背景:证据表明,网络欺凌是各种不良心理健康结果的重要风险因素,比如物质的使用。然而,来自纵向研究的证据有限,这些研究评估了网络欺凌受害是否与药物使用启动有关,尤其是在青少年人群中。
方法:使用来自青少年大脑认知发育研究的数据,我们评估了青少年中网络欺凌受害和药物使用起始之间的关联.在第2年的横断面分析中,多变量逻辑回归用于评估网络欺凌受害史与物质使用开始之间的关联。此外,我们使用多变量逻辑回归评估了过去12个月/一生中第2年网络欺凌受害情况与第3年药物使用开始之间的关联.
结果:调整社会人口统计学特征和抑郁/焦虑症状的存在,网络欺凌受害终生史与药物使用开始显著相关(OR=2.17,95%CI:1.68,2.81).在过去的12个月中,最近的网络欺凌受害与引发物质的几率高出两倍(OR=2.31,95%CI:1.71,3.12)。此外,终身网络欺凌受害史和第2年近期网络欺凌受害史与第3年开始药物使用风险增加2倍相关(OR=2.22,95%CI:1.68,2.93;OR=2.34,95%CI:1.68,3.26).
结论:在青少年中,网络欺凌受害与物质使用之间存在显着关系。网络欺凌受害者在以后的生活中开始使用药物的风险增加。
BACKGROUND: Evidence shows that cyberbullying is an important risk factor for various adverse mental health outcomes, such as substance use. However, there is limited evidence from longitudinal studies that assessed whether cyberbullying victimization is associated with substance use initiation, especially among adolescent population.
METHODS: Using data from the Adolescent Brain Cognitive Development
Study, we assessed the association between cyberbullying victimization and substance use initiation among adolescents. In the cross-sectional analysis at year 2, multivariable logistic regressions were used to assess the association between cyberbullying victimization history and substance use initiation. Additionally, the association between year 2 cyberbullying victimization in the past 12 months/lifetime and year 3 substance use initiation was assessed using multivariable logistic regression.
RESULTS: Adjusting for sociodemographic characteristics and the presence of depression/anxiety symptoms, lifetime history of cyberbullying victimization was significantly associated with substance use initiation (OR= 2.17, 95% CI: 1.68, 2.81). Recent cyberbullying victimization in the past 12 months was associated with two-times higher odds of initiating substances (OR= 2.31, 95% CI: 1.71, 3.12). In addition, both lifetime history of cyberbullying victimization and recent cyberbullying victimization at year 2 were associated with two times increased risk in substance use initiation at year 3 (OR = 2.22, 95% CI: 1.68, 2.93; OR = 2.34, 95% CI: 1.68, 3.26).
CONCLUSIONS: There is a significant relationship between cyberbullying victimization and substance use initiation among adolescents. Cyberbullying victims are at an increased risk of initiating substance use later in life.