摘要
目的探讨中小学生校园欺凌现状及其与不良心理健康结局的关联。方法 2019年4月,采取分层整群抽样的方法,选取甘肃省民乐县的3所中小学校1 575名在校学生,调查其遭受校园欺凌行为情况及心理健康状况。结果有83名学生自报在过去的2个月内遭受过欺凌(每月2~3次及以上),校园欺凌发生率为5.27%,不同性别发生率差异无统计学意义(χ^(2)=1.75,P=0.19);欺凌发生率小学生(9.77%)>初中生(4.63%)>高中生(0.56%),差异有统计学意义(χ^(2)=36.15,P<0.01)。被欺凌的青少年中不良心理的发生率高,抑郁症状、焦虑症状、自杀意念的发生率分别是26.51%、22.89%、14.46%,而一般青少年的发生率仅为7.77%、6.57%、7.98%,差异均有统计学意义(χ^(2)=34.51、30.47、4.33,P值均<0.05)。按性别分层进行多因素logistic回归分析发现,在女生中被欺凌是抑郁(OR=8.61)、焦虑(OR=4.71)和自杀(OR=3.30)的危险因素,而在男生中并未发现该关联。结论校园欺凌发生率小学>初中>高中,且被欺凌青少年不良心理发生率高,应尽早开展干预,并重点关注校园欺凌行为对女生心理健康的影响。
Objective To investigate the current situation of bullying in primary and middle schools and its association with adverse mental health outcomes. Methods Totally 1 575 students from three schools in Minle country were recruited using stratified cluster random sampling strategy in Apr 2019,who were investigated for the prevalence of school bullying and mental health status.Results A total of 83 students were reported to be bullied for at least 2 or 3 times per month in the past 2 months, accounted for 5.27%,the difference of the incidence between different genders was not significant(χ^(2)=1.75,P=0.19).The bullying incidence of primary school students(9.77%) was higher than that of junior middle school students(4.63%),which was higher than that of senior high school students(0.56%),the difference was statistically significant(χ^(2)=36.15,P<0.01).The incidence of adverse mental health outcome was high among the bullied teenagers: the incidence of depression, anxiety and suicidal ideation were 26.51%,22.89% and 14.46%,respectively;while the corresponding incidences of ordinary teenagers were only 7.77%,6.57% and 7.98%,respectively;all differences were statistical significant(χ^(2)=34.51,30.47,4.33,all P<0.05).Gender-stratified multivariable logistic analysis showed that bullying victimization were associated with elevated risks of depression(OR=8.61),anxiety(OR=4.71),and suicidal ideation(OR=3.30) among female students, while no significant association was observed among male students. Conclusion The incidence of bullying in primary schools was higher than that in junior high schools, which was higher than that in senior high schools.The incidence of adverse mental health out come was high among bullied teenagers.Intervention should be carried out as soon as possible, more attention should be paid to the impact on female students′ mental health.
作者
廉启国
余春艳
毛燕燕
王尚明
左霞云
涂晓雯
楼超华
周维谨
LIAN Qi-guo;YU Chun-yan;MAO Yan-yan;WANG Shang-ming;ZUO xia-yun;TU Xiao-wen;LOU Chao-hua;ZHOU Wei-jin(NHC Key Lab of Reproduction Regulation(Shanghai Institute for Biomedical and Pharmaceutical Technologies),Fudan University,Shanghai,200237,China;不详)
出处
《江苏预防医学》
CAS
2021年第4期386-389,392,共5页
Jiangsu Journal of Preventive Medicine
基金
国家“十二五”科技支撑计划(2012BAI32B02)。
关键词
校园欺凌
抑郁
焦虑
自杀意念
School bullying
Depression
Anxiety
Suicidal ideation
