ArticlePublisher preview availableLiterature Review

Gay-Straight Alliances are Associated with Lower Levels of School-Based Victimization of LGBTQ+ Youth: A Systematic Review and Meta-analysis

Authors:
To read the full-text of this research, you can request a copy directly from the authors.

Abstract and Figures

Gay-straight alliances (GSAs) are school-based organizations for lesbian, gay, bisexual, transgender, and queer (LGBTQ+) youth and their allies that often attempt to improve school climate for sexual and gender minority youth. This meta-analysis evaluates the association between school GSA presence and youth’s self-reports of school-based victimization by quantitatively synthesizing 15 primary studies with 62,923 participants. Findings indicate GSA presence is associated with significantly lower levels of youth’s self-reports of homophobic victimization, fear for safety, and hearing homophobic remarks, and these results are robust, controlling for a variety of study-level factors. The findings of this meta-analysis provide evidence to support GSAs as a means of protecting LGTBQ+ youth from school-based victimization.
This content is subject to copyright. Terms and conditions apply.
EMPIRICAL RESEARCH
Gay-Straight Alliances are Associated with Lower Levels
of School-Based Victimization of LGBTQ+ Youth: A Systematic
Review and Meta-analysis
Robert A. Marx
1
Heather Hensman Kettrey
2
Received: 18 March 2016 / Accepted: 13 May 2016 / Published online: 24 May 2016
Springer Science+Business Media New York 2016
Abstract Gay-straight alliances (GSAs) are school-based
organizations for lesbian, gay, bisexual, transgender, and
queer (LGBTQ?) youth and their allies that often attempt
to improve school climate for sexual and gender minority
youth. This meta-analysis evaluates the association
between school GSA presence and youth’s self-reports of
school-based victimization by quantitatively synthesizing
15 primary studies with 62,923 participants. Findings
indicate GSA presence is associated with significantly
lower levels of youth’s self-reports of homophobic vic-
timization, fear for safety, and hearing homophobic
remarks, and these results are robust, controlling for a
variety of study-level factors. The findings of this meta-
analysis provide evidence to support GSAs as a means of
protecting LGTBQ?youth from school-based
victimization.
Keywords Gay-straight alliances LGBTQ?youth
Victimization Bullying
Introduction
School-based victimization (i.e., bullying, harassment, and
engendering of fear) is a serious problem threatening the
health and psychosocial development of adolescents.
Results from the 2013 Youth Risk Behavior Surveillance
survey, a nationally representative survey of students in
grades nine through twelve, indicated that 19.6 % of
respondents had been victimized on school property (i.e.,
repeatedly teased, victimized by rumors, hit, shoved, or
hurt by one or more students) within the 12-month period
prior to the survey (Kann et al. 2014). This prevalence rate
is alarming considering that school-based victimization is
associated with both immediate and long-term deleterious
outcomes, including poor psychosocial adjustment (Nansel
et al. 2001), increased suicidality (Rigby and Slee 1999),
delinquency (Hanish and Guerra 2002), poor physical
health (Nishina et al. 2005), and poor academic outcomes
(Schwartz et al. 2005).
Although school-based victimization can potentially
affect all students, certain sub-populations are at greater
risk not only for increased victimization but also for dif-
ferential negative effects of such victimization. Adoles-
cents who are perceived to be lesbian, gay, bisexual,
transgender, queer, or gender non-conforming (LGBTQ?)
are at an elevated risk for victimization (Berlan et al. 2010;
Dempsey 1994; Schneider et al. 2012). Further, homo-
phobic victimization can have detrimental consequences on
the development of LGBTQ?youth, as it has been asso-
ciated with negative outcomes such as depression (Poteat
and Espelage 2007; Russell et al. 2011; Toomey et al.
2010), substance use (Bontempo and D’Augelli 2002;
Espelage et al. 2008; Goldbach et al. 2014), and suicidality
(Bontempo and D’Augelli 2002; Friedman et al. 2006;
Russell et al. 2011). In fact, homophobic victimization is
more strongly associated with depression and suicidal
ideation than non-homophobic victimization of youth
(Patrick et al. 2013).
Given these negative outcomes, it is clear that address-
ing school-based victimization is vital for promoting the
&Robert A. Marx
robert.a.marx@vanderbilt.edu
1
Department of Human and Organizational Development,
Peabody College of Education, Vanderbilt University, 230
Appleton Place, Nashville, TN 37203-5721, USA
2
Peabody Research Institute, Vanderbilt University, Nashville,
TN, USA
123
J Youth Adolescence (2016) 45:1269–1282
DOI 10.1007/s10964-016-0501-7
Content courtesy of Springer Nature, terms of use apply. Rights reserved.
... At the school level, the presence of GSAs has been linked to positive school climate and other school-related constructs for both LGBTQ and cisgender, heterosexual students. A meta-analysis found that GSA presence in schools was associated with less homophobic victimization and greater perceived safety among high school students (Marx & Kettrey, 2016). Relevant to the current study, the presence of a GSA club has been linked with other school characteristics: schools with GSAs tend to have higher student enrollment, greater ethnic diversity, a lower proportion of low SES students, and a higher proportion of LGBTQ students (Baams et al., 2018). ...
... Prevention efforts could focus on training and support for teachers to build classroom management skills, while school leadership could focus on strategies to reduce class sizes. Additionally, promoting resources such as GSAs can help mitigate the risks associated with high student loads for teachers (Marx & Kettrey, 2016). ...
... Finally, the OLS model indicated lower rates of homophobic bullying in schools with GSAs, consistent with studies associating GSA presence with reduced bullying risk and enhanced student safety (Marx & Kettrey, 2016). However, the GWR model revealed significant regional disparities in the protective association of GSAs for homophobic bullying. ...
Article
Full-text available
Homophobic bullying constitutes a serious threat to adolescent well-being and could be understood as an ecological phenomenon, influenced by diverse school, regional, and community contexts. This study examined geographic variations in the relationship between school characteristics and homophobic bullying. Data from 2244 California schools, including student surveys and administrative records, were combined and analyzed using geographically weighted regression (GWR). Results showed that the associations between school characteristics and general victimization were consistent across geographic areas. However, when it came to homophobic bullying, the relationships with school characteristics varied significantly based on location. Notably, regions with high intolerance, urbanity, large school size, and small student–teacher ratios appeared to offer protection against bullying. Additionally, student socioeconomic status influenced bullying in disadvantaged rural schools with limited Gay-Straight Alliance (GSA) presence. Ethnic diversity also played a role, with low diversity or dominance of two ethnic groups linked to higher bullying rates.
... GSAs are school-based extracurricular groups, or clubs, where all students come together to discuss issues related to gender and sexuality, typically from a social justice oriented perspective (Baams & Russell, 2021). The mere presence of a GSA is linked to positive impacts on school climate, youth mental health, and academic functioning (Marx & Kettrey, 2016;Poteat et al., 2013). Further, research has shown that greater engagement in GSAs can lead to an increase in perceived peer validation, self-efficacy to promote social justice, and hope, indirectly resulting in decreased anxiety and depression (Poteat et al., 2020). ...
Article
Full-text available
Despite growing concerns related to the youth mental health crisis and the well-being of sexual and gender minority youth, specifically, most mental health interventions fail to meet the unique needs of this population. Research and clinical guidance have recommended that approaching mental health treatments through a lens of minority stress and intersectionality can be particularly helpful in addressing the mental health concerns of LGBTQIA+ (lesbian, gay, bisexual, transgender, questioning/queer, intersex, and asexual, with the ‘+’ capturing other identities within the gender and sexually diverse population) youth. Because many adolescents do not have access to mental health care, schools have an important role to play in meeting the mental health needs of LGBTQIA+ youth. To address these issues, we propose LGBTQIA+ affirming adaptations to the dialectical behavior therapy (DBT) Skills Training for Emotional Problem Solving for Adolescents (STEPS-A) curriculum using Pachankis et al.’s (2023) Adaptation Model to provide practitioners with a culturally affirming model of this social–emotional curriculum, while highlighting the utility of this framework in adapting other evidence-based interventions in schools. We walk readers through each module of DBT STEPS-A and provide rationale for adapting these skills for LGBTQIA+ youth. We offer specific adaptations that facilitators can make through psychoeducation and skills training. For example, we provide sample dialectics that mirror the experience of minority stress and propose examples of coping skills that are relevant for LGBTQIA+ youth (e.g., distracting and self-soothing to tolerate distress). Finally, the role of school psychologists in meeting the mental health needs of LGBTQIA+ youth is discussed along with implications for practice and future research.
... These findings provide support for other studies indicating the importance of these direct and indirect distal gender minority stressors in determining trans health (Strauss et al., 2020;Tan et al., 2019). Although these psychosocial experiences span many settings-including schools, workplaces, home, and community-recent research has highlighted the role played by educational settings in in mediating mental health outcomes among trans young people (Green et al., 2018;Marx and Kettrey 2016;Day et al., 2020;Ancheta et al., 2021). Schools are well-placed to affirm and support trans young people through delivering trans-affirming peer support, counselling support, and referral pathways, as well as trans-inclusive facilities, curriculum, and administration (US Department of Health and Human Services. ...
Article
Full-text available
Though significant research highlights higher rates of mental ill-health and substance use among trans, non-binary and gender diverse (henceforth ‘trans’) young people, little research has considered patterns, contextual characteristics, and correlates of co-occurring experiences of mental ill-health and substance use among trans young people. Using data from the Trans Pathways study, we used prevalence ratios and age- and gender-adjusted logistic regression models to examine prevalence and differences of co-occurring substance use (past six-month cigarette use, alcohol use, and other drug use) and contextual characteristics of substance use (past six-month solitary alcohol and/or drug use, substance use for coping) by mental ill-health (depression disorder, anxiety disorder, past 12-month self-harm thoughts and behaviours, suicidal thoughts, planning, and attempt/s). Age- and gender-adjusted models assessed associations between co-occurring depressive and anxiety disorders and recent cigarette, alcohol, and other drug use (six co-occurring items total) and 18 interpersonal stressors. Significantly increased odds of smoking or recent use of cannabis or sedatives was observed among trans young people reporting depressive disorder, anxiety disorder (aORs ranging 1.8–3.1). Trans young people who reported recent smoking or use of cannabis, inhalants, or sedatives, had 40% to 80% reduced odds of past 12-month self-harm thoughts, self-harm behaviours, suicidal thoughts, and suicide attempt/s (aORs ranging 0.2–0.6). On the other hand, solitary alcohol and/or other drug use and substance use for coping was significantly associated with increased odds of all mental ill-health outcomes. Issues with school, secure housing, and intimate partner abuse were the most robust correlates of co-occurring mental ill-health and substance use. Trans young people using substances, especially cigarettes, cannabis, and sedatives, often so do with co-occurring experiences of depression and anxiety though limited substance use in more ‘social’ contexts may confer benefits for preventing self-harm and suicide thoughts and behaviours. Continued research in partnership with trans young people is warranted to conceptualise more nuanced and precise conceptual parameters of trans-affirming substance use harm reduction approaches.
Article
Background Despite high rates of adolescent mental health problems, there are few effective school-based interventions to address this. Whole-school interventions offer a feasible and sustainable means of promoting mental health, but few have to date been evaluated. Previously we trialled the Learning Together intervention comprising local needs assessment, student and staff participation in decision-making, restorative practice, and a social and emotional skills curriculum. This was effective not only in preventing bullying (primary outcome), but also in promoting mental well-being and psychological functioning (secondary outcomes). Objective We aimed to adapt Learning Together to develop Learning Together for Mental Health, focused on promoting mental health. This paper reports on how we refined and elaborated intervention materials to produce the Learning Together for Mental Health intervention including through patient and public involvement and engagement. Design We reviewed evidence to inform choice of the curriculum component and the contents of our needs assessment survey. We conducted patient and public involvement and engagement with school staff and students, and children and young people from the National Children’s Bureau to adapt the intervention. We also conducted a systematic review of reviews to inform a menu of evidence-based actions, but this is reported separately. Setting Southern England. Participants Patient and public involvement and engagement was conducted with four staff and five students from one secondary school, and a group of two school senior leadership team members from different schools, and about eight children and young people who were members of the Young National Children’s Bureau. Interventions None. Results We refined and elaborated our initial plans for Learning Together for Mental Health to generate an intervention supported by full materials, training and external facilitation. We focused needs assessment on mental health, added a menu of evidence-based whole-school mental health actions, and switched to a different social and emotional skills curriculum. We retained restorative practice and staff/student involvement in decisions. No further refinements were made to the intervention theory of change or overall approach. Patient and public involvement and engagement was useful, but not all suggestions were acted on either because some participants suggested dropping pre-determined elements (e.g. needs survey) or because suggestions (e.g. to include aromatherapy) lacked evidence of effectiveness. Limitations Not all of our engagements with patient and public involvement and engagement stakeholders were sustained over time. Our patient and public involvement and engagement work was affected by its having occurred within the recovery period from COVID-19 when schools were more stressed than normal. We had planned for the school involved in patient and public involvement and engagement to be above average in student free-school-meals eligibility, but the school initially recruited dropped out at the last minute. Its replacement had a lower-than-average rate of free-school-meal entitlement. Conclusions This paper reports on the process of adaptation and reflects on the various ways in which engagement and evidence review were useful in this process. We found that it is possible to refine interventions and elaborate them to provide full materials and support via processes drawing on evidence review and patient and public involvement and engagement. The latter proved valuable in informing refinement of Learning Together for Mental Health in terms of ensuring its feasibility, acceptability, and inclusiveness. However, in our opinion, not all suggestions from patient and public involvement and engagement can or should be acted on, especially when they do not align with the evidence base. Future work A feasibility study to optimise the intervention and assess whether progression to a full trial is justified. Funding This article presents independent research funded by the National Institute for Health and Care Research (NIHR) Public Health Research programme as award number NIHR131594.
Article
In order to promote school safety for sexual and gender minority youth (SGMY), many schools implement strategies such as SGM‐focused policies and gender‐sexuality alliances (GSAs). Little is known about the effects such strategies have over time on feelings of safety at school for SGMY. Hierarchical Linear Models were conducted using longitudinal data from 417 SGMY attending secondary schools to examine trajectories of feelings of safety and the effects of SGM‐focused policies, GSA presence, or GSA membership on feelings of safety. Findings indicate that SGM‐focused policies and GSAs had direct benefits for safety at school SGMY, both independently and in combination; however, GSA membership was not. Schools should implement a combination of school strategies to promote safer environments for SGMY.
Technical Report
Full-text available
Este mapa de evidências apresenta resultados de efetividade das intervenções realizadas em escolas, recuperadas da literatura científica global, e que têm relação com as treze ações previstas no Programa Saúde na Escola.
Article
Full-text available
Systematic reviews should build on a protocol that describes the rationale, hypothesis, and planned methods of the review; few reviews report whether a protocol exists. Detailed, well-described protocols can facilitate the understanding and appraisal of the review methods, as well as the detection of modifications to methods and selective reporting in completed reviews. We describe the development of a reporting guideline, the Preferred Reporting Items for Systematic reviews and Meta-Analyses for Protocols 2015 (PRISMA-P 2015). PRISMA-P consists of a 17-item checklist intended to facilitate the preparation and reporting of a robust protocol for the systematic review. Funders and those commissioning reviews might consider mandating the use of the checklist to facilitate the submission of relevant protocol information in funding applications. Similarly, peer reviewers and editors can use the guidance to gauge the completeness and transparency of a systematic review protocol submitted for publication in a journal or other medium.
Article
"From interviews with seventy-six teenage girls in five locations and from observations of their political strategies, Taft builds an in-depth picture of girl activism in different socio-cultural and political environments, comparing the more politicized and radical activism in Latin America to that practiced in North America."
Article
In an adult-dominated society, teenagers are often shut out of participation in politics. We Fight to Win offers a compelling account of young people's attempts to get involved in community politics, and documents the battles waged to form youth movements and create social change in schools and neighborhoods.Hava Rachel Gordon compares the struggles and successes of two very different youth movements: a mostly white, middle-class youth activist network in Portland, Oregon, and a working-class network of minority youth in Oakland, California. She examines how these young activists navigate schools, families, community organizations, and the mainstream media, and employ a variety of strategies to make their voices heard on some of today's most pressing issuesùwar, school funding, the environmental crisis, the prison industrial complex, standardized testing, corporate accountability, and educational reform. We Fight to Win is one of the first books to focus on adolescence and political action and deftly explore the ways that the politics of youth activism are structured by age inequality as well as race, class, and gender.
Article
“Sexuality” as a cultural notion has gradually expanded since the 1960s to include a broad spectrum of identities, rights, and communities. In effect, this has enlarged the meaning of “diversity” in neoliberal democracy. More than a generation ago, subjects of studies concerning such issues exclusively engage adults, keeping the youth out of its purview. It reflected the researcher's naivety pertaining to the sexual awareness among the youth. Indeed, only later did advocates move to encompass sexuality as a larger social empowerment for youth. The holistic rejection of sexuality vis-à-vis the youth propelled the youth community to consolidate into enhanced interaction aimed at social justice in cultural spaces. It led to the phenomenon of gay-straight alliances (GSA) as a bulwark against sexual inequality. This chapter appraises the effectiveness of GSA of teachers, administrators, students, and students' families and friends in mitigating suppressed social subjectivity in terms of sexuality.
Article
Gay-Straight Alliances (GSAs) are school-based youth settings that could promote health. Yet, GSAs have been treated as homogenous without attention to variability in how they operate or to how youth are involved in different capacities. Using a systems perspective, we considered two primary dimensions along which GSAs function to promote health: providing socializing and advocacy opportunities. Among 448 students in 48 GSAs who attended six regional conferences in Massachusetts (59.8 % LGBQ; 69.9 % White; 70.1 % cisgender female), we found substantial variation among GSAs and youth in levels of socializing and advocacy. GSAs were more distinct from one another on advocacy than socializing. Using multilevel modeling, we identified group and individual factors accounting for this variability. In the socializing model, youth and GSAs that did more socializing activities did more advocacy. In the advocacy model, youth who were more actively engaged in the GSA as well as GSAs whose youth collectively perceived greater school hostility and reported greater social justice efficacy did more advocacy. Findings suggest potential reasons why GSAs vary in how they function in ways ranging from internal provisions of support, to visibility raising, to collective social change. The findings are further relevant for settings supporting youth from other marginalized backgrounds and that include advocacy in their mission.
Article
The author explores significant points of intersection between foundational tenets of the social studies and the lessons learned by students in the Gay Straight Alliance (GSA) at one Midwestern high school. He suggests new ways social studies researchers and teachers might conceptualize the ideas and themes promoted in GSAs and apply them directly to social studies content and/or standards. The research is informed by Judith Butler's articulation of “performativity” of gender and Queer Theory and draws on ethnographic fieldwork conducted over the course of 1 school year as well as in-depth interviews with GSA members. Findings suggest students' attention to gender scripts combined with the knowledge they gained from selected lesbian, gay, bisexual, transgender (LGBT), and queer-focused topics have strong implications for changing the landscape of social education. The author concludes that social studies education has an opportunity to broaden students' understanding of social education, to undo parts of the harmful impact on students' lives created by the hidden curriculum, and increase the relevance of the social studies in the lives of all students based on lessons learned in the GSA.
Article
Objective We examined the relationships between victimization from being bullied, suicide, hopelessness, and the presence of a Gay-Straight Alliance (GSA) on a school campus. Method We analyzed data from the California Healthy Kids Survey from 2005-2007 utilizing hierarchical modeling. Results We found that gay-bias (versus non-gay-bias) victimization is meaningfully connected with the inwardly destructive behavior of attempted suicide among adolescents. We also found that hopelessness helps explain associations between gay-bias victimization and suicide attempts and that the presence of a GSA club on a school’s campus attenuates significant connections between gay-bias victimization and suicide attempts by reducing hopelessness. Conclusion Gay-bias victims are more likely than other victims to attempt suicide while also feeling more hopeless. The presence of a GSA on campus may help reduce the attempted suicide and hopelessness associated with gay-bias victimization.