Research has shown a connection between bullying victimization and substance use, but the underlying mechanisms of these links remain unclear. Using data from the 2021 Youth Risk Behavior Surveillance System of 9th–12th grade students (n = 16,410), we employed a generalized structural equation modeling approach to investigate the relationships between bullying, cyberbullying, sex, and the use of e-cigarettes, alcohol, and binge drinking. We considered sadness or hopelessness, aggression, mental health issues, and skipping school as potential mediators. Our results revealed a consistent relationship between both cyberbullying and traditional bullying with the use of e-cigarettes, alcohol, and binge drinking. This relationship was mediated by sadness, hopelessness, and aggression. Interestingly, we found that males were more likely than females to use e-cigarettes, alcohol, and engage in binge drinking, with aggression as the mediator. Conversely, females were more likely than males to use these substances, with sadness or hopelessness as a mediator.

研究表明欺凌受害与药物滥用之间存在联系，但这些联系的潜在机制仍不清楚。使用 2021 年 9 至 12 年级学生风险行为监测系统（n = 16,410）的数据，我们采用广义结构方程建模方法来调查欺凌、网络欺凌、性与电子烟、酒精的使用之间的关系，以及酗酒。我们认为悲伤或绝望、攻击性、心理健康问题和逃学是潜在的中介因素。我们的研究结果显示，网络欺凌与使用电子烟、酒精和酗酒的传统欺凌之间存在一致的关系。这种关系是通过悲伤、绝望和攻击性来调节的。有趣的是，我们发现男性比女性更有可能使用电子烟、饮酒和酗酒，而攻击性是中介因素。相反，女性比男性更有可能使用这些物质，以悲伤或绝望作为中介。