Epidemiology & Biostatistics Program, School of Urban Public Health at Hunter College, City University of New York, 2180 Third Avenue, New York, NY, 10035, USA.
CUNY Graduate School of Public Health and Health Policy, City University of New York, 55 West 125th Street, New York, NY, 10027, USA.
J Urban Health. 2017 Aug;94(4):506-513. doi: 10.1007/s11524-017-0163-0.
We investigated the intersection of sexual minority, gender, and Hispanic identities, and their interaction with peer victimization in predicting unhealthy weight control behaviors (UWCB) among New York City (NYC) youths. Using logistic regression with data from the 2011 NYC Youth Risk Behavior Survey, we examined the association of sexual identity, gender, ethnicity, and peer victimization (dating violence, bullying at school, electronic bullying) in predicting UWCB. Sexual minority youths, dating violence victims, and youths bullied at school had 1.97, 3.32, and 1.74 times higher odds of UWCB than their counterparts, respectively (P < 0.001). The three-way interaction terms between (i) dating violence, gender, and sexual identity and (ii) electronic bullying, gender, and sexual identity were statistically significant. The effect of dating violence on unhealthy weight control practices was strongest among sexual minority males (OR = 4.9), and the effect of electronic bullying on unhealthy weight control practices was strongest among non-sexual minority males (OR = 2.9). Sexual minority and gender identities interact with peer victimization in predicting unhealthy weight control practices among NYC youths. To limit the prevalence and effect of dating violence and electronic bullying among youths, interventions should consider that an individual's experiences are based on multiple identities that can be linked to more than one ground of discrimination.
我们研究了性少数群体、性别和西班牙裔身份的交集，以及它们与同伴侵害在预测纽约市（NYC）青少年不健康体重控制行为（UWCB）中的相互作用。我们使用来自 2011 年纽约市青少年风险行为调查的数据，通过逻辑回归，研究了性身份、性别、种族和同伴侵害（约会暴力、学校欺凌、电子欺凌）与 UWCB 预测之间的关联。性少数群体青少年、约会暴力受害者和在学校被欺凌的青少年，其 UWCB 的可能性分别是其同龄人的 1.97 倍、3.32 倍和 1.74 倍（P<0.001）。（i）约会暴力、性别和性身份以及（ii）电子欺凌、性别和性身份之间的三个交互项在统计学上具有显著性。约会暴力对不健康体重控制行为的影响在性少数群体男性中最强（OR=4.9），而电子欺凌对不健康体重控制行为的影响在非性少数群体男性中最强（OR=2.9）。性少数群体和性别身份与同伴侵害相互作用，预测纽约市青少年不健康体重控制行为。为了限制青少年中约会暴力和电子欺凌的流行和影响，干预措施应考虑到个体的经历是基于多种身份的，这些身份可能与不止一种歧视理由有关。
