INTRODUCTION Neurobiological and social changes in adolescence can make victims of bullying more susceptible to subsequent impulsive behavior. With the high prevalence of bullying in schools and rise in cyberbullying in the United Kingdom, it is important that the health impacts of bullying victimization, including on risk-taking, are understood. Our study aims to investigate whether bullying/cyberbullying victimization is associated with subsequent health risk-taking behavior in adolescence. Risk-taking behavior includes electronic cigarette and cigarette smoking, alcohol consumption, illicit drug use, early sexual debut, weapon carrying, damaging property, and setting fire. METHODS A secondary quantitative analysis of data from 3337, English, secondary school students in the control arm of the INCLUSIVE trial, constituting an observational cohort. Bullying victimization was measured at baseline (age 11/12 years) using the gatehouse bullying scale and a separate question on cyberbullying victimization. Logistic regression was used to test for an association between bullying/cyberbullying victimization at baseline and risk-taking behavior at 36 months, adjusting for baseline risk-taking behavior and other potential confounders, and accounting for school clustering. RESULTS There was strong evidence (p ≤ .02) for a positive dose-responsive association between being bullied at baseline and nearly all risk-taking behavior at follow-up. Although there was no evidence for an association between being bullied at baseline and weapon carrying (p = .102), there was evidence for a positive association between being cyberbullied at baseline and weapon carrying (p = .036). CONCLUSIONS It is plausible that bullying/cyberbullying victimization increases the likelihood of subsequent risk-taking behavior in adolescence. Policy options should focus on implementing evidence-based antibullying school interventions.

中文翻译：

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成为中学欺凌或网络欺凌的受害者是否与随后的青春期冒险行为有关？在中学进行纵向研究。

简介 青春期的神经生物学和社会变化会使欺凌的受害者更容易受到随后的冲动行为的影响。随着学校欺凌的高发和英国网络欺凌的增加，了解欺凌受害对健康的影响，包括对冒险的影响，这一点很重要。我们的研究旨在调查欺凌/网络欺凌受害是否与随后的青春期健康冒险行为有关。冒险行为包括电子烟​​和吸烟、饮酒、吸毒、过早性行为、携带武器、破坏财产和放火。方法对 INCLUSIVE 试验控制组中 3337 名英语中学生的数据进行二次定量分析，构成一个观察队列。使用警卫室欺凌量表和关于网络欺凌受害的单独问题在基线（11/12 岁）测量欺凌受害情况。逻辑回归用于测试基线时的欺凌/网络欺凌受害与 36 个月时的冒险行为之间的关联，调整基线冒险行为和其他潜在的混杂因素，并考虑学校集群。结果 有强有力的证据 (p ≤ .02) 表明基线时被欺负与随访时几乎所有冒险行为之间存在积极的剂量反应关联。尽管没有证据表明在基线时被欺负与携带武器之间存在关联（p = .102），有证据表明基线时受到网络欺凌与携带武器之间存在正相关关系（p = .036）。结论 欺凌/网络欺凌受害会增加青春期随后冒险行为的可能性，这似乎是合理的。政策选择应侧重于实施基于证据的反欺凌学校干预措施。