Journal of Youth and Adolescence ( IF 5.625 ) Pub Date : 2023-04-17 , DOI: 10.1007/s10964-023-01774-x April J Ancheta 1, 2 , Tonda L Hughes 3 , Jianfang Liu 3 , Stephen T Russell 4 , Jean-Marie Bruzzese 3
Sexual minority adolescents are more likely to have obesity compared to their heterosexual peers, but little is known about potential contributors to this disparity that lie outside of individual-level health behaviors, such as diet and exercise. One possible contributor is school violence victimization, a factor associated with overweight/obesity in adolescence. Another possible contributor is school climate, which is associated with feelings of safety and connectedness that can lower the likelihood of school violence victimization. Moreover, even less is known about relationships among all these factors among sexual minority adolescents. This gap in the literature was addressed by analyzing CDC’s district-level data from the Youth Risk Behavior Survey and School Health Profiles (N = 60,625; 50.9% female, Mage = 16 years, 84.7% heterosexual, 15.3% sexual minority). Using multilevel mixed effects logistic regression models and controlling for covariates, it was found that among females and males, those with 2+ counts of last 12-month school violence victimization had higher odds of obesity than those with no school violence victimization (AOR = 1.33; AOR = 1.24). Furthermore, females and males in more positive LGBTQ school climates had lower odds of obesity than those in less positive school climates (AOR = 0.84; AOR = 0.85). There were no sexual identity differences in these models. Findings support the careful consideration of school violence victimization and LGBTQ school climate in future obesity prevention initiatives.
中文翻译:
青少年肥胖的人际和社区层面风险因素:对大量城市青少年样本的性认同、校园暴力和校园风气的考察
与异性恋同龄人相比,性少数青少年更容易肥胖,但人们对造成这种差异的潜在因素知之甚少,这些因素存在于个人层面的健康行为之外,例如饮食和锻炼。一个可能的促成因素是校园暴力受害,这是与青春期超重/肥胖相关的一个因素。另一个可能的贡献者是学校氛围,它与安全感和联系感相关,可以降低校园暴力受害的可能性。此外,对于性少数青少年中所有这些因素之间的关系,人们知之甚少。通过分析疾病预防控制中心来自青年风险行为调查和学校健康概况(N = 60,625;50.9% 女性,M年龄 = 16 岁,84.7% 异性恋,15.3% 性少数)。使用多级混合效应逻辑回归模型并控制协变量,发现在女性和男性中,最近 12 个月校园暴力受害次数超过 2 次的人比没有受过校园暴力的人肥胖几率更高(AOR = 1.33 ; AOR = 1.24)。此外,在积极的 LGBTQ 学校氛围中,女性和男性的肥胖几率低于在不太积极的学校氛围中的女性和男性(AOR = 0.84;AOR = 0.85)。这些模型中没有性别认同差异。调查结果支持在未来的肥胖预防计划中仔细考虑校园暴力受害和 LGBTQ 校园氛围。