Masculine Gender Roles Associated with Increased Sexual Risk and Intimate Partner Violence Perpetration among Young Adult Men

Abstract

This study sought to assess the association between traditional masculine gender role ideologies and sexual risk and intimate partner violence (IPV) perpetration behaviors in young men's heterosexual relationships. Sexually active men age 18–35 years attending an urban community health center in Boston were invited to join a study on men's sexual risk; participants (N=307) completed a brief self-administered survey on sexual risk (unprotected sex, forced unprotected sex, multiple sex partners) and IPV perpetration (physical, sexual and injury from/need for medical services due to IPV) behaviors, as well as demographics. Current analyses included men reporting sex with a main female partner in the past 3 months (n=283). Logistic regression analyses adjusted for demographics were used to assess significant associations between male gender role ideologies and the sexual risk and IPV perpetration behaviors. Participants were predominantly Hispanic (74.9%) and Black (21.9%); 55.5% were not born in the continental U.S.; 65% had been in the relationship for more than 1 year. Men reporting more traditional ideologies were significantly more likely to report unprotected vaginal sex in the past 3 months (ORadj = 2.3, 95% CI = 1.2–4.6) and IPV perpetration in the past year (ORadj = 2.1, 95% CI = 1.2–3.6). Findings indicate that masculine gender role ideologies are linked with young men's unprotected vaginal sex and IPV perpetration in relationships, suggesting that such ideologies may be a useful point of sexual risk reduction and IPV prevention intervention with this population.

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References

  1. 1.

    Center for Disease Prevention. Leading causes of death by age group, all races, males—U.S. 2002. Office of the director. Men's health. 2005. Available at: http://www.cdc.gov/men/lcod/02all.pdf.

  2. 2.

    Center for Disease Center. Cases of HIV infection and aids in the United States, 2003. HIV/AIDS surveillance report. 2005c;15.

  3. 3.

    Dunkle KL, Jewkes RK, Brown HC, et al. Gender-based violence, relationship power, and risk of HIV infection in women attending antenatal clinics in South Africa. Lancet. 2004;363(9419):1415–1421.

    Article  PubMed  Google Scholar 

  4. 4.

    El-Bassel N, Fontdevila J, Gilbert L, et al. HIV risks of men in methadone maintenance programs who abuse their intimate partners: a forgotten issue. J Subst Abuse Treat. 2001;12(1–2):29–43.

    Google Scholar 

  5. 5.

    Raj A, Santana MC, La Marche AM, et al. Perpetration of partner violence associated with sexual risk behaviors among young adult men. In Press: Am J Pub Health.

  6. 6.

    Sabo D. Men's health studies: origins and trends. J Am Coll Health Assoc. 2000; 49(3):133–142.

    CAS  Article  Google Scholar 

  7. 7.

    Williams DR. The health of men: structured inequalities and opportunities. Am J Public Health Nations Health. 2003;93(5):724–731.

    Google Scholar 

  8. 8.

    Centers for Disease Control and Prevention. Life-time and annual incidence of intimate partner violence and resulting injuries—Georgia, 1995. MMWR CDC Surveill Summ. 1998;47(40):849–853.

    Google Scholar 

  9. 9.

    Centers for Disease Control and Prevention. Intimate partner violence among men and women—South Carolina, 1998. MMWR CDC Surveill Summ. 2000a;49(30):691–694.

    Google Scholar 

  10. 10.

    Centers for Disease Control and Prevention. Prevalence of intimate partner violence and injuries—Washington, 1998. MMWR CDC Surveill Summ. 2000b;49:849–853.

    Google Scholar 

  11. 11.

    Plichta SB. Violence, health and use of health services. In: Falik MM, Collins KS, eds.Women's Health and Care Seeking Behavior: The Commonwealth Fund Survey. Baltimore, Maryland: Johns Hopkins University; 1996.

    Google Scholar 

  12. 12.

    Schafer J, Caetano R, Cook CL. Rates of intimate partner violence in the United States. Am J Public Health Nations Health. 1998;88:1702–1704.

    CAS  Google Scholar 

  13. 13.

    Straus MA, Gelles RJ. Societal change and change in family violence from 1975 to 1985 as revealed by two national surveys. J Marriage Fam. 1986;48:465–479.

    Article  Google Scholar 

  14. 14.

    Tjaden P, Thoennes N. Full report of the prevalence, incidence, and consequences of violence against women: findings from the national violence against women survey. Washington: National Institute of Justice; 2000. Report NCJ 183781.

  15. 15.

    Amaro H, Raj A. Theoretical and measurement issues in the study of women's relational power in HIV risk reduction. Sex Roles. 2000;42(7/8):723–749.

    Article  Google Scholar 

  16. 16.

    Heise L, Ellsberg M. Ending violence against women. population reports. Volume Xxvii, Number 4. Issues in World Health. December, 1999. Available at: http://www.infoforhealth.org/pr/l11edsum.shtml.

  17. 17.

    Schmuel E, Schenker JG. Violence against women: the physician's role. Eur J Obstet Gynecol Reprod Biol. 1998;80(2):239–245.

    Article  PubMed  CAS  Google Scholar 

  18. 18.

    Bauer HM, Gibson P, Hernandez M, et al. Intimate partner violence and high-risk sexual behaviors among female patients with sexually transmitted diseases. Sex Transm Dis. 2002;29(7):411–416.

    PubMed  Article  Google Scholar 

  19. 19.

    Decker MK, Silverman JG, Raj A. Dating violence and STD/HIV testing and diagnosis among adolescent females. Pediatrics. 2005;116:e272–e276.

    Article  PubMed  Google Scholar 

  20. 20.

    He H, McCoy HV, Stevens SJ, et al. Violence and HIV sexual risk behaviors among female sex partners of male drug users. Women Health. 1998;27(1–2):161–175.

    PubMed  CAS  Google Scholar 

  21. 21.

    Rickert VI, Wiemann CM, Harrykissoon SD, et al. The relationship among demographics, reproductive characteristics, and intimate partner violence. Am J Obstet Gynecol. 2002;187(4):1002–1007.

    Article  PubMed  Google Scholar 

  22. 22.

    Roberts TA, Auinger P, Klein JD. Intimate partner abuse and the reproductive health of sexually active female adolescents. J Adolesc Health. 2005;36(5):380–385.

    Article  PubMed  Google Scholar 

  23. 23.

    Silverman JG, Raj A, Mucci LA, et al. Dating violence against adolescent girls and associated substance use, unhealthy weight control, sexual risk behavior, pregnancy, and suicidality. J Am Med Assoc. 2001;286(5):572–579.

    Article  CAS  Google Scholar 

  24. 24.

    Silverman JG, Raj A, Clements K. Dating violence and sexual risk in a representative sample of high school students. Pediatrics. 2004:114(2):e220–e225.

    Article  PubMed  Google Scholar 

  25. 25.

    Wingood GM, DiClemente RJ. Consequences of having a physically abusive partner on the condom use and sexual negotiation practices of young adult African-American women. Am J Public Health Nations Health. 1997;87(6):1016–1018.

    CAS  Google Scholar 

  26. 26.

    Wingood GM, DiClemente RJ. Partner influences and gender-related factors associated with noncondom use among young adult African–American women. J Community Psychol. 1998;26:29–53.

    Article  CAS  Google Scholar 

  27. 27.

    Hathaway JE, Willis G, Zimmer B, et al. Impact of partner abuse on women's reproductive lives. J Am Med Womens Assoc. 2005;60(1):42–45.

    PubMed  Google Scholar 

  28. 28.

    Raj A, Liu R, McCleary-Sills J, et al. South Asian victims of intimate partner violence more likely than non-victims to report sexual health concerns. J Immigr Health. 2005;7(2):85–91.

    Article  PubMed  Google Scholar 

  29. 29.

    Andersen B, Cyranowski JM, Espindle, D. Men's sexual self-schema. J Pers Soc Psychol. 1999;76:645–661.

    Article  PubMed  CAS  Google Scholar 

  30. 30.

    Anderson VN, Simpson-Taylor D, Hermann DJ. Gender, age and rape-supportive rules. Sex Roles. 2004;50(1–2):77–90.

    Article  Google Scholar 

  31. 31.

    Byers ES. How well does the traditional sexual script explain sexual coercion? Review of a program of research. J Psychol Human Sex. 1996;8(1):7.

    Article  Google Scholar 

  32. 32.

    Chiroro P, Bohner G, Viki GT, et al. Rape myth acceptance and rape proclivity: expected dominance versus expected arousal as mediators in acquaintance-rape situations. J Interpers Violence. 2004;19(4):427–441.

    Article  PubMed  Google Scholar 

  33. 33.

    Greendlinger V, Byrne D. Coercive sexual fantasies of college men as predictors of self-reported likelihood to rape and overt sexual aggression. J Sex Res. 1987;23(1):1–11.

    Article  Google Scholar 

  34. 34.

    Krahe B. Sexual scripts and sexual aggression. In: Eckes T, Trautner HM, eds. The Developmental Social Psychology of Gender. Mahwah, New Jersey: Erlbaum; 2000.

    Google Scholar 

  35. 35.

    Malamuth NM, Scokloski RJ, Koss MP, et al. Characteristics of aggressors against women: testing a model using a national sample of college students. J Consult Clin Psychol. 1991;59:670–681.

    Article  PubMed  CAS  Google Scholar 

  36. 36.

    Murnen SK, Wright C, Kaluzny G. If “Boys Will Be Boys,” then girls will be victims? A meta-analytic review of the research that relates masculine ideology to sexual aggression. Sex Roles. 2002;17:359–375.

    Article  Google Scholar 

  37. 37.

    Ryan K. Further evidence for a cognitive component of rape. Aggress Violent Behav. 2004;9:579–604.

    Article  Google Scholar 

  38. 38.

    Doss BD, Hopkins JR. The multicultural masculinity ideology scale: validation from three cultural perspectives. Sex Roles. 1998;38(9–10):719–741.

    Article  Google Scholar 

  39. 39.

    Bowleg L, Lucas KJ, Tschann JM. “The Ball Was Always in His Court”: an exploratory analysis of relationship scripts, sexual scripts and condom use among African American women. Psychol Women Q. 2004;28(1):70–82.

    Article  Google Scholar 

  40. 40.

    DeLamater J. Females, males and sexuality. In: Kelley K, ed. Gender Differences in Sexual Scenarios. Albany, New York: State University of New York; 1987:127–139.

    Google Scholar 

  41. 41.

    Noar SM, Morokoff PJ. The relationship between masculinity ideology, condom attitudes, and condom use stage of change: a structural equation modeling approach. Int J Mens Health. 2002;1(1):43–58.

    Article  Google Scholar 

  42. 42.

    Pleck JH, Sonenstein FL, Ku LC. Masculinity ideology: its impact on adolescent males' heterosexual relationships. J Soc Issues. 1993;49(3):11–29.

    Google Scholar 

  43. 43.

    Pleck JH, O'Donnell LN. Gender attitudes and health risk behaviors in African-American and Latino early adolescents. Matern Child Health J. 2001;5:265–272.

    Article  PubMed  CAS  Google Scholar 

  44. 44.

    Seal DW, Ehrhardt AA. HIV-prevention-related sexual health promotion for heterosexual men in the United States: pitfalls and recommendations. Arch Sex Behav. 2004;33(3):211–222.

    Article  PubMed  Google Scholar 

  45. 45.

    Shearer CL, Hosterman SJ, Gillen MM, et al. Are traditional gender role attitudes associated with risky sexual behavior and condom-related beliefs. Sex Roles. 2005;52(5/6):311–324.

    Article  Google Scholar 

  46. 46.

    Schoeneberger M, Logan T, Leukefeld, C. Gender roles, HIV risk behaviors, and perceptions of using female condoms among college students. Popul Res Policy Rev. 1999;18(1–2):119–136.

    Article  Google Scholar 

  47. 47.

    Spencer M, Fegley S, Harpalani V, et al. Understanding hypermasculinity in context: a theory-driven analysis of urban adolescent males' coping responses. Res Hum Dev. 2004;1(4):229–257.

    Article  Google Scholar 

  48. 48.

    Sugarman DB, Frankel SL. Patriarchal ideology and wife assault: a meta-analytic review. J Fam Violence. 1996;11:13–40.

    Article  Google Scholar 

  49. 49.

    Forste R, Haas DW. The transition of adolescent males to first intercourse: anticipated or delayed. Perspect Sex & Repro Health. 2001;34(4), 2002 http://www.guttmacher.org/pubs/journals/3418402.html.

  50. 50.

    Straus MA, Hamby SL, Boney-McCoy S, et al. The revised conflict tactics scales (Cts2). J Fam Issues. 1996:17(3):283–316.

    Article  Google Scholar 

  51. 51.

    Rothman KJ, Greenland S. Modern Epidemiology. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 1998.

    Google Scholar 

  52. 52.

    Hill MS, Fischer AR. Does entitlement mediate the link between masculinity and rape-related variables? J Consult Psychol. 2001;48:39–50.

    Google Scholar 

  53. 53.

    Malamuth NM, Brown LM. Sexually aggressive men's perceptions of women's communications: testing three explanations. J Pers Soc Psychol. 1994;67:699–712.

    Article  PubMed  CAS  Google Scholar 

  54. 54.

    Mosher DL, Anderson RD. Macho personality, sexual aggression and reactions to guided imagery of realistic rape. J Res Pers. 1986;20:77–94.

    Article  Google Scholar 

  55. 55.

    Mosher DL, Sirkin M. Measuring a macho personality constellation. J Res Pers. 1984;18:153–163.

    Article  Google Scholar 

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Acknowledgements

This project was funded through a grant from the Massachusetts Department of Public Health. We would like to thank all of the staff and providers at Martha Eliot Health Center who helped facilitate study recruitment for this project; we would particularly like to thank David Holder, Catherine MacAuley, and Ana Ortiz for their support and guidance in implementing the study at Martha Eliot Health Center.

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Correspondence to M. Christina Santana MPH.

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Santana and Raj are with the Department of Social and Behavioral Sciences, Boston University School of Public Health, Boston, MA, USA; Decker and Silverman are with the Department of Society, Human Development and Health and Division of Public Health Practice, Harvard University School of Public Health, Boston, MA, USA; La Marche is with the Martha Eliot Health Center, Boston, MA, USA.

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Santana, M.C., Raj, A., Decker, M.R. et al. Masculine Gender Roles Associated with Increased Sexual Risk and Intimate Partner Violence Perpetration among Young Adult Men. JURH 83, 575–585 (2006). https://doi.org/10.1007/s11524-006-9061-6

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Keywords

  • Sexual risk behaviors
  • Partner violence
  • Masculine ideology