Université Paris Cité, AP-HP, Hôpital Européen Georges Pompidou, DMU Psychiatrie et Addictologie, Centre Ambulatoire d'Addictologie, Paris, France.
INSERM, Population-Based Cohorts, Villejuif, France.
J Addict Dis. 2024 Oct-Dec;42(4):418-425. doi: 10.1080/10550887.2023.2250233. Epub 2023 Aug 26.
The relationships between peer bullying victimization in adolescence and substance use have been poorly studied. Thus, we examined the associations between peer bullying victimization and tobacco, alcohol and cannabis use in 496 French high school students. Peer bullying victimization was measured with a 17-item standardized assessment and analyzed as quartiles. Tobacco, alcohol, and cannabis use were assessed with the Hooked on Nicotine Checklist (HONC), the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) and the Cannabis Abuse Screening Test (CAST), respectively. Total scores at the HONC (0 to 10), AUDIT-C (0 to 12), and CAST (0 to 24) were used as dependent variables in generalized linear models, adjusting for sex, age, prepared graduation, last school marks and friends outside high school. Compared to the first quartile (i.e., the least bullied students), those from the second, third and fourth quartiles had significant increase of the AUDIT-C ( = 0.78 [95%CI 0.17-1.40] with = 0.013; = 0.86 [95%CI 0.26;1.46] with = 0.005 and = 1.00 [95%CI 0.38;1.62] with = 0.002, respectively), with dose-dependent relationships ( = 0.33 ([95%CI 0.13; 0.52] with = 0.001). Those from the fourth quartile had a significant increase of the CAST ( = 2.13[95%CI 1.25;3.01], < 0.001). When examining the role of peer bullying victimization on the number of substances used, there were significant increased odds for students from the third and fourth quartiles, with dose-dependent relationships (OR = 1.24 [95% CI 1.07;1.44], = 0.005). These findings encourage paying a particular attention to substance use in students who report being bullied. Consequently, information and prevention using standardized screening tools should be proposed. Conversely, substance use could be an indicator of peer bullying victimization and should thus be explored.
青少年时期同伴欺凌受害与物质使用之间的关系尚未得到充分研究。因此，我们调查了法国 496 名高中生中同伴欺凌受害与烟草、酒精和大麻使用之间的关联。同伴欺凌受害采用 17 项标准化评估进行测量，并按四分位数进行分析。烟草、酒精和大麻使用分别采用尼古丁依赖问卷（HONC）、酒精使用障碍识别测试-摄入量（AUDIT-C）和大麻滥用筛查测试（CAST）进行评估。HONC（0 到 10 分）、AUDIT-C（0 到 12 分）和 CAST（0 到 24 分）的总分作为广义线性模型中的因变量，调整性别、年龄、毕业准备情况、上学期成绩和校外朋友。与第一四分位数（即受欺凌程度最低的学生）相比，第二、三和四分位数的 AUDIT-C 显著增加（ = 0.78 [95%CI 0.17-1.40]， = 0.013； = 0.86 [95%CI 0.26;1.46]， = 0.005； = 1.00 [95%CI 0.38;1.62]， = 0.002），呈剂量依赖性关系（ = 0.33 [95%CI 0.13;0.52]， = 0.001）。第四四分位数的 CAST 显著增加（ = 2.13 [95%CI 1.25;3.01]， < 0.001）。在检验同伴欺凌受害对使用物质数量的影响时，第三和四分位数的学生出现显著增加的可能性，呈剂量依赖性关系（OR = 1.24 [95%CI 1.07;1.44]， = 0.005）。这些发现鼓励特别关注报告遭受欺凌的学生的物质使用情况。因此，应该使用标准化筛查工具提供信息和预防措施。相反，物质使用可能是同伴欺凌受害的一个指标，因此应该对此进行探讨。
