Department of Population Science and Human Resource Development, University of Rajshahi, Rajshahi, Bangladesh.
Department of Epidemiology, National Center for Control of Rheumatic Fever and Heart Disease, Ministry of Health and Family Welfare, Dhaka, Bangladesh.
Depress Anxiety. 2020 Oct;37(10):995-1006. doi: 10.1002/da.23033. Epub 2020 May 10.
Bullying among adolescents is a global public health issue and has adverse behavioral and mental health consequences, yet a little is known about the relationship between bullying victimization and adverse health behaviors in adolescence in South Asian countries.
Data for this cross-sectional analysis were extracted from the global school-based student health survey (GSHS) in Bangladesh (n = 2,989), 2014 and in Nepal (n = 6,529), 2015. Multivariate logistic regression analyses were used to identify the associations between bullying victimization and adverse health behaviors or outcomes: physical violence, sexual history, tobacco use, alcohol use, drug use, suicide ideation, plan, attempt, loneliness, and sleeping difficulty.
The prevalence of bullying victimization that occurred for a minimum of 1 day during the 30 days preceding the survey was 24.5% in Bangladesh and 50.9% in Nepal. This study observed significant relationships between bullying victimization and several adverse health behaviors/outcomes. For example, in Bangladesh, the odds of attempted suicide were found to be higher in adolescents that experienced bullying for 1-2 (adjusted odds ratio [AOR]: 2.92; 95% confidence interval [CI]: 1.64-5.19), 3-5 (AOR: 3.55; 95% CI: 1.69), 6-9 (AOR: 5.33; 95% CI: 1.24-22.77), or 10 days or more (AOR: 9.83; 95% CI: 4.17-23.16) during the 30 days preceding the survey than who did not.
Bullying among adolescents in school is common in Bangladesh and Nepal and is associated with several adverse health behaviors. Bullying and its potential health consequences are needed to be addressed in health promotion and programs in these countries.
青少年欺凌是一个全球性的公共卫生问题，会对行为和心理健康产生不良后果，但人们对南亚国家青少年受欺凌与不良健康行为之间的关系知之甚少。
本横断面分析的数据来自 2014 年孟加拉国（n=2989）和 2015 年尼泊尔（n=6529）的全球学生健康调查（GSHS）。采用多变量逻辑回归分析来确定欺凌受害与不良健康行为或结果之间的关联：身体暴力、性史、吸烟、饮酒、使用毒品、自杀意念、计划、尝试、孤独和睡眠困难。
在调查前 30 天内至少有 1 天发生的欺凌受害率在孟加拉国为 24.5%，在尼泊尔为 50.9%。本研究观察到欺凌受害与几种不良健康行为/结果之间存在显著关系。例如，在孟加拉国，经历 1-2 天（调整后的优势比 [AOR]：2.92；95%置信区间 [CI]：1.64-5.19）、3-5 天（AOR：3.55；95% CI：1.69-5.19）、6-9 天（AOR：5.33；95% CI：1.24-22.77）或 10 天或更长时间（AOR：9.83；95% CI：4.17-23.16）的欺凌受害的青少年自杀未遂的几率更高，而没有经历欺凌受害的青少年的自杀未遂的几率则更低。
孟加拉国和尼泊尔的学校中，青少年欺凌现象很常见，与几种不良健康行为有关。需要在这些国家的健康促进和项目中解决欺凌问题及其潜在的健康后果。
