Gender Expression, Peer Victimization, and Disordered Weight-Control Behaviors Among U.S. High School Students.
Gender Expression, Peer Victimization, and Disordered Weight-Control Behaviors Among U.S. High School Students.
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DOI：
10.1016/j.jadohealth.2020.08.032
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发表时间：
2021-06
期刊：
影响因子：
--
通讯作者：
Wang ML
中科院分区：
文献类型：
--
作者：
Gordon AR;Austin SB;Schultz J;Guss CE;Calzo JP;Wang ML
在四个基于人群的美国高中生样本中，研究性别表达、同伴受害（PV）和体重控制行为障碍（DWCB）之间的关联。分析包括来自2013年四个司法管辖区（佛罗里达州布劳沃德县;伊利诺伊州芝加哥;加利福尼亚州洛杉矶;加利福尼亚州圣地亚哥）青年风险行为调查的5,488名美国高中生的数据。参与者中有56%是西班牙裔/拉丁美洲人，21%是黑人/非洲裔美国人，14%是白色人。两个项目询问了感知的性别表达;回答分为三组：高度性别一致（例如，非常男性化的男孩），中等性别一致，性别不一致（例如，女性男孩）。使用性别分层多变量logistic回归模型检查性别表达、PV和上个月DWCB之间的相关性（禁食、使用减肥药/液体/粉末和通便[呕吐或使用泻药]），控制潜在混杂因素。总体而言，12%的受访者报告禁食，6%报告使用减肥药，5%报告清除，与性别一致的男性相比，性别一致的男性的患病率显着较高（p<.001）。在调整后的模型中，相对于中度顺从的男性，性别一致的男性有更大的禁食几率（比值比[95%置信区间]：3.0 [2.0-4.7]），饮食药丸使用（6.1 [3.7-9.9]）和净化（7.2 [3.6-14.8]）。在女性中没有发现显著的相关性。在模型中加入PV适度减弱了男性性别不一致与DWCB之间的关联。在美国高中生的概率样本中，我们观察到男性在DWCB中的性别表达存在显着差异，但女性则没有。应在临床和学校干预措施中解决与性别表达相关的污名问题，以预防DWCB。
To examine the association between gender expression, peer victimization (PV), and disordered weight control behaviors (DWCB) in four population-based samples of U.S. high school students. Analyses include data from 5,488 U.S. high school students from the 2013 Youth Risk Behavior Surveys in four jurisdictions (Broward County, FL; Chicago, IL; Los Angeles, CA; San Diego, CA). Participants were 56% Hispanic/Latino, 21% Black/African American, and 14% White. Two items asked about perceived gender expression; responses were classified into three groups: highly gender conforming (e.g., very masculine boys), moderately gender conforming, gender nonconforming (e.g., feminine boys). Sex-stratified multivariable logistic regression models were used to examine the association between gender expression, PV, and DWCB in previous month (fasting, using diet pills/liquids/powders, and purging [vomiting or using laxatives]), controlling for potential confounders. Overall, 12% of respondents reported fasting, 6% reported diet pill use, and 5% reported purging, with significantly higher prevalence among gender nonconforming compared to gender conforming males (p<.001). In adjusted models, gender nonconforming males had greater odds of fasting (odds ratio [95% confidence interval]: 3.0 [2.0-4.7]), diet pill use (6.1 [3.7-9.9]), and purging (7.2 [3.6-14.8]), relative to moderately conforming males. No significant associations were found among females. Adding PV to models modestly attenuated the association between gender nonconformity and DWCB for males. In probability samples of U.S. high school students, we observed marked differences by gender expression in DWCB among males but not females. Gender expression-related stigma should be addressed within clinical and school-based interventions to prevent DWCB.
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影响因子：
26.1
作者：
Lowry, Richard;Johns, Michelle M.;Kann, Laura K.
通讯作者：
Kann, Laura K.
影响因子：
3.5
作者：
Gordon, Allegra R.;Krieger, Nancy;Austin, S. Bryn
通讯作者：
Austin, S. Bryn
影响因子：
2.2
作者：
Fournier, Mary E.;Austin, S. Bryn;Corliss, Heather L.
通讯作者：
Corliss, Heather L.
DOI：
10.1002/eat.22459
发表时间：
2015-12
期刊：
The International journal of eating disorders
影响因子：
--
作者：
Copeland WE;Bulik CM;Zucker N;Wolke D;Lereya ST;Costello EJ
通讯作者：
Costello EJ
影响因子：
8
作者：
Calzo, Jerel P.;Sonneville, Kendrin R.;Austin, S. Bryn
通讯作者：
Austin, S. Bryn