Parental Violence, Alcohol Intoxication, and Bullying Among Brazilian Adolescents
摘要
Family adversity may shape adolescents’ involvement in bullying, yet studies often examine single family exposures in isolation or collapse bullying into a single outcome. Less is known about how distinct forms of parental violence and parental alcohol-related behaviors relate to role-specific bullying involvement in low- and middle-income settings. We examined whether parental violence (physical, psychological, and sexual) and parental alcohol exposure (use and intoxication) were associated with adolescents’ bullying roles (victim, perpetrator, and perpetrator-victim) among Brazilian students. We analyzed cross-sectional, school-based, census survey data from 4,280 adolescents (mean age = 14.7, SD = 1.8) enrolled in 13 public-schools across four municipalities in São Paulo State, Brazil. We used multinomial logistic regression to estimate adjusted odds ratios for bullying roles, controlling for age, gender, race/skin color, and socioeconomic status, with standard errors corrected for school level intragroup correlation. Physical, psychological, and sexual violence were associated with higher odds of all bullying roles, with the strongest associations for perpetrator-victims. Psychological and sexual violence showed the largest effect sizes. After adjustment, parental intoxication was associated with higher odds of perpetration and perpetrator-victim involvement, but not victimization. In contrast, parental alcohol use was associated only with perpetrator-victim involvement. Younger age, female gender, and gender diversity were associated with higher odds of victimization. Parental violence was consistently associated with all bullying roles, especially perpetrator-victims. Parental intoxication, rather than alcohol use alone, was more strongly linked to bullying perpetration and perpetrator-victim involvement. Bullying prevention may benefit from integrating family-focused and school-based strategies.