Trends and Socioeconomic Correlates of Adolescent Physical Fighting in 30 Countries
Trends and Socioeconomic Correlates of Adolescent Physical Fighting in 30 Countries
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DOI：
10.1542/peds.2012-1614
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发表时间：
2013-01-01
期刊：
影响因子：
8
通讯作者：
Currie, Candace
中科院分区：
文献类型：
--
作者：
Pickett, William;Molcho, Michal;Currie, Candace
背景和目的：最近的国际研究没有提供关于青少年身体打架的流行程度、趋势或社会决定因素的证据。我们研究了随着时间的推移，发生频繁肢体冲突的跨国流行病学趋势，报告趋势的人口变化，以及国家财富和收入不平等的相关性。方法：2002年、2006年和2010年在学校进行横断面调查。参与者（N = 493 874）包括来自30个主要欧洲和北美国家抽样学校的11岁、13岁和15岁的符合条件和同意的学生。个体指标包括频繁打架、年龄、性别、参与多种危险行为、受欺凌和家庭富裕程度。背景指标包括国民收入不平等、绝对财富和谋杀率。时间尺度为调查周期（年）。结果：在30个国家中，有19个国家（63%）的打斗频率随着时间的推移而下降（来自描述性和多元泊松回归分析）。绝对财富（人均国内生产总值每增加1个标准差的相对风险为0.96,95%置信区间为0.93-0.99）的背景测量，但与收入不平等（每增加1个标准差的相对风险为1.01,95%置信区间为0.98-1.05）相关的战斗参与度较低。确定的其他危险因素包括男性性别、年龄较小（11岁）、多种危险行为、受欺凌和国家凶杀率。结论：2002年至2010年间，大多数国家的青少年打架行为有所下降。特定的青少年群体需要有针对性的减少暴力方案。讨论了造成观测到的下降的可能决定因素。儿科2013;131: e18-e26
BACKGROUND AND OBJECTIVES: No recent international studies provide evidence about its prevalence, trends, or social determinants of physical fighting in adolescents. We studied cross-national epidemiologic trends over time in the occurrence of frequent physical fighting, demographic variations in reported trends, and national wealth and income inequality as correlates.METHODS: Cross-sectional surveys were administered in school settings in 2002, 2006, and 2010. Participants (N = 493 874) included eligible and consenting students aged 11, 13, and 15 years in sampled schools from 30 mainly European and North American countries. Individual measures included engagement in frequent physical fighting, age, gender, participation in multiple risk behaviors, victimization by bullying, and family affluence. Contextual measures included national income inequality, absolute wealth and homicide rates. Temporal measure was survey cycle (year).RESULTS: Frequent physical fighting declined over time in 19 (63%) of 30 countries (from descriptive then multiple Poisson regression analyses). Contextual measures of absolute wealth (relative risk 0.96, 95% confidence interval 0.93-0.99 per 1 SD increase in gross domestic product per capita) but not income inequality (relative risk 1.01, 95% confidence interval 0.98-1.05 per 1 SD increase) related to lower levels of engagement in fighting. Other risk factors identified were male gender, younger age (11 years), multiple risk behaviors, victimization by bullying, and national homicide rates.CONCLUSIONS: Between 2002 and 2010, adolescent physical fighting declined in most countries. Specific groups of adolescents require targeted violence reduction programs. Possible determinants responsible for the observed declines are discussed. Pediatrics 2013;131:e18-e26