Objective: To analyses the related factors of video game violence exposure in middle school students. Methods: In this cross-sectional study, one middle school in Hubei province was selected by convenience sampling. Totally 1562 high school students aged 14 - 18 years were assessed with the scales such as the Habits in Video Game Questionnaire (including whether exposure to violent games, exposed quantity and gaming frequen- cy), Circumstance Questionnaire(including domestic violence, peer violence, video violence and frustration of life)...