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The European Journal of Public Health 2004 14(2):173-177; doi:10.1093/eurpub/14.2.173
© 2004 by European Journal of Public Health
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Injuries and violence

Violent behaviour among Turkish high school students and correlates of physical fighting

Mujgan Alikasifoglu1, Ethem Erginoz2, Oya Ercan1, Omer Uysal3, Deniz A. Kaymak4 and Ozdemir Ilter1

1 Istanbul University, Cerrahpasa Medical Faculty, Department of Paediatrics 2 Istanbul University, Cerrahpasa Medical Faculty, Department of Public Health 3 Istanbul University, Cerrahpasa Medical Faculty, Department of Biostatistics 4 Bogazici University, Department of Educational Science, Turkey

Background: The purpose of this study was to provide data about the prevalence of violent behaviour among high school students living in Istanbul and to determine the correlates of physical fighting. Method: This study involved the completion of a modified version of ‘Health Behaviour in School Age Children (HBSC) 1997/1998’ survey questionnaire by 4153 grade 9–11 students. Chi square tests and forward stepwise multiple logistic regression models were used for statistical analyses. Results: During the last 12 months preceding the survey 42% of students (n=1720) reported that they had been in a physical fight; 7% (n=274) reported that they were involved in a fight which required medical treatment. During the last school term 19% (n=768) bullied others at school; 30% (n=1255) reported having been bullied at school; 7% (n=309) reported that they had been bullied with a weapon on school grounds; 8% (n=346) reported that they carried a weapon on school grounds. In logistic regression analyses being male, poor mental health score, being sexually active, current cigarette use, illicit drug use, not using seat belts, bullying, being bullied with a weapon, carrying a weapon, spending more time with friends, poor school image and physical abuse were found to be associated with fighting. Conclusion: Violent behaviour is common in high school students. There is a strong need for violence prevention programmes in schools.

Keywords: adolescents, fighting, risk factors, violence


Received 17 October 2002. Accepted 4 March 2003.

* Correspondence: Mujgan Alikasifoglu, MD, Ihsaniye mah. Tosun Pasa sok. Hafiz Ibrahim apt. B blok No=15, D=18 Uskudar 81160 Istanbul, Turkey, tel. +90 216 341 2530, fax +90 212 586 1595, e-mail: kasif{at}kablonet.com.tr


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