PITTSBURGH, December 27, 2019 - Teenage boys who witness their peers abusing women and girls are much more likely to bully and fight with others, as well as behave abusively toward their dates, compared to teenage boys who don't witness such behaviors, according to an analysis led by the University of Pittsburgh School of Medicine and UPMC Children's Hospital of Pittsburgh.
Conversely, the study found that adolescents with more equitable gender attitudes - those who felt boys and girls deserve equal opportunities and respect - had lower odds of reporting violent behaviors. The results are published today in the American Journal of Preventive Medicine.
"The Me Too Movement brought to light how pervasive sexual violence and derogatory behavior toward women is in our society," said lead author Elizabeth Miller, M.D., Ph.D., professor of pediatrics, public health and clinical and translational science at Pitt. "Our findings highlight the wide-ranging impact that witnessing sexual harassment and dating violence has on our teenage boys, and present an opportunity to teach adolescents to challenge negative gender and social norms, and interrupt their peer's disrespectful and harmful behaviors."
This study is the first to gather information from U.S. male adolescents in community-based settings, rather than schools or clinics, about multiple types of violence, including bullying and sexual harassment, and the role of gender norms and peer behaviors.
Miller and her team surveyed 866 13- to 19-year-old boys at after-school programs, libraries, churches and other youth-serving organizations in 20 lower-resource Pittsburgh neighborhoods. The teens completed the surveys anonymously between August 2015 and June 2017 as part of a larger study evaluating the effect of a prevention program to reduce sexual violence. Seventy percent of the teens identified as African American and 21% as Hispanic, multiracial or 'other.'
Of the 619 boys who had ever dated, 1 in 3 reported using abusive behavior toward someone they were dating in the previous 9 months. Sexual harassment, whether dating or not, was also common, with 485, or 56%, saying they'd engaged in such behavior. And 587, or 68% of the respondents, said they'd been in physical fights, or threatened or injured someone with a weapon.
Boys who said they'd witnessed their peers engaging in two or more of nine different harmful verbal, physical or sexual behaviors toward women and girls - such as making rude or disrespectful comments about a girl's body - had 2 to 5 times higher odds of engaging in a variety of violent behaviors, some having nothing to do with women or dating.
"This reinforces that pressure to conform to stereotypes about masculinity that perpetuate harmful behaviors toward women and girls is also associated with getting in a fight with another guy," said Miller, who is also director of the Division of Adolescent and Young Adult Medicine at UPMC Children's. "These behaviors aren't happening in silos - if we're going to stop one, we need to also be addressing the other."
Interestingly, the research team did not find that teens who reported having more gender equitable attitudes were any less likely to engage in homophobic teasing, something three-quarters of the survey respondents endorsed.
"It's a puzzling and troubling finding. We believe it may be because these teens have normalized homophobic teasing - it is so commonplace, they may see it as a form of acceptable, possibly even pro-social, interaction with their peers," said Alison Culyba, M.D., Ph.D., M.P.H., assistant professor of pediatrics in the Division of Adolescent and Young Adult Medicine at UPMC Children's. "This study illustrates the need for cross-cutting prevention strategies that address multiple aspects of youth violence."
As part of their study, this team of researchers are evaluating a sexual violence prevention program called Manhood 2.0. Miller has also conducted research on a program called Coaching Boys into Men that guides middle and high school coaches in talking with their male athletes about stopping violence against women and girls. Both Manhood 2.0 and Coaching Boys into Men involve reinforcing more equitable gender attitudes and increasing the number of youth who intervene when witnessing peers' disrespectful behavior.
Kelley A. Jones, Ph.D., of UPMC Children's and Pitt, is senior author of this research. Additional authors are Alison J. Culyba, M.D., Ph.D., M.P.H., Taylor Paglisotti, B.A., Michael Massof, M.P.A., and Qi Gao, M.P.H., all of UPMC Children's and Pitt; Katie A. Ports, Ph.D., of the Centers for Disease Control and Prevention (CDC); Jane Kato-Wallace, M.P.H., of Promundo-US in Washington, DC; Julie Pulerwitz, Sc.D., of the Population Council in Washington, DC; Dorothy L. Espelage, Ph.D., of the University of North Carolina at Chapel Hill; and Kaleab Z. Abebe, Ph.D., of Pitt.
This research was funded by CDC grant U01CE002528.
About the University of Pittsburgh Schools of the Health Sciences
The University of Pittsburgh Schools of the Health Sciences include the schools of Medicine, Nursing, Dental Medicine, Pharmacy, Health and Rehabilitation Sciences and the Graduate School of Public Health. The schools serve as the academic partner to the UPMC (University of Pittsburgh Medical Center). Together, their combined mission is to train tomorrow's health care specialists and biomedical scientists, engage in groundbreaking research that will advance understanding of the causes and treatments of disease and participate in the delivery of outstanding patient care. Since 1998, Pitt and its affiliated university faculty have ranked among the top 10 educational institutions in grant support from the National Institutes of Health. For additional information about the Schools of the Health Sciences, please visit http://www.health.pitt.edu.
About UPMC Children's Hospital of Pittsburgh
Regionally, nationally, and globally, UPMC Children's Hospital of Pittsburgh is a leader in the treatment of childhood conditions and diseases, a pioneer in the development of new and improved therapies, and a top educator of the next generation of pediatricians and pediatric subspecialists. With generous community support, UPMC Children's Hospital has fulfilled this mission since its founding in 1890. UPMC Children's is recognized consistently for its clinical, research, educational, and advocacy-related accomplishments, including ranking in the top 10 on the 2019-2020 U.S. News & World Report Honor Roll of America's Best Children's Hospitals. UPMC Children's also ranks 15th among children's hospitals and schools of medicine in funding for pediatric research provided by the National Institutes of Health (FY2018).
American Journal of Preventive Medicine