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Bullying as a Risk for Poor Sleep Quality among High School Students in China

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Listed:
  • Ying Zhou
  • Lan Guo
  • Ci-yong Lu
  • Jian-xiong Deng
  • Yuan He
  • Jing-hui Huang
  • Guo-liang Huang
  • Xue-qing Deng
  • Xue Gao

Abstract

Objective: To determine whether involvement in bullying as a bully, victim, or bully-victim was associated with a higher risk of poor sleep quality among high school students in China. Methods: A cross-sectional study was conducted. A total of 23,877 high school students were surveyed in six cities in Guangdong Province. All students were asked to complete the adolescent health status questionnaire, which included the Chinese version of the Pittsburgh Sleep Quality Index (PSQI) and bullying involvement. Descriptive statistics were used to evaluate sleep quality and the prevalence of school bullying. Multi-level logistic regression analyses were conducted to examine the association between being victimized and bullying others with sleep quality. Results: Among the 23,877 students, 6,127 (25.66%) reported having poor sleep quality, and 10.89% reported being involved in bullying behaviors. Of the respondents, 1,410 (5.91%) were pure victims of bullying, 401 (1.68%) were bullies and 784 (3.28%) were bully-victims. Frequently being involved in bullying behaviors (being bullied or bullying others) was related to increased risks of poor sleep quality compared with adolescents who were not involved in bullying behaviors. After adjusting for age, sex, and other confounding factors, the students who were being bullied (OR=2.05, 95%CI=1.81-2.32), bullied others (OR=2.30, 95%CI=1.85-2.86) or both (OR=2.58, 95%CI=2.20-3.03) were at a higher risk for poor sleep quality. Conclusions: Poor sleep quality among high school students is highly prevalent, and school bullying is prevalent among adolescents in China. The present results suggested that being involved in school bullying might be a risk factor for poor sleep quality among adolescents.

Suggested Citation

  • Ying Zhou & Lan Guo & Ci-yong Lu & Jian-xiong Deng & Yuan He & Jing-hui Huang & Guo-liang Huang & Xue-qing Deng & Xue Gao, 2015. "Bullying as a Risk for Poor Sleep Quality among High School Students in China," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-14, March.
    • Handle: RePEc:plo:pone00:0121602
    DOI: 10.1371/journal.pone.0121602
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    1. Nakata, Akinori & Haratani, Takashi & Takahashi, Masaya & Kawakami, Norito & Arito, Heihachiro & Kobayashi, Fumio & Araki, Shunichi, 2004. "Job stress, social support, and prevalence of insomnia in a population of Japanese daytime workers," Social Science & Medicine, Elsevier, vol. 59(8), pages 1719-1730, October.
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    2. Tang, Wanjie & Dai, Qian & Wang, Gang & Hu, Tao & Xu, Wenjian, 2020. "Impact of parental absence on insomnia and nightmares in Chinese left-behind adolescents: A structural equation modeling analysis," Children and Youth Services Review, Elsevier, vol. 114(C).
    3. Zepeng Huang & Zhenni Liu & Xiangxiang Liu & Laiwen Lv & Yan Zhang & Limin Ou & Liping Li, 2016. "Risk Factors Associated with Peer Victimization and Bystander Behaviors among Adolescent Students," IJERPH, MDPI, vol. 13(8), pages 1-11, July.
    4. Vikneswaran Sabramani & Idayu Badilla Idris & Halim Ismail & Thiyagar Nadarajaw & Ezarina Zakaria & Mohammad Rahim Kamaluddin, 2021. "Bullying and Its Associated Individual, Peer, Family and School Factors: Evidence from Malaysian National Secondary School Students," IJERPH, MDPI, vol. 18(13), pages 1-28, July.
    5. Di Xiao & Lan Guo & Meijun Zhao & Sheng Zhang & Wenyan Li & Wei-Hong Zhang & Ciyong Lu, 2019. "Effect of Sex on the Association Between Nonmedical Use of Opioids and Sleep Disturbance Among Chinese Adolescents: A Cross-Sectional Study," IJERPH, MDPI, vol. 16(22), pages 1-12, November.
    6. Chang, Ling-Yin & Wu, Chi-Chen & Yen, Lee-Lan & Chang, Hsing-Yi, 2019. "The effects of family dysfunction trajectories during childhood and early adolescence on sleep quality during late adolescence: Resilience as a mediator," Social Science & Medicine, Elsevier, vol. 222(C), pages 162-170.
    7. Ziqiang Han & Guirong Zhang & Haibo Zhang, 2017. "School Bullying in Urban China: Prevalence and Correlation with School Climate," IJERPH, MDPI, vol. 14(10), pages 1-13, September.

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