School of Public Health, Shantou University, Shantou, China.
Injury Prevention Research Center, Shantou University Medical College, 22 Xinling Road, Shantou, 515041, China.
BMC Public Health. 2022 Feb 9;22(1):262. doi: 10.1186/s12889-022-12669-0.
Bullying is common among adolescents and can have an adverse effect on victims. This study aims to implement and evaluate an educational intervention on bullying prevention among junior high school students in Shantou, China.
The four-session educational intervention was designed based on the knowledge-attitude-practice model and conducted from September to December 2018, with one session implemented a month. The intervention methods included holding bullying-themed class meetings, distributing bullying educational leaflets at school, and playing anti-bullying videos in class. The post-intervention assessment was measured at the end of session 4. The chi-square tests were used to examine the changes from baseline to after intervention in the intervention and control group.
The results showed that the intervention group's awareness of bullying (percentage of the students who knew bullying very well, male: before vs. after intervention: 16.3% vs. 37.6%, P < 0.001; female: before vs. after intervention: 11.8% vs. 38.8%, P < 0.01), and the female students' acceptance of anti-bullying education (before vs. after intervention: 89.3% vs. 97.6%, P < 0.05) was improved after intervention. The incidence of cyber victimization (male: 32.3% vs. 18.5%, P < 0.05; female: 22.4 to 7.0%, P < 0.01) was also reduced in the intervention group, with the reduction in the incidence of social (19.4% vs. 8.7%, P < 0.05), verbal (40.9% vs. 27.2%, P < 0.05) victimization, and peer (36.6% vs. 20.7%, P < 0.05) and social bullying (11.8% vs. 2.2%, P < 0.01) among male students after intervention.
This educational intervention was the first important step to develop effective intervention strategies for bullying prevention among junior high school students in China.
欺凌在青少年中很常见，会对受害者产生不良影响。本研究旨在在中国汕头市实施和评估一项针对初中生欺凌预防的教育干预。
基于知识-态度-实践模型设计了四节教育干预课程，于 2018 年 9 月至 12 月实施，每月一节。干预方法包括举行欺凌主题班会、在学校发放欺凌教育传单以及在课堂上播放反欺凌视频。在第 4 节课结束时进行干预后评估。采用卡方检验比较干预组和对照组从基线到干预后的变化。
结果显示，干预组学生对欺凌的认识（非常了解欺凌的学生比例，男生：干预前 vs. 干预后：16.3% vs. 37.6%，P<0.001；女生：干预前 vs. 干预后：11.8% vs. 38.8%，P<0.01）和女生对反欺凌教育的接受程度（干预前 vs. 干预后：89.3% vs. 97.6%，P<0.05）在干预后得到提高。干预组男生网络受害率（32.3% vs. 18.5%，P<0.05；女生：22.4%降至 7.0%，P<0.01）也有所降低，社会（19.4% vs. 8.7%，P<0.05）、言语（40.9% vs. 27.2%，P<0.05）、同伴（36.6% vs. 20.7%，P<0.05）和社会欺凌（11.8% vs. 2.2%，P<0.01）的发生率均降低。
本教育干预是在中国开发针对初中生欺凌预防的有效干预策略的重要第一步。
