1. Shangcheng District Center for Disease Control and Prevention (Shangcheng District Health Supervision Institute), Hangzhou, Zhejiang 310002, China; 2. Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang 310051, China
Abstract：Objective To investigate the situation and influencing factors of school bullying experienced by primary and middle school students, so as to provide the basis for formulating school bullying intervention measures and promoting students' physical and mental health development. Methods All the counties (cities, districts) in Zhejiang Province were stratified to urban and suburban areas, primary, junior high and senior high school students were selected using a stratified cluster sampling method. Basic information, lifestyle and school bullying were collected through questionnaire surveys. Factors affecting school bullying experienced by primary and middle school students were analyzed using a multivariable logistic regression model. Results Totally 137 846 valid questionnaires were recovered, with an effective recovery rate of 97.17%. There were 72 526 males (52.61%) and 65 320 females (47.39%). There were 47 561 primary school students (34.50%), 47 701 junior high school students (34.61%) and 42 584 senior high school students (30.89%). A total of 3 987 students suffered from school bullying, accounting for 2.89%. The proportions of being maliciously teased, being intentionally excluded from group activities/isolated, being teased about physical defects or appearance, being hit/kicked/pushed/shoved/locked in a room, being threatened, and being extorted for money were 2.04%, 1.18%, 1.11%, 0.86%, 0.84% and 0.83%, respectively. Multivariable logistic regression analysis showed that the students who were males (OR=1.122, 95%CI: 1.048-1.202), lived in suburban areas (OR=1.322, 95%CI: 1.233-1.418), lived in areas with medium (OR=1.086, 95%CI: 1.006-1.173) or underdeveloped (OR=1.298, 95%CI: 1.191-1.415) economic level, had higher academic levels (junior high school, OR=1.380, 95%CI: 1.270-1.499; senior high school, OR=1.210, 95%CI: 1.083-1.351), lived on campus (OR=1.489, 95%CI: 1.372-1.616), engaged in fights (OR=6.029, 95%CI: 5.585-6.509), attempted to smoke (OR=1.320, 95%CI: 1.128-1.545), drank (OR=1.735, 95%CI: 1.575-1.912), were scolded and beaten by parents (OR=1.972, 95%CI: 1.822-2.135) and were obese (OR=1.240, 95%CI: 1.132-1.360) were more likely to experience school bullying. Conclusion The harm of school bullying to the physical and mental health of primary and middle school students should be taken seriously, and active policy measures should be adopted to strengthen intervention.
[1] HILLIS S,MERCY J,AMOBI A,et al.Global prevalence of past-year violence against children:a systematic review and minimum estimates[J/OL].Pediatrics,2016,137(3)[2024-11-29].https://doi.org/10.1542/peds.2015-4079. [2] 陆士桢,刘宇飞.我国未成年人校园暴力问题的现状及对策研究[J].中国青年研究,2017(3):100-104. LU S Z,LIU Y F.Research on the current situation and countermeasures of campus violence involving minors in China[J].China Youth Study,2017(3):100-104.(in Chinese) [3] 胡康,胡达振,周凡,等.初中生与高中生的人格特质差异及其与欺凌,被欺凌的关联分析[J].南昌大学学报(医学版),2022,62(6):76-81. HU K,HU D Z,ZHOU F,et al.Differences in personality traits between junior and senior high school students and their correlation with bullying and being bullied[J].J Nanchang Univ(Med Sci),2022,62(6):76-81.(in Chinese) [4] ZHAO N,YANG S L,ZHANG Q J,et al.School bullying results in poor psychological conditions:evidence from a survey of 95 545 subjects[J].Front Psychol,2024,15:1-10. [5] 李娟娟,章荣华,邹艳,等.浙江省青少年抑郁症状的影响因素分析[J].预防医学,2021,33(2):139-142. LI J J,ZHANG R H,ZOU Y,et al.Influencing factors of depressive symptoms in Zhejiang adolescents[J].China Prev Med J,2021,33(2):139-142.(in Chinese) [6] 周娓,元国平,岑焕新.初三学生自我暴力意念和行为的影响因素分析[J].预防医学,2021,33(1):11-15,20. ZHOU W,YUAN G P,CEN H X.Influencing factors for self-violent thoughts and behaviors among ninth-grade students[J].China Prev Med J,2021,33(1):11-15,20.(in Chinese) [7] 马彩霞,杨田,张秀红,等.中学生遭受校园欺凌的相关因素分析[J].中国学校卫生,2024,45(4):503-508. MA C X,YANG T,ZHANG X H,et al.Analysis of related factors associated with campus bullying among middle and high school students[J].Chin J Sch Health,2024,45(4):503-508.(in Chinese) [8] LI J N,SHA S,LUO W,et al.Prevalence and associated factors of bullying victimization among Chinese high school students in Shandong,China[J].J Affect Disord,2023,323:667-674. [9] 中华人民共和国卫生部,中国国家标准化管理委员会.学生健康检查技术规范:GB/T 26343—2010[S].北京:中国标准出版社,2011. National Health Commission of the People's Republic of China,National Standardization Administration. Technical standard for physical examination for students:GB/T 26343—2010[S]. Beijing:Standards Press of China,2011.(in Chinese) [10] 中华人民共和国国家卫生和计划生育委员会.学龄儿童青少年超重与肥胖筛查:WS/T 586—2018[S].北京:中国标准出版社,2018. National Health and Family Planning Commission of the People's Republic of China.Screening for overweight and obesity among school-age children and adolescents:WS/T 586—2018[S]. Beijing:Standards Press of China,2018.(in Chinese) [11] 许凤鸣,王旭,王丽茹,等.河南省中学生校园欺凌发生状况及影响因素分析[J].中国学校卫生,2020,41(10):1518-1520,1524. XU F M,WANG X,WANG L R,et al.Analysis on the influencing factors of school bullying among middle school students in Henan Province[J].Chin J Sch Health,2020,41(10):1518-1520,1524.(in Chinese) [12] 杨文漪,王艳,张锡彦,等.江苏省中学生遭受校园欺凌的影响因素分析及列线图预测模型构建[J].中国学校卫生,2023,44(12):1788-1792,1798. YANG W Y,WANG Y,ZHANG X Y,et al.Analysis of factors influencing campus bullying among junior and senior school students and construction of a nomogram model from Jiangsu Province[J].Chin J Sch Health,2023,44(12):1788-1792,1798.(in Chinese) [13] ALINA C,YLVA B,FRANK J E,et al.Gender differences in bullying reflect societal gender inequality:a multilevel study with adolescents in 46 countries[J].J Adolesc Health,2022,71(5):601-608. [14] CHENG S X,KAMINGA A C,LIU Q W,et al.Association between weight status and bullying experiences among children and adolescents in schools:an updated meta-analysis[J/OL].Child Abuse Negl,2022,134[2024-11-29].https://doi.org/10.1016/j.chiabu.2022.105833. [15] 梁茵茵,袁瑞,朱幸,等.湖州市中小学生超重肥胖状况调查[J].预防医学,2024,36(10):847-850. LIANG Y Y,YUAN R,ZHU X,et al.Overweight and obesity among primary and middle school students in Huzhou City[J].China Prev Med J,2024,36(10):847-850.(in Chinese) [16] FINKELHOR D,TURNER H A,SHATTUCK A,et al.Violence,crime,and abuse exposure in a national sample of children and youth:an update[J].JAMA Pediatrics,2013,167(7):614-621. [17] ZHANG H P,ZHOU H Z,TAO T.Bullying behaviors and psychosocial adjustment among school-aged children in China[J].J Interpers Violence,2019,34(11):2363-2375. [18] ZHU Y H,CHAN K L,CHEN J S.Bullying victimization among Chinese middle school students:the role of family violence[J].J Interpers Violence,2018,33(12):1958-1977. [19] CHEN L,LU R R,DUAN J L,et al.Combined associations of smoking and bullying victimization with binge drinking among adolescents in Beijing,China[J].Front Psychiatry,2021,12:1-13.
