUI Galway, Ireland.
J Epidemiol Community Health. 2019 May;73(5):416-421. doi: 10.1136/jech-2018-211350. Epub 2019 Feb 13.
Little is known about the impact of being a bystander to bullying. This study compared health outcomes among bullies, victims and bystanders, and investigated actions taken by bystanders when they saw bullying.
Participants included 7522 students aged 12-18 years that completed self-report questionnaires in the 2013/2014 Health Behaviour in School-aged Children survey. Binary logistic regression models (controlled for bully, victim, bystander status and demographic variables) were used to investigate the associations between participation in bullying as a bully, victim and bystander and health outcomes.
Overall, 13.3% of adolescents reported being a bully, 25.1% reported being a victim and 30.5% reported that they saw bullying, in the last couple of months. Bystanders were significantly more likely to experience psychological symptoms (OR 1.355), somatic symptoms (OR 1.392) and low life satisfaction (OR 1.268) than those who were not bystanders. Helping the victim was significantly associated with experiencing psychological symptoms (OR 1.240), somatic symptoms (OR 1.251) and low life satisfaction (OR 1.198). Being a bully was significantly associated with experiencing psychological symptoms (OR 1.382) and not having excellent health (OR 1.252). Victims were significantly more likely to experience psychological symptoms (OR 2.437), somatic symptoms (OR 2.364), low life satisfaction (OR 2.564) and not having excellent health (OR 1.559).
In Ireland, being a bystander to bullying is more prevalent in schools than bullying perpetration or victimisation. The impact of being a bystander to bullying needs to be highlighted and included in intervention development.
对于作为旁观者目睹欺凌的影响知之甚少。本研究比较了欺凌者、受害者和旁观者的健康结果，并调查了旁观者在看到欺凌时采取的行动。
参与者包括 7522 名 12-18 岁的学生，他们在 2013/2014 年健康行为在学童调查中完成了自我报告问卷。使用二元逻辑回归模型（控制欺凌者、受害者、旁观者地位和人口统计学变量）来研究作为欺凌者、受害者和旁观者参与欺凌与健康结果之间的关联。
总体而言，13.3%的青少年报告称自己是欺凌者，25.1%的青少年报告称自己是受害者，30.5%的青少年报告称在过去几个月目睹过欺凌。与非旁观者相比，旁观者更有可能经历心理症状（OR 1.355）、躯体症状（OR 1.392）和生活满意度低（OR 1.268）。帮助受害者与经历心理症状（OR 1.240）、躯体症状（OR 1.251）和生活满意度低（OR 1.198）显著相关。欺凌者与经历心理症状（OR 1.382）和没有良好健康（OR 1.252）显著相关。受害者更有可能经历心理症状（OR 2.437）、躯体症状（OR 2.364）、生活满意度低（OR 2.564）和没有良好健康（OR 1.559）。
在爱尔兰，学校中作为旁观者目睹欺凌比欺凌行为或受害者更为普遍。需要强调旁观者目睹欺凌的影响，并将其纳入干预措施的制定中。
