Gender stigma awareness is associated with adolescent risky health behaviors.
Gender stigma awareness is associated with adolescent risky health behaviors.
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性别耻辱意识与青少年的危险健康行为有关。
DOI：
10.1371/journal.pone.0251332
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Dudovitz R
中科院分区：
文献类型：
--
作者：
Kwaning K;Wong M;Dosanjh K;Biely C;Dudovitz R
尽管学校中的种族污名与青少年的健康风险行为有关，但没有研究调查性别污名如何与低收入少数族裔青少年的健康风险行为相关。我们试图确定性别污名意识是否与青少年的健康风险行为（犯罪、斗殴和使用药物）相关，以及这种关联是否通过学校疏离感（低教师支持感、低学校参与度、旷课和违反校规）在低收入少数族裔学生中起中介作用。
我们分析了2017年至2019年从412名高中生收集的横断面调查数据。多层逻辑回归检验了性别污名意识是否与犯罪、斗殴和使用药物相关，同时控制了协变量、基线行为以及学校内的聚类情况。中介分析检验了学校疏离感（低学校参与度、教师支持感、旷课和违反校规）是否中介了这些关联。二次分析探讨了这些关联在男性与女性、成绩好与成绩差以及拉丁裔与非拉丁裔学生之间是否存在差异。
在这个以拉丁裔为主（83%）的样本中，性别污名意识与犯罪（调整优势比 = 1.48，P < 0.001）和斗殴（调整优势比 = 1.15，P < 0.001）相关。学校参与度、教师支持感、违反校规和旷课中介了性别污名意识与犯罪之间42.7%的关联以及性别污名意识与斗殴之间65.42%的关联。性别污名意识还与成绩差（调整优势比 = 1.68，P = 0.003）和非拉丁裔青少年（调整优势比 = 3.80，P = 0.03）的药物使用相关。学校疏离感没有中介非拉丁裔学生性别污名意识与药物使用之间的关联，但中介了成绩差学生这种关联的50%。
性别污名意识与青少年的健康风险行为相关。在学校社区中接受感的降低和学校不良行为的增加可能中介这些关联。重视和接纳所有学生的学校环境可能更好地支持青少年的健康。
Although racial stigma in school is associated with adolescent risky health behaviors, there are no studies investigating how gender stigma relates to adolescent risky health behaviors among low-income, minority youth. We sought to determine whether gender stigma awareness is associated with adolescent risky health behaviors (delinquency, fighting, and substance use) and whether this association is mediated by school disengagement (low perceived teacher support, low school engagement, cutting classes, and breaking school rules) among low-income, minority students. We analyzed cross-sectional survey data, collected from 2017 to 2019, from 412 high school students. Multi-level logistic regressions tested whether gender stigma awareness was associated with delinquency, fighting, and substance use, controlling for covariates, baseline behaviors, and clustering within schools. Mediation analyses tested whether school disengagement (low school engagement, perceived teacher support, cutting class, and breaking school rules) mediated these associations. Secondary analyses explored whether associations differed for male versus female, high-performing versus low-performing, and Latinx versus non-Latinx students. In this predominantly Latinx (83%) sample, gender stigma awareness was associated with delinquency (AOR = 1.48, P< 0.001) and fighting (AOR = 1.15, P< 0.001). School engagement, perceived teacher support, breaking school rules, and cutting classes mediated 42.7% of the association between gender stigma awareness and delinquency and 65.42% of the association between gender stigma awareness and fighting. Gender stigma awareness was also associated with substance use for low-performing (AOR = 1.68, P = 0.003) and non-Latinx adolescents (AOR = 3.80, P = 0.03). School disengagement did not mediate the association between gender stigma awareness and substance use for non-Latinx students but mediated 50% of this association for low-performing students. Gender stigma awareness is associated with adolescent risky health behaviors. A decreased sense of acceptance in the school community and increased school misbehavior may mediate these associations. School environments that value and accept all students may better support adolescent health.
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影响因子：
2.1
作者：
Chen R;Flores G;Shetgiri R
通讯作者：
Shetgiri R
影响因子：
1.7
作者：
Daugherty, Stacie L.;Vupputuri, Suma;Havranek, Edward P.
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Havranek, Edward P.
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Roberts, Davia