Heterosexual Self-presentation Research Articles

Men's Suicidal thoughts and behaviors and conformity to masculine norms: A person-centered, latent profile approach

BackgroundMen are up to four times more likely to die by suicide than women. At the same time, men are less likely to disclose suicidal ideation and transition more rapidly from ideation to attempt. Recently, socialized gender norms and particularly conformity to masculine norms (CMN) have been discussed as driving factors for men's increased risk for suicidal thoughts and behaviors (STBs). This study aims to examine the individual interplay between CMN dimensions and their association with depression symptoms, help-seeking, and STBs. MethodsUsing data from an anonymous online survey of 488 cisgender men, latent profile analysis was performed to identify CMN subgroups. Multigroup comparisons and hierarchical regression analyses were used to estimate differences in sociodemographic characteristics, depression symptoms, psychotherapy use, and STBs. ResultsThree latent CMN subgroups were identified: Egalitarians (58.6 %; characterized by overall low CMN), Players (16.0 %; characterized by patriarchal beliefs, endorsement of sexual promiscuity, and heterosexual self-presentation), and Stoics (25.4 %; characterized by restrictive emotionality, self-reliance, and engagement in risky behavior). Stoics showed a 2.32 times higher risk for a lifetime suicide attempt, younger age, stronger somatization of depression symptoms, and stronger unbearability beliefs. ConclusionThe interplay between the CMN dimensions restrictive emotionality, self-reliance, and willingness to engage in risky behavior, paired with suicidal beliefs about the unbearability of emotional pain, may create a suicidogenic psychosocial system. Acknowledging this high-risk subgroup of men conforming to restrictive masculine norms may aid the development of tailored intervention programs, ultimately mitigating the risk for a suicide attempt.

(290) Exploring the Link Between Conformity to Masculine Ideologies and Responses to Sexual Rejection in Cisgender Men and Cisgender Women

Abstract Introduction Sexual rejection occurs when a person’s sexual advances are terminated by a potential sexual partner, leading to responses that may disregard the partner’s choice, such as attempts to entice or express resentment. Traditional masculine ideologies (TMIs) could play a role in motivating enticing or resentful responses. TMIs often emphasize superiority, encompassing power, control, dominance, and frequent sexual activity. When individuals adhering to TMIs face sexual rejection, they may experience feelings of inferiority and respond with enticing or resentful behaviors to reassert superiority. Objective Explore links between TMIs and the use of enticing and resentful responses following experiences of sexual rejection. Methods A German-speaking sample of 351 cisgender men and 345 cisgender women (age: M = 28.11, SD = 8.05) were randomly assigned to read one of two hypothetical stories in which participants should imagine being sexually rejected by their partner (rejection condition), or engaging in sexual activity with their partner (no-rejection condition). Afterward, participants had to report how they would react to sexual rejection. TMI was assessed with the Conformity to Masculine Norms Inventory. Results Compared to cisgender women, cisgender men more often would react with enticing tactics (β = .77, p < .001). Compared to participants who were rejected, participants who were not rejected more often would react with enticing tactics (β = .43, p < .001). Participants with higher levels of TMIs (being a playboy, dominating women, holding heterosexual self-presentation) more often would react with enticing tactics (β = .18, p < .001; β = .15, p < .001; β = .11, p < .001, respectively). Compared to men with higher levels of TMI (heterosexual self-presentation), women with higher levels of TMI (heterosexual self-presentation) more often would react with resentful responses (β = .68, p < .001). This effect was reinforced through sexual rejection, as opposed to no sexual rejection (β = -.63, p < .001). Conclusions When sexual rejection hasn’t occurred men are more inclined to enticing behaviors. This tendency may stem from potential misunderstandings about desires and consent after initial sexual intercourse. Conversely, when sexual rejection does occur, resentful responses are more common among women adhering to a heterosexual self-presentation. Heterosexual self-presentation might align with adherence to traditional sexual scripts in which men are not expected to decline the sexual advances of a desiring woman. Consequently, rejection may be perceived as a direct challenge to their identity as a woman, triggering feelings of resentment. Therapists can apply these findings to better assist individuals or couples in their sexual relationships. By examining how adherence to traditional gender norms and scripts influences reactions to sexual rejection, therapists can help clients recognize these influences and promote respectful responses that honor all partners’ desires and boundaries. Disclosure No.

Sexual Identity Development and Social Ecological Facilitators and Barriers of PrEP Uptake and Adherence Among Latinx Men Who Have Sex with Men.

Latinx gay, bisexual, and other men who have sex with men (LMSM) report lower pre-exposure prophylaxis (PrEP) use than their white, non-Latinx counterparts. We hypothesize that this disparity is partially attributable to social ecological factors that can be addressed via prevention interventions. In this retrospective study, we first examined data from 253 LMSM to determine whether theorized associations existed between acquisition of a PrEP prescription (uptake) in relation to several social ecological factors based on a conceptual framework of determinants of access to and uptake of PrEP for LMSM. We also explored relations between frequency of PrEP use (adherence) and social ecological factors with a subsample of 33 LMSM who had initiated PrEP 12months prior to assessment. In this study, individual-level factors from this framework included age and socioeconomic status. Perceived access to medical care represented both individual- and community-level determinants of PrEP uptake and adherence. Interpersonal-level factors were social support and relationship status. Structural/cultural-level factors were sexual identity development status, the masculinity norm of heterosexual self-presentation, traditional Latinx masculine gender role beliefs of machismo and caballerismo, racial identity, and immigration status. Results indicated that older men and those who endorsed the synthesis/integration status of sexual identity development were more likely to acquire a PrEP prescription during their lifetime in comparison to peers. PrEP adherence was linked with being older, reporting higher socioeconomic status, reporting more appraisal social support, self-identifying as white-Latinx, being U.S.-born, and endorsing less sexual identity uncertainty and more heterosexual self-presentation. Results specify modifiable factors that may inform tailored, community-based prevention efforts to increase PrEP use and decrease existing HIV/AIDS disparities among LMSM.

Ethnic identity commitment as a moderator for perceived access to health care among Latinx sexual minority men.

Gay, bisexual, and other sexual minority men (SMM) face more barriers to accessing health care compared to other men. In comparison to other SMM populations, Latinx SMM (LSMM) report having less access to health care. The purpose of the present study is to elucidate how theorized environmental-societal-level (i.e., immigration status, education level, and income level), community-interpersonal-level (i.e., social support and neighborhood collective efficacy [NCE]), and social-cognitive-behavioral-level factors (i.e., age, heterosexual self-presentation [HSP], sexual identity commitment, sexual identity exploration [SIE], and ethnic identity commitment [EIC]) may relate with perceived access to health care (PATHC) in a sample of 478 LSMM. We conducted a hierarchical regression analysis examining the hypothesized predictors of PATHC, as well as EIC as a moderator of the direct association between predictors and PATHC. We hypothesized that Latinx EIC would moderate relations between the aforementioned multilevel factors and PATHC. LSMM perceived greater access to care when indicating the following: higher education level, more NCE, more HSP, more SIE, and more EIC. Latinx EIC acted as a moderator of four predictors of PATHC, including education, NCE, HSP, and SIE. Findings inform outreach interventions of researchers and health care providers about psychosocial and cultural barriers and facilitators of health care access. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Examining the Measurement Invariance of the Conformity to Masculine Norms Inventory (CMNI-30) by Sexual Orientation.

An abbreviated version of the Conformity to Masculine Norms Inventory, the CMNI-30, was developed with several strengths. However, its measurement invariance across men with different sexual orientations has not been examined in a U.S. sample, so it is unclear whether these different populations understand the items similarly. In addition, no studies have compared conformity to masculinity norms across sexual orientations. This would be important to understand sexual minority men's experience of masculinity and how it differs from heteronormative masculinity. This article explores the measurement invariance of the CMNI-30 among 882 heterosexual, gay, and bisexual+ men using confirmatory factor analysis, and compares their CMNI-30 subscale scores. Results indicated that the CMNI-30 demonstrated residual invariance between men of different sexual orientations, suggesting that men of different sexual orientations interpreted the items similarly. We also found higher levels of conformity to the masculine norms of Winning, Heterosexual self-presentation, and Power over women among heterosexual men relative to gay and bisexual+ men, and higher levels of Pursuit of status among gay men relative to the other groups. Results provide support for the use of the CMNI-30 in research with men of different sexual orientations.

Masculinities and self-perceived risk of contracting STIs among young men in Stockholm, Sweden

Abstract Background Risk perception is a key factor influencing young men’s health-seeking behavior for sexually transmitted infections (STIs) detection. Men’s risk perception could be influenced by gendered norms embedded in social constructions of masculinities. However, the association between different domains of traditional masculinities and young men’s risk perception - which is key to inform effective health interventions - has not been studied yet. This study aimed to test if young men’s endorsement of different traditional masculinities forms were associated with current self-perceived risk of contracting STIs among young men in Stockholm, Sweden. Methods A population-based cross-sectional survey was conducted in 2018 in Stockholm (N = 521 men aged 20-29 years). The Conformity to Masculinity Norms Inventory 46-items tool was used to measure different traditional masculinity domains (Winning, Emotional control, Risk taking, Violence, Playboy, Self-reliance, Primacy of work, Power over women and Heterosexual self-presentation) and overall masculinity. Adjusted multinomial logistic regressions tested the associations between masculinities (overall and each domain) and self-perceived risk of contracting STIs. Results Any self-perceived risk of contracting STIs was reported by 39.5% of the sample. After adjusting for confounding factors, endorsing any traditional masculinity behavior was associated with reporting any perceived risk of contracting STIs (RRR 4.9; 95% CI 2.4-10.0). Among the domains, Playboy showed the strongest association (RRR 3.6; 95% CI 2.5-5.1), followed by Risk taking (RRR 1.8; 95% CI 1.3-2.5). Conclusions Young men who endorse traditional masculinities behaviors have higher self-perceived risk of contracting STIs, especially those endorsing playboy and risk-taking norms. These findings highlight the need to design policies challenging traditional masculinity behaviors among young Swedish men that can be underpinning their self-perceived STIs risk. Key messages • Endorsement of playboy (willingness to have casual sexual partners) and risk taking (willingness to be exposed to risk) masculinity norms were associated with perceiving any risk of contracting STIs. • Policies challenging traditional masculinity norms among young Swedish men can be designed to influence behaviors underpinning the self-perceived risk for STIs in this group.

Effects of Conformity to Masculine Norms and Coping on Health Behaviors in Men With Multiple Sclerosis.

The role of conformity to masculine gender norms in health behaviors in men with multiple sclerosis (MS) has not received attention. This cross-sectional study explores these issues and their relationship to coping and health behaviors. Eighty-one men with MS completed the Conformity to Masculine Norms Inventory-46 and the Ways of Coping Questionnaire and provided demographic and clinical variables. These results were used to predict subscale scores of the Health Behavior Inventory-20 in multivariable regression models. Models for the Preventive Self-care and Avoiding Anger and Stress subscales were successfully fit. For the former, respondents endorsing lower levels of masculine conformity related to Emotional Control and higher levels of Heterosexual Self-presentation predicted greater self-care, as did higher use of Positive Reappraisal as a coping strategy. For men reporting low levels of Positive Reappraisal as a coping strategy, increasing Heterosexual Self-presentation was associated with higher levels of self-care. For those with high levels of coping with Positive Reappraisals, increased Heterosexual Self-presentation was associated with modest declines in self-care. For the Avoiding Anger and Stress subscale score, men endorsing Violence or Heterosexual Self-presentation as important aspects of masculinity also reported less efforts in controlling stress and anger. Masculinity adherence to traditional gender norms was a significant predictor of how men engaged in health behaviors and, in the case of Preventive Self-care, was found to interact with Positive Reappraisal as a coping strategy. Such information is novel and important to providers serving male patients with MS and can improve provider awareness/conceptualization of male patient needs.

For Exercise, Relaxation, or Spirituality: Exploring Participation Motives and Conformity to Masculine Norms among Male and Female Yoga Participants.

Yoga is a traditional practice from India with the potential to promote physical activity and health. Participation worldwide remains low, particularly among men. To better understand yoga participation parameters, with a special focus on what influences male participation, this study examined gender differences in participation motives and conformity to masculine norms. It also explored these factors across three participant subgroups who differed in their engagement with the physical and the more psycho-spiritual aspects of yoga. A total of 546 yoga participants (138 males, 399 females, 9 others), 18–73 years old, completed an online survey that included an adapted version of the Exercise Motivation Inventory–2 and three subscales from the Conformity to Masculine Norms Inventory–46. Results showed significant gender differences in participation motives and conformity to masculine norms. Females were more motivated by positive affect, health/fitness, nimbleness, mind–body integration, and coping/stress management, whereas males were more motivated by supplementary activity and competition/social recognition. These differences should be considered in tailoring messages to promote uptake and continued participation. Furthermore, males were more likely than females to conform to emotional control and heterosexual self-presentation masculine norms. Future research may examine how differences in masculine norm adherence influences uptake, particularly among men.

Trans Masculinity: Comparing Trans Masculine Individuals’ and Cisgender Men’s Conformity to Hegemonic Masculinity

IntroductionMasculinity and masculine norms are still relevant in the current social context. Literature showed that some masculine norms could be considered protective health buffers, while traditional masculinity has negative consequences on men’s behaviors, relationships, and health.MethodsIn the present study, we aimed at investigating trans masculine and cisgender men’s levels of adherence to different dimensions of hegemonic masculinity. A total of 200 participants (100 trans masculine people and 100 cisgender men) took part in the study.ResultsResults exhibit that trans masculine individuals showed higher scores than cisgender men on the dimensions of emotional control and self-reliance, whereas cisgender men showed higher endorsement of norms such as heterosexual self-presentation and power over women.ConclusionsResults are discussed in light of the minority stress model and masculinity threat theory.Policy ImplicationsThe present work should act as a reminder of the pressure that trans masculine people may feel to conform to certain aspects of hegemonic masculinity. This may have the adaptive function of protecting them from the discrimination and threats that they expect from others.

Dark Triad traits as predictors of adherence to traditional masculine norms in men

The present study examined whether Dark Triad traits explain variance in men’s adherence to traditional masculine norms (Playboy, Self-Reliance, Emotional Control, Winning, Violence, Heterosexual Self-Presentation, Risk-Taking, and Power over Women). Two-hundred and thirty-seven English speaking men (aged 18 to 62 years) completed online versions of the Self-Report Psychopathy Scale-III, the Narcissistic Personality Inventory, the Mach-IV, and the Conformity to Masculine Norms Inventory-29. Results from regression analyses showed that the psychopathic trait Callous Affect positively predicted men’s Need to Win, Emotional Control, Violence, and Power Over Women; Erratic Lifestyle was a positive predictor of Risk-Taking; and Antisocial Behaviour was a positive predictor of Playboy. Machiavellianism predicted only Violence. The Narcissistic sub-trait Leadership positively predicted Risk-Taking; Manipulativeness predicted Risk-Taking and Violence; Superiority predicted Risk-Taking and Power over Women; Vanity predicted Self-Reliance; and Exhibitionism predicted Emotional Control. We conclude that whilst Callous Affect appears to hold the highest predictive validity, the Dark Triad traits differentially predict adherence to specific masculine norms.

Heterosexual Self-Presentation, Identity Management, and Sexual Functioning Among Men Who Have Sex with Men.

Research and clinical work on sexual functioning in men has traditionally focused on the presence or absence of erectile dysfunction (ED) or the inability to maintain an erection sufficient for satisfactory sexual performance. However, for men who have sex with men (MSM), receptive anal intercourse is a common form of sexual expression. Existing work on men's sexual dysfunction does not effectively address receptive anal sex functioning, and there is a need to understand how stressors can impact this common sexual behavior. The goal of the present study was to understand how stressors can impact erective and receptive anal sex functioning among MSM. In the present study, we hypothesized that minority stress (as operationalized by integrating identity management and heterosexual self-presentation) would have an impact on MSM's sexual functioning overall and adapted a previous measure of sexual dysfunction (International Index of Erectile Functioning) to better assess this relationship. Data were collected from 228 men (Mage = 31.74, SD = 9.41); exploratory factor analysis was used to create a new measure of sexual functioning, and regression analyses were used to examine the relationships between heterosexual self-presentation and identity management and sexual functioning. Results demonstrated that higher heterosexual self-presentation was associated with more functional impairment in erectile function and receptive anal sex functioning as well as use of functional enhancement medications or substances. The results of the present study extend extant work on minority stress to sexual functioning of MSM and are relevant to the sexual health concerns of MSM.

Psychosocial Barriers to Pre-exposure Prophylaxis (PrEP) Uptake: The Roles of Heterosexual Self-Presentation, Sexual Risk, and Perceived Peer PrEP Use.

Several challenges have emerged in ensuring uptake of preexposure prophylaxis (PrEP) for HIV prevention. By applying the health belief model, the present study assessed associations between novel psychosocial variables and PrEP use among gay and bisexual men. Logistic regression analyses indicated that heterosexual self-presentation, sexual risk, PrEP conspiracy beliefs, and perceived peer PrEP use were positively associated with PrEP use. Greater understanding of the psychosocial barriers to PrEP use for unique at-risk populations can facilitate the development of socially informed prevention strategies.

Conformity to masculine norms and symptom severity among men diagnosed with muscle dysmorphia vs. body dysmorphic disorder.

Body dysmorphic disorder (BDD) is associated with severe comorbidity and impairment. Muscle dysmorphia (MD) is a subtype of BDD which has rarely been assessed outside of undergraduate student samples. Further, there are limited data comparing MD to other psychiatric disorders, including BDD. Thus, the aim of the current study is to explore differences in symptom severity and conformity to masculine norms in men diagnosed with BDD or MD. Men from the greater Boston, Massachusetts area completed a one-time assessment, which included clinician-based structured interviews and self-report questionnaires assessing MD symptom severity, BDD symptom severity, and conformity to traditional masculine norms. The sample was N = 30 men (MD: n = 15; BDD: n = 15). Statistically significant medium to large effects emerged with the MD group experiencing greater MD and BDD symptom severity, and positive attitudes towards the use of violence to solve problems. Although not reaching statistical significance, additional medium-to-large effects also emerged with the MD group reporting greater emotional restriction/suppression, heterosexual self-presentation, and desired sexual promiscuity compared to the BDD group. Findings suggest that men diagnosed with MD may experience greater MD/BDD symptom severity and endorsement of some components of ‘traditional’ masculine norms, compared to men diagnosed with BDD. Results may suggest that addressing some forms of rigid masculine norms (e.g., use of violence) in therapy could be useful in treating MD; however, additional research comparing clinical samples of men with MD and BDD are needed to guide the nosology, assessment, and treatment of MD.

Masculine ideology and Black men who have sex with men's interest in HIV pre-exposure prophylaxis (PrEP).

We examined how traditional masculinity and stigma surrounding HIV pre-exposure prophylaxis (PrEP) affect PrEP interest among Black men who have sex with men (BMSM). One hundred twenty-three men attending a Black Gay Pride event completed measures assessing traditional masculinity, PrEP stigma, and PrEP interest along with two behavioral measures of interest in PrEP. Results demonstrated that avoidance of femininity directly related to interest in PrEP and indirectly through conformity to heterosexual self-presentation. Further, PrEP stigma differentially moderated both of these relationships. Interventions designed to improve engagement of PrEP for BMSM should be attentive to traditional masculinity as a barrier.

An Online Behavioral Health Intervention Promoting Mental Health, Manhood, and Social Support for Young Black Men: The YBMen Project.

Conventional definitions of mental health, manhood, and social support create barriers to accessing behavioral health care for Black men ages 18 to 30. Targeted behavioral health interventions sensitive to culture, social norms, and gender that circumvent these barriers are desperately needed to improve access and integrated care for this group. This article reports mixed methods findings from the 2017 iteration of the Young Black Men, Masculinities, and Mental Health (YBMen) project, a social media–based, psychoeducational program that promotes mental health, progressive definitions of manhood, and sustainable social support for Black men. Young Black men (n = 350) across two universities in the Midwest completed baseline surveys on their mental health, definitions of manhood, and social support. Forty of the men participated in the YBMen intervention and at postintervention reported experiencing fewer depressive symptoms on the Patient Health Questionnaire (PHQ-9, Z = −2.05, p < .01) and the Gotland Male Depression Scale (GMDS; Z = −1.76, p < .05). There were also changes on the Conformity to Masculine Norms Inventory (CMNI) for Self-Reliance (Z = −0.34, p = .26) and Heterosexual Self-Presentation (Z = −0.18, p = .59), though these changes were not statistically significant. A qualitative review of postintervention interviews revealed participants’ appreciation of the YBMen project and its influence on their mental health, manhood, and social support. Programmatic efforts that support the behavioral health, positive development, and social relationships of Black men translate into positive families, communities, and experiences as they live, learn, love, and work over the life course.

Predicting transphobia among cisgender women and men: The roles of feminist identification and gender conformity

Introduction This study examined feminist identification and conformity to traditional gender norms as predictors of transphobic attitudes. Method Data was collected among an online, MTurk sample of 290 adult cisgender women and men. Results: Feminist beliefs and self-labeling were independently associated with decreased transphobia among cisgender women, but not among cisgender men. Conformity to the masculine norms of heterosexual self-presentation and emotional control were significantly, independently associated with increased transphobia, whereas risk-taking was associated with decreased transphobia. Conformity to the traditional feminine norm of Sexual Fidelity was significantly associated with increased transphobia. Conclusions Practical and policy implications are discussed.

Supplemental Material for Psychosocial Barriers to Pre-exposure Prophylaxis (PrEP) Uptake: The Roles of Heterosexual Self-Presentation, Sexual Risk, and Perceived Peer PrEP Use

Supplemental Material for Psychosocial Barriers to Pre-exposure Prophylaxis (PrEP) Uptake: The Roles of Heterosexual Self-Presentation, Sexual Risk, and Perceived Peer PrEP Use

Conformity to masculine norms predicts US men’s decision-making regarding a new male contraceptive

Health decision-making is often explained by affective and cognitive processes, but this processing is rarely explored in relation to gender norms. We investigated how conformity to specific masculine norms is linked to the affective and cognitive processes that lead to US men’s decisions regarding a new male contraceptive. US male college students (N = 151) completed an online survey. They read a description of a long-acting reversible contraceptive, then completed questionnaires measuring their affective and cognitive responses, their information-seeking and willingness-to-try the contraceptive, and their conformity to masculine norms. Participants reported less willingness-to-try the contraceptive when they endorsed masculine norms regarding men’s Power Over Women and concern with Heterosexual Self-Presentation, and these effects were consistently mediated by beliefs about its negative impact on sex. Positive emotions predicted willingness-to-try and information-seeking but were unrelated to masculine norms. This broadens our understanding of how conformity to specific gender norms impacts health decision-making processes.

Masculinity threats influence evaluation of hypermasculine advertisements

ABSTRACTThe precarious manhood paradigm posits that many men view their gender as a social status that must be earned and maintained, and can be lost. The present study applied the precarious manhood paradigm to a hypermasculine advertisement. A sample of 208 men was collected online. Using a false feedback paradigm, men’s masculinity was either threatened, or not threatened. The men then viewed one of two commercials. One commercial was a neutral, control advertisement, and one was a hypermasculine advertisement. We also measured participants’ endorsement of masculine norms. Results of a moderated moderation analysis indicated that men in the threat condition were more likely to view the hypermasculine advertisement as being masculinity-enhancing, if they also endorsed the masculine norms of Winning, Heterosexual Self-Presentation, and Power over Women. Results for future research applying precarious manhood to advertising, and implications for clinical work with men, are discussed.

Individual and structural factors predicting HIV testing among Latinx MSM: substance use as a moderator

ABSTRACTThe rate of HIV infection for Latinx men who have sex with men (LMSM) increased by 20% from 2008 to 2014 even as rates stabilized among MSM of other racial and ethnic backgrounds. We hypothesize that this disparity is partially attributable to individual and structural factors associated with HIV testing, including substance use practices, among LMSM. In this retrospective study, we examined data from 502 LMSM to determine whether (a) hypothesized relationships exist between individual factors (perceived HIV susceptibility, experiences with HIV prevention, condom use, sex under the influence, sexual identity development status, heterosexual self-presentation, and traditional Latinx gender norms) and structural factors (access to healthcare resources and social support) and HIV testing for LMSM. We also tested whether (b) substance use practices moderate relations between individual and structural factors and HIV testing. Findings indicate that (a) relationships exist between several individual and structural factors and HIV testing and that (b) substance use moderated these relationships to HIV testing in a number of hypothesized ways. Practice and prevention implications are discussed.