Kangrga Milica, Nikolic Dejan, Santric-Milicevic Milena, Rakic Ljiljana, Knezevic Tatjana, Djuricic Goran, Stojkovic Jasna, Radosavljevic Natasa, Mihajlovic Sladjana, Medjo Biljana, Lackovic Milan
Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.
Department of Physical Medicine and Rehabilitation, University Children's Hospital, 11000 Belgrade, Serbia.
Children (Basel). 2024 Jan 29;11(2):172. doi: 10.3390/children11020172.
Nowadays, children are able to enrich their reality via the Internet. Unfortunately, this may increase their risk of becoming victims of cyberbullying. We analyzed the health characteristics and risk behavior of two cohorts of children in Serbia; those who reported being exposed to cyberbullying and those who did not. The statistical differences and logistic regression models were applied to the data on 3267 students collected from 64 schools participating in the 2017 Serbian Study on health behavior in school-age children (HBSC). Children exposed to cyberbullying reported having the following health problems on a daily basis: headache (18.5%), back pain (19.5%), depression (21.6%), irritability or bad mood (17.7%), nervousness (16.0%), sleep problems (16.1%), and dizziness (21.2%). As for the different types of risk behavior, cigarette smoking ranging from six to nine days ever was the most prevalent (26.9%). It was followed closely by getting drunk more than 10 times ever (24.1%). Compared to non-victims, victims were found to be at a higher risk of perceived back pain (OR = 2.27), depression (OR = 1.43), irritability or bad mood (OR = 2.07), nervousness (OR = 2.23), and dizziness (OR = 2.43) as well as being injured once or twice (OR = 1.98) or three or more times (OR = 4.09). Victims were associated with further risk factors: having smoked more than five cigarettes ever in life (OR = 1.73) and having gotten drunk two to three times (OR = 1.71) or four or more times (OR = 1.65). As the number of school-age children using social media continues to rise, we must prioritize educating them about self-help and community resources for addressing related health issues with greater speed and intensity. The findings from Serbia suggest that while children may be aware of their health issues, they may be unaware of their link to cyberbullying, which could hinder their ability to address these issues promptly. The respondents' attention to the health implications of cyberbullying could be increased by reformulating the survey questions used in the HBSC study.
如今，孩子们能够通过互联网丰富他们的现实生活。不幸的是，这可能会增加他们成为网络欺凌受害者的风险。我们分析了塞尔维亚两组儿童的健康特征和风险行为；一组报告曾遭受网络欺凌，另一组则没有。对从参与2017年塞尔维亚学龄儿童健康行为研究（HBSC）的64所学校收集的3267名学生的数据应用了统计差异和逻辑回归模型。遭受网络欺凌的儿童报告每天有以下健康问题：头痛（18.5%）、背痛（19.5%）、抑郁（21.6%）、易怒或情绪不好（17.7%）、紧张（16.0%）、睡眠问题（16.1%）和头晕（21.2%）。至于不同类型的风险行为，曾经吸烟6至9天的情况最为普遍（26.9%）。紧随其后的是曾经醉酒超过10次（24.1%）。与非受害者相比，发现受害者出现以下情况的风险更高：感觉到背痛（比值比=2.27）、抑郁（比值比=1.43）、易怒或情绪不好（比值比=2.07）、紧张（比值比=2.23）、头晕（比值比=2.43）以及曾受伤一两次（比值比=1.98）或三次及以上（比值比=4.09）。受害者还与其他风险因素相关：曾经吸烟超过5支（比值比=1.73）以及曾经醉酒两到三次（比值比=1.71）或四次及以上（比值比=1.65）。随着使用社交媒体的学龄儿童数量持续增加，我们必须优先以更快的速度和更大的力度对他们进行关于自助和社区资源的教育，以解决相关健康问题。塞尔维亚的研究结果表明，虽然孩子们可能意识到自己的健康问题，但他们可能没有意识到这些问题与网络欺凌的关联。这可能会阻碍他们及时解决这些问题的能力。通过重新设计HBSC研究中使用的调查问卷问题，可以提高受访者对网络欺凌对健康影响问题的关注度。
