Back pain is a common and recurrent health complaint in adolescence. Psychosocial factors may be associated with the onset and persistence of back pain symptoms. This systematic review aims to determine the association between bullying victimization and back pain in young people. Observational studies that quantified the association between bullying victimization and back pain in participants were included in this systematic review. Estimates of associations and confidence intervals were extracted. A random effects meta-analysis of estimates of association was performed. The quality of evidence was assessed using the Joanna Briggs Institute critical appraisal checklist for analytical cross-sectional studies. Database searches yielded 18,311 citations. Nineteen studies (n = 212,058, 51.4% female) were included in our review. Meta-analysis showed a positive association between bullying victimization and back pain (odds ratio 1.93, confidence interval 1.75-2.13). Subgroup analysis showed no statistically significant effect of sex, age, bullying type, pain type, recall periods, bullying frequency, back pain frequency, risk estimate adjustment, and study critical appraisal rating. All studies were rated at moderate-high risk of bias. Our synthesis of evidence found a weak-moderate association between bullying victimization and back pain in young people. Methodological shortcomings and heterogeneity in the field limit causal inference. Future longitudinal studies are required.

中文翻译：

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年轻人欺凌受害与背痛之间的关联：系统文献综述和荟萃分析。


背痛是青春期常见且反复出现的健康问题。心理社会因素可能与背痛症状的发生和持续有关。这项系统评价旨在确定青少年欺凌受害与背痛之间的关联。本系统评价纳入了量化参与者欺凌受害与背痛之间关联的观察性研究。提取关联性和置信区间的估计值。对关联估计进行了随机效应荟萃分析。使用乔安娜·布里格斯研究所的分析横断面研究批判性评估清单评估证据的质量。数据库搜索产生 18,311 次引用。我们的综述中纳入了 19 项研究（n = 212,058，51.4% 为女性）。荟萃分析显示欺凌受害与背痛之间呈正相关（比值比 1.93，置信区间 1.75-2.13）。亚组分析显示，性别、年龄、欺凌类型、疼痛类型、回忆期、欺凌频率、背痛频率、风险估计调整和研究批判性评估评级没有统计学上的显着影响。所有研究均被评为中高偏倚风险。我们对证据的综合发现，欺凌受害与年轻人的背痛之间存在弱至中度的关联。该领域的方法学缺陷和异质性限制了因果推断。需要未来的纵向研究。