交叉性、性别规范和背景下的青少年:对多国纵向研究计划的审查,以指导未来的行动

IF 19.9 1区 医学 Q1 PEDIATRICS Lancet Child & Adolescent Health Pub Date : 2024-06-17 DOI:10.1016/S2352-4642(24)00079-8
Prerna Banati PhD , Nicola Jones PhD , Caroline Moreau PhD , Kristin Mmari PhD , Anna Kågesten PhD , Karen Austrian PhD , Rebecka Lundgren PhD
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引用次数: 0

摘要

歧视性的性别规范会与其他方面的歧视--如年龄、种族、民族、残疾、教育状况和性取向--相互交织和影响,从而塑造个人的经历,影响他们的健康和福祉。这种相互作用被称为交叉性。虽然这一理论自 20 世纪 80 年代末就开始流传,但直到最近才在低收入和中等收入环境中得到推广,而且尚未完全渗透到全球青少年研究中。人们对青少年健康和幸福的社会和结构性交叉驱动因素,尤其是青春期早期(10-14 岁)的驱动因素,了解甚少。因此,为这一人生成长期设计有效干预措施的证据基础相对较小。在这篇综述中,我们研究了在青春期早期阶段,性别是如何与其他形式的不利因素交织在一起的。我们分析了来自 16 个国家的青少年混合观察-干预纵向研究的数据,目的是为来自各种社会环境(包括冲突环境)的女孩和男孩的健康和福祉提供信息。青少年对性别规范的看法因环境而异,取决于个人观点,并受健康方面性别不平等的社会生态因素的影响。因此,转变这些观念具有挑战性。我们认为,应用交叉性视角来改善青少年的健康和福祉成果非常重要,最后我们为项目设计和研究提出了五项实用建议。
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Intersectionality, gender norms, and young adolescents in context: a review of longitudinal multicountry research programmes to shape future action

Discriminatory gender norms can intersect and interact with other dimensions of discrimination—such as age, race, ethnicity, disability, education status, and sexual orientation—to shape individuals’ experiences and impact their health and wellbeing. This interaction is referred to as intersectionality. Although the theory has been in circulation since the late 1980s, only recently has it gained traction in low-income and middle-income settings, and it has yet to fully penetrate global research on adolescence. The social and structural intersectional drivers of adolescent health and wellbeing, particularly during early adolescence (age 10–14 years), are poorly understood. The evidence base for designing effective interventions for this formative period of life is therefore relatively small. In this Review, we examine how gender intersects with other forms of disadvantage in the early stages of adolescence. Analysing data from hybrid observation–intervention longitudinal studies with young adolescents in 16 countries, our aim is to inform the health and wellbeing of girls and boys from a range of social contexts, including in conflict settings. Adolescents’ perceptions about gender norms vary by context, depend on individual opinion, and are shaped by socioecological drivers of gender inequalities in health. Shifting those perceptions is therefore challenging. We argue for the importance of applying an intersectionality lens to improve health and wellbeing outcomes for young adolescents and conclude with five practical recommendations for programme design and research.

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来源期刊
Lancet Child & Adolescent Health
Lancet Child & Adolescent Health Psychology-Developmental and Educational Psychology
CiteScore
40.90
自引率
0.80%
发文量
381
期刊介绍: The Lancet Child & Adolescent Health, an independent journal with a global perspective and strong clinical focus, presents influential original research, authoritative reviews, and insightful opinion pieces to promote the health of children from fetal development through young adulthood. This journal invite submissions that will directly impact clinical practice or child health across the disciplines of general paediatrics, adolescent medicine, or child development, and across all paediatric subspecialties including (but not limited to) allergy and immunology, cardiology, critical care, endocrinology, fetal and neonatal medicine, gastroenterology, haematology, hepatology and nutrition, infectious diseases, neurology, oncology, psychiatry, respiratory medicine, and surgery. Content includes articles, reviews, viewpoints, clinical pictures, comments, and correspondence, along with series and commissions aimed at driving positive change in clinical practice and health policy in child and adolescent health.
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