142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

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Hypermasculine attitudes and their translation into health behaviors among gay and bisexual African American men

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

David A. Moskowitz, PhD , Epidemiology and Community Health, New York Medical College, Valhalla, NY
While hypermasculinity (e.g., callousness towards sexual partners, etc.) has been well researched among heterosexual African American (AA) men, the trait remains relatively unapplied to, and unexplored among, gay and bisexual AA men. The degree to which hypermasculine attitudes are pervasive among such men and vary by sexual orientation (i.e., men identifying as gay versus bisexual) is unknown. The predictors of hypermasculinity within this population are equally untested. 

In our quantitative study of 143 gay and bisexual AA men, we had the following goals: (1) to establish the degree of hypermasculinity within this population, (2) to assess correlates/moderators of hypermasculine attitudes, and (3) to test for the influences of these hypermasculine attitudes over sexual/general health behaviors with partners. 

Results indicated that the sample was relatively young and gay, was not particularly hypermasculine, but above average regarding gender typicality. In contrast to findings among heterosexual AA men, aspects of hypermasculinity were best predicted by lower self-esteem and gender atypicality, where age played a moderating role. In terms of health behaviors, aspects of hypermasculinity were associated with decreased condom use during receptive and insertive anal intercourse; these relationships with moderated by seropositivity. 

Within heterosexual AA men, hypermasculinity may be an extension of masculinity. However, our results indicated that in gay and bisexual AA men, hypermasculinity might be a response to gender atypicality (or femininity) and self- esteem issues. That is, such ideologies may be adopted as a defense mechanism against being both gay and feminine in a culture that disrespects and stigmatizes such traits. 

Learning Areas:

Diversity and culture
Other professions or practice related to public health
Public health or related research
Social and behavioral sciences

Learning Objectives:
Define the role of hypermasculinity among gay, heterosexual, and bisexual African-Americans Compare (in particularly, gay/bi) African-American men exhibiting different levels of masculinity and hypermasculinity regarding sexual health outcomes and positive/negative psychological affective traits Differentiate how heterosexual and homosexual African-American men use their hypermasculinity, masculinity, and gender typicality within a sexual context

Keyword(s): African American, Sexual Risk Behavior

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a seasoned men's health researcher who has published myriad studies on heterosexual, gay, and bisexual men's (sexual and general) health. I also sit on the editorial boards of two venerable journals, and am a seasoned APHA presenter and contributor to the scientific vigor of the LGBT caucus. My research is of a top-caliber, quantitative nature and does not sacrifice scientific rigor or overstate its significance.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.