School of Social Work, The University of Texas at Arlington, 211 S. Cooper St., Box 19129, Arlington, TX 76019, United States.
School of Social Work, The University of Texas at Arlington, 211 S. Cooper St., Box 19129, Arlington, TX 76019, United States.
J Affect Disord. 2019 Dec 1;259:317-324. doi: 10.1016/j.jad.2019.08.063. Epub 2019 Aug 19.
Although studies have examined the association between bullying victimization and adolescent substance behaviors, there is a dearth of research investigating the association between bullying victimization and prescription drug misuse. The objective of this study was to examine the cross-sectional association between bullying victimization and prescription drug misuse among adolescents.
Data for this study came from the 2017 Youth Risk Behavior Survey. A sample of 9974 adolescents aged 14-18 years (50.1% female) were analyzed using binary logistic regression with prescription drug misuse as the outcome variable and bullying victimization as the main explanatory variable.
Of the 9,974 adolescents, 13.1% misused prescription drugs. One in ten adolescents were victims of both school bullying and cyberbullying, 5.1% were victims of only cyberbullying, 9% were victims of only school bullying, and 75.8% experienced neither school bullying nor cyberbullying victimization. In the binary logistic regression model, adolescents who experienced both school bullying and cyberbullying victimization had 1.66 times higher odds of misusing prescription drugs (AOR = 1.66, p < .001, 95% CI = 1.34-2.06) and adolescents who experienced only school bullying victimization had 1.30 times higher odds of misusing prescription drugs (AOR = 1.30, p < .05, 95% CI = 1.02-1.64). Being lesbian, gay, or bisexual; feeling sad or hopeless; cigarette smoking; binge drinking; cannabis use; and illicit drug use were statistically significantly associated with prescription drug misuse.
Understanding the association between bullying victimization and prescription drug misuse could contribute to early identification of adolescents who may misuse prescription drugs.
尽管已有研究探讨了欺凌受害与青少年物质使用行为之间的关联，但鲜有研究调查欺凌受害与处方药物滥用之间的关系。本研究旨在检验青少年中欺凌受害与处方药物滥用的横断面关联。
本研究的数据来自 2017 年青少年风险行为调查。采用二元逻辑回归分析方法，以处方药物滥用为因变量，欺凌受害为主要解释变量，对 9974 名 14-18 岁（50.1%为女性）青少年进行分析。
在所调查的 9974 名青少年中，有 13.1%存在处方药物滥用。十分之一的青少年遭受过学校欺凌和网络欺凌双重侵害，5.1%仅遭受过网络欺凌，9%仅遭受过学校欺凌，75.8%未遭受过学校欺凌或网络欺凌。在二元逻辑回归模型中，同时遭受学校欺凌和网络欺凌的青少年滥用处方药物的几率是没有遭受过欺凌的青少年的 1.66 倍（比值比=1.66，p<0.001，95%置信区间=1.34-2.06），仅遭受过学校欺凌的青少年滥用处方药物的几率是没有遭受过欺凌的青少年的 1.30 倍（比值比=1.30，p<0.05，95%置信区间=1.02-1.64）。同性恋、双性恋或异性恋；感到悲伤或绝望；吸烟；狂饮；大麻使用；以及非法药物使用与处方药物滥用显著相关。
了解欺凌受害与处方药物滥用之间的关联，有助于早期识别可能滥用处方药物的青少年。
