This study examined the association between bullying victimization and e-cigarette use. Data from a 2019–2020 German student survey were used (N = 16,476). The target population consisted of students enrolled in grades 5–10, with a mean age of 13.1 years (SD = 1.8), and equal gender distribution (49.5% female). Mixed-effect multivariable logistic regression models were used to examine the association between bullying victimization (attacked physically, assaulted verbally, experienced relational bullying, sexual harassment, cyberbullying) and current e-cigarette use. The multivariable analysis controlled for age, sex, sensation-seeking, socioeconomic status, school performance, type of school attended, and substance use (current cigarette smoking, hookah smoking, and alcohol drinking). Overall 510 (3.7%) students reported current use of e-cigarettes. The odds for using e-cigarettes increased each step of being bullied from “never,” “rarely,” “sometimes,” “once a week,” to “several times a week” by 2.03 (95% confidence interval [CI]: 1.81, 2.29) in the unadjusted model, and by 1.46 (95% CI: 1.24, 1.71) in the covariate-adjusted model. Data indicate an empirical association between victimization and e-cigarette use among German students. Design limitations prevent the conclusion of a causal relationship, calling for well-designed longitudinal studies to investigate the temporal sequence between victimization and e-cigarette use.

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德国学生欺凌受害与电子烟使用之间的关联

这项研究调查了欺凌受害与电子烟使用之间的关联。使用了 2019-2020 年德国学生调查的数据（N  = 16,476）。目标人群包括就读于 5-10 年级的学生，平均年龄为 13.1 岁（SD = 1.8) 和平等的性别分布（49.5% 女性）。混合效应多变量逻辑回归模型用于检查欺凌受害（身体攻击、口头攻击、经历关系欺凌、性骚扰、网络欺凌）与当前电子烟使用之间的关联。多变量分析控制了年龄、性别、寻求感觉、社会经济地位、学校表现、就读学校类型和物质使用（当前吸烟、吸食水烟和饮酒）。共有 510 (3.7%) 名学生报告目前使用电子烟。使用电子烟的每一步被欺负的几率从“从不”、“很少”、“有时”、“每周一次”到“每周几次”增加了 2.03（95% 置信区间 [CI]： 1.81, 2.29) 在未调整的模型中，和 1.46 (95% CI: 1.24, 1. 71) 在协变量调整模型中。数据表明德国学生受害与电子烟使用之间存在经验关联。设计限制阻止了因果关系的结论，需要精心设计的纵向研究来调查受害和电子烟使用之间的时间顺序。