Johns Hopkins University, Baltimore, MD, USA.
Casa de Esperanza: National Latino Network, St Paul, MN, USA.
J Interpers Violence. 2022 Sep;37(17-18):NP15130-NP15152. doi: 10.1177/0886260521997944. Epub 2021 Mar 6.
The current study examined the prevalence and mental health associated with physical and sexual dating violence among adolescents using an intersectional analysis. Data were obtained from 88,219 adolescents in the Youth Risk Behavior Surveillance Survey. Gender, race/ethnicity, sexual orientation, and experiences with teen dating violence were measured for each youth. Tested two- and three-way interactions demonstrate varied outcomes by social identification and emphasize the need for an intersectional approach in dating violence research. Adolescent dating violence was most prevalent among girls (10% physical, 13% sexual); adolescents were racially identified as Native North American (13% physical, 10% sexual), Hawaiian/Pacific Islander (12% physical, 14% sexual), or multiracial (11% physical, 12% sexual), and lesbian, gay, bisexual, or questioning their sexual orientation (LGBQ) adolescents (19% physical, 20% sexual). The intersectional groups with the highest rates of physical and sexual dating violence included Latinx GBQ boys (26% physical, 26% sexual) and Hawaiian/Pacific Islander GBQ boys (29% physical, 32% sexual). Among girls, highest rates were observed among Hawaiian/Pacific Islander LBQ (24% physical, 23% sexual). Externalizing symptoms associated with physical dating violence were most robust for risky sexual behavior (OR = 4.0), followed by physical fighting (OR = 3.0), and weapon carrying (OR = 2.5); they were also associated with sexual dating violence (ORs = 1.9-2.2). Internalizing symptoms were comparably associated with both types of dating violence (ORs = 2.6-2.9 physical and ORs = 2.4-2.8 sexual). Findings suggest first that an intersectional approach is especially informative in teen dating violence prevention and intervention and second that teen dating violence interventions and prevention programming should use a trauma-informed, gender-responsive, culturally sensitive, and LGBQ inclusive approach.
本研究采用交叉分析方法，调查了青少年中身体和性约会暴力的流行情况及其与心理健康的关系。数据来自青年风险行为监测调查中的 88219 名青少年。对每个青少年的性别、种族/民族、性取向和青少年约会暴力经历进行了测量。测试了两维和三维交互作用，根据社会认同展示了不同的结果，并强调了在约会暴力研究中采用交叉方法的必要性。青少年约会暴力在女孩中最为普遍（10%的身体暴力，13%的性暴力）；在种族上，青少年被认定为北美原住民（13%的身体暴力，10%的性暴力）、夏威夷/太平洋岛民（12%的身体暴力，14%的性暴力）或多种族（11%的身体暴力，12%的性暴力），以及女同性恋、男同性恋、双性恋或对其性取向存疑的青少年（19%的身体暴力，20%的性暴力）。身体和性约会暴力发生率最高的交叉群体包括拉丁裔男同性恋青少年（26%的身体暴力，26%的性暴力）和夏威夷/太平洋岛民男同性恋青少年（29%的身体暴力，32%的性暴力）。在女孩中，最高的发生率出现在夏威夷/太平洋岛民女同性恋青少年中（24%的身体暴力，23%的性暴力）。与身体约会暴力相关的外化症状在与危险性行为（OR=4.0）最显著，其次是身体打架（OR=3.0）和携带武器（OR=2.5）；它们也与性约会暴力相关（ORs=1.9-2.2）。内化症状与两种类型的约会暴力都有相似的关联（ORs=2.6-2.9 的身体暴力和 ORs=2.4-2.8 的性暴力）。研究结果表明，首先，交叉方法在青少年约会暴力预防和干预方面尤其具有启发性，其次，青少年约会暴力干预和预防计划应采用创伤知情、性别响应、文化敏感和包容女同性恋、男同性恋、双性恋和跨性别者的方法。
