Abstract
Background：School bullying has become a global concern for the public as well as a fierce battlefield for educational psychologists. And sexual minority youth (SMY) may experience minority stress, a chronic form of stress engendered by negative social experiences such as stigmatization, that is known to impact adversely mental health and well-being. Under the specific cultural background of China, few scholars associate sexual orientation with campus bullying, as well as depression and anxiety symptoms. But in fact, China's sexual minority adolescences face no less difficulties than any sexual minority in the world.Methods：From April to July 2018, a cross-sectional survey was conducted among senior high school students in Hunan Province, China. A total of 3934 subjects were investigated by multi-stage cluster random sampling. Traditional bullying victimization was surveyed via the suffering subscale of Chinese version of Olweus Bully/Victim Questionnaire (OBVQ). Cyber school bullying was surveyed via a question. The Chinese version of the 9-item Patient Health Questionnaire (PHQ-9) and the Chinese version of the 7-item Generalized Anxiety Disorder Scale (GAD-7) were used to screen depression and anxiety symptoms of participants. Logistic regression model was used to analyze the relationship between sexual orientation and types of bullying victimization , depression and anxiety symptoms.Results：Bisexuality accounted for the highest proportion of victims of traditional bullying only and cyber bullying only, at 10.2% and 4.8%, respectively. Homosexuality accounts for the highest proportion of combined bullying, at 18.2%. Homosexuality(OR: 5.833; 95% CI: 3.045 to 11.176), bisexuality(OR: 2.831; 95% CI: 1.354 to 5.923)and uncertainty of sexual orientation(OR: 2.206; 95% CI: 1.435 to 3.392) were significantly associated with combined bullying. The bisexual group has the highest rate of depression(40.1%) and anxiety(38.1%) symptoms. Compared to heterosexual group, bisexual group has the highest risk of depression(OR: 2.349; 95% CI: 1.664 to 3.316) and anxiety(OR: 3.049; 95% CI: 2.150 to 4.324) symptoms.Conclusions: Homosexuals are at the greatest risk of becoming victims of double bullying(traditional bullying and cyberbullying)and bisexuals are at the greatest risk of depression and anxiety symptoms.
19.2 Childhood Bullying Victimization is Associated With Use of Mental Health Services Over Five Decades: A Longitudinal, Nationally Representative Cohort Study
