Food Insecurity and Bullying Victimization Among 170,618 Adolescents in 59 Countries

Kaixin Liang; Xinli Chi; Si-Tong Chen; Cain Craig Truman Clark; Yanjie Zhang; Jian Wang

doi:10.3389/fpsyt.2021.766804

Food Insecurity and Bullying Victimization Among 170,618 Adolescents in 59 Countries

Front Psychiatry. 2021 Nov 11:12:766804. doi: 10.3389/fpsyt.2021.766804. eCollection 2021.

Authors

Kaixin Liang¹, Xinli Chi¹, Si-Tong Chen², Cain Craig Truman Clark³, Yanjie Zhang^{4

5}, Jian Wang^{6

7

8}

Affiliations

¹ School of Psychology, Shenzhen University, Shenzhen, China.
² Institute for Health and Sport, Victoria University, Melbourne, VIC, Australia.
³ Faculty of Health and Life Sciences, Coventry University, Coventry, United Kingdom.
⁴ Health and Exercise Science Laboratory, Institute of Sports Science, Seoul National University, Seoul, South Korea.
⁵ Physical Education Unit, School of Humanities and Social Science, The Chinese University of Hong Kong, Shenzhen, China.
⁶ School of Public Policy and Management, Anhui Jianzhu University, Hefei, China.
⁷ Urban Management Research Center, Anhui Jianzhu University, Hefei, China.
⁸ Department of Psychology, Anhui Normal University, Wuhu, China.

Abstract

Background: Bullying victimization can impose long-lasting impacts on adolescent's current and subsequent well-being. Understanding the correlates of bullying victimization and how to prevent its occurrence is an urgent need. Food insecurity, an indicator of low socioeconomic status, may be related to bullying victimization. However, research on the association between food insecurity and bullying victimization is limited. Using a representative global sample, this study aimed to investigate the association between food insecurity and bullying victimization in adolescents and whether the association varied between country income levels, sexes, and age groups. Methods: Using cross-sectional, school-based data by 170,618 adolescents in 59 countries from the Global School-based Student Health Survey, multivariable logistic regression and meta-analysis were conducted to investigate the overall, country-stratified, sex-stratified, and age-stratified associations. Results: The prevalence of bullying victimization was 33.3%. In the total sample, adolescents with food insecurity showed significantly higher odds for bullying victimization than those without no food insecurity with a pooled odds ratio (OR) being 1.37 (1.28, 1.47). Further, the association was stronger in higher-income countries, females, and older adolescents. Conclusions: Bullying victimization is prevalent among global adolescents with food insecurity being a significant correlate. The identification of adolescents with perceptions of food insecurity and remedying this condition may be important to reduce the prevalence of bullying. This highlights the need to design and implement sex- and age-specific interventions focusing on remedying food insecurity and bullying victimization among in-school adolescents by taking country income levels into account.

Keywords: Global School-based Student Health Survey; adolescents; bully victimization; food insecurity; meta-analysis.