Department of Public Health, Environments and Society, London School of Hygiene and Tropical Medicine, London, UK.
Department of Medical Statistics, London School of Hygiene and Tropical Medicine, London, UK.
J Adolesc. 2022 Jun;94(4):611-627. doi: 10.1002/jad.12050. Epub 2022 Apr 28.
Neurobiological and social changes in adolescence can make victims of bullying more susceptible to subsequent impulsive behavior. With the high prevalence of bullying in schools and rise in cyberbullying in the United Kingdom, it is important that the health impacts of bullying victimization, including on risk-taking, are understood. Our study aims to investigate whether bullying/cyberbullying victimization is associated with subsequent health risk-taking behavior in adolescence. Risk-taking behavior includes electronic cigarette and cigarette smoking, alcohol consumption, illicit drug use, early sexual debut, weapon carrying, damaging property, and setting fire.
A secondary quantitative analysis of data from 3337, English, secondary school students in the control arm of the INCLUSIVE trial, constituting an observational cohort. Bullying victimization was measured at baseline (age 11/12 years) using the gatehouse bullying scale and a separate question on cyberbullying victimization. Logistic regression was used to test for an association between bullying/cyberbullying victimization at baseline and risk-taking behavior at 36 months, adjusting for baseline risk-taking behavior and other potential confounders, and accounting for school clustering.
There was strong evidence (p ≤ .02) for a positive dose-responsive association between being bullied at baseline and nearly all risk-taking behavior at follow-up. Although there was no evidence for an association between being bullied at baseline and weapon carrying (p = .102), there was evidence for a positive association between being cyberbullied at baseline and weapon carrying (p = .036).
It is plausible that bullying/cyberbullying victimization increases the likelihood of subsequent risk-taking behavior in adolescence. Policy options should focus on implementing evidence-based antibullying school interventions.
青少年时期的神经生物学和社会变化可能使欺凌的受害者更容易随后出现冲动行为。由于英国学校中欺凌行为的高发率和网络欺凌的上升,了解欺凌受害对包括冒险行为在内的健康的影响非常重要。我们的研究旨在调查欺凌/网络欺凌受害是否与青少年时期随后的健康冒险行为有关。冒险行为包括吸电子烟和吸烟、饮酒、非法药物使用、初次性行为早、携带武器、破坏财产和纵火。
对 INCLUSIVE 试验对照组中 3337 名英国中学 11/12 岁学生的数据进行二次定量分析,构成一个观察队列。使用大门欺凌量表和关于网络欺凌受害的单独问题在基线(11/12 岁)时测量欺凌受害情况。使用逻辑回归来检验基线时的欺凌/网络欺凌受害与 36 个月时的冒险行为之间的关联,调整基线时的冒险行为和其他潜在的混杂因素,并考虑到学校聚类。
有强有力的证据(p≤.02)表明,基线时被欺凌与随访时几乎所有的冒险行为之间存在正剂量反应关系。虽然基线时被欺凌与携带武器之间没有关联(p=.102),但基线时网络欺凌与携带武器之间存在正关联(p=.036)。
欺凌/网络欺凌受害可能会增加青少年时期随后冒险行为的可能性。政策选择应侧重于实施基于证据的学校反欺凌干预措施。