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March 03, 2021
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Analysis suggests child bullies have higher risk for substance use later in life

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Children and adolescents who bully their peers have a higher risk for drug, alcohol and tobacco use later in life, according to the results of a meta-analysis published in Pediatrics.

Charlotte Vrijen, PhD, a postdoctoral researcher at the University of Groningen in the Netherlands, and colleagues reviewed existing evidence regarding the association between peer bullying perpetration in childhood and adolescence.

Bullying kids infographic
Children and adolescents who bully their peers have a higher risk for drug, alcohol and tobacco use later in life, according to the results of a meta-analysis published in Pediatrics.
Source: Adobe Stock

They selected and analyzed 215 effect sizes from 28 publications between 1992 and 2019, and then reported on 22 samples and a total of 28,477 participants.

The authors reported that childhood and adolescent bullying perpetration predicted later substance use for all three specific outcomes — drugs (OR = 1.47; 95% CI, 1.29-1.68), alcohol (OR = 1.4; 95% CI, 1.18-1.66) and tobacco (OR = 1.66; 95% CI 1.33-2.06) — as well as substance use in general (OR = 3.25; 95% CI 1.96-5.38).

Charlotte Vrijen

“Although the effects we found are small, we know from other studies that bullying is linked to other negative life outcomes as well, and a higher risk of multiple adverse outcomes may indicate serious problems for bullies later in life,” Vrijen told Healio. “For a long time, research focused primarily on negative consequences for the victims of bullying, but it has become increasingly clear that bullying perpetrators also have a higher risk of maladjustment. It is important to further investigate the scope of the barriers bullying may pose for long-term development.”