https://doi.org/10.4081/hls.2026.15196
Bullying others and being bullied: findings from the Health Behaviour in School-aged Children (HBSC) study conducted in Albania in 2022
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Published: 5 May 2026
Bullying is a widespread public health concern among adolescents worldwide. Our objective was to assess the prevalence and sociodemographic correlates of bullying others and being bullied among Albanian adolescents. A cross-sectional study conducted in Albania in 2022 included a nationwide representative sample of 5454 schoolchildren aged 11, 13 and 15 years (≈52% girls; response rate: 96%). Data on bullying others and being bullied were gathered, along with sociodemographic factors of adolescents. Binary logistic regression was used to assess the associations of bullying perpetration and victimization with adolescents’ sociodemographic factors. About 7% of adolescents reported bullying others and 8% being bullied at least two or three times a month in the past couple of months preceding the survey. Independent positive correlates were male gender, older age, and higher family affluence (perpetration); age 13, father’s unemployment, and lower family affluence (victimization). Bullying among adolescents in transitional Albania is relatively common, with distinct sociodemographic patterns: perpetration reflects “empowerment”, whereas victimization signals “vulnerability”. These findings highlight the need for targeted prevention in Albania and comparable transitional settings.
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1. Cosma A, Molcho M, Pickett W. A focus on adolescent peer violence and bullying in Europe, central Asia and Canada. Health Behaviour in School-aged Children international report from the 2021/2022 survey. Volume 2. Copenhagen: WHO Regional Office for Europe; 2024. Licence: CC BY-NC-SA 3.0 IGO.
2. Krug EG, Mercy JA, Dahlberg LL, Zwi AB. The world report on violence and health. Lancet 2002;360:1083-8. DOI: https://doi.org/10.1016/S0140-6736(02)11133-0
3. Zhang Q, Deng W. Relationship between physical exercise, bullying, and being bullied among junior high school students: the multiple mediating effects of emotional management and interpersonal relationship distress. BMC Public Health 2024;24:2503. DOI: https://doi.org/10.1186/s12889-024-20012-y
4. Due P, Merlo J, Harel-Fisch Y, et al. Socioeconomic inequality in exposure to bullying during adolescence: a comparative, cross-sectional, multilevel study in 35 countries. Am J Public Health 2009;99:907-14. DOI: https://doi.org/10.2105/AJPH.2008.139303
5. Cénat JM, Blais M, Hébert M, et al. Correlates of bullying in Quebec high school students: the vulnerability of sexual-minority youth. J Affect Disord 2015;183:315-21. DOI: https://doi.org/10.1016/j.jad.2015.05.011
6. Olweus D. School bullying: development and some important challenges. Annu Rev Clin Psychol 2013;9:751-80. DOI: https://doi.org/10.1146/annurev-clinpsy-050212-185516
7. Zhao Y, Zhao Y, Lee Y-T, Chen L. Cumulative interpersonal relationship risk and resilience models for bullying victimization and depression in adolescents. Pers Individ Dif 2020;155:109706. DOI: https://doi.org/10.1016/j.paid.2019.109706
8. Sibold J, Edwards E, Murray-Close D, Hudziak JJ. Physical activity, sadness, and suicidality in bullied US adolescents. J Am Acad Child Adolesc Psychiatry 2015;54:808-15. DOI: https://doi.org/10.1016/j.jaac.2015.06.019
9. Sasaki N, Watanabe K, Kanamori Y, et al. Effects of expanded adverse childhood experiences including school bullying, child¬hood poverty, and natural disasters on mental health in adulthood. Sci Rep 2024;14:12015. DOI: https://doi.org/10.1038/s41598-024-62634-7
10. Ttofi MM, Farrington DP, Lösel F. School bullying as a predictor of violence later in life: a systematic review and meta-analysis of prospective longitudinal studies. Aggress Violent Behav 2012;17:405-18. DOI: https://doi.org/10.1016/j.avb.2012.05.002
11. Klomek AB, Sourander A, Elonheimo H. Bullying by peers in childhood and effects on psychopathology, suicidality, and criminality in adulthood. Lancet Psychiatry. 2015;2:930-41. DOI: https://doi.org/10.1016/S2215-0366(15)00223-0
12. Smith PK, Madsen KC, Moody JC. What causes the age decline in reports of being bullied at school? Towards a developmental analysis of risks of being bullied. Educ Res 1999;41:267-85. DOI: https://doi.org/10.1080/0013188990410303
13. Czabanowski W, Mone I, Burazeri G. Health status in selected post-communist European countries: a comparative study between Poland and Albania. Cent Eur J Public Health 2024;32:63-7. DOI: https://doi.org/10.21101/cejph.a7804
14. Ismaili E, Rama R, Strohmeier D, Yanagida T, Gradinger P, Dragoti E. The Associations between Anti-Bullying Interventions and Bullying and Cyberbullying Rates in Albanian Schools. Int Journal of Bullying Prevention 2024. https://doi.org/10.1007/s42380-024-00263-4. DOI: https://doi.org/10.1007/s42380-024-00263-4
15. Qirjako G, Dika Q, Mone I, et al. Correlates of lifetime physical abuse among schoolchildren aged 15 years in post-communist Albania. Front Public Health 2021;9:607493. DOI: https://doi.org/10.3389/fpubh.2021.607493
16. Stefa J, Gega M, Refatllari B, et al. Prevalence and sociodemographic correlates of nutritional habits among schoolchildren aged 11-15 years in Albania. Zdr Varst 2025;64:133-42. DOI: https://doi.org/10.2478/sjph-2025-0017
17. Qosja A, Çumashi R, Burazeri G, et al. Prevalence and socio-demographic correlates of mental health indices among schoolchildren in Albania. Scand J Public Health 2026;54:164-72. DOI: https://doi.org/10.1177/14034948251326827
18. Refatllari B, Stefa J, Gega M, et al. Prevalence of physical activity and its associated sociodemographic factors among schoolchildren in Albania. Healthc Low Resour Settings 2025;13:13370. DOI: https://doi.org/10.4081/hls.2025.13370
19. Inchley J, Currie D, Piper A, et al. (eds) Health Behaviour in School-aged Children (HBSC) study protocol: background, methodology, mandatory questions and optional packages for the 2021/22 survey. MRC/CSO Social and Public Health Sciences Unit, The University of Glasgow; 2021/22.
20. Hosmer D, Lemeshow S. Applied Logistic Regression. New York: Wiley & Sons; 1989. DOI: https://doi.org/10.2307/2531779
21. Chen L, Chen Y, Ran H. et al. Social poverty indicators with school bullying victimization: evidence from the global school-based student health survey (GSHS). BMC Public Health 2024;24:615. DOI: https://doi.org/10.1186/s12889-024-18119-3
22. Byrne K, Kulluri E, Gedeshi I. Situation analysis of children and adolescents in Albania. UNICEF Albania. Tirana; 2021.
23. Sadikaj A, Kroja A. Anxiety as a consequence of bullying adolescents in Albania and Kosovo. UBT International Conference; 2025. Available from: https://knowledgecenter.ubt-uni.net/conference/2025UBTIC/PSY/1 (accessed: 28 March 2026).
24. National survey on bullying and violent extremism in the education system of Albania: Study report. Available from: https://rm.coe.int/albania-study-report-on-bullying-egn/1680732872 (accessed: 28 March 2026).
CRediT authorship contribution
Rudina Çumashi, Gentiana Qirjako and Genc Burazeri contributed to the study conceptualization and design, analysis and interpretation of the data and writing of the article. Enkeleint A. Mechilli commented comprehensively on the manuscript. All authors have read and approved the submitted manuscript.
Supporting Agencies
UNFPA, UNICEF, SDCHow to Cite
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