Gender Role Conflict Among African American Men Who Have Sex With Men and Women

Associations With Mental Health and Sexual Risk and Disclosure Behaviors

Bibliographic Data

ID11033788
AuthorsTrista Bingham (0000-0002-1949-5133, Charles R. Drew University of Medicine and Science), Trista A Bingham (Trista A. Bingham is with the HIV Epidemiology Program, Los Angeles County Department of Public Health, Los Angeles, CA. Nina T. Harawa is with the College of Medicine, Charles R. Drew University of Medicine and Science, Los Angeles. John K. Williams is with the Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Behavioral Sciences, University of California, Los Angeles.), Nina T Harawa (0000-0002-7486-8393, Trista A. Bingham is with the HIV Epidemiology Program, Los Angeles County Department of Public Health, Los Angeles, CA. Nina T. Harawa is with the College of Medicine, Charles R. Drew University of Medicine and Science, Los Angeles. John K. Williams is with the Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Behavioral Sciences, University of California, Los Angeles.), John K Williams (0009-0008-5517-1591, Trista A. Bingham is with the HIV Epidemiology Program, Los Angeles County Department of Public Health, Los Angeles, CA. Nina T. Harawa is with the College of Medicine, Charles R. Drew University of Medicine and Science, Los Angeles. John K. Williams is with the Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Behavioral Sciences, University of California, Los Angeles.)
Year2013
Volume103
Issue1
Pages127-133
Publication date2013-01-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2012.300855
PMID23153143
PMCIDPMC3518365
OpenAlexW2100109717
LanguageEN
Citations received19
References cited28

Objectives. We investigated whether high gender role conflict (GRC; internal conflict with traditional gender-role stereotypes and an individual’s perceived need to comply with these roles) is associated with psychological distress and HIV-related risk behaviors in a sample of African American men who have sex with men and women (MSMW). Methods. We analyzed baseline data collected from questionnaires completed by 400 MSMW participating in the Men of African American Legacy Empowering Self project in Los Angeles, California, in 2007 to 2010 for associations between participants’ GRC and experiences of poor mental health and HIV risk outcomes. Results. MSMW who reported higher levels of GRC than other participants also reported more psychological distress, lower self-esteem, greater internalized homophobia, less HIV knowledge, lower risk reduction skills, less disclosure of same-sex behaviors to others, and more unprotected vaginal or anal intercourse with female partners. Conclusions. Future research should consider how high GRC affects African American MSMW’s lives and identify specific approaches to help alleviate the psychological distress and other negative behavioral outcomes associated with internal conflict caused by rigid gender role socialization

African american · Distress · Family medicine · Human immunodeficiency virus (HIV) · Men who have sex with men · Mental health · Psychiatry · Sexual minority · Sexual orientation · Socialization · Adolescent Sexual and Reproductive Health · Clinical Psychology · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy · Medicine · Psychology · Social Psychology

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