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LGB prevalence in schools is associated with unhealthy weight-control behaviors in lesbian, gay, and bisexual youth: a multilevel analysis.
Santos, Carolina da Franca Bandeira Ferreira; Godoy, Fabiana; de Menezes, Valdenice Aparecida; Colares, Viviane; de Araújo Zarzar, Patrícia Maria Pereira; Ferreira, Raquel C; Kawachi, Ichiro.
Afiliação
  • Santos CDFBF; Graduate Program in Hebiatrics - School of Dentistry, University of Pernambuco, Av. Gov. Agamenon Magalhães - Santo Amaro, Recife, PE, 50100-010, Brazil. carolina.franca@upe.br.
  • Godoy F; Graduate Program in Hebiatrics - School of Dentistry, University of Pernambuco, Av. Gov. Agamenon Magalhães - Santo Amaro, Recife, PE, 50100-010, Brazil.
  • de Menezes VA; Graduate Program in Hebiatrics - School of Dentistry, University of Pernambuco, Av. Gov. Agamenon Magalhães - Santo Amaro, Recife, PE, 50100-010, Brazil.
  • Colares V; Graduate Program in Hebiatrics - School of Dentistry, University of Pernambuco, Av. Gov. Agamenon Magalhães - Santo Amaro, Recife, PE, 50100-010, Brazil.
  • de Araújo Zarzar PMP; Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Minas Gerais, R. Prof. Moacir Gomes de Freitas, 688 - Pampulha, Belo Horizonte, MG, 31270-901, Brazil.
  • Ferreira RC; Social and Preventive Dentistry, School of Dentistry, Federal University of Minas Gerais, R. Prof. Moacir Gomes de Freitas, 688 - Pampulha, Belo Horizonte, MG, 31270-901, Brazil.
  • Kawachi I; Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA, 02115, USA.
BMC Public Health ; 21(1): 1256, 2021 06 29.
Article em En | MEDLINE | ID: mdl-34187426
BACKGROUND: Previous studies have found that a school climate of more heteronormativity is associated with adverse effects on the mental health of LGB students. Accordingly, our aim was to assess the association between lower LGB prevalence in schools and unhealthy weight-control behaviors among LGB youth. METHODS: A cross-sectional, multilevel study based in public high schools in the city of Olinda, Northeast Brazil. A multilevel logistic regression was performed, including 2500 adolescents enrolled in 27 schools. The contextual variable was the prevalence of LGB youth in each school (as a proxy for heteronormativity in schools), while the outcome was unhealthy weight-control behaviors (fasting, purging, and taking diet pills). We controlled for socioeconomic characteristics (age, sex, receiving a family allowance), obesity, and self-reported happiness. RESULTS: Lower LGB prevalence in schools was associated with higher odds of engaging in unhealthy weight-control behaviors (OR: 1.5, 95%CI: 1.0, 2.2) among all youth, regardless of sexual orientation. No cross-level interactions between school context and individual characteristics were statistically significant. CONCLUSION: Lower LGB prevalence in schools was associated with a higher risk of unhealthy weight-control behaviors in youth regardless of sexual orientation, which may reflect either the contextual influence of school climate, or may be due to residual confounding.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Minorias Sexuais e de Gênero Tipo de estudo: Observational_studies / Prevalence_studies Limite: Adolescent / Female / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: BMC Public Health Assunto da revista: SAUDE PUBLICA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Minorias Sexuais e de Gênero Tipo de estudo: Observational_studies / Prevalence_studies Limite: Adolescent / Female / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: BMC Public Health Assunto da revista: SAUDE PUBLICA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido