Evidence map›Paper›PMID 34187426›Full record

ArticleBMC public health2021

LGB prevalence in schools is associated with unhealthy weight-control behaviors in lesbian, gay, and bisexual youth: a multilevel analysis.

Carolina da Franca Bandeira Ferreira Santos, Fabiana Godoy, Valdenice Aparecida de Menezes, Viviane Colares, Patrícia Maria Pereira de Araújo Zarzar, Raquel C Ferreira, Ichiro Kawachi

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Carolina da Franca Bandeira Ferreira SantosGraduate Program in Hebiatrics - School of Dentistry, University of Pernambuco, Av. Gov. Agamenon Magalhães - Santo Amaro, Recife, PE, 50100-010, Brazil. carolina.franca@upe.br.ORCID 0000-0002-7365-2806
Fabiana GodoyGraduate Program in Hebiatrics - School of Dentistry, University of Pernambuco, Av. Gov. Agamenon Magalhães - Santo Amaro, Recife, PE, 50100-010, Brazil.
Valdenice Aparecida de MenezesGraduate Program in Hebiatrics - School of Dentistry, University of Pernambuco, Av. Gov. Agamenon Magalhães - Santo Amaro, Recife, PE, 50100-010, Brazil.
Viviane ColaresGraduate Program in Hebiatrics - School of Dentistry, University of Pernambuco, Av. Gov. Agamenon Magalhães - Santo Amaro, Recife, PE, 50100-010, Brazil.
Patrícia Maria Pereira de Araújo ZarzarPediatric 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.
Raquel C FerreiraSocial 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.
Ichiro KawachiSocial and Behavioral Sciences, Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA, 02115, USA.
Universidade de Pernambuco · BRUniversidade Federal de Minas Gerais · BRHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious 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.

methodsA 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.

resultsLower 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.

conclusionLower 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.

Indexed as

Sexual and Gender MinoritiesAdolescentBrazilCross-Sectional StudiesFemaleHumansMaleMultilevel AnalysisPrevalenceSchoolsAdolescentFeeding and eating disordersMultilevel analysisSchoolsSexual and gender minorities

Identifiers

PMID34187426
PMCPMC8244205
OpenAlexW3176258921

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.