Experiences Of Men Research Articles

Stigma and patient work: Understanding cumulative inequities for gay and bisexual men in accessing HIV healthcare services.

Patient work refers to the quotidian labour undertaken by individuals to manage health, often unrecognised by health systems. This article argues that anticipated and received stigma and inclusivity labour comprise additional forms of patient work specific to minority populations. We draw on a case study of gay and bisexual men's experiences accessing healthcare services related to HIV prevention and testing in New South Wales (NSW), Australia's most populous state. Although new HIV diagnoses have reduced in NSW, these declines have not been uniformly observed. This study aimed to understand experiences of stigma related to accessing healthcare amongst two priority populations identified in the state's HIV strategy: gay and bisexual men who are young or who are living in regional and outer metropolitan suburbs. We interviewed 32 participants in 2023, recruited via social media advertisements and email invitations, and analysed data thematically. Our findings emphasise how disclosure of sexual orientation and/or HIV status operates as a form of inclusivity labour, in which patients look for cues from health providers that disclosure will be safe and respected. Other forms of patient work required to navigate access to HIV prevention services included finding appropriate providers likely to prescribe HIV pre-exposure prophylaxis (PrEP) and managing service refusal from general practitioners. Patient work appeared to also be compounded by intersecting issues of anticipated and vicarious stigma, unavailability of sexual health services in regional areas, long waiting times, and increased costs of healthcare services. Although experiences of enacted stigma in healthcare were infrequently reported, interview accounts suggested that participants undertook extensive patient work to minimise or avoid stigmatising encounters with health providers. Focusing on patient work in the context of stigma illuminates the labour of underserved populations required to access safe and culturally competent healthcare services (including HIV prevention and testing), suggesting areas of unmet need from health systems.

Men's Experience of Abuse During Child- and Adulthood and Identification of Self as Perpetrator: A Cross-Sectional Study in Psychiatric Care.

The aim of this study was to describe the extent to which men in psychiatric care have experienced emotional, physical, and sexual abuse during the life course and the association between this experience and being a perpetrator oneself. The aim was also to identify who exposed them to abuse and whether there was an association between the category of abuser and being a perpetrator oneself. A cross-sectional study was performed using the self-administered NorVold Abuse Questionnaire for men. The study included 210 men and showed that there was a significant association between physical abuse both as a child and as an adult and being a perpetrator oneself. There was, furthermore, a significant correlation between having been subjected to physical and emotional family member abuse and being oneself a perpetrator of abuse. This study concludes that experiences of abuse among men in a Swedish psychiatric context can be associated with perpetration of abuse.

Tackling Gendered Violence: Social Workers Intervention in Violence That is Meted Against Men? A Case Study of a Rural Town in a South Africa

The study discusses the issue of gendered violence against men and whether laws and legislation equally protect them. It focuses on the findings of research conducted in Bityi, outside Mthatha, which aimed to improve social work interventions in dealing with gender-based violence cases regardless of client gender. It summarises the literature on violence against men and how the concept of Gender-Based Violence (GBV) against men worked in practice. The study also offers a reflection on men's experiences with violence and the need for improved social work intervention. The research was conducted with 12 selected participants using snowball sampling and qualitative methods, and findings were gathered through semi-structured interviews and analysed using thematic content analysis. The study found that men are also victims of gendered violence and further recommended that social workers should be at the forefront of speaking against all forms of violence.

Men's influence of maternal substance use before, during, and after pregnancy: A qualitative study of men with criminal-legal involvement.

While the adverse effects of substance use during pregnancy are well-established, the impact men with criminal-legal involvement who use substances have on their partner's substance-using behaviors is not well characterized. We aim to understand men's experiences and perspectives about how their substance use impacts romantic partner substance use in the preconception period, before a potential or actual pregnancy. We conducted semi-structured interviews with men residing in a transition center in the Midwestern US with a substance use disorder (SUD) who partnered with women. Interview questions were informed by the Health Belief Model (HBM) and included questions about perceived susceptibility, severity, benefits, barriers, cues to action, and self-efficacy in relation to substance use and pregnancy. Participants were asked about desired SUD interventions. Transcripts were analyzed using a modified grounded theory approach. Thirty participants were interviewed (mean age=37, SD=10.3). Major themes were mapped onto HBM constructs: (1) Partners did not consider the chance of pregnancy while using together; (2) using together can escalate use before/during pregnancy; (3) quitting can strengthen relationships; (4) lack of preconception health knowledge inhibits quitting; (5) having a pregnant partner may promote quitting; and (6) knowledge of potential negative outcomes increases confidence in quitting. Men in carceral settings face multi-factorial barriers to substance use cessation and have differing perspectives on the impact of their use on their partner in relation to potential or actual pregnancy. Clinicians should consider interpersonal relationship factors that may impede or promote substance use when caring for people with SUD.

Seeking Support: The Voice of Young Men Who Have Experienced Sexual Harm During Their Life Course.

The sexual abuse and assault of boys and men is not uncommon, and seeking support is useful in reducing negative outcomes. However, male survivors are less likely than women to seek support. Gendered norms and myths persist with several gender-specific barriers to seeking support existing for men. The present study is guided by three research questions: (1) What are men's support needs in relation to their experience of sexual harm? (2) What are men's experiences of seeking support in relation to their experience of sexual harm? (3) What are the barriers that hinder men from seeking support? Interviews were conducted with 14 men (19-37 years old) attending one of two universities in New Zealand, who had experienced sexual harm. The interviews included a discussion of the men's experiences of seeking support and were conducted as part of two broader projects. The young men experienced a complex and multifaceted journey in seeking support and described a range of informal and formal avenues that they had reached out to. Three prominent needs were highlighted: (1) increased awareness of male survivors, (2) a need for clarity around formal support services, and (3) a need for a diverse range of support modalities. The men described a variety of barriers encountered, including individual-level barriers such as difficulties in recognizing their experiences as sexual harm, a reluctance to acknowledge a need for support, preconceived notions about what seeking help might be like, as well as several overarching social and contextual influences such as living situations, cultural norms, religious beliefs, and family dynamics. These findings underscore the need for a holistic approach to supporting male survivors that addresses gender norms and myths about male survivors, acknowledges the diversity among male survivors, and addresses both individual-level and broader systemic barriers to support seeking by young men who have experienced sexual harm.

NAVIGATING LIFE'S CHALLENGES IN UNDERGRADUATES: AN IN-DEPTH EXPLORATION OF GENDER DISPARITIES IN COPING STRATEGIES AND SUCCESSES (A LITERATURE REVIEW)

This comprehensive literature review investigates gender disparities among undergraduates in Sri Lanka, exploring academic, financial, and social challenges. Despite women displaying higher enrollment, graduation rates, and academic performance, disparities extend to employment, relationships, and gender-based violence. Success stories highlight women breaking societal norms and men challenging traditional roles. The dynamic coping strategies employed underscore the necessity of ongoing support, policy changes, and societal awareness. An intersectional lens reveals unique challenges based on race, ethnicity, socioeconomic status, and sexual orientation. The review emphasizes the urgency of interventions for gender disparities, offering insights for policymakers, educators, and institutions. The subsequent examination of undergraduate life in Sri Lanka delves into academic pressure, financial hardships, limited support services, job prospects, and social issues. Gender-specific challenges demonstrate how societal expectations shape women's and men's experiences in higher education. The coping strategies section categorizes mechanisms and explores gender-specific ones, indicating potential disparities influenced by societal expectations. Factors affecting coping strategies, such as the work environment and social support, are discussed. The impact of coping strategies on academic success is analyzed, highlighting the symbiotic relationship between effective coping mechanisms and positive outcomes. The review concludes by outlining future research directions, advocating for an intersectionality perspective, longitudinal studies, and a focus on mental health's role in academic success. Implications for policy and practice stress the need for inclusive support services, faculty training programs, and initiatives promoting mental health awareness to create a supportive environment for all undergraduates.

Muslim students’ experiences of physical education: A scoping review

This scoping review brings together, for the first time, research spanning five decades focusing on Muslim students’ experiences of physical education (PE). In taking stock of this work, it advances knowledge by mapping how understandings of the relationship between religion and PE have developed, whilst identifying new avenues of inquiry. Therefore, this scoping review is a useful resource for pedagogues and other stakeholders to reflect on current PE policy and practice to ensure they are best serving their Muslim students’ needs. Two questions are addressed: ‘How has research developed understandings regarding Muslim students’ experiences of PE?’ and ‘What lessons can be learnt to support more inclusive experiences for Muslim students?’ A six-stage methodological approach was utilised: (1) identifying research question(s); (2) searching for studies; (3) selection; (4) charting data; (5) summarising results; and (6) expert consultation. A systematic literature search using key words (Islam, Muslim, Physical Education) identified 141 outputs. Using inclusion/exclusion criteria, 47 remained. The findings offer (a) a summary of the characteristics of the work reviewed, including growth of the field, research location, contexts, participants and methodological issues, and (b) a critical commentary, identifying a preoccupation with particular identities, the significance of acknowledging heterogeneity, and the problematic positioning of Muslim students. The paper concludes with some future research recommendations, including the need for research exploring Muslim boys' and young men's experiences, adopting alternative theoretical approaches, exploring different contexts and re-orientating how research is undertaken ‘with’ young people.

Young men's everyday life experiences with contraception and unintended pregnancy in Papua New Guinea.

Unintended adolescent pregnancy is a public health priority in Papua New Guinea (PNG), where national policies specify need for easier access to reliable modern contraceptives. To reduce young people's experiences of unintended pregnancy in PNG, improved understandings of use of modern and other forms of contraception within young people's relationships is required to support the development of new sexual and reproductive health (SRH) programs and policies. The aim of this paper is to understand young men's use of modern and other contraceptives. This qualitative study involved semi-structured interviews with 35 sexually active young men aged 15-24 years, who were sampled purposively from the general population within community-based settings. Data were analysed using inductive thematic analysis techniques. Our analysis of young men's everyday experiences of using condoms and other contraceptives highlights clear drivers of unintended adolescent pregnancies. Across three settings, these included non-use of any modern method at first sex or during early sexual experiences; inconsistent use of condoms, often only after first pregnancy experiences; difficulties accessing condoms from health service providers, pharmacies and stores; a lack of understanding of other modern contraceptive strategies; inconsistent use of the withdrawal method; and inconsistent and incorrect use of calendar approaches due to misunderstandings about women's fertile period. Ten young men had never used any form of contraception. These occurred largely because young men's sexual agency is constrained within sexual and peer relationships, and community, school and health service settings, in ways that inhibit pregnancy prevention. It is important to engage meaningfully with young men to build sexual and reproductive health policies and programs that pay honest, respectful attention to young people's everyday sexual and social lives. Young men's everyday stories provide a unique lens through which we can identify mechanisms of change required to address the health and social inequities associated with unintended pregnancy among young men and young women in PNG and beyond.

"I Prefer High-Intensity Exercise"-A Qualitative Study of Men's Experiences with a Nature-Based Exercise Program for People with Arthritis.

Arthritis significantly reduces health-related quality of life, causing pain, fatigue, and decreased physical activity. To address this, exercise is highly recommended. However, men are less likely to participate in rehabilitation compared to women. We detected the same tendency in a nationwide nature-based exercise program in Denmark, with only 8% male participants. Therefore, this qualitative study investigated what engaged and restrained men with arthritis from participating in a nature-based exercise program. We employed interviews as the primary method for data collection. Data were analyzed using Braun and Clarke's thematic analysis, revealing key patterns in participants' experiences. This study finds that the fourteen participants' experiences revealed two themes: (1) meeting with the nature-based exercise program was confusing, motivating, and disappointing, and (2) the social aspect is less important. To better engage men, future programs should include a clear description of the concept of the exercise, high-intensity exercise, a reduced emphasis on social activities, and consistency in the instructors' roles and guidance. Incorporating these findings can better address the needs and preferences of men, helping them feel more like individuals than patients.

Participatory Action Research and Knowledge Dissemination in Virtual Photovoice: Methodological Insights.

Despite the methodological spread of virtual photovoice, alignments to and potential advances for the participatory action research (PAR) and knowledge dissemination (KD) components of in-person photovoice are poorly understood. Detailing the PAR and KD processes, practices, and products drawn from a virtual photovoice study examining men's experiences of and perspectives about equitable intimate partner relationships, the current article offers three thematic findings. The first theme Processes and pragmatics for selecting representative photographs describes adapting established analytics of preview, review, and cross-photo comparisons to categorize and select images from a large collection of participant-produced photographs (n = 714). Specifically, detailed are the reconciling of researchers deciding which images and accompanying narratives to include guided by PAR principles. Theme 2, Democratizing and disrupting in-person PAR with virtual focus group polls (VFGPs), chronicles participant voting through Zoom to collectively decide and subsequently discuss their favorite photographs. While anonymity for the poll was democratizing in terms of participant equality for voting on the photographs, connecting men virtually from diverse locales could differentiate cultural norms. The third theme KD pledges and pitfalls with online photovoice exhibitions details the potential benefits and challenges for reaching diverse end-users. Evident was the importance of marketing and media for driving traffic to the online exhibition, and the centrality of interactivity for fostering engagement to build and adjust photovoice e-health interventions. With virtual photovoice continuing to grow in popularity post COVID-19, this article offers important methodological lessons for adapting and advancing components of in-person PAR and KD.

A Composite Counternarrative of Discrimination as a Social Determinant of Health: Black College Women's Experiences of Gendered Racism.

Discrimination is a social determinant of health (SDOH) that negatively affects racially minoritized students and patients. Nurses and nurse educators must understand discrimination, including nuanced and intersecting ways that it negatively affects academic and health outcomes. In-depth interviews were conducted with 12 Black women at a primarily White institution in the Southeast United States. The interview guide, informed by critical race and intersectionality theories, explored experiences of gendered racism, particularly in the students' social environments. Narrative analysis was conducted, then a composite counternarrative was composed to portray experiences of gendered racism across multiple levels, including intrapersonal, interpersonal, and institutional. The composite narrative revealed experiences of multi-leveled gendered racial microaggressions that shape the daily lived experiences of Black college women students. Three main themes emerged: Limited Autonomy, Differential Treatment and Differential Assumptions, and Differential Access to Power and Resources. Gendered racism differs from White women's experiences of sexism and Black men's experiences of racism. Institutional efforts to support Black college women must be intentional in addressing the unique ways they experience discrimination in various settings on campus. Nurses' and nurse educators' understanding of gendered racism as a SDOH may ease the hesitancy in addressing health inequities. [Journal of Psychosocial Nursing and Mental Health Services, xx(x), xx-xx.].

Men’s mourning experiences for the death of a loved one: An integrative review

ObjectiveTo analyze the current state of knowledge regarding men's mourning experiences following the death of a loved one. MethodAn integrative review was conducted using quantitative, qualitative, and mixed-methods studies published in English or Spanish between 2017 and 2022 that investigated men’s mourning experiences. Studies focused on grief in participants with different sexes or gender identities, maladaptive grief, persistent complex bereavement disorder, prolonged grief disorder, bereavement over pets, or losses other than a human death were excluded. Additionally, reviews, books, theses, editorials, and opinion pieces were not included. The search was conducted in CINAHL, PubMed, and Scopus in 2023. JBI tools were used for quality appraisal, and the analysis employed the constant comparative method. ResultsOur analysis of eight English-language documents with evidence levels IV-VI, informed by the Socioecological Model of Men’s Grief, revealed that factors at individual, interpersonal, community, and public policy sublevels interact significantly to shape men's grief experiences. Themes emerged along a continuum of intuitive and instrumental coping responses, including adaptive and maladaptive coping strategies, loneliness and social support needs, the influence of societal constructions of masculinity and the grieving process in men. ConclusionsMen’s mourning experiences are complex and multifaceted, influenced by diverse expressions of masculinity and the interaction of various contextual factors. The Mental Health Nursing Process should prioritize understanding and addressing the unique experiences of bereaved men.

How Do Men Who Post Publicly on Social Media Author Themselves and Their Experiences of Crohn's Disease? A Dialogical Analysis of Three Cases.

Despite distinct sex- and gender-related differences in the presentation and manifestation of Crohn's disease (CD), little research to date has considered men's particular experiences. Whilst hegemonic masculine ideals have been reported to negatively impact men's mental and physical health, increasingly research has emphasized that men engage in a diverse range of practices, including those beneficial to health. One such practice is posting about their illness experiences on social media. The interactive nature of posting online means that a dialogical approach, based on a relational epistemology, is particularly useful. This study therefore asked: "How do men who post publicly on social media author themselves and their experiences of CD?" Three participants were recruited, all of whom had a diagnosis of CD, wrote a blog, and posted on other social networking sites (SNSs) about CD. Two resided in Canada and one in the United Kingdom. All were white. For each participant, 2years of multimodal social media data was downloaded. After screening, in-depth analysis was conducted using a dialogical approach focusing on three key dialogical concepts: genre, chronotope, and forms of authorship. The key findings emphasized the participants' different responses to the lack of predictability caused by CD and the different ways they used social media to gain a greater sense of control over their illness stories and identities, providing important insights into the interaction between masculine identities and illness. Finally, the potential deployment of such methods in future research and within therapeutic contexts was considered.

Chronicity of Violence Foretold: Toward an Integrated Theory of Intimate Partner Violence.

Intimate partner violence (IPV) is a worldwide social problem. The current study explores underlining mechanisms of phenomenon by tying together intergenerational transmission theory, socialization theory, and trauma theory. It learns from men how the father figure shaped by their childhood experiences has contributed to their violence, how the father's socialization to manhood has affected their intimate relations, and how they understand the effect of being exposed to the father's violence on their own intimate relationships and violence. Interviews with 25 Israeli men were analyzed thematically in the phenomenological approach. Thematic analysis revealed five themes describing men's experiences of their father's aggression and detachment; men's experience of their intimate relations; men's image of women; men's fear of being infected or conquered by their partners' emotionality; and an overarching theme describing the understanding that men and women are destined to live in an intractable conflict that only violence can end. The interviewees explained that when hardened detached men raised by violent fathers interact with an emotional woman, they experience painful feelings and are threatened by her emotionality; consequently, they will use violence against that threat to stop their pain. The findings support a multidimensional integrative perspective of IPV and call for a theoretical synthesis of these men's models of violence. Implications for future research and practice are discussed.

“I Feel More Masculine Having Sex with a Woman Than Being Fucked by a Man”: Masculinity and Bisexual Men's Experiences of Sex with Women and Men

ABSTRACT Prior research with heterosexual and gay men suggests that heteronormative, hegemonic masculine norms influence sexual behaviors, including in relation to sexual health, and in sex between men, positioning in anal intercourse. This qualitative study offers an in-depth account of how bisexual men’s beliefs about masculinity and about the gendered nature of certain sexual behaviors may influence their experiences of sex with women and men, and the sexual practices they engage in. Twenty-two bisexual men participated in one-to-one, semi-structured interviews, where they were asked about their experiences of sex with women and men in relation to their beliefs about masculinity. A reflexive thematic analysis identified the influence of prevailing discourses of heteronormativity and hegemonic masculinity on sexual experiences and behaviors. Participants’ beliefs about masculinity and the gendered nature of certain aspects of sex influenced experiences relating to sexual performance, sexual assertiveness, positions adopted, practices engaged in, and how gender was enacted in sexual encounters. Sex with women was experienced as more masculine than sex with men: Participants described feeling more sexually assertive than their sexual partners, in control of the encounter, and responsible for facilitating their partners’ sexual pleasure. Sex with men was experienced as more egalitarian and provided favorable opportunities to relinquish sexual control and responsibilities around facilitating pleasure, and to feel less masculine, including by engaging in receptive anal intercourse. Findings therefore indicate that, for some bisexual men, masculinity is highly salient, influencing a range of sexual behaviors and experiences in sex with women and with men.

Fighting Stereotypes: Expressions of Femininity in Public Spaces and the Challenge of Toxic Masculinity

This qualitative descriptive research aims to discover the process of toxic masculinity in public spaces. The research was conducted in Teluk Ambon District, Ambon, Maluku. The source of data is taken from primary and secondary data. Data were collected from interviews, observation, and documentation. The data analysis technique uses three stages, such as data reduction, data presentation, and conclusion. The results show that the process of toxic masculinity in the public space starts with the social construction of patriarchy that affects male attitudes and behavior, masculine stigma supported by patriarchal culture, and the internalization of masculine values that lead to violence, aggressiveness, and dominance. It can be seen that the social construction of patriarchy in Negeri Rumahtiga has a significant impact on men's experiences and perceptions of themselves. The masculine stigma supported by patriarchy in Negeri Rumahtiga reflects the strict restrictions on what is considered "male" and "female" in society. The internalization of masculine values that leads to violence, aggressiveness, and dominance in Negeri Rumahtiga is influenced by social and cultural pressures. Keywords: Toxic Masculinity, Patriarchy, Stigma, Internalization

EYoung men's experiences of violence and poverty and the relationship to sexually transmissible HIV: a cross sectional study from rural South Africa.

Young (ages 18-35 years) men are inadequately engaged in HIV prevention and treatment globally, including in South Africa, increasing the likelihood of them having sexually transmissible HIV (i.e. living with HIV but with high viral loads). We sought to understand how men's experiences of poverty and violence, impacted on transmissible HIV, directly or indirectly via mental health and substance misuse. Rural communities in northern KwaZulu-Natal, South Africa. Cross-sectional population-based random selection (September 2018-June 2019), assessing transmissible HIV (living with HIV and viral load ≥400 copies/mL) via dried blood spots, and socio-demographic data. Structural equation models (SEM), assessed direct and indirect pathways from food insecurity and violence experience to transmissible-HIV, with mediators common mental disorders, alcohol use, gender inequitable attitudes and perceptions of life chances. 2,086 young (ages 18-36 years) men and 8.6%(n=178) men had transmissible HIV. In SEM no direct pathways between food insecurity, or violence experience, and transmissible HIV. Poor mental health and alcohol use mediated the relationship between violence experience and food insecurity and transmissible HIV. Life chances also mediated the food insecurity to transmissible HIV pathway. There was a high level of transmissible HIV in a representative sample of young men. The analysis highlights the need to address both the proximate 'drivers' poor mental health and substance misuse, as well as the social contexts shaping these among young men, namely poverty and violence experience. Building holistic interventions that adequately engage these multiple challenges is critical for improving HIV among young men.

Overcoming Rape: A Mixed-Methods Approach to Understanding Psychological and Physical Health Functioning of Male Survivors.

When examining sexual assault, men are often hidden from the literature. The current study employed a mixed-methods, convergent parallel design to examine the experiences of 22 male survivors of sexual assault (mean age = 44.19, SD = 13.28, range 18-65; 91% European American; 50% heterosexual). Survivors were administered an online survey using quantitative and qualitative questions to assess rape myths, gender roles, self-esteem, self-efficacy, resiliency, coping, overall mental and physical health, and diagnostic criteria for alcohol abuse, post traumatic stress disorder (PTSD), and sexual dysfunction. Three key themes emerged from the integration of quantitative and qualitative data: (a) Help is Elusive, (b) Internal Struggles and External Strengths, and (c) Living with Clinical Diagnoses. This study adds to an important area of the literature that increases understanding of men's experiences with sexual violence and honors the voices of these survivors.

Shift in Traditional Masculine Role Amid COVID-19: A Comprehensive Overview From Bangladesh

Gender has been an essential category of analysis that has been culturally and historically embedded in society since the 90s century (Scott, 1986). Gender is not a set of defined traits of masculine and feminine roles;instead, it is connected to social, economic, and psychological aspects. This research intends to examine the changing pattern of conventional conservative masculinity amid the COVID-19 epidemic,which instigates male dominance and supremacy and prescribes an fundamental and objective manner of men's roles. Covid-19, a worldwide pandemic, brought immense health as well as socioeconomic crisis for both men and women.As men and women experience the catastrophes differently,a gendered dimension of assessing their condition due to such a pandemic is necessary. Consequently, this paper aims to explore men's miscellaneous experiences, including their socioeconomic crisis, struggle, and coping mechanisms in that outbreak period. Connell's theory of hegemonic masculinity, Talcott Parsons' functionalist theory, and Judith Lorber'sgender role theory were used to assess findings and to comprehend traditional masculinity. According to findings, men face a massive change in their way of living due to the pandemic, which brought both positive changes in their behavior as well as creating an extra burden to bear socioeconomic turmoil. However, men's involvement in family care work, participation in parenting, contribution to creating flexible conjugal relations, and agreement in the deterioration of precarious masculinity indicate a shifting prototype of traditional masculinity. Similarly, masculinity is not just a linear, homogenous, or rigid construction; it has multiple overlapping variables that evaluate the pandemic from a gendered dimension.

Implementation and Impact of Intimate Partner Violence Screening Expansion in the Veterans Health Administration: Protocol for a Mixed Methods Evaluation.

Intimate partner violence (IPV) is a significant public health problem with far-reaching consequences. The health care system plays an integral role in the detection of and response to IPV. Historically, the majority of IPV screening initiatives have targeted women of reproductive age, with little known about men's IPV screening experiences or the impact of screening on men's health care. The Veterans Health Administration (VHA) has called for an expansion of IPV screening, providing a unique opportunity for a large-scale evaluation of IPV screening and response across all patient populations. In this protocol paper, we describe the recently funded Partnered Evaluation of Relationship Health Innovations and Services through Mixed Methods (PRISM) initiative, aiming to evaluate the implementation and impact of the VHA's IPV screening and response expansion, with a particular focus on identifying potential gender differences. The PRISM Initiative is guided by the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) and Consolidated Framework for Implementation Research (CFIR 2.0) frameworks. We will use mixed methods data from 139 VHA facilities to evaluate the IPV screening expansion, including electronic health record data and qualitative interviews with patients, clinicians, and national IPV program leadership. Quantitative data will be analyzed using a longitudinal observational design with repeated measurement periods at baseline (T0), year 1 (T1), and year 2 (T2). Qualitative interviews will focus on identifying multilevel factors, including potential implementation barriers and facilitators critical to IPV screening and response expansion, and examining the impact of screening on patients and clinicians. The PRISM initiative was funded in October 2023. We have developed the qualitative interview guides, obtained institutional review board approval, extracted quantitative data for baseline analyses, and began recruitment for qualitative interviews. Reports of progress and results will be made available to evaluation partners and funders through quarterly and end-of-year reports. All data collection and analyses across time points are expected to be completed in June 2026. Findings from this mixed methods evaluation will provide a comprehensive understanding of IPV screening expansion at the VHA, including the implementation and impact of screening and the scope of IPV detected in the VHA patient population. Moreover, data generated by this initiative have critical policy and clinical practice implications in a national health care system. PRR1-10.2196/59918.