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Bullying Victimization and Use of Substances in High School: Does Religiosity Moderate the Association?

  • Rima A. Afifi
  • Khalil El Asmar
  • Dima Bteddini
  • Moubadda Assi
  • Nasser Yassin
  • Sara Bitar
  • Lilian GhandourEmail author
Original Paper

Abstract

Alcohol, tobacco and other drug use continue to pose serious public health concerns among youth. Bullying victimization has been identified as a risk factor and religiosity a protective factor for adolescent substance use. No previous research has examined the potential moderating role of religiosity. We explore the association between bullying victimization and substance use in adolescents with low and high levels of religiosity. A cross-sectional survey was conducted with a representative sample of high school students in greater Beirut. Binary and multinomial logistic models were used, adjusting for demographics, and stratified by level of religiosity. Of the 986 students responding to the survey, 65% were females; 48% had experienced some form of bullying; and 52% self-rated as low in religiosity. Between 10 and 30% were current users of alcohol or tobacco. Students of lower religiosity levels who had been bullied were more likely to use substances than those who self-rated as high religiosity. Religiosity may be a potential moderator of the association between being bullied and substance use, but the exact mechanisms and underlying reasons need further investigation.

Keywords

Religiosity Bullying Substance use Youth Arab 

Notes

Funding

This study was supported through a Grant from the Swiss Agency for Development.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

References

  1. Afifi Soweid, R. A., Khawaja, M., & Salem, M. T. (2004). Religious identity and smoking behavior among adolescents: Evidence from entering students at the American University of Beirut. Health Commun, 16(1), 47–62.  https://doi.org/10.1207/s15327027hc1601_4.Google Scholar
  2. Asma, S., Mackay, J., Song, S. Y., Zhao, L., Morton, J., Bettcher, K. M. P. D., et al. (2015). The GATS atlas. Atlanta, GA: Retrieved from CDC Foundation.Google Scholar
  3. Benda, B. B., Pope, S. K., & Kelleher, K. J. (2006). Church attendance or religiousness. Alcoholism Treatment Quarterly, 24(1–2), 75–87.  https://doi.org/10.1300/J020v24n01_05.Google Scholar
  4. Brener, N. D., Billy, J. O. G., & Grady, W. R. (2003). Assessment of factors affecting the validity of self-reported health-risk behavior among adolescents: Evidence from the scientific literature. Journal of Adolescent Health, 33(6), 436–457.  https://doi.org/10.1016/S1054-139X(03)00052-1.Google Scholar
  5. Brook, J. S., Pahl, K., Brook, D. W., & Morojele, N. K. (2015). Risk and protective factors for substance use and abuse. In N. el-Guebaly, G. Carrà, & M. Galanter (Eds.), Textbook of addiction treatment: International perspectives (pp. 2279–2305). Milan: Springer.Google Scholar
  6. Brown, D. W., Riley, L., Butchart, A., & Kann, L. (2008). Bullying among youth from eight African countries and associations with adverse health behaviors. Pediatric Health, 2(3), 289–299.  https://doi.org/10.2217/17455111.2.3.289.Google Scholar
  7. Brown, T. N., Schulenberg, J., Bachman, J. G., O’Malley, P. M., & Johnston, L. D. (2001). Are risk and protective factors for substance use consistent across historical time? National data from the high school classes of 1976 through 1997. Prevention Science, 2(1), 29–43.  https://doi.org/10.1023/A:1010034912070.Google Scholar
  8. Cunningham, N. J., & Daya Singh, S. (2000). A comprehensive approach to school-community violence prevention. Professional School Counseling, 4(2), 126.Google Scholar
  9. Dollinger, S. J., & Malmquist, D. (2009). Reliability and validity of single-item self-reports: With special relevance to college students’ alcohol use, religiosity, study, and social life. The Journal of General Psychology, 136(3), 231–242.  https://doi.org/10.3200/GENP.136.3.231-242.Google Scholar
  10. Due, P., Hansen, E. H., Merlo, J., Andersen, A., & Holstein, B. E. (2007). Is victimization from bullying associated with medicine use among adolescents? A nationally representative cross-sectional survey in Denmark. Pediatrics, 120(1), 110–117.  https://doi.org/10.1542/peds.2006-1481.Google Scholar
  11. Ellison, C. G., & Levin, J. S. (1998). The religion-health connection: Evidence, theory, and future directions. Health Educ Behav, 25(6), 700–720.  https://doi.org/10.1177/109019819802500603.Google Scholar
  12. Faour, M. A. (2007). Religion, demography, and politics in Lebanon. Middle Eastern Studies, 43(6), 909–921.  https://doi.org/10.1080/00263200701568279.Google Scholar
  13. Fleming, L. C., & Jacobsen, K. H. (2010). Bullying among middle-school students in low and middle income countries. Health Promotion International, 25(1), 73–84.  https://doi.org/10.1093/heapro/dap046.Google Scholar
  14. Ford, J. A., & Hill, T. D. (2012). Religiosity and adolescent substance use: Evidence from the national survey on drug use and health. Substance Use and Misuse, 47(7), 787–798.  https://doi.org/10.3109/10826084.2012.667489.Google Scholar
  15. Friedman, R. A. (2006). The changing face of teenage drug abuse–the trend toward prescription drugs. New England Journal of Medicine, 354(14), 1448–1450.  https://doi.org/10.1056/NEJMp068010.Google Scholar
  16. Galbraith, T., & Conner, B. T. (2015). Religiosity as a moderator of the relation between sensation seeking and substance use for college-aged individuals. Psychology of Addictive Behaviors, 29(1), 168–175.  https://doi.org/10.1037/adb0000037.Google Scholar
  17. Galea, S., & Tracy, M. (2007). Participation rates in epidemiologic studies. Annals of Epidemiology, 17(9), 643–653.  https://doi.org/10.1016/j.annepidem.2007.03.013.Google Scholar
  18. Ghandour, L. A., Karam, E. G., & Maalouf, W. E. (2009). Lifetime alcohol use, abuse and dependence among university students in Lebanon: Exploring the role of religiosity in different religious faiths. Addiction, 104(6), 940–948.  https://doi.org/10.1111/j.1360-0443.2009.02575.x.Google Scholar
  19. Hawkins, J. D., Catalano, R. F., & Miller, J. Y. (1992). Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: Implications for substance abuse prevention. Psychological Bulletin, 112(1), 64–105.Google Scholar
  20. Hepburn, L., Azrael, D., Molnar, B., & Miller, M. (2012). Bullying and suicidal behaviors among urban high school youth. Journal of Adolescent Health, 51(1), 93–95.  https://doi.org/10.1016/j.jadohealth.2011.12.014.Google Scholar
  21. Hodge, D. R., Marsiglia, F. F., & Nieri, T. (2011). Religion and substance use among youths of Mexican heritage: A social capital perspective. Social Work Research, 35(3), 137–146.Google Scholar
  22. Houbre, B., Tarquinio, C., Thuillier, I., & Hergott, E. (2006). Bullying among students and its consequences on health. European Journal of Psychology of Education, 21(2), 183–208.  https://doi.org/10.1007/BF03173576.Google Scholar
  23. Janssen, I., Craig, W. M., Boyce, W. F., & Pickett, W. (2004). Associations between overweight and obesity with bullying behaviors in school-aged children. Pediatrics, 113(5), 1187–1194.Google Scholar
  24. Jessor, R., Turbin, M. S., & Costa, F. M. (1998). Protective factors in adolescent health behavior. Journal of Personality and Social Psychology, 75(3), 788–800.Google Scholar
  25. Kaltiala-Heino, R., Rimpela, M., Rantanen, P., & Rimpela, A. (2000). Bullying at school–an indicator of adolescents at risk for mental disorders. Journal of Adolescence, 23(6), 661–674.  https://doi.org/10.1006/jado.2000.0351.Google Scholar
  26. Kim-Spoon, J., Farley, J. P., Holmes, C. J., & Longo, G. S. (2014). Does adolescents’ religiousness moderate links between harsh parenting and adolescent substance use? Journal of Family Psychology, 28(6), 739–748.  https://doi.org/10.1037/a0037178.Google Scholar
  27. Koenig, H. G. (2012). Religion, spirituality, and health: The research and clinical implications. ISRN Psychiatry, 2012, 278730.  https://doi.org/10.5402/2012/278730.Google Scholar
  28. Kuehn, B. M. (2006). Shift seen in patterns of drug use among teens. JAMA, 295(6), 612–613.  https://doi.org/10.1001/jama.295.6.612.Google Scholar
  29. Lando, H. A., Hipple, B. J., Muramoto, M., Klein, J. D., Prokhorov, A. V., Ossip, D. J., et al. (2010). Tobacco is a global paediatric concern. Bulletin of the World Health Organization, 88(1), 2.  https://doi.org/10.2471/blt.09.069583.Google Scholar
  30. Liang, H., Flisher, A. J., & Lombard, C. J. (2007). Bullying, violence, and risk behavior in South African school students. Child Abuse and Neglect, 31(2), 161–171.  https://doi.org/10.1016/j.chiabu.2006.08.007.Google Scholar
  31. Luk, J. W., Wang, J., & Simons-Morton, B. G. (2010). Bullying victimization and substance use among U.S. adolescents: Mediation by depression. Prevention Science: The Official Journal of the Society for Prevention Research, 11(4), 355–359.  https://doi.org/10.1007/s11121-010-0179-0.Google Scholar
  32. Marsiglia, F. F., Kulis, S., Nieri, T., & Parsai, M. (2005). God forbid! Substance use among religious and nonreligious youth. The American Journal of Orthopsychiatry, 75(4), 585–598.  https://doi.org/10.1037/0002-9432.75.4.585.Google Scholar
  33. Martins, S. S., & Ghandour, L. A. (2017). Nonmedical use of prescription drugs in adolescents and young adults: Not just a Western phenomenon. World Psychiatry, 16(1), 102–104.  https://doi.org/10.1002/wps.20350.Google Scholar
  34. Olweus, D. (1994). Bullying at school: Basic facts and effects of a school based intervention program. Journal of Child Psychology and Psychiatry, 35(7), 1171–1190.  https://doi.org/10.1111/j.1469-7610.1994.tb01229.x.Google Scholar
  35. Page, R. M., & Danielson, M. (2011). Multi-country, cross-national comparison of youth tobacco use: Findings from global school-based health surveys. Addictive Behaviors, 36(5), 470–478.  https://doi.org/10.1016/j.addbeh.2011.01.008.Google Scholar
  36. Peleg-Oren, N., Cardenas, G. A., Comerford, M., & Galea, S. (2012). An association between bullying behaviors and alcohol use among middle school students. Journal of Early Adolescence, 32(6), 761–775.  https://doi.org/10.1177/0272431610387144.Google Scholar
  37. Plante, T., & Boccaccini, M. (1997). The santa clara strength of religious faith questionnaire. Pastoral Psychology, 45(5), 375–387.  https://doi.org/10.1007/BF02230993.Google Scholar
  38. Post, A., Gilljam, H., Rosendahl, I., Meurling, L., Bremberg, S., & Galanti, M. R. (2005). Validity of self reports in a cohort of Swedish adolescent smokers and smokeless tobacco (snus) users. Tob Control, 14(2), 114–117.  https://doi.org/10.1136/tc.2004.008789.Google Scholar
  39. Quinn, C. A., Fitzpatrick, S., Bussey, K., Hides, L., & Chan, G. C. K. (2016). Associations between the group processes of bullying and adolescent substance use. Addictive Behaviors, 62, 6–13.  https://doi.org/10.1016/j.addbeh.2016.06.007.Google Scholar
  40. Radliff, K. M., Wheaton, J. E., Robinson, K., & Morris, J. (2012). Illuminating the relationship between bullying and substance use among middle and high school youth. Addictive Behaviors, 37(4), 569–572.  https://doi.org/10.1016/j.addbeh.2012.01.001.Google Scholar
  41. Salas-Wright, C. P., Vaughn, M. G., Hodge, D. R., & Perron, B. E. (2012). Religiosity profiles of American youth in relation to substance use, violence, and delinquency. Journal of Youth and Adolescence, 41(12), 1560–1575.  https://doi.org/10.1007/s10964-012-9761-z.Google Scholar
  42. Schroeder, R. D., & Ford, J. A. (2012). Prescription drug misuse: A test of three competing criminological theories. Journal of Drug Issues, 42(1), 4–27.  https://doi.org/10.1177/0022042612436654.Google Scholar
  43. Smith, P. K. (1997). Bullying in schools: The UK experience and the sheffield anti-bullying project. The Irish Journal of Psychology, 18(2), 191–201.  https://doi.org/10.1080/03033910.1997.10558139.Google Scholar
  44. Sullivan, T. N., Farrell, A. D., & Kliewer, W. (2006). Peer victimization in early adolescence: Association between physical and relational victimization and drug use, aggression, and delinquent behaviors among urban middle school students. Development and Psychopathology, 18(1), 119–137.  https://doi.org/10.1017/s095457940606007x.Google Scholar
  45. Tharp-Taylor, S., Haviland, A., & D’Amico, E. J. (2009). Victimization from mental and physical bullying and substance use in early adolescence. Addictive Behaviors, 34(6–7), 561–567.  https://doi.org/10.1016/j.addbeh.2009.03.012.Google Scholar
  46. Ttofi, M. M., & Farrington, D. P. (2009). What works in preventing bullying: Effective elements of anti-bullying programmes. Journal of Aggression, Conflict and Peace Research, 1(1), 13–24.  https://doi.org/10.1108/17596599200900003.Google Scholar
  47. United Nations Office on Drugs and Crime [UNODC]. (2014). United Nations office on drugs and crime, world drug report 2014 (Sales No. E.14.XI.7). New York: United Nations.Google Scholar
  48. Vieno, A., Gini, G., & Santinello, M. (2011). Different forms of bullying and their association to smoking and drinking behavior in Italian adolescents. Journal of School Health, 81(7), 393–399.  https://doi.org/10.1111/j.1746-1561.2011.00607.x.Google Scholar
  49. Warren, C. W., Jones, N. R., Eriksen, M. P., & Asma, S. (2006). Patterns of global tobacco use in young people and implications for future chronic disease burden in adults. Lancet, 367(9512), 749–753.  https://doi.org/10.1016/s0140-6736(06)68192-0.Google Scholar
  50. Whiteford, H. A., Degenhardt, L., Rehm, J., Baxter, A. J., Ferrari, A. J., Erskine, H. E., et al. (2013). Global burden of disease attributable to mental and substance use disorders: Findings from the Global Burden of Disease Study 2010. The Lancet, 382(9904), 1575–1586.  https://doi.org/10.1016/S0140-6736(13)61611-6.Google Scholar
  51. Wills, T. A., Yaeger, A. M., & Sandy, J. M. (2003). Buffering effect of religiosity for adolescent substance use. Psychology of Addictive Behaviors, 17(1), 24–31.Google Scholar
  52. World Health Organization [WHO]. (2009). Global School-based Student Health Survey (GSHS) Core Questionnaire Modules Final. http://www.who.int/chp/gshs/GSHS_Core_Modules_2009_English.pdf.
  53. World Health Organization [WHO]. (2014). Global status report on alcohol and health. Geneva: WHO.Google Scholar
  54. Zarocostas, J. (2007). Misuse of prescription drugs could soon exceed that of illicit narcotics, UN panel warns. BMJ, 334(7591), 444.  https://doi.org/10.1136/bmj.39140.394410.DB.Google Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Rima A. Afifi
    • 1
    • 2
  • Khalil El Asmar
    • 3
  • Dima Bteddini
    • 1
  • Moubadda Assi
    • 4
  • Nasser Yassin
    • 5
    • 6
  • Sara Bitar
    • 7
  • Lilian Ghandour
    • 3
    Email author
  1. 1.Department of Health Promotion and Community Health, Faculty of Health SciencesAmerican University of BeirutBeirutLebanon
  2. 2.Department of Community and Behavioral Health, College of Public HealthUniversity of IowaIowa CityUSA
  3. 3.Department of Epidemiology and Population Health, Faculty of Health SciencesAmerican University of BeirutBeirutLebanon
  4. 4.Center for Research on Population and Health, Faculty of Health SciencesAmerican University of BeirutBeirutLebanon
  5. 5.Department of Health Management and Policy, Faculty of Health SciencesAmerican University of BeirutBeirutLebanon
  6. 6.Issam Fares Institute for Public PolicyAmerican University of BeirutBeirutLebanon
  7. 7.American University of BeirutBeirutLebanon

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