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Are adolescents with chronic conditions particularly at risk for bullying?

机译:患有慢性疾病的青少年是否特别容易遭受欺凌?

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Objective: To compare the prevalence and intensity of victimisation from bullying and the characteristics of the victim of bullying, comparing adolescents with and adolescents without chronic conditions (CC). Design: School survey. Setting: Postmandatory schools. Participants: A total of 7005 students (48% females) aged 16-20 years, distributed into adolescents with CC (728, 50% females) and controls (6277, 48% females). Chronic condition was defined as having a chronic disease and/or a physical disability. Outcome measures: Prevalence of bullying - intensity of bullying - and sociodemographic, biopsychosocial, familial, school and violence context characteristics of the victims of bullying. Results: The prevalence of bullying in our sample was 13.85%. Adolescents with CC were more likely to be victims of bullying (adjusted OR 1.53), and to be victims of two or three forms of bullying (adjusted OR 1.92). Victims of bullying with CC were more likely than non-victims to be depressed (RR 1.57), to have more physical symptoms (RR 1.61), to have a poorer relationship with their parents (RR 1.33), to have a poorer school climate (RR 1.60) and to have been victims of sexual abuse (RR 1.79) or other forms of violence (RR 1.80). Although these characteristics apply to victims in general, in most cases, they are less pronounced among victims without CC. Conclusions: CC seems to be a risk factor for victimisation from bullying. Therefore, as adolescents with CC are increasingly mainstreamed, schools should be encouraged to undertake preventive measures to avoid victimisation of such adolescents.
机译:目的:比较遭受欺凌的受害者的患病率和强度,以及欺凌受害者的特征,比较有慢性病的青少年和没有慢性病的青少年(CC)。设计:学校调查。地点:强制性学校。参与者:共有7005名学生(48%的女性)年龄在16至20岁之间,分配给有CC的青少年(728名,女性50%)和对照组(6277名,女性48%)。慢性病定义为患有慢性疾病和/或身体残疾。结果措施:欺凌的发生率-欺凌的强度-以及欺凌受害者的社会人口统计学,生物心理社会,家庭,学校和暴力方面的特征。结果:我们样本中的欺凌发生率为13.85%。患有CC的青少年更有可能成为欺凌行为的受害者(调整后的OR为1.53),并且是两种或三种形式的欺凌行为的受害者(调整后的OR为1.92)。与非受害者相比,被CC欺凌的受害者更容易沮丧(RR 1.57),出现更多的身体症状(RR 1.61),与父母的关系较差(RR 1.33),学习环境较差( RR 1.60),并且曾经遭受过性虐待(RR 1.79)或其他形式的暴力(RR 1.80)的受害者。尽管这些特征通常适用于受害者,但在大多数情况下,在没有CC的受害者中,这些特征不太明显。结论:CC似乎是欺凌的受害者。因此,随着越来越多的CC青少年进入主流,应鼓励学校采取预防措施,避免这些青少年受害。

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