TY - JOUR
T1 - Evaluating Litigation as a Structural Strategy for Addressing Bias-Based Bullying among Youth
AU - Hatzenbuehler, Mark L.
AU - McKetta, Sarah
AU - Kim, Robert
AU - Leung, Solomon
AU - Prins, Seth J.
AU - Russell, Stephen T.
N1 - Funding Information:
Accepted for Publication: June 9, 2021. Published Online: October 11, 2021. doi:10.1001/jamapediatrics.2021.3660 Author Contributions: Dr McKetta had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Study concept and design: Hatzenbuehler, Kim, Prins, Russell. Acquisition, analysis, or interpretation of data: McKetta, Kim, Leung, Prins, Russell. Drafting of the manuscript: Hatzenbuehler, McKetta, Leung. Critical revision of the manuscript for important intellectual content: McKetta, Kim, Prins, Russell. Statistical analysis: McKetta, Kim, Prins. Obtained funding: Hatzenbuehler, Russell. Administrative, technical, or material support: Leung, Russell. Study supervision: Hatzenbuehler, Prins, Russell. Conflict of Interest Disclosures: Dr Hatzenbuehler has received grants from the National Institutes of Health and the US Centers for Disease Control and Prevention. Dr Kim has received a grant from the William T. Grant Foundation. Dr Prins has received grants from the National Institutes of Health. Dr Russell has received grants from the National Institutes of Health and the William T. Grant Foundation. No other disclosures were reported. Funding/Support: We acknowledge funding from the William T. Grant Foundation. The California Healthy Kids Survey was developed by WestEd under contract to the California Department of Education. Administrative support for this research was also provided by grant R24HD042849 awarded to the Population Research Center at The University of Texas at Austin by the Eunice Kennedy Shriver National Institute of Child Health and Human Development. We acknowledge generous support from the Communities for Just Schools Fund Project at the New Venture Fund and from the Priscilla Pond Flawn Endowment at the University of Texas at Austin (Dr Russell). Role of the Funder/Sponsor: The funders had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.
Publisher Copyright:
© 2022 American Medical Association. All rights reserved.
PY - 2022/1
Y1 - 2022/1
N2 - Importance: Homophobic bullying - which is motivated by actual or perceived sexual orientation - is a common experience among youth and is more strongly associated with adverse outcomes than bullying unrelated to bias. Yet current approaches to reducing homophobic bullying either lack empirical evidence or encounter significant obstacles. Thus, the field requires the identification of strategies that hold promise for reducing homophobic bullying. Objective: To examine whether litigation is associated with reductions in homophobic bullying. Design, Setting, and Participants: In this quasi-experimental study, difference-in-difference analysis was used to estimate the association between litigation and homophobic bullying, comparing students in schools that experienced litigation with students in schools that did not experience litigation, controlling for individual and school characteristics, study year, and county. Survey responses came from high school students from 499 schools participating in the California Healthy Kids Survey, the largest statewide survey of youth risk behaviors and protective factors, between 2001 and 2016. Legal data were collected from September 2018 to September 2019, and data were analyzed from February 2020 to April 2021. Exposures: Outcomes of litigation related to sexual orientation-based harassment and discrimination in California schools occurring after 2000. Main Outcomes and Measures: Student reports of homophobic bullying. Results: Of 1448778 included participants, 706258 (48.7%) were male, 563973 (38.9%) were White, and the mean (SD) age was 14.6 (1.7) years. For cases where the plaintiff (student) secured monetary and/or injunctive relief through settlement or court decision, there was a 23% reduction in the ratio of odds ratios (ROR) of homophobic bullying in schools directly involved in the litigation relative to schools that did not experience litigation (ROR, 0.77; 95% CI, 0.68-0.86). These benefits of litigation spilled over into schools in the same district as the schools experiencing litigation (ROR, 0.76; 95% CI, 0.70-0.81). However, homophobic bullying slightly increased in the school and district where the defendant (school) avoided adverse legal consequences, suggesting potential backlash. Conclusions and Relevance: Litigation seeking to address alleged violations of the rights of students who are (or are perceived to be) lesbian, gay, bisexual, or transgender under laws prohibiting harassment or discrimination may lead to reductions in rates of homophobic bullying, with effect sizes comparable with that of resource-intensive school-based bullying interventions. These findings set the stage for future studies to evaluate the consequences of different litigation efforts aimed at redressing stigma-based harms among youth..
AB - Importance: Homophobic bullying - which is motivated by actual or perceived sexual orientation - is a common experience among youth and is more strongly associated with adverse outcomes than bullying unrelated to bias. Yet current approaches to reducing homophobic bullying either lack empirical evidence or encounter significant obstacles. Thus, the field requires the identification of strategies that hold promise for reducing homophobic bullying. Objective: To examine whether litigation is associated with reductions in homophobic bullying. Design, Setting, and Participants: In this quasi-experimental study, difference-in-difference analysis was used to estimate the association between litigation and homophobic bullying, comparing students in schools that experienced litigation with students in schools that did not experience litigation, controlling for individual and school characteristics, study year, and county. Survey responses came from high school students from 499 schools participating in the California Healthy Kids Survey, the largest statewide survey of youth risk behaviors and protective factors, between 2001 and 2016. Legal data were collected from September 2018 to September 2019, and data were analyzed from February 2020 to April 2021. Exposures: Outcomes of litigation related to sexual orientation-based harassment and discrimination in California schools occurring after 2000. Main Outcomes and Measures: Student reports of homophobic bullying. Results: Of 1448778 included participants, 706258 (48.7%) were male, 563973 (38.9%) were White, and the mean (SD) age was 14.6 (1.7) years. For cases where the plaintiff (student) secured monetary and/or injunctive relief through settlement or court decision, there was a 23% reduction in the ratio of odds ratios (ROR) of homophobic bullying in schools directly involved in the litigation relative to schools that did not experience litigation (ROR, 0.77; 95% CI, 0.68-0.86). These benefits of litigation spilled over into schools in the same district as the schools experiencing litigation (ROR, 0.76; 95% CI, 0.70-0.81). However, homophobic bullying slightly increased in the school and district where the defendant (school) avoided adverse legal consequences, suggesting potential backlash. Conclusions and Relevance: Litigation seeking to address alleged violations of the rights of students who are (or are perceived to be) lesbian, gay, bisexual, or transgender under laws prohibiting harassment or discrimination may lead to reductions in rates of homophobic bullying, with effect sizes comparable with that of resource-intensive school-based bullying interventions. These findings set the stage for future studies to evaluate the consequences of different litigation efforts aimed at redressing stigma-based harms among youth..
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U2 - 10.1001/jamapediatrics.2021.3660
DO - 10.1001/jamapediatrics.2021.3660
M3 - Article
C2 - 34633443
AN - SCOPUS:85116932559
VL - 176
SP - 52
EP - 58
JO - A.M.A. American journal of diseases of children
JF - A.M.A. American journal of diseases of children
SN - 2168-6203
IS - 1
ER -