The usage of substances among adolescents remains a prominent social concern, especially during COVID-19. In parallel, cyberbullying has emerged as another significant challenge, affecting the well-being and health of students as they spend more time online. We investigated the correlation between cyberbullying victimization and substance use in adolescents—and considered the potential mediating effect of mental health problems and the moderating effect of telemedicine services. We used data from the Adolescent Behaviors and Experiences Survey (n = 6,237), a nationally representative study administered by the CDC of the United States. Binary logistic regression and Ordinary Least Squares regression models were employed to examine the associations, and moderated mediation models were performed. The results showed that cyberbullying victimization significantly and directly correlated with increased substance use in adolescents. Mental health problems were found to partially mediate the link between cyber victimization and substance use. Furthermore, telemedicine services exhibited a protective effect on these associations. Specifically, cyber victimization significantly and positively predicted augmented mental health problems and substance use for students who did not use telemedicine services, whereas these associations became non-significant for those who used telemedicine services. This study contributes valuable insights into the impact of disasters, cyberbullying, and adolescent substance use, and it also underscores the importance of adopting a comprehensive prevention approach that addresses both cyberbullying and addictions simultaneously.

青少年对药物的使用仍然是一个突出的社会问题，尤其是在 COVID-19 期间。与此同时，网络欺凌已成为另一个重大挑战，随着学生在网上花费的时间增加，它会影响学生的福祉和健康。我们调查了网络霸凌受害与青少年药物使用之间的相关性，并考虑了心理健康问题的潜在中介效应和远程医疗服务的调节作用。我们使用了来自青少年行为和经历调查 （n = 6,237） 的数据，这是一项由美国疾病预防控制中心管理的具有全国代表性的研究。采用二元 logistic 回归和普通最小二乘回归模型来检查关联，并执行调节中介模型。结果表明，网络欺凌受害与青少年药物使用增加显著且直接相关。研究发现，心理健康问题部分介导了网络受害与药物使用之间的联系。此外，远程医疗服务对这些关联表现出保护作用。具体来说，对于不使用远程医疗服务的学生，网络受害显着且积极地预测了心理健康问题和药物使用的增加，而对于使用远程医疗服务的学生来说，这些关联变得不显著。这项研究为灾难、网络欺凌和青少年药物使用的影响提供了宝贵的见解，还强调了采用综合预防方法同时解决网络欺凌和成瘾问题的重要性。