ArticleEpidemiology and psychiatric sciences2020
The victim-bully cycle of sexual minority school adolescents in China: prevalence and the association of mood problems and coping strategies.
Article in Epidemiology and psychiatric sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 32 citations in OpenAlex.
- Prevalence of sexual minorities and its association with mental health among Chinese adolescents: a nationally representative cross-sectional study.Social psychiatry and psychiatric epidemiology · 2026Article
- Experiences and Minority Stress of Sexual Minority Student Athletes in Chinese Collegiate Sports.Archives of sexual behavior · 2025Article
- Navigating sexual minority identity in sport: a qualitative exploration of sexual minority student-athletes in China.BMC public health · 2024Article
- Global research trends and hotspots in overweight/obese comorbid with depression among children and adolescents: A bibliometric analysis.World journal of psychiatry · 2024Article
- The association of sexual minority status and bullying victimization is modified by sex and grade: findings from a nationally representative sample.BMC public health · 2024Article
- Minority stress, social support and mental health among lesbian, gay, and bisexual college students in China: a moderated mediation analysis.BMC psychiatry · 2023Article
- Contextual Influence of School-Level Gender Role Attitudes and Sexual Prejudice on Allyship, Bullying, and Internalized Homonegativity.Journal of youth and adolescence · 2023Article
- Associations between sex differences, eating disorder behaviors, physical and mental health, and self-harm among Chinese adolescents.Journal of eating disorders · 2023Article
- The relationship between non-suicidal self-injury and childhood abuse in transgender people: a cross-sectional cohort study.Frontiers in psychology · 2023Article
- Psychological Resilience May Be Related to Students' Responses to Victims of School Bullying: A Cross-Sectional Study of Chinese Grade 3-5 Primary School Students.International journal of environmental research and public health · 2022Article
- Victimisation, Depression and Suicidal Ideation among Lesbian, Gay and Bisexual Adults in Malaysia.The Malaysian journal of medical sciences : MJMS · 2022Article
- Comprehensive Sexuality Education Improves Primary Students' Explicit and Implicit Attitudes Toward Homosexuality.International journal of sexual health : official journal of the World Association for Sexual Health · 2022Article
- Counselling and psychotherapy service use in Chinese sexual minority populations: a nationwide survey.BMC psychiatry · 2021Article
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Authors and funding
8 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsCompared to their heterosexual peers, youth who identify as lesbian, gay or bisexual (LGB) tend to suffer higher rates of peer victimisation from bullying. However, studies of LGB adolescents' participation as bullies are scarce. We aimed to examine the possible association of sexual minority identity and the heightened risk of not only being bullied but bullying others as well. We also explored the effect of one's sexual identity on their involvement in bullying through the mediation of coping strategies and mood states.
methodsA total of 12 218 students were recruited from 18 secondary schools in China. The demographic information, positive and negative coping strategies, mood state (anxiety, depression and hypomania) and information related to bullying and being bullied were collected. Multinomial regression was used to assess the heightened risk of sexual minority groups in comparison to their heterosexual adolescents' counterparts. A structural equation model (SEM) was used to test the mediating role of coping strategy and mood state between one's sex, sexual identity and bullying experience.
resultsTwo trends could be observed: (1) LGB groups reported heightened risks of being bullied and bullying others at school than heterosexual peers. However, being a sexual-undeveloped girl seemed to have a protective effect on bullying-related problems. (2) Birth-assigned males were more likely to be bullied as well as bullying others at school when compared to birth-assigned females. SEM analysis revealed that being a sexual minority was directly associated with a higher frequency of being bullied (B = 0.16, 95% CI [0.10, 0.22], p < 0.001) but not bullying others (B = 0.02, 95% CI [-0.02, 0.06], p = 0.398) when compared to the heterosexual group. Negative coping, hypomania, anxiety and depression were associated with a higher frequency of being bullied, while positive coping was associated with a lower frequency of being bullied. Moreover, negative coping, hypomania and depression were associated with a higher frequency of bullying others, while positive coping was associated with a reduced likelihood of bullying others. In addition, being bullied and bullying others were significantly correlated in the SEM model.
conclusionsThis novel research investigated the dynamic nature of the interaction between victim and bullying of LGB school adolescents in China, with a specific exploration of the psychological mechanism behind the pattern of being bullied and bullying others. School-level interventions aimed at teaching positive coping strategies to lower psychological distress are recommended to support sexual minority students.
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