Relationships among cyberbullying, parental attitudes, self-harm and suicidal behavior among adolescents: results from a school-based survey in Vietnam
Relationships among cyberbullying, parental attitudes, self-harm and suicidal behavior among adolescents: results from a school-based survey in Vietnam
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DOI：
10.1186/s12889-020-08500-3
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发表时间：
2020-04-10
影响因子：
4.5
通讯作者：
Vo, Van Thang
中科院分区：
文献类型：
--
作者：
Nguyen, Hoang Thuy Linh;Nakamura, Keiko;Vo, Van Thang
背景社交网站的快速和广泛发展为青少年网络欺凌的增加创造了一个场所。必须考虑保护机制和行动，例如近端家庭因素如何防止青少年遭受网络欺凌的自我伤害和自杀行为。本研究探讨了网络欺凌，父母的态度，自我伤害和自杀行为之间的关联调整后的混杂因素。方法数据来自2018年在越南顺化市随机选择的6年级学生（11岁）的校本调查。共有648名学生接受了面对面的采访，使用结构化问卷的基础上，全球学校为基础的学生健康调查（GSHS）。在95%置信水平下进行单变量、多变量logistic回归分析。结果经性别、学业压力、不良行为、网络设备使用、校园欺凌和家庭生活状况等因素调整后，网络欺凌者的自我伤害风险显著高于非网络欺凌者（调整后比值比[AOR] = 2.97; 95%CI，1.32-6.71）。在多变量logistic回归模型中，父母的接受程度与自我伤害和自杀行为有显著相关性（P < 0.05），而父母的专注度没有表现出显著的相关性。此外，自杀意念和自杀计划与网络欺凌和父母专注度之间的交互作用相关（AOR = 0.37; 95%CI，0.15-0.94和AOR = 0.23; 95%CI，0.06-0.87）。结论网络欺凌已成为发展中国家青少年自我伤害的一个重要现象，父母的接受程度与青少年严重的心理健康问题呈正相关。因此，在努力促进青少年健康时，应充分重视发展中国家数字时代的家庭因素。
Background The rapid and widespread development of social networking sites has created a venue for an increase in cyberbullying among adolescents. Protective mechanisms and actions must be considered, such as how proximal family factors can prevent self-harm and suicidal behaviors among adolescents exposed to cyberbullying. The present study examined the associations among cyberbullying, parental attitudes, self-harm, and suicidal behaviors after adjusting for confounding factors. Methods Data were obtained from a school-based survey of randomly selected grade 6 students (11 years old) performed in Hue City, Vietnam, in 2018. A total of 648 students were interviewed face-to-face using a structured questionnaire based on the Global School-based Student Health Survey (GSHS). Univariate, multivariable logistic regression analyses were performed at 95% confidence level. Results After adjusting for gender, perceived academic pressure, unhealthy behaviors, use of Internet devices, school bullying, and family living situation, a significantly higher risk of self-harm was detected among those who had experienced cyberbullying (adjusted odd ratio [AOR] = 2.97; 95% CI, 1.32-6.71). Parental acceptance retained a significant association with self-harm and suicidal behavior (P < 0.05) while parental concentration did not exhibit a significant association in a multivariable logistic regression model. In addition, suicidal ideation and suicidal planning were associated with an interaction effect between cyberbullying and parental concentration (AOR = 0.37; 95% CI, 0.15-0.94 and AOR = 0.23; 95% CI, 0.06-0.87, respectively). Conclusion Cyberbullying has become an important phenomenon associated with self-harm among young adolescents in developing countries, and parental acceptance in proxy of parental attitude was positively related with severe mental health issues among adolescents. Thus, sufficient attention in efforts to promote adolescent health should be focused on family factors in the digital era of developing countries.