高中生性取向与校园欺负行为关系

Association between sexual orientation and school bullying behaviors among senior high school students

目的了解高中生性取向与校园欺负行为的关联性。方法于2018年4—7月,在湖南省采用多阶段分层整群抽样方法,采用自编问卷调查4 015名高中生的性取向和校园欺负行为发生情况,并分析其关联性。结果 4 015名高中生中,异性恋、双性恋、同性恋、性取向不确定者分别占比78.9%、3.7%、2.0%和15.4%;遭受和实施校园欺负行为的发生率分别为13.0%和5.0%,且不同性取向的高中生遭受和实施校园欺负行为发生率差异有统计学意义。回归分析结果表明,相对于异性恋者,双性恋(OR=1.650,95%CI=1.012~2.692)、同性恋(OR=1.799,95%CI=1.010~3.202)和性取向不确定者(OR=1.438,95%CI=1.106~1.869)遭受校园欺负行为的风险均增加;同性恋(OR=4.284,95%CI=2.319~7.914)实施校园欺负行为的风险增加。结论高中生性取向与校园欺负行为之间存在关联,且同性恋倾向者是遭受和实施校园欺负行为的高危人群。

Objective To explore the association between sexual orientation and school bullying behaviors among senior high school students.Methods Using multistage stratified cluster sampling,we recruited 4015 urban and rural students from 16 senior high schools in 4 municipalities across Hunan province;then we carried out a survey on sexual orientation and school bullying behaviors among the students with a self-designed questionnaire from April to July,2018.Results Of all the students,78.9%,3.7%,2.0%,and 15.4%reported their heterosexual,bisexual,homosexual,and uncertain sexual orientation,respectively.The reported frequency of school bullying victimization and perpetration were 13.0%and 5.0%and the frequencies differed significantly by sexual orientation among the students.Logistic regression analysis indicated that the students reporting bisexual,homosexual,and uncertain sexual orientation were more at a higher risk of school bullying victimization,with the odds ratio(OR)(95%confidence interval[95%CI])of 1.650(1.012–2.692),1.799(1.010–3.202),and 1.438(1.106–1.869)compared to those reporting heterosexual orientation;while,the students with heterosexual orientation were more likely to have school bullying perpetration(OR=4.284,95%CI:2.319–7.914)in comparison with the students with other sexual orientation.Conclusion There is an association between sexual orientation and school bullying behaviors among senior high school students and the students with homosexual orientation are at higher risk of both school bullying victimization and perpetration.