Bullying victimization and child sexual abuse among left-behind and non-left-behind children in China

Background Bullying is one of the most important factors associated with child abuse. However, robust tests supporting the assumption that being bullied can contribute to child sexual abuse (CSA) among left-behind children (LBC) remain sparse. This study aims to investigate the association of bullyi...

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Main Authors: Li Yan, Qianqian Zhu, Xiaowen Tu, Xiayun Zuo, Chunyan Yu, Chaohua Lou, Qiguo Lian
Format: Article
Language:English
Published: PeerJ Inc. 2018-06-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/4865.pdf
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author Li Yan
Qianqian Zhu
Xiaowen Tu
Xiayun Zuo
Chunyan Yu
Chaohua Lou
Qiguo Lian
author_facet Li Yan
Qianqian Zhu
Xiaowen Tu
Xiayun Zuo
Chunyan Yu
Chaohua Lou
Qiguo Lian
author_sort Li Yan
collection DOAJ
description Background Bullying is one of the most important factors associated with child abuse. However, robust tests supporting the assumption that being bullied can contribute to child sexual abuse (CSA) among left-behind children (LBC) remain sparse. This study aims to investigate the association of bullying victimization with CSA among LBC in China. Methods A cross-sectional study was conducted in six middle schools of Sichuan and Anhui province in 2015. The bullying victimization was assessed by seven items from the Revised Olweus Bully/Victim Questionnaire. The experience of CSA was measured by ten items CSA scale with good consistency. Results A total of 1,030 children met the sampling criteria, including 284 LBC and 746 non-LBC. The prevalence of CSA was 22.89% in LBC and 20.19% in non-LBC (p > 0.05). Bullying victimization was related to CSA among both LBC (adjusted Odds Ratio [aOR] = 2.52, 95% CI [1.34–4.73]) and non-LBC (aOR = 2.35, 95% CI [1.58–3.53]). The association between bullying victimization and CSA was much higher among left-behind girls (left-behind girls: aOR = 7.36, 95% CI [2.16–24.99]; non-left-behind girls: aOR = 2.38, 95% CI [1.08–5.27]). Also, LBC of a young age (11–15), children with siblings, living in rural areas and non-traditional family structure who were bullied were more likely to suffer CSA than their non-LBC peers. Conclusions Bullying victimization is associated with a significant increase in CSA among both LBC and non-LBC. Anti-bullying programs should target vulnerable populations including female LBC and LBC with siblings to reduce the risk of CSA.
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spelling doaj.art-862e6949e2d74238879dec701b81e6702023-12-03T10:14:49ZengPeerJ Inc.PeerJ2167-83592018-06-016e486510.7717/peerj.4865Bullying victimization and child sexual abuse among left-behind and non-left-behind children in ChinaLi Yan0Qianqian Zhu1Xiaowen Tu2Xiayun Zuo3Chunyan Yu4Chaohua Lou5Qiguo Lian6Key Lab of Reproduction Regulation of NPFPC, SIPPR, IRD, Fudan University, Shanghai, ChinaShanghai Ninth People’s Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaKey Lab of Reproduction Regulation of NPFPC, SIPPR, IRD, Fudan University, Shanghai, ChinaKey Lab of Reproduction Regulation of NPFPC, SIPPR, IRD, Fudan University, Shanghai, ChinaKey Lab of Reproduction Regulation of NPFPC, SIPPR, IRD, Fudan University, Shanghai, ChinaKey Lab of Reproduction Regulation of NPFPC, SIPPR, IRD, Fudan University, Shanghai, ChinaKey Lab of Reproduction Regulation of NPFPC, SIPPR, IRD, Fudan University, Shanghai, ChinaBackground Bullying is one of the most important factors associated with child abuse. However, robust tests supporting the assumption that being bullied can contribute to child sexual abuse (CSA) among left-behind children (LBC) remain sparse. This study aims to investigate the association of bullying victimization with CSA among LBC in China. Methods A cross-sectional study was conducted in six middle schools of Sichuan and Anhui province in 2015. The bullying victimization was assessed by seven items from the Revised Olweus Bully/Victim Questionnaire. The experience of CSA was measured by ten items CSA scale with good consistency. Results A total of 1,030 children met the sampling criteria, including 284 LBC and 746 non-LBC. The prevalence of CSA was 22.89% in LBC and 20.19% in non-LBC (p > 0.05). Bullying victimization was related to CSA among both LBC (adjusted Odds Ratio [aOR] = 2.52, 95% CI [1.34–4.73]) and non-LBC (aOR = 2.35, 95% CI [1.58–3.53]). The association between bullying victimization and CSA was much higher among left-behind girls (left-behind girls: aOR = 7.36, 95% CI [2.16–24.99]; non-left-behind girls: aOR = 2.38, 95% CI [1.08–5.27]). Also, LBC of a young age (11–15), children with siblings, living in rural areas and non-traditional family structure who were bullied were more likely to suffer CSA than their non-LBC peers. Conclusions Bullying victimization is associated with a significant increase in CSA among both LBC and non-LBC. Anti-bullying programs should target vulnerable populations including female LBC and LBC with siblings to reduce the risk of CSA.https://peerj.com/articles/4865.pdfSchool bullyingLeft-behind childrenChild sexual abuse
spellingShingle Li Yan
Qianqian Zhu
Xiaowen Tu
Xiayun Zuo
Chunyan Yu
Chaohua Lou
Qiguo Lian
Bullying victimization and child sexual abuse among left-behind and non-left-behind children in China
PeerJ
School bullying
Left-behind children
Child sexual abuse
title Bullying victimization and child sexual abuse among left-behind and non-left-behind children in China
title_full Bullying victimization and child sexual abuse among left-behind and non-left-behind children in China
title_fullStr Bullying victimization and child sexual abuse among left-behind and non-left-behind children in China
title_full_unstemmed Bullying victimization and child sexual abuse among left-behind and non-left-behind children in China
title_short Bullying victimization and child sexual abuse among left-behind and non-left-behind children in China
title_sort bullying victimization and child sexual abuse among left behind and non left behind children in china
topic School bullying
Left-behind children
Child sexual abuse
url https://peerj.com/articles/4865.pdf
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