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初中生遭受同伴欺凌和生活满意度与自伤行为的关联

叶娟 王少杰 汪耿夫

叶娟, 王少杰, 汪耿夫. 初中生遭受同伴欺凌和生活满意度与自伤行为的关联[J]. 中国学校卫生, 2023, 44(9): 1360-1364. doi: 10.16835/j.cnki.1000-9817.2023.09.018
引用本文: 叶娟, 王少杰, 汪耿夫. 初中生遭受同伴欺凌和生活满意度与自伤行为的关联[J]. 中国学校卫生, 2023, 44(9): 1360-1364. doi: 10.16835/j.cnki.1000-9817.2023.09.018
YE Juan, WANG Shaojie, WANG Gengfu. Association of peer bullying, life satisfaction with self-harm among junior high school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(9): 1360-1364. doi: 10.16835/j.cnki.1000-9817.2023.09.018
Citation: YE Juan, WANG Shaojie, WANG Gengfu. Association of peer bullying, life satisfaction with self-harm among junior high school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(9): 1360-1364. doi: 10.16835/j.cnki.1000-9817.2023.09.018

初中生遭受同伴欺凌和生活满意度与自伤行为的关联

doi: 10.16835/j.cnki.1000-9817.2023.09.018
基金项目: 

国家自然科学基金项目 82204071

2022年度安徽省科研编制计划项目 2022AH050616

详细信息
    作者简介:

    叶娟(1984-),女,安徽六安人,硕士,讲师,主要研究方向为学生心理、思想政治教育

  • 利益冲突声明  所有作者声明无利益冲突。
  • 中图分类号: B844.2  C913.5  R179

Association of peer bullying, life satisfaction with self-harm among junior high school students

  • 摘要:   目的  探究青少年遭受同伴欺凌、生活满意度和自伤行为之间的关联,为预防青少年自伤行为提供科学依据。  方法  于2022年10月,采用多阶段分层随机整群抽样的方法,抽取安徽省宣城市、合肥市和淮北市共5 724名初中生,使用自编的青少年心理行为问卷进行调查。  结果  青少年遭受同伴欺凌检出率为30.0%,高致命性自伤、低致命性自伤、无明显组织损伤的自伤、潜在损伤的自伤以及心理伤害的自伤检出率分别为10.2%,25.8%,35.5%,20.8%和28.2%。多因素Logistic回归分析结果显示,遭受同伴欺凌与5种自伤行为(OR=2.52~3.21)之间均呈正向关联,生活满意度与5种自伤行为(OR=0.19~0.33)之间均呈负向关联(P值均 < 0.01)。青少年生活满意度在遭受同伴欺凌与高致命性自伤、低致命性自伤、无明显组织损伤的自伤和潜在损伤的自伤之间有调节作用(OR值分别为1.53,1.42,1.30,1.39,P值均 < 0.05),在遭受同伴欺凌与心理伤害的自伤之间没有调节作用(P>0.05)。  结论  青少年遭受同伴欺凌可能增加自伤行为的发生风险,提高生活满意度有助于缓解同伴欺凌对青少年自伤行为的负面影响。
    1)  利益冲突声明  所有作者声明无利益冲突。
  • 表  1  不同人口统计学特征青少年遭受同伴欺凌和自伤检出率比较

    Table  1.   Comparison ofdetection rates of peer bullying and self-harm in adolescents with different demographic characteristics

    人口统计学指标 选项 人数 统计值 同伴欺凌 高致命性自伤 潜在损伤的自伤 低致命性自伤 无明显组织损伤的自伤 心理伤害的自伤
    性别 3 006 985(32.8) 218(7.3) 597(19.9) 577(19.2) 958(31.9) 699(23.3)
    2 718 730(26.9) 366(13.5) 593(21.8) 902(33.2) 1 072(39.4) 914(33.6)
    χ2 23.76 60.15 3.32 145.82 35.75 75.90
    P < 0.01 < 0.01 0.07 < 0.01 < 0.01 < 0.01
    是否为独生子女 1 942 617(31.8) 178(9.2) 403(20.8) 487(25.1) 699(36.0) 520(26.8)
    3 782 1 098(29.0) 406(10.7) 787(20.8) 992(26.2) 1 331(35.2) 1 093(28.9)
    χ2 4.59 3.45 0.01 0.89 3.93 2.86
    P 0.03 0.06 0.96 0.35 0.05 0.09
    自评家庭经济 中等以下 499 228(45.7) 85(17.0) 148(29.7) 173(34.7) 237(47.5) 199(39.9)
    中等 4 277 1 228(28.7) 422(9.9) 874(20.4) 1 108(25.9) 1 518(35.5) 1 215(28.4)
    中等以上 948 259(27.3) 77(8.1) 168(17.7) 198(20.9) 275(29.0) 199(21.0)
    χ2 65.17 30.42 153.06 32.45 48.82 58.06
    P < 0.01 < 0.01 < 0.01 < 0.01 < 0.01 < 0.01
    母亲受教育程度 小学及以下 1 245 395(31.7) 118(9.5) 270(21.7) 311(25.0) 441(35.4) 371(29.8)
    初中 2 640 794(30.1) 274(10.4) 537(20.3) 697(26.4) 920(34.8) 748(28.3)
    高中及以上 1 839 526(28.6) 192(10.4) 383(20.8) 471(25.6) 669(36.4) 494(26.9)
    χ2 3.48 0.92 0.93 0.96 1.11 3.22
    P 0.18 0.63 0.63 0.62 0.57 0.20
    父亲受教育程度 小学及以下 746 224(30.0) 77(10.3) 166(22.3) 187(25.1) 257(34.5) 212(28.4)
    初中 2 674 832(31.1) 279(10.4) 556(20.8) 709(26.5) 953(35.6) 760(28.4)
    高中及以上 2 304 659(28.6) 228(9.9) 468(20.3) 583(25.3) 820(35.6) 641(27.8)
    χ2 3.72 0.40 1.29 1.21 0.39 0.25
    P 0.16 0.82 0.53 0.55 0.82 0.89
    合计 5 724 1 715(30.0) 584(10.2) 1 190(20.8) 1 479(25.8) 2 030(35.5) 1 613(28.2)
    注:()内数字为检出率/%。
    下载: 导出CSV

    表  2  青少年同伴欺凌和生活满意度与自伤行为关联的Logistic回归分析(n=5 724)

    Table  2.   Logistic regression analysis of the relationship of peer bullying and life satisfaction with self-harm behaviors among adolescents(n=5 724)

    因变量 自变量 单因素 多因素
    β 标准误 Wald χ2 OR值(95%CI) P β 标准误 Wald χ2 OR值(95%CI) P
    高致命性自伤行为 同伴欺凌 1.13 0.09 160.83 3.08(2.59~3.66) < 0.01 1.17 0.09 165.03 3.21(2.69~3.84) < 0.01
    生活满意度 -1.73 0.10 294.31 0.18(0.15~0.22) < 0.01 -1.66 0.10 260.53 0.19(0.16~0.23) < 0.01
    潜在损伤的自伤行为 同伴欺凌 0.97 0.08 205.25 2.62(2.30~2.99) < 0.01 0.95 0.07 196.17 2.60(2.27~2.97) < 0.01
    生活满意度 -1.24 0.07 331.30 0.29(0.25~0.33) < 0.01 -1.21 0.07 306.70 0.30(0.26~0.34) < 0.01
    低致命性自伤行为 同伴欺凌 1.00 0.06 249.19 2.71(2.40~3.07) < 0.01 1.07 0.07 266.33 2.92(2.57~3.32) < 0.01
    生活满意度 -1.41 0.06 489.92 0.24(0.22~0.28) < 0.01 -1.36 0.07 430.49 0.26(0.23~0.29) < 0.01
    无明显组织损伤的自伤行为 同伴欺凌 0.91 0.06 233.75 2.48(2.21~2.79) < 0.01 0.92 0.06 230.45 2.52(2.23~2.83) < 0.01
    生活满意度 -1.16 0.06 405.03 0.31(0.28~0.35) < 0.01 -1.11 0.06 358.07 0.33(0.29~0.37) < 0.01
    心理伤害的自伤行为 同伴欺凌 1.02 0.06 271.85 2.78(2.46~3.14) < 0.01 1.06 0.06 275.71 2.88(2.54~3.27) < 0.01
    生活满意度 -1.61 0.06 646.13 0.20(0.17~0.23) < 0.01 -1.55 0.06 579.25 0.21(0.19~0.24) < 0.01
    下载: 导出CSV

    表  3  青少年生活满意度对同伴欺凌与自伤行为关联中的调节效应[OR值(95%CI), n = 5 724]

    Table  3.   Moderating effects of life satisfaction between peer bullying and self-harm behaviors among adolescents [OR(95%CI), n = 5 724]

    因变量 自变量 模型1 模型2 模型3
    高致命性自伤行为 同伴欺凌 3.21(2.69~3.84)** 2.45(2.04~2.95)** 2.18(1.76~2.70)**
    生活满意度 0.23(0.18~0.28)** 0.19(0.14~0.25)**
    交互项 1.53(1.02~2.28)*
    潜在损伤的自伤行为 同伴欺凌 2.60(2.27~2.97)** 2.14(1.86~2.45)** 1.87(1.56~2.23)**
    生活满意度 0.34(0.30~0.39)** 0.30(0.25~0.36)**
    交互项 1.39(1.06~1.84)*
    低致命性自伤行为 同伴欺凌 2.92(2.57~3.32)** 2.38(2.08~2.72)** 2.05(1.72~2.44)**
    生活满意度 0.30(0.26~0.34)** 0.26(0.22~0.31)**
    交互项 1.42(1.09~1.85)**
    无明显组织损伤的自伤行为 同伴欺凌 2.52(2.23~2.83)** 2.11(1.87~2.39)** 1.86(1.57~2.21)**
    生活满意度 0.37(0.33~0.42)** 0.34(0.30~0.39)**
    交互项 1.30(1.02~1.65)*
    心理伤害的自伤行为 同伴欺凌 2.88(2.54~3.27)** 2.30(2.02~2.63)** 2.23(1.88~2.65)**
    生活满意度 0.24(0.21~0.27)** 0.24(0.20~0.28)**
    交互项 1.07(0.83~1.40)
    注:模型1在调整性别、独生子女、自评家庭经济和父母亲受教育程度的基础上,添加了遭受同伴欺凌;模型2在模型1基础上添加生活满意度;模型3在模型2的基础上添加同伴欺凌与生活满意度交互项。*P < 0.05,**P < 0.01。
    下载: 导出CSV
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  • 收稿日期:  2023-07-18
  • 修回日期:  2023-07-26
  • 网络出版日期:  2023-09-28
  • 刊出日期:  2023-09-25

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