Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Edward Ford Building, A27 Fisher Road, Sydney, NSW 2006, Australia.
Centre for Health Research, School of Business, The University of Southern Queensland, West Street, Darling Heights, Toowoomba, QLD 4350, Australia.
Int J Environ Res Public Health. 2022 Apr 20;19(9):4995. doi: 10.3390/ijerph19094995.
Making life better for Indigenous peoples is a global priority. Although bullying and oral health have always been a topic of concern, there is limited information regarding the impact of this problem on the general population, with no evidence in this regard among the Australian Indigenous population. Thus, we aimed to quantify the relationship between bullying victimization and oral health problems by remoteness among 766 Australian Indigenous children aged between 10−15-years using data from the LSIC study. Bivariate and multilevel mixed-effect logistic regression analyses were employed. Findings indicated children self-reported bullying more than parents reported their children were being bullied (44% vs. 33.6%), with a higher percentage from rural/remote areas than urban areas. Parents reported that oral health problems increased the probability (OR 2.20, p < 0.05) of being bullied, in Indigenous children living in urban areas. Racial discrimination, lower level of parental education and poor child oral hygiene increase the risk of bullying victimization. Parental happiness with life and a safe community were associated with a lower risk of bullying. Dental problems are linked with Australian Indigenous children experiencing bullying victimization. Cultural resilience and eliminating discrimination may be two modifiable paths to ameliorating health issues associated with bullying in the Australian Indigenous community.
改善原住民的生活是全球的当务之急。尽管欺凌和口腔健康一直是人们关注的话题，但关于这个问题对普通人群的影响的信息有限，在澳大利亚原住民群体中也没有这方面的证据。因此，我们旨在使用 LSIC 研究的数据，定量评估 766 名 10-15 岁澳大利亚原住民儿童的欺凌受害情况与偏远程度之间的关系。我们采用了双变量和多层次混合效应逻辑回归分析。研究结果表明，儿童自我报告的欺凌事件多于父母报告的（44%比 33.6%），农村/偏远地区的比例高于城市地区。父母报告称，口腔健康问题增加了（OR 2.20，p < 0.05）城市地区原住民儿童被欺凌的可能性。种族歧视、父母教育程度较低和儿童口腔卫生状况较差会增加被欺凌的风险。父母对生活和社区安全的满意度与被欺凌的风险较低有关。口腔问题与澳大利亚原住民儿童遭受欺凌有关。文化韧性和消除歧视可能是改善与澳大利亚原住民社区欺凌相关健康问题的两个可改变的途径。
