The Impact of Statewide Enumerated Antibullying Laws and Local School Interventions on School Spaces, Physical Harm, and Suicide Attempts for LGBTQ Youth.

IF 3.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH LGBT health Pub Date : 2024-10-01 Epub Date: 2024-04-01 DOI:10.1089/lgbt.2023.0099
Landon B Krantz, Melinda C MacDougall, Shelley Ehrlich, William B Brinkman
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Abstract

Purpose: Our goal was to evaluate the impact of enumerated antibullying laws and local interventions on school affirmation, risk of physical threat or harm, and suicide attempts for lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth. Methods: This study used cross-sectional data from three national sources that provided outcomes and potential predictors: (1) The Trevor Project National Survey 2022: based on the LGBTQ youth report, (2) Movement Advancement Project: presence of LGBTQ enumerated antibullying state laws, and (3) School Health Profiles 2020: statewide prevalence of school-level strategies to improve student wellness reported by school personnel. Bivariate and multivariable logistic regression models calculated the relative risks (RRs) for each outcome. Results: LGBTQ youth (n = 27,697) were surveyed. Youth were less likely to identify their school as nonaffirming in states with enumerated laws (RR: 0.97, confidence interval [CI]: 0.94-0.99) and in states with higher percentages of gay/straight alliances (GSAs) (RR: 0.97, 95% CI: 0.96-0.97). Youth were less likely to report a history of physical threat or harm in states with more GSAs (RR: 0.96, 95% CI: 0.95-0.97). Enumerated state laws were associated with a lower risk of suicide attempts among LGBTQ youth (RR: 0.82, 95% CI: 0.77-0.87). Universal strategies/policies not specific to LGBTQ youth did not reduce risk of physical threat/harm or suicide attempts. Conclusions: Statewide enumerated antibullying protections and the presence of a GSA were associated with a decreased risk of poor outcomes among LGBTQ youth. Longitudinal studies are needed to assess the impact of recent legislative changes.

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全州范围内列举的反欺凌法和地方学校干预措施对校园空间、身体伤害和 LGBTQ 青少年自杀企图的影响》(The Impact of Statewide Enumerated Antibullying Laws and Local School Interventions on School Spaces, Physical Harm, and Suicide Attempts for LGBTQ Youth)。
目的:我们的目标是评估列举式反欺凌法律和地方干预措施对女同性恋、男同性恋、双性恋、跨性别者和质疑者(LGBTQ)青少年的学校肯定、人身威胁或伤害风险以及自杀企图的影响。研究方法本研究使用了来自三个国家的横截面数据,这些数据提供了结果和潜在的预测因素:(1) 特雷弗项目 2022 年全国调查:基于 LGBTQ 青年报告;(2) 运动促进项目:LGBTQ 列举反欺凌州法律的存在情况;(3) 2020 年学校健康概况:由学校工作人员报告的全州范围内改善学生健康的校级策略的普及率。双变量和多变量逻辑回归模型计算了每种结果的相对风险 (RR)。结果显示LGBTQ 青少年(n = 27,697)接受了调查。在有列举法律的州(RR:0.97,置信区间[CI]:0.94-0.99)和同性恋/异性恋联盟(GSA)比例较高的州(RR:0.97,95% CI:0.96-0.97),青少年不太可能将自己的学校认定为非确认学校。在同性恋联盟较多的州,青少年报告曾受到人身威胁或伤害的可能性较低(RR:0.96,95% CI:0.95-0.97)。列举的州法律与 LGBTQ 青少年自杀未遂风险较低有关(RR:0.82,95% CI:0.77-0.87)。非专门针对 LGBTQ 青少年的通用策略/政策并未降低人身威胁/伤害或自杀未遂的风险。结论全州范围内的反欺凌保护措施和GSA的存在与LGBTQ青少年不良后果风险的降低有关。需要进行纵向研究,以评估近期立法变化的影响。
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来源期刊
LGBT health
LGBT health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -
CiteScore
6.60
自引率
6.20%
发文量
80
期刊介绍: LGBT Health is the premier peer-reviewed journal dedicated to promoting optimal healthcare for millions of sexual and gender minority persons worldwide by focusing specifically on health while maintaining sufficient breadth to encompass the full range of relevant biopsychosocial and health policy issues. This Journal aims to promote greater awareness of the health concerns particular to each sexual minority population, and to improve availability and delivery of culturally appropriate healthcare services. LGBT Health also encourages further research and increased funding in this critical but currently underserved domain. The Journal provides a much-needed authoritative source and international forum in all areas pertinent to LGBT health and healthcare services. Contributions from all continents are solicited including Asia and Africa which are currently underrepresented in sex research.
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