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澳大利亚儿童和青少年中传统欺凌和网络欺凌的患病率:一项系统评价和荟萃分析。

Prevalence of traditional bullying and cyberbullying among children and adolescents in Australia: A systematic review and meta-analysis.

作者信息

Jadambaa Amarzaya, Thomas Hannah J, Scott James G, Graves Nicholas, Brain David, Pacella Rosana

机构信息

1 School of Public Health and Social Work, Queensland University of Technology, Kelvin Grove, QLD, Australia.

2 Australian Centre for Health Services Innovation, Queensland University of Technology, Kelvin Grove, QLD, Australia.

出版信息

Aust N Z J Psychiatry. 2019 Sep;53(9):878-888. doi: 10.1177/0004867419846393. Epub 2019 May 9.

Abstract

BACKGROUND

Despite increased awareness of the adverse impact of bullying on mental health, the prevalence of bullying in Australia is uncertain. The aim of the current study was to conduct a systematic review and meta-analysis to estimate the prevalence of bullying (traditional and cyber) among Australian children and adolescents. This study synthesised bullying prevalence studies on victimisation experiences and perpetration experiences .

METHOD

A systematic review of electronic databases (A+ Education, EMBASE, ERIC, PubMed, PsycINFO and Scopus up to 27 May 2017) was conducted. In addition, reference lists of included studies, theses recorded at the National Library of Australia, and government websites were surveyed to identify local area data as well as state and nationally representative data. Overall, 898 studies were screened and out of the 126 studies assessed for eligibility, 46 satisfied the pre-determined inclusion criteria. Meta-analyses based on quality-effects models generated pooled prevalence estimates for each of the two types of bullying involvement (victimisation and perpetration), as well as distinct models for traditional bullying and cyberbullying experiences by the type of involvement.

RESULTS

Overall, the 12-month prevalence of bullying victimisation was 15.17% (95% confidence interval = [9.17, 22.30]) and perpetration was 5.27% (95% confidence interval = [3.13, 7.92]). The lifetime prevalence for traditional bullying victimisation was 25.13% (95% confidence interval = [18.73, 32.11]) and perpetration was 11.61% (95% confidence interval = [7.41, 16.57]). Cyberbullying victimisation and perpetration were less common with lifetime prevalence of 7.02% (95% confidence interval = [2.41, 13.54]) and 3.45% (95% confidence interval = [1.13, 6.84]), respectively.

CONCLUSION

Bullying is common among children and adolescents in Australia. There is a need to improve the measurement of bullying using a standardised instrument and for prevalence estimates to be collected on a regular basis to assess change over time. Wide implementation of anti-bullying programmes in Australian schools is a viable public health approach for the prevention of mental health problems.

摘要

背景

尽管人们越来越意识到欺凌行为对心理健康的不利影响,但澳大利亚欺凌行为的发生率仍不确定。本研究旨在进行系统综述和荟萃分析,以估计澳大利亚儿童和青少年中欺凌行为(传统欺凌和网络欺凌)的发生率。本研究综合了关于受欺凌经历和欺凌行为经历的发生率研究。

方法

对电子数据库(截至2017年5月27日的A+教育、EMBASE、教育资源信息中心、PubMed、心理学文摘数据库和Scopus)进行了系统综述。此外,还查阅了纳入研究的参考文献列表、澳大利亚国家图书馆记录的论文以及政府网站,以识别当地数据以及具有州和全国代表性的数据。总体而言,共筛选了898项研究,在评估 eligibility的126项研究中,有46项符合预先确定的纳入标准。基于质量效应模型的荟萃分析得出了两种欺凌行为类型(受欺凌和欺凌行为)各自的合并发生率估计值,以及按参与类型划分的传统欺凌和网络欺凌经历的不同模型。

结果

总体而言,欺凌行为受欺凌的12个月发生率为15.17%(95%置信区间 = [9.17, 22.30]),欺凌行为发生率为5.27%(95%置信区间 = [3.13, 7.92])。传统欺凌行为受欺凌的终生发生率为25.13%(95%置信区间 = [18.73, 32.11]),欺凌行为发生率为11.61%(95%置信区间 = [7.41, 16.57])。网络欺凌行为的受欺凌和欺凌行为不太常见,终生发生率分别为7.02%(95%置信区间 = [2.41, 13.54])和3.45%(95%置信区间 = [1.13, 6.84])。

结论

欺凌行为在澳大利亚儿童和青少年中很常见。需要使用标准化工具改进对欺凌行为的测量,并定期收集发生率估计值以评估随时间的变化。在澳大利亚学校广泛实施反欺凌计划是预防心理健康问题的一种可行的公共卫生方法。

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