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Front Psychol. 2017 Jun 28;8:1056. doi: 10.3389/fpsyg.2017.01056. eCollection 2017.

Substance Use among Adolescents Involved in Bullying: A Cross-Sectional Multilevel Study.

Frontiers in psychology

Jorge Gaete, Bernardita Tornero, Daniela Valenzuela, Cristian A Rojas-Barahona, Christina Salmivalli, Eduardo Valenzuela, Ricardo Araya

Affiliations

  1. Department of Epidemiology and Population Health, London School of Hygiene and Tropical MedicineLondon, United Kingdom.
  2. Department of Public Health and Epidemiology, Universidad de los AndesSantiago, Chile.
  3. Faculty of Education, Universidad de los AndesSantiago, Chile.
  4. School of Psychology, Universidad de los AndesSantiago, Chile.
  5. Faculty of Education, Pontificia Universidad Católica de ChileSantiago, Chile.
  6. Division of Psychology, University of TurkuTurku, Finland.
  7. Faculty of Social Sciences, Pontificia Universidad Católica de ChileSantiago, Chile.
  8. Centre for Global Mental Health and Primary Care Research, Institute of Psychiatry, Psychology and Neuroscience, King's College LondonLondon, United Kingdom.

PMID: 28701974 PMCID: PMC5487445 DOI: 10.3389/fpsyg.2017.01056

Abstract

Being involved in bullying as a victim or perpetrator could have deleterious health consequences. Even though there is some evidence that bullies and victims of bullying have a higher risk for drug use, less is known about bystanders. The aim of this research was to study the association between bullying experience (as victims, bullies, or bystanders) and substance use. We gathered complete information from a nationally representative sample of 36,687 students (51.4% female) attending 756 schools in Chile. We used a self-reported questionnaire which was developed based on similar instruments used elsewhere. This questionnaire was piloted and presented to an expert panel for approval. We used multilevel multivariate logistic regression analyses, controlling for several variables at the individual (e.g., school membership, parental monitoring) and school levels (e.g., school type, school denomination). This study shows that bullies and bully-victims have a high risk for cigarette, alcohol, and cannabis use than bystanders. This is one of the few studies exploring the association between witnessing bullying and substance use. These findings add new insights to the study of the co-occurrence of bullying and substance use. Other factors, such as higher academic performance, stronger school membership, and better parental monitoring reduced the risk of any substance use, while the experience of domestic violence and the perception of social disorganization in the neighborhood, increased the risk. These findings may help the design of preventive interventions.

Keywords: adolescents; bullying; school-related factors; substance use

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