儿童虐待经历与校园欺凌受害关系的Meta分析  

A Meta-Analysis on the Relationships between Child Maltreatment and School Bullying Victimization

作　　者：谢琳琳 文盼 林柔媚 李丽萍[1,2] XIE Lin-lin;WEN Pan;LIN Rou-mei;LI Li-ping(School of Public Health,Shantou University,Shantou 515041,China;Injury Prevention Research Center,Shantou University Medical College,Shantou 515041,China)

机构地区：[1]汕头大学公共卫生学院,汕头515041 [2]汕头大学医学院伤害预防研究中心,汕头515041

出　　处：《伤害医学(电子版)》2024年第4期54-62,共9页Injury Medicine(Electronic Edition)

基　　金：广东省哲学社会科学规划一般项目(编号:GD19CSH08)。

摘　　要：目的校园欺凌是一个全球性问题,对青少年的身心健康产生严重影响。儿童虐待(child maltreatment,CM)与校园欺凌受害之间存在正向相关,但研究结论因多种因素而异。本研究旨在通过Meta分析综合评估童年虐待对青少年校园欺凌受害的影响,并探讨不同虐待类型与欺凌受害的关系,为预防和干预措施提供理论依据。方法检索PubMed、Web of Science和中国知网数据库,筛选符合标准的CM与校园欺凌相关性的研究。采用美国卫生保健质量和研究机构(Agency for Healthcare Research and Quality,AHRQ)推荐的质量评级体系评估文献质量,运用CMA 3.3软件进行Meta分析,评估异质性,检测发表偏倚,并进行元回归与亚组分析。结果共纳入13项研究。Meta分析结果显示,遭受CM的青少年传统欺凌受害风险增加1.35倍(OR=1.35,95%CI:1.22~1.49),网络欺凌受害风险增加1.74倍(OR=1.74,95%CI:1.43~2.12)。身体虐待和情感虐待对传统欺凌的影响更大,性虐待对网络欺凌的影响更为显著。亚组分析显示,年龄对CM与欺凌受害关联的效应值存在影响。结论CM与校园欺凌受害之间存在显著关联,不同CM类型对欺凌的影响各异。研究强调应综合考虑不同CM类型、不同研究对象等情况采取有针对性的干预策略和措施以防止青少年校园欺凌的发生。Objective School bullying is a global problem that has a serious impact on the physical and mental health of adolescents.Previous reports have shown a positive correlations between child maltreatment(CM)and school bullying victimization,but these findings varied according to multiple factors.Our study aimed to comprehensively assess the impact of CM on adolescent bullying victimization in schools through Meta-analysis,and to explore the relationship between different types of maltreatment and bullying victimization,in order to provide a theoretical basis for prevention and intervention measures.Methods PubMed,Web of Science,and China National Knowledge Infrastructure Database were searched to screen reports on correlations between CM and school bullying that met our criteria.The quality of reports was assessed using the quality rating system recommended by the Agency for Healthcare Research and Quality(AHRQ),and meta-analysis was performed using CMA 3.3 software to assess heterogeneity,detect publication bias,and meta-regression with subgroup analysis.Results A total of 13 studies were included.The result of Meta-analysis showed that adolescents who suffered from CM had a 1.35-fold increased risk of traditional bullying victimization(OR=1.35,95%CI:1.22-1.49),and a 1.74-fold increased risk of cyberbullying victimization(OR=1.74,95%CI:1.43-2.12).Physical and emotional abuse had a greater effect on traditional bullying,and sexual abuse had a more significant effect on cyberbullying.Subgroup analyses showed that there was an influence of ages on the effect value of the association between CM and bullying victimization.Conclusion There was a significant association between CM and school bullying victimization,with different CM types having varying effects on bullying.Our study emphasizes that targeted intervention strategies and measures should be taken in consideration of different CM types and different study subjects to prevent school bullying.

关 键 词：儿童虐待 校园欺凌 传统欺凌 网络欺凌 

分 类 号：G63[文化科学—教育学]