Källmén Håkan, Hallgren Mats
Stockholm Prevents Alcohol and Drug Problems (STAD), Center for Addiction Research and Department of Clinical Neuroscience, Karolinska Institutet, Solna, Sweden.
Epidemiology of Psychiatric Conditions, Substance Use and Social Environment (EPiCSS), Department of Global Public Health, Karolinska Institutet, Level 6, Solnavägen 1e, Solna, Sweden.
Child Adolesc Psychiatry Ment Health. 2021 Dec 14;15(1):74. doi: 10.1186/s13034-021-00425-y.
To examine recent trends in bullying and mental health problems among adolescents and the association between them.
A questionnaire measuring mental health problems, bullying at school, socio-economic status, and the school environment was distributed to all secondary school students aged 15 (school-year 9) and 18 (school-year 11) in Stockholm during 2014, 2018, and 2020 (n = 32,722). Associations between bullying and mental health problems were assessed using logistic regression analyses adjusting for relevant demographic, socio-economic, and school-related factors.
The prevalence of bullying remained stable and was highest among girls in year 9; range = 4.9% to 16.9%. Mental health problems increased; range = + 1.2% (year 9 boys) to + 4.6% (year 11 girls) and were consistently higher among girls (17.2% in year 11, 2020). In adjusted models, having been bullied was detrimentally associated with mental health (OR = 2.57 [2.24-2.96]). Reports of mental health problems were four times higher among boys who had been bullied compared to those not bullied. The corresponding figure for girls was 2.4 times higher.
Exposure to bullying at school was associated with higher odds of mental health problems. Boys appear to be more vulnerable to the deleterious effects of bullying than girls.
研究青少年中欺凌行为和心理健康问题的近期趋势及其之间的关联。
2014年、2018年和2020年，向斯德哥尔摩所有15岁（9年级）和18岁（11年级）的中学生发放了一份问卷，该问卷用于测量心理健康问题、学校欺凌行为、社会经济地位和学校环境（n = 32,722）。使用逻辑回归分析评估欺凌行为和心理健康问题之间的关联，并对相关人口统计学、社会经济和学校相关因素进行调整。
欺凌行为的发生率保持稳定，在9年级女生中最高；范围为4.9%至16.9%。心理健康问题有所增加；范围为+1.2%（9年级男生）至+4.6%（11年级女生），且女生中的发生率一直较高（2020年11年级为17.2%）。在调整后的模型中，曾遭受欺凌与心理健康存在有害关联（OR = 2.57 [2.24 - 2.96]）。曾遭受欺凌的男生报告的心理健康问题是未遭受欺凌男生的四倍。女生的相应数字高出2.4倍。
在学校遭受欺凌与心理健康问题的较高几率相关。男孩似乎比女孩更容易受到欺凌的有害影响。
