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. 2025 Apr 1;13:1436569. doi: 10.3389/fpubh.2025.1436569

Table 2.

Overview of the constructs and items in the Delphi questionnaire.

Questionnaire sections Constructs Items
Gender Gender concepts Current sex/gender identity
Sex/gender roles
Sex/gender expressions
Sex/gender relations
Sexuality (Sexual orientation)
Gender approaches Gender continuum
Multidimensionality approach
Multi-level approach
Intersectionality approach
Gender power relations
Embodiment approach
Decolonial lens
Gender norms General gender norms
Gender norms linked to mental health
Mental health Outcomes for adolescent mental health potentially affected by gender norms Mental, social and physical well-being
Depressiveness
Connectedness
Body image
Self-efficacy
Self-esteem
Coping
Self-control
Sense of coherence
Happiness
Life purpose
Self-harm
Suicidal behavior
Resilience
Substance misuse
Risky behavior
Social environment Social environment levels important for adolescents’ gender norms Individual level
Interrelational level
Community level
National level
Global level
Social environment actors that shape the gender norms of adolescents School environment (teachers, classmates etc.)
Media (e.g., television, newspapers, movies)
Social media (e.g., Tik-tok, Instagram)
Peers/friends
Family
Sport groups
Faith groups
Healthcare providers
Political parties
Law enforcement
Civil society
Non-Profit-Organizations
Individual competencies of adolescents to navigate gender norms Coping skills
Agency
Navigation
Interpersonal relationship skills
Critical reflection skills
Mental health literacy
Respect and empathy for others