Gender stigma awareness is associated with adolescent risky health behaviors.

<h4>Objectives</h4>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 aware...

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Autores principales:	Karen Kwaning, Mitchell Wong, Kulwant Dosanjh, Christopher Biely, Rebecca Dudovitz
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/ac0e646ef947425683e94fa869a018c1
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spelling	oai:doaj.org-article:ac0e646ef947425683e94fa869a018c12021-12-02T20:05:38ZGender stigma awareness is associated with adolescent risky health behaviors.1932-620310.1371/journal.pone.0251332https://doaj.org/article/ac0e646ef947425683e94fa869a018c12021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0251332https://doaj.org/toc/1932-6203<h4>Objectives</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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.Karen KwaningMitchell WongKulwant DosanjhChristopher BielyRebecca DudovitzPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0251332 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Karen Kwaning Mitchell Wong Kulwant Dosanjh Christopher Biely Rebecca Dudovitz Gender stigma awareness is associated with adolescent risky health behaviors.
description	<h4>Objectives</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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.
format	article
author	Karen Kwaning Mitchell Wong Kulwant Dosanjh Christopher Biely Rebecca Dudovitz
author_facet	Karen Kwaning Mitchell Wong Kulwant Dosanjh Christopher Biely Rebecca Dudovitz
author_sort	Karen Kwaning
title	Gender stigma awareness is associated with adolescent risky health behaviors.
title_short	Gender stigma awareness is associated with adolescent risky health behaviors.
title_full	Gender stigma awareness is associated with adolescent risky health behaviors.
title_fullStr	Gender stigma awareness is associated with adolescent risky health behaviors.
title_full_unstemmed	Gender stigma awareness is associated with adolescent risky health behaviors.
title_sort	gender stigma awareness is associated with adolescent risky health behaviors.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/ac0e646ef947425683e94fa869a018c1
work_keys_str_mv	AT karenkwaning genderstigmaawarenessisassociatedwithadolescentriskyhealthbehaviors AT mitchellwong genderstigmaawarenessisassociatedwithadolescentriskyhealthbehaviors AT kulwantdosanjh genderstigmaawarenessisassociatedwithadolescentriskyhealthbehaviors AT christopherbiely genderstigmaawarenessisassociatedwithadolescentriskyhealthbehaviors AT rebeccadudovitz genderstigmaawarenessisassociatedwithadolescentriskyhealthbehaviors
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Gender stigma awareness is associated with adolescent risky health behaviors.

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