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儿童时期的欺凌经历和成年期的健康结果
Yurie Momose1, Hiroshi Ishida1
1Institute of Social Science, University of Tokyo, Tokyo, Japan.
PloS one
|July 15, 2024
概括
儿童欺凌在日本显著影响成人健康,增加了主观健康不佳,心理健康问题和活动限制的风险. 这些影响无论社会或经济因素如何,都会持续存在,这凸显了对干预的必要性.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 纵向健康研究 纵向健康研究
背景情况:
- 童年欺凌是一种普遍的不良体验,具有潜在的长期健康后果.
- 了解欺凌影响成年人健康的途径对于有针对性的干预至关重要.
- 之前的研究还没有完全阐明学校欺凌对日本环境中的多种成年健康结果的直接和间接影响.
研究的目的:
- 调查学校欺凌经历对日本成年人主观健康,心理健康和活动限制的长期影响.
- 区分和量化欺凌对健康结果的直接和间接影响,考虑调解因素.
- 为政策制定提供信息,以减轻童年欺凌对健康的不利影响.
主要方法:
- 利用了日本生命历程小组调查 (2007-2020年),这是一个具有全国代表性的数据集.
- 采用随机效应建模和卡尔森-霍尔姆-布林方法来分析直接和间接的影响.
- 包括2,260名男性和2,608名女性受访者,检查了教育,婚姻,经济福祉和社交网络等调解因素.
主要成果:
- 儿童欺凌对成年人的健康结果有强烈而显著的直接影响,这在两种性别中都被观察到.
- 欺凌受害者与主观健康不佳,心理健康得分较低和活动限制的风险增加有关.
- 调解因素,特别是经济福利和友,对欺凌和健康之间的关联做出了适度的贡献.
结论:
- 童年欺凌对日本的成年人健康有着持续的,直接的负面影响,不依赖于社会经济地位和介导因素.
- 干预措施应集中在预防欺凌和解决其在成年后的长期健康后果上.
- 解决像欺凌这样的不良童年经历对于改善长期人口健康和减少健康不平等至关重要.
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