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 1 448 778 included participants, 706 258 (48.7%) were male, 563 973 (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.
机构:
Providence Hlth & Serv, Ctr Outcomes Res & Educ CORE, Portland, OR USA
Providence Hlth & Serv, Ctr Outcomes Res & Educ CORE, 5251 NE Glisan St, Portland, OR 97213 USAProvidence Hlth & Serv, Ctr Outcomes Res & Educ CORE, Portland, OR USA
Gill, Monique
Govier, Diana
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机构:
Providence Hlth & Serv, Ctr Outcomes Res & Educ CORE, Portland, OR USA
VA Portland Hlth Care Syst, Ctr Improve Vet Involvement Care CIV, Portland, OR USAProvidence Hlth & Serv, Ctr Outcomes Res & Educ CORE, Portland, OR USA
机构:
Univ Minnesota, Dept Pediat, Div Gen Pediat & Adolescent Hlth, Minneapolis, MN USAUniv Minnesota, Dept Pediat, Div Gen Pediat & Adolescent Hlth, Minneapolis, MN USA
Lawrence, Samantha E.
Gower, Amy L.
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Univ Minnesota, Dept Pediat, Div Gen Pediat & Adolescent Hlth, Minneapolis, MN USAUniv Minnesota, Dept Pediat, Div Gen Pediat & Adolescent Hlth, Minneapolis, MN USA
Gower, Amy L.
Eadeh, Hana-May
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h-index: 0
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Univ Iowa, Dept Psychol & Brain Sci, Iowa City, IA USAUniv Minnesota, Dept Pediat, Div Gen Pediat & Adolescent Hlth, Minneapolis, MN USA
Eadeh, Hana-May
Cardona-Correa, Chris
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机构:
Childrens Minnesota, Dept Gen Pediat, Minneapolis, MN USAUniv Minnesota, Dept Pediat, Div Gen Pediat & Adolescent Hlth, Minneapolis, MN USA
Cardona-Correa, Chris
Thomas, De'Shay
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h-index: 0
机构:
Univ Minnesota, Dept Pediat, Div Gen Pediat & Adolescent Hlth, Minneapolis, MN USAUniv Minnesota, Dept Pediat, Div Gen Pediat & Adolescent Hlth, Minneapolis, MN USA
Thomas, De'Shay
Suresh, Malavika
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h-index: 0
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Univ Minnesota, Med Sch, Minneapolis, MN USAUniv Minnesota, Dept Pediat, Div Gen Pediat & Adolescent Hlth, Minneapolis, MN USA
Suresh, Malavika
del Rio-Gonzalez, Ana Maria
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机构:
George Washington Univ, Milken Inst Sch Publ Hlth, Dept Prevent & Community Hlth, Washington, DC USAUniv Minnesota, Dept Pediat, Div Gen Pediat & Adolescent Hlth, Minneapolis, MN USA
del Rio-Gonzalez, Ana Maria
Eisenberg, Marla E.
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h-index: 0
机构:
Univ Minnesota, Dept Pediat, Div Gen Pediat & Adolescent Hlth, Minneapolis, MN USAUniv Minnesota, Dept Pediat, Div Gen Pediat & Adolescent Hlth, Minneapolis, MN USA
机构:
Univ Minnesota, 717 Delaware St Southeast, Minneapolis, MN 55455 USAUniv Minnesota, 717 Delaware St Southeast, Minneapolis, MN 55455 USA
Kaja, Sarah M.
Gower, Amy L.
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h-index: 0
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Univ Minnesota, 717 Delaware St Southeast, Minneapolis, MN 55455 USAUniv Minnesota, 717 Delaware St Southeast, Minneapolis, MN 55455 USA
Gower, Amy L.
Parchem, Benjamin
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机构:
Lurie Childrens Hosp, Chicago, IL 60611 USA
Northwestern Univ, Evanston, IL USAUniv Minnesota, 717 Delaware St Southeast, Minneapolis, MN 55455 USA
Parchem, Benjamin
Adler, Samantha J.
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h-index: 0
机构:
Univ Minnesota, 717 Delaware St Southeast, Minneapolis, MN 55455 USAUniv Minnesota, 717 Delaware St Southeast, Minneapolis, MN 55455 USA
Adler, Samantha J.
Mcguire, Jenifer K.
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h-index: 0
机构:
Univ Minnesota, 717 Delaware St Southeast, Minneapolis, MN 55455 USAUniv Minnesota, 717 Delaware St Southeast, Minneapolis, MN 55455 USA
Mcguire, Jenifer K.
Rider, G. Nic
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h-index: 0
机构:
Univ Minnesota, 717 Delaware St Southeast, Minneapolis, MN 55455 USAUniv Minnesota, 717 Delaware St Southeast, Minneapolis, MN 55455 USA
Rider, G. Nic
Eisenberg, Marla E.
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h-index: 0
机构:
Univ Minnesota, 717 Delaware St Southeast, Minneapolis, MN 55455 USAUniv Minnesota, 717 Delaware St Southeast, Minneapolis, MN 55455 USA
机构:
Division of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota, 717 Delaware St. SE, Minneapolis, 55414, MNDivision of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota, 717 Delaware St. SE, Minneapolis, 55414, MN
Gower A.L.
Watson R.J.
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机构:
Department of Human Development and Family Sciences, University of Connecticut, 348 Mansfield Rd, U-1058, Storrs, 06269, CTDivision of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota, 717 Delaware St. SE, Minneapolis, 55414, MN
Watson R.J.
Erickson D.J.
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机构:
Division of Epidemiology and Community Health, University of Minnesota, 1300 S 2nd St, Minneapolis, 55454, MNDivision of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota, 717 Delaware St. SE, Minneapolis, 55414, MN
Erickson D.J.
Saewyc E.M.
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h-index: 0
机构:
Stigma and Resilience Among Vulnerable Youth Centre, School of Nursing, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, V6T 2B5, BCDivision of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota, 717 Delaware St. SE, Minneapolis, 55414, MN
Saewyc E.M.
Eisenberg M.E.
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h-index: 0
机构:
Division of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota, 717 Delaware St. SE, Minneapolis, 55414, MNDivision of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota, 717 Delaware St. SE, Minneapolis, 55414, MN
机构:
Univ Connecticut, Human Dev & Family Sci, Storrs, CT USAUniv Connecticut, Human Dev & Family Sci, Storrs, CT USA
Miller, Michelle
Halgunseth, Linda C.
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h-index: 0
机构:
Univ Connecticut, Human Dev & Family Sci, Storrs, CT USA
Michigan State Univ, Dept Human Dev & Family Studies, E Lansing, MI 48824 USAUniv Connecticut, Human Dev & Family Sci, Storrs, CT USA
Halgunseth, Linda C.
Csizmadia, Annamaria
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Univ Connecticut, Human Dev & Family Sci, Storrs, CT USAUniv Connecticut, Human Dev & Family Sci, Storrs, CT USA
机构:
Univ Maryland, Sch Publ Hlth, Dept Family Sci, 1142 Valley Dr, College Pk, MD 20742 USA
Univ Maryland, Univ Maryland Prevent Res Ctr, College Pk, MD 20742 USAUniv Maryland, Sch Publ Hlth, Dept Family Sci, 1142 Valley Dr, College Pk, MD 20742 USA
Fish, Jessica N. N.
Bishop, Meg D. D.
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h-index: 0
机构:
Univ Maryland, Sch Publ Hlth, Dept Family Sci, 1142 Valley Dr, College Pk, MD 20742 USA
Univ Maryland, Univ Maryland Prevent Res Ctr, College Pk, MD 20742 USAUniv Maryland, Sch Publ Hlth, Dept Family Sci, 1142 Valley Dr, College Pk, MD 20742 USA
Bishop, Meg D. D.
Russell, Stephen T. T.
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h-index: 0
机构:
Univ Texas Austin, Dept Human Dev & Family Sci, Austin, TX USAUniv Maryland, Sch Publ Hlth, Dept Family Sci, 1142 Valley Dr, College Pk, MD 20742 USA