Interaction of Smoking and Being Bullied on Suicidal Behaviors: a School-based Cross-sectional Survey in China

Overview

Journal Environ Health Prev Med

Specialties Environmental Health
Public Health

Date 2021 Aug 14

PMID 34388978

Citations 3

Authors

Jie Hu

Xianbing Song

Danlin Li

Shuai Zhao

Yuhui Wan

Jun Fang

Shichen Zhang

Affiliations

Soon will be listed here.

Abstract

Background: Suicidal behaviors are seriously social issues among adolescents in the world. Exposed to smoking and being bullied are risk factors of suicidal behaviors. The present study was aimed to examine the interaction of smoking and being bullied on suicidal behaviors among Chinese adolescents.

Methods: A total of 18,900 students were involved in the questionnaire study, in four cities of China from November 2017 to January 2018. Suicidal behaviors, smoking, and being bullied were measured by self-reported validated instruments. Chi-square tests and logistic regression were used to analyze the associations of suicidal ideation (SI)/suicidal plan (SP)/suicidal attempt (SA), smoking, and being bullied.

Results: The prevalence of smoking, being bullied, SI/SP/SA, were 3.1%, 20.6%, 26.4%, 13.2%, and 5.2% respectively. Interaction analysis indicated that being bullied was associated with a greater increase in the likelihood of suicidal behaviors for adolescents with smoking than for those without smoking.

Conclusions: These finding suggest that smoking exacerbates the association between being bullied and suicidal behaviors. Future research should explore how and why smoking appears to more bully-victims than for those without smoking and how to mitigate it.

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