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. 2022 Mar 22;67:1604264. doi: 10.3389/ijph.2022.1604264

TABLE 5.

Associations between bullying involvement and mental health indicators in the full sample by number of supportive adults (Health Behaviour of School Aged Children, International, 2017–2018).

High psychological symptoms
None Parent or teacher Parent and teacher
Predictors RR (95% CI) RR (95% CI) RR (95% CI)
Bully perpetrator 1.09 (1.04–1.15) 1.21 (1.17–1.26) 1.40 (1.33–1.47)
Bullying victim 1.42 (1.37–1.47) 1.67 (1.62–1.71) 2.05 (1.98–2.12)
Cyberbully perpetrator 1.06 (1.02–1.10) 1.18 (1.15–1.22) 1.29 (1.24–1.35)
Cyberbully victim 1.37 (1.32–1.41) 1.57 (1.53–1.61) 1.84 (1.78–1.90)
Predictors Low life satisfaction
None Parent or teacher Parent and teacher
RR (95% CI) RR (95% CI) RR (95% CI)
Bully perpetrator 0.99 (0.92–1.07) 1.18 (1.11–1.26) 1.25 (1.13–1.37)
Bullying victim 1.50 (1.43–1.58) 1.96 (1.87–2.05) 2.44 (2.29–2.61)
Cyberbully perpetrator 0.98 (0.91–1.04) 1.04 (0.98–1.10) 1.18 (1.09–1.28)
Cyberbully victim 1.42 (1.35–1.50) 1.76 (1.68–1.85) 1.99 (1.86–2.13)

RR, relative risk. All models are adjusted for sex, age group, and family affluence, and models examining perpetration as a predictor are adjusted for victimization and vice versa. All models are adjusted for clustering by country and school, and weighted. High psychological symptoms indicates a sum score of 12 or greater on a 4-item scale scored on a 5-point scale, equivalent to experiencing symptoms “about every week” or more frequent, across the four psychological symptoms. Low life satisfaction indicates a score of 5 or lower on a Cantril ladder ranging from 0 (worst possible life) to 10 (best possible life).