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童年期性别不一致与青少年及青年期的亲密伴侣暴力行为

Childhood Gender Nonconformity and Intimate Partner Violence in Adolescence and Young Adulthood.

作者信息

Adhia Avanti, Gordon Allegra R, Roberts Andrea L, Fitzmaurice Garrett M, Hemenway David, Austin S Bryn

机构信息

Harvard T.H. Chan School of Public Health, Boston, MA, USA.

Boston Children's Hospital, MA, USA.

出版信息

J Interpers Violence. 2021 Mar;36(5-6):NP3130-NP3152. doi: 10.1177/0886260518770643. Epub 2018 Apr 21.

Abstract

Childhood gender nonconformity has been associated with numerous adverse experiences, including peer bullying and homophobic violence. However, little is known about gender nonconformity in the context of intimate relationships, independent of sexual orientation. This study aimed to examine associations between childhood gender nonconformity and intimate partner violence (IPV) in adolescence and early adulthood. Using data from the 2007 wave of the U.S. Growing Up Today Study ( = 7,641, mean age = 22.8 years), we estimated risk ratios (RRs) for the association of gender nonconformity up to age 11 years and lifetime IPV victimization and perpetration. Models were adjusted for demographic characteristics, including sexual orientation identity. We assessed effect modification by gender and examined whether childhood abuse mediated the association between nonconformity and IPV. Males in the top decile of nonconformity were at elevated risk of IPV victimization (RR = 1.40, 95% confidence interval [CI] = [1.15, 1.71]) and IPV perpetration (RR = 2.34, 95% CI = 1.54, 3.56) compared with those below median nonconformity, adjusting for sexual orientation and demographic characteristics. There was no evidence of a similar association for females in the top decile of gender nonconformity. Childhood abuse did not mediate IPV disparities by gender nonconformity. We identify gender nonconformity as an important risk indicator for IPV victimization and perpetration among young adult males, independent of sexual orientation. Findings highlight the vulnerability of boys and men who do not conform to societal gender norms and the importance of studying gender expression as a determinant of violence. IPV prevention efforts may be improved with more explicit focus on socially constructed gender norms and support for diverse gender expressions. Further research into the pathways between nonconformity and IPV and in more diverse populations is needed to build a more comprehensive understanding of the unique experiences gender nonconforming youth face.

摘要

童年期的性别不一致与众多不良经历相关,包括同伴欺凌和恐同暴力。然而,在亲密关系背景下,独立于性取向的性别不一致情况却鲜为人知。本研究旨在探讨童年期性别不一致与青少年期及成年早期亲密伴侣暴力(IPV)之间的关联。利用美国“今日成长研究”2007年的数据(n = 7641,平均年龄 = 22.8岁),我们估计了11岁之前的性别不一致与终身IPV受害及施暴之间关联的风险比(RRs)。模型针对包括性取向身份在内的人口统计学特征进行了调整。我们评估了性别对效应的修正作用,并检验了童年期虐待是否介导了性别不一致与IPV之间的关联。与性别不一致处于中位数以下的男性相比,处于性别不一致最高十分位的男性遭受IPV侵害(RR = 1.40,95%置信区间[CI] = [1.15, 1.71])和实施IPV(RR = 2.34,95% CI = 1.54, 3.56)的风险更高,同时对性取向和人口统计学特征进行了调整。没有证据表明处于性别不一致最高十分位的女性存在类似关联。童年期虐待并未介导因性别不一致导致的IPV差异。我们将性别不一致确定为年轻成年男性中IPV受害及施暴的一个重要风险指标,独立于性取向。研究结果凸显了不符合社会性别规范的男孩和男性的脆弱性,以及将性别表达作为暴力决定因素进行研究的重要性。更明确地关注社会建构的性别规范并支持多样化的性别表达,可能会改进IPV预防工作。需要对性别不一致与IPV之间的途径以及更多样化的人群进行进一步研究,以更全面地了解性别不一致青少年所面临的独特经历。

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