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. 2016 Jun 24;11(6):e0157805. doi: 10.1371/journal.pone.0157805

Table 4. Thematic synthesis of qualitative studies.

Ecological Level Analytical Theme Descriptive Theme Contributing Studies
Individual level Gender attitudes differ by biological sex. Girls, more commonly than boys, challenge gender inequalities. [46,48,50,57,60,61,8284,92,100102,104,115,117,121,124]
Boys appear to face more social barriers than girls to challenge gender inequalities. [50,60,84,93,94,99,102,115,116,121,124]
Gender attitudes intersect with the construction of norms about other social and cultural categories. Gender norms intersect with race/ethnicity norms and identities. [82,93,99,103]
Young adolescents of immigrant background experience clashing cultural messages about gender norms. [46,60,79,84,93,99,100]
Social class may influence the gendered opportunities available to young adolescents. [61,98,100,102,103,106,114]
Pubertal onset brings new gender pressures and expectations. With the onset of puberty, boys are expected to prove masculine toughness and sexual prowess. [79,114,117]
With the onset of puberty, girls are expected to deemphasize physical body changes, and are increasingly restricted. [79,82,100,117]
Interpersonal level Parents and other family members communicate gender norms overtly and covertly. Young adolescents learn about gender role expectations in the home. [60,106,111,114,115]
Mothers appear to be especially important in teaching and enforcing stereotypical gender norms. [60,82,84,100,111,115]
Parents strictly control and sanction their daughters. Tough parental control and restrictions for girls, often tied to concerns about female sexuality. [60,82,84,92,98,100,102,106,111,115,117,121]
Peers are central in establishing and upholding gender norms. Male peer groups enforce competition, toughness and heterosexual prowess. [61,79,80,84,103,104,111,113,114,117,128]
Boys who fail to achieve local masculinity standards are bullied and ridiculed by their peers. [48,61,71,79,80,83,84,93,101,105,111,113,114,117,124]
Female peer groups enforce norms of beauty, appearance and heterosexual romance. [57,61,82,84,98,99,101,104,111]
Peers police gender boundaries related to female sexuality. [94,98,99,101103,113,114]
Girls experience control and exclusion by male peers. [49,61,92,94,99,105,112,128]
Community/Societal level Schools communicate and uphold gender norms through rules, activities and teacher-student relationships. School cultures, traditions and rules contribute to the upholding of gender norms. [57,61,83,84,98,100,105,106,124]
Schools appear to disproportionally favor boys’ activities and performances. [61,84,90,92,93,100,105]
Teachers reinforce stereotypical gender norms. [60,79,80,83,90,94,98,104,105]
Media appears to shape gender attitudes in various ways. Different media appear to influence young adolescent’s gender attitudes. [48,50,79,114,124]
Gender attitudes are constructed through social media and sexting. [103,128]