西藏大中学生校园欺凌现状及相关因素

谭力铭; 普布卓玛; 马啸; 吴芳; 央宗; 张强; 谢波荣; 张登城

doi:10.16835/j.cnki.1000-9817.2023.10.021

西藏大中学生校园欺凌现状及相关因素

doi: 10.16835/j.cnki.1000-9817.2023.10.021

西藏自治区疾病预防控制中心公共卫生监测所，拉萨 850000

详细信息

作者简介:
谭力铭(1982-)，男，重庆万州人，大学本科，副主任医师，主要研究方向为学校卫生与少儿卫生

通讯作者:
张登城，E-mail：zdc19930815@126.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: G444 R179 G478
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- 被引次数: 0
出版历程
- 收稿日期: 2023-01-13
- 修回日期: 2023-04-24
- 网络出版日期: 2023-10-27
- 刊出日期: 2023-10-25

Campus bullying and associated factors among college and middle school students in Tibet

Institute of Public Health Surveillance, Center for Disease Control and Prevention of Tibet Autonomous Region, Lhasa(850000), China

摘要

摘要: 目的了解分析西藏的大中学校校园被欺凌现况及相关影响因素，为制定有针对性的干预措施提供依据和参考。方法采用分层整群抽样的方法，于2019年9—11月对西藏阿里、昌都、拉萨、那曲、日喀则5市(地)的3 875名大、中学生开展校园被欺凌状况及影响因素问卷调查。采用χ²检验和多因素Logistic回归方法进行影响因素的相关性分析。结果西藏大、中学生校园被欺凌报告率为5.50%，其中女生为4.35%，男生为6.76%；大学生被欺凌报告率为8.81%，高中生为1.64%，初中生为5.94%。多因素Logistic回归分析结果显示，吸烟(OR=1.71)、网络成瘾(OR=3.82)、抑郁(OR=3.84)、肥胖(OR=2.02)、单亲家庭(OR=1.67)、重组家庭(OR=3.74)与校园被欺凌呈正相关(P值均 < 0.05)；女生(OR=0.66)、高中(OR=0.28)与校园被欺凌呈负相关(P值均 < 0.05)。结论校园被欺凌与校园环境、家庭类型、行为生活方式等因素有关，应致力于构建关怀型的校园文化和良好的家庭德育环境，减少校园被欺凌发生率，降低相关危害。
- 暴力 /
- 精神卫生 /
- 回归分析 /
- 学生 /
- 少数民族
Abstract: Objective To understand campus bullying in colleges and middle schools in Tibet, and to analyze related influencing factors, so as to provide reliable basis and reference for formulating targeted intervention measures. Methods A stratified cluster sampling method was used to investigate the status and influencing factors of being bullied by questionnaire among 3 875 college and middle school students in Ngari, Qamdo, Lhasa, Nagqu and Xigaze of Tibet, from September to November 2019. Chi-square test and Logistic regression method were used for data analysis. Results The report rate of campus bullying among college and middle school students in Tibet was 5.50%; 4.35% for girls and 6.76% for boys; 8.81% for college students, 1.64% for senior high school students and 5.94% for junior high school students. The results of multivariate Logistic regression analysis showed that smoking (OR=1.71), Internet addiction (OR=3.82), depression (OR=3.84), obesity (OR=2.02), single parent family (OR=1.67) and reorganized family (OR=3.74) were positively correlated with campus bullying (P < 0.05). Girls (OR=0.66) and senior high school (OR=0.28) were negatively correlated with campus bullying (P < 0.05). Conclusion Campus bullying is related to campus environment, family type, behaviors and life styles, etc. Efforts should be committed to build a caring campus culture and a good family moral education environment, in order to reduce the incidence of campus bullying and associated adverse effects.
- Violence /
- Mental health /
- Regression analysis /
- Students /
- Minority groups
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表 1 不同组别学生校园被欺凌报告率比较

Table 1. Comparison of the reporting rates of campus bullying among students in different groups

组别	选项	人数	被欺凌人数	χ²值	P值
性别	男	1 850	125(6.76)	10.01	< 0.01
	女	2 025	88(4.35)
学段	初中	1 885	112(5.94)	48.97	< 0.01
	高中	1 037	17(1.64)
	大学	953	84(8.81)
吸烟^*	是	409	41(10.02)	16.20	< 0.01
	否	3 462	171(4.94)
饮酒	是	798	53(6.64)	2.10	0.15
	否	3 077	160(5.20)
住校	是	3 478	196(5.64)	0.12	0.73
	否	397	17(4.28)
家庭类型	重组	48	7(14.58)	19.19	< 0.01
	单亲	511	39(7.63)
	核心	1 841	89(4.83)
	隔代	81	4(4.94)
	大家庭	1 214	57(4.70)
	其他	180	17(9.44)
每周中高强度	1~3	2 518	120(4.77)	13.31	< 0.01
运动频率/次	4~7	804	66(8.21)
	0	553	27(4.88)
营养状态	正常	2 727	132(4.84)	10.78	0.03
	超重	289	17(5.88)
	肥胖	165	12(7.27)
	偏瘦	301	23(7.64)
	重度消瘦	393	29(7.38)
网络成瘾^*	是	371	55(14.82)	65.12	< 0.01
	否	3 460	157(4.54)
抑郁^*	是	1 173	141(12.02)	104.28	< 0.01
	否	2 561	72(2.81)
注： ()内数字为报告率/%；*表示有缺失数据。

下载: 导出CSV

表 2 学生校园被欺凌行为影响因素的多因素Logistic回归分析(n=3 875)

Table 2. Multivariate Logistic analysis of influencing factors of campus bullying behaviors among students(n=3 875)

自变量	选项	β值	P值	OR值(95%CI)
性别	男			1.00
	女	-0.41	< 0.01	0.66(0.50~0.88)
学段	初中			1.00
	高中	-1.26	< 0.01	0.28(0.17~0.47)
	大学	0.20	0.21	1.22(0.90~1.67)
吸烟	否			1.00
	是	0.54	0.01	1.71(1.14~2.57)
营养状态	正常			1.00
	重度消瘦	0.31	0.17	1.36(0.88~2.12)
	偏瘦	0.27	0.29	1.30(0.80~2.12)
	超重	0.30	0.27	1.35(0.79~2.29)
	肥胖	0.70	0.02	2.02(1.10~3.69)
网络成瘾	否			1.00
	是	1.34	< 0.01	3.82(2.73~5.36)
抑郁	否			1.00
	是	1.34	< 0.01	3.84(2.86~5.14)
每周中高强度运动	0			1.00
频率/次	4~7	0.37	0.11	1.45(0.92~2.29)
	1~3	-0.15	0.49	0.86(0.57~1.32)
家庭类型	核心			1.00
	大家庭	-0.02	0.89	0.98(0.69~1.38)
	单亲家庭	0.52	< 0.01	1.67(1.13~2.47)
	重组家庭	1.32	< 0.01	3.74(1.60~8.73)
	隔代家庭	0.20	0.67	1.23(0.48~3.12)
	其他	0.53	0.06	1.70(0.98~2.93)

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参考文献(34)

[1]	OLWEUS D. School bullying: development and some important challenges[J]. Annu Rev Clin Psychol, 2013, 9: 751-780. doi: 10.1146/annurev-clinpsy-050212-185516
[2]	郭夏玫, 黄靖雯. 大学生童年创伤和校园被欺凌经历与社交焦虑和生活满意度的关系[J]. 中国心理卫生杂志, 2022, 36(9): 810-816. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202209015.htm GUO X M, HUANG J W. Relation of childhood maltreatment and school bullying victim experience to social anxiety and life satisfaction in college students[J]. Chin Ment Health J, 2022, 36(9): 810-816. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202209015.htm
[3]	邓卓沛. 初中生特质焦虑与校园欺凌行为的关系: 自尊和情绪调节方式的链式中介作用[D]. 哈尔滨: 哈尔滨师范大学, 2022. DENG Z P. The relationship between trait anxiety and school bullying among junior high school students: the chain mediating role of self-esteem and emotion regulation style[D]. Harbin: Harbin Normal University, 2022. (in Chinese)
[4]	BITSIKA V, SHARPLEY C, HEYNE D. Risk for school refusal among autistic boys bullied at school: investigating associations with social phobia and separation anxiety[J]. Int J Disabil Dev Educ, 2022, 69(1): 190-203. doi: 10.1080/1034912X.2021.1969544
[5]	吴静, 陈国平, 王志强, 等. 安徽省中学生遭受校园欺凌和睡眠时间与抑郁症状的关联[J]. 中国学校卫生, 2022, 43(10): 1547-1550. doi: 10.16835/j.cnki.1000-9817.2022.10.025 WU J, CHEN G P, WANG Z Q, et al. Relationship between school bullying, sleep duration and depressive symptoms among middle school students in Anhui Province[J]. Chin J Sch Health, 2022, 43(10): 1547-1550. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.10.025
[6]	唐程梦, 蒋建军, 彭伟, 等. 西部地区不同民族青少年校园欺凌与抑郁症状的关联[J]. 中国学校卫生, 2022, 43(10): 1467-1471. doi: 10.16835/j.cnki.1000-9817.2022.10.006 TANG C M, JIANG J J, PENG W, et al. Correlation analysis of school bullying and depressive symptoms among multi-ethnic adolescents in western[J]. Chin J Sch Health, 2022, 43(10): 1467-1471. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.10.006
[7]	李志娟, 钱红丹, 周伟杰, 等. 学校和家庭因素与青少年抑郁的关联性分析[J]. 医学动物防制, 2022, 38(11): 1072-1075. https://www.cnki.com.cn/Article/CJFDTOTAL-YXDZ202211014.htm LI Z J, QIAN H D, ZHOU W J, et al. Correlation analysis of school and family factors on depressive symptoms of adolescents[J]. J Med Pest Control, 2022, 38(11): 1072-1075. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-YXDZ202211014.htm
[8]	杨宁波, 李洁, 张国秀, 等. 青少年情绪障碍患者非自杀性自残行为及其影响因素分析[J]. 国际精神病学杂志, 2022, 49(5): 809-811. https://www.cnki.com.cn/Article/CJFDTOTAL-GWYJ202205006.htm YANG N B, LI J, ZHANG G X, et al. Analysis of non-suicidal self-harm behavior and its influencing factors in adolescents with emotional disorders[J]. J Inter Psychiatry, 2022, 49(5): 809-811. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-GWYJ202205006.htm
[9]	徐元儒. 校园欺凌受害对青少年自杀意念的影响: 羞耻感的中介作用与坚毅的调节作用[D]. 长春: 吉林大学, 2022. XU Y R. The impact of school bullying victimization on suicidal ideation among adolescents: the mediating effect of shame and the moderating effect of grit[D]. Changchun: Jilin University, 2022. (in Chinese)
[10]	曾直, 李可, 王美芬, 等. 高职院校学生校园欺凌现况及社会生态学影响因素分析[J]. 心理月刊, 2022, 17(18): 1-4. https://www.cnki.com.cn/Article/CJFDTOTAL-XLYK202218001.htm ZENG Z, LI K, WANG M F, et al. An analysis of the current situation and social ecology influencing factors of campus bullying in higher vocational colleges[J]. Psychol Monthly, 2022, 17(18): 1-4. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XLYK202218001.htm
[11]	李涵秋, 华伟玉, 黄娜, 等. 北京市海淀区中小学生遭受校园欺凌现况及影响因素分析[J]. 中国学校卫生, 2022, 43(7): 1051-1054. doi: 10.16835/j.cnki.1000-9817.2022.07.022 LI H Q, HUA W Y, HUANG N, et al. Prevalence and associated factors of campus bullying of primary and secondary school students in Haidian District of Beijing[J]. Chin J Sch Health, 2022, 43(7): 1051-1054. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.07.022
[12]	阳杨, 熊晨. 情感支持与农村青少年校园欺凌行为[J]. 青年研究, 2022(5): 45-55, 95. https://www.cnki.com.cn/Article/CJFDTOTAL-QNYJ202205004.htm YANG Y, XIONG C. The emotional support and rural adolescents' campus bullying behaviors[J]. Youth Stud, 2022(5): 45-55, 95. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-QNYJ202205004.htm
[13]	何二林, 叶晓梅, 毛亚庆. 学校氛围对留守儿童校园欺凌的影响机制研究[J]. 教育学报, 2022, 18(3): 144-158. https://www.cnki.com.cn/Article/CJFDTOTAL-XKJY202203013.htm HE E L, YE X M, MAO Y Q. The effect mechanism of school climate on school bullying among left-behind children[J]. J Educ Stud, 2022, 18(3): 144-158. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XKJY202203013.htm
[14]	刘美瑶. 班级氛围与校园欺凌积极旁观者行为的关系: 个人公正世界信念和共情的中介作用[D]. 广州: 广州大学, 2022. LIU M Y. The relationship between classroom climate and active bystander behavior in school bullying: the mediating role of personal just world beliefs and empathy[D]. Guangzhou: Guangzhou University, 2022. (in Chinese)
[15]	雷望红, 孙敏. 重构时间: 校园欺凌现象的发生机制与治理策略[J]. 中国青年研究, 2022(8): 13, 36-43. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGQL202208005.htm LEI W H, SUN M. Reconstructing time: occurrence mechanism and governance strategy of campus bullying[J]. Chin Youth Stud, 2022(8): 13, 36-43. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGQL202208005.htm
[16]	MERRILL R M, HANSON C L. Risk and protective factors associated with being bullied on school property compared with cyberbullied[J]. BMC Public Health, 2016, 16: 145.
[17]	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. https://www.cnki.com.cn/Article/CJFDTOTAL-JXYB202206015.htm 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) https://www.cnki.com.cn/Article/CJFDTOTAL-JXYB202206015.htm
[18]	李小青, 刘银章, 汪玥, 等. 暴力暴露对不同性别青少年早期校园欺凌的影响: 基于潜在剖面分析[J]. 心理发展与教育, 2023, 39(2): 255-265. https://www.cnki.com.cn/Article/CJFDTOTAL-XLFZ202302012.htm LI X Q, LIU Y Z, WANG Y, et al. Effect of violence exposure on school bullying among early-age adolescences of different genders: based on latent profile analysis[J]. Psychol Dev Educ, 2023(2): 255-265. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XLFZ202302012.htm
[19]	ABEER MSHAHEEN, SAWSAN H, et al. Factors affecting jordanian school adolescents' experience of being bullied[J]. J Pediatr Nurs, 2018, 38: e66-e71.
[20]	费梅苹. 构建反暴力青少年社会工作服务体系[J]. 中国社会工作, 2015, 27(3): 27-29. FEI M P. Building an anti-violence youth social work service system[J]. Chin Soc Work, 2015, 27(3): 27-29. (in Chinese)
[21]	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. doi: 10.16835/j.cnki.1000-9817.2020.10.020 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) doi: 10.16835/j.cnki.1000-9817.2020.10.020
[22]	中华人民共和国国家卫生健康委办公厅关于印发2019年全国学生常见病和健康影响因素监测与干预工作方案的通知[EB/OL]. (2019-03-26)[2020-10-10]. http://www.nhc.gov.cn/jkj/a5898bm/201903/1bcbac21e1864377ad24984ac014c7d.shtml. Notice of the General Office of the National Health Commission of the PRC on issuing the 2019 national student common diseases and health influencing factors monitoring and intervention work plan[EB/OL]. (2019-03-26)[2020-10-10]. http://www.nhc.gov.cn/jkj/a5898bm/201903/1bcbac21e1864377ad24984ac014c7d.shtml. (in Chinese)
[23]	陈祉妍, 杨小冬, 李新影. 流调中心抑郁量表在我国青少年中的试用[J]. 中国临床心理学杂志, 2009, 17(4): 443-445, 448. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY200904019.htm CHEN Z Y, YANG X D, LI X Y. Psychometric features of CES-D in Chinese adolescents[J]. Chin J Clin Psychol, 2009, 17(4): 443-445, 448. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY200904019.htm
[24]	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]. 2018-08-01. National Health and Family Planning Commission of the PRC. Screening for overweight and obesity among school-age children and adolescents: WS/T 586-2018[S]. 2018-08-01. (in Chinese)
[25]	中华人民共和国国家卫生和计划生育委员会. 学龄儿童青少年营养不良筛查: WS/T 456—2014[S]. 2014-12-15. National Health and Family Planning Commission of the PRC. Screening standard for malnutrition of school-age children and adolescents: WS/T 456-2014[S]. 2014-12-15. (in Chinese)
[26]	HATZENBUEHLER M L, SCHWAB-REEESE L, RANPURWALA S I, et al. Associations between anti bullying policies and bullying in 25 states[J]. JAMA Pediatr, 2015, 169(10): e152411.
[27]	周月芳, 曲爽笑, 罗春燕, 等. 上海市中小学生受校园欺侮现状及影响因素分析[J]. 上海预防医学, 2019, 31(5): 353-357. https://www.cnki.com.cn/Article/CJFDTOTAL-SHYI201905006.htm ZHOU Y F, QU S X, LUO C Y, et al. Status quo and influencing factors of school bullying with primary and secondary school students in Shanghai[J]. Shanghai J Prev Med, 2019, 31(5): 353-357. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SHYI201905006.htm
[28]	海波, 沈蕙, 胡佳, 等. 苏州市中小学生遭受校园欺凌现状及影响因素分析[J]. 中国校医, 2022, 36(3): 161-163, 170. https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI202203002.htm HAI B, SHEN H, HU J, et al. Current situation and influencing factors of campus bullying among primary and middle school students in Suzhou City[J]. Chin J School Doctor, 2022, 36(3): 161-163, 170. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI202203002.htm
[29]	陈婷, 范奕, 张子华, 等. 江西省中学生校园受欺凌行为与抑郁的相关性[J]. 中国学校卫生, 2020, 41(4): 600-603. doi: 10.16835/j.cnki.1000-9817.2020.04.032 CHEN T, FAN Y, ZHANG Z H, et al. Correlation between school bullying behavior and depression among middle school students in Jiangxi Province[J]. Chin J Sch Health, 2020, 41(4): 600-603. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2020.04.032
[30]	孟馥, 梅竹, 孙丽歆. 单亲家庭子女自尊、行为问题及家庭环境的对照研究[J]. 中华行为医学与脑科学杂志, 2002, 11(6): 690-691. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXX200206048.htm MENG F, MEI Z, SUN L X. A controlled study on self-esteem, behavior problems and family environment of children from single-parent families[J]. Chin J Behav Med Brain Sci, 2002, 11(6): 690-691. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXX200206048.htm
[31]	高城, 吴明, 叶茜雯, 等. 辽宁省中学生抑郁现况及影响因素分析[J]. 中国学校卫生, 2020, 41(9): 1362-1364. doi: 10.16835/j.cnki.1000-9817.2020.09.022 GAO C, WU M, YE Q W, et al. Analysis of the current situation of depression among secondary school students in Liaoning Province and its influencing factors[J]. Chin J Sch Health, 2020, 41(9): 1362-1364. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2020.09.022
[32]	张凯, 吴守宝. 青少年网络欺凌: 类型、影响因素及干预[J]. 淮北师范大学学报(哲学社会科学版), 2017, 38(2): 119-122. https://www.cnki.com.cn/Article/CJFDTOTAL-HBMS201702025.htm ZHANG K, WU S B. Cyberbullying among adolescents: types, influencing factors and interventions[J]. J Huaibei Norm Univ(Philos Soc Sci), 2017, 38(2): 119-122. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-HBMS201702025.htm
[33]	JANSSEN I, CRAIG W M, BOYCE W F, et al. Associations between overweight and obesity with bullying behaviors in school-aged children[J]. Pediatrics, 2004, 113(5): 1187-1194.
[34]	王健, 李春梅, 谢飞. 江西省高中生校园欺凌影响因素分析[J]. 中国学校卫生, 2018, 39(12): 1814-1817. doi: 10.16835/j.cnki.1000-9817.2018.12.014 WANG J, LI C M, XIE F. Associated factors of bullying in high school students in Jiangxi Province[J]. Chin J Sch Health, 2018, 39(12): 1814-1817. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2018.12.014