Gender Role Strain and the Precarious Manhood of Sexual Minority Kenyan Men
Gender Role Strain and the Precarious Manhood of Sexual Minority Kenyan Men
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DOI：
10.1037/sgd0000340
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发表时间：
2019-12-01
影响因子：
3.8
通讯作者：
Fields, Errol L.
中科院分区：
文献类型：
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作者：
Granderson, Ricky M.;Harper, Gary W.;Fields, Errol L.
研究了不稳定的男子气概对居住在肯尼亚的性少数族裔男性的心理健康的影响，我们假设：(A)只与男性发生性关系的男性(MSME)和与男性和女性发生性关系的男性(MSMW)将表现出不同的符合男性标准的模式；(B)这些差异将导致MSME和MSMW的男性从众行为与心理困扰症状之间的不同模式；以及(C)符合男性标准将与抑郁和焦虑症状双向相关。使用从391名年轻男性收集的数据，这些年轻男性参与了一项关于肯尼亚西部年轻的性少数男性中艾滋病毒相关风险和复原力的社区横断面研究，我们运行了多变量方差分析(MANOVA)来评估符合男性常模的差异，并使用四个分层线性回归模型来检查MSME和MSMW对男性常模的遵从性与焦虑和抑郁症状之间的关系。Manova结果显示，MSME和MSMW在总体上符合男性气概方面没有显著差异，尽管MSMW更有可能符合男性凌驾于女性之上的标准。回归结果显示，符合男性标准与心理困扰是双向相关的，而且这些关联模式对于MSME和MSMW是不同的。讨论利用现有的研究对MSME和MSMW之间揭示的差异进行了可能的解释。文中还讨论了临床意义、局限性和未来研究的机会。
Examining the impact of precarious manhood on the mental health of sexual minority men living in Kenya, we hypothesized that (a) men who have sex with men exclusively (MSME) and men who have sex with men and women (MSMW) would display differential patterns of conformity to norms of masculinity; (b) these differences would result in distinct patterns of association between masculine conformity and symptoms of psychological distress for MSME and MSMW; and (c) conformity to norms of masculinity would be bidirectionally associated with symptoms of depression and anxiety. Using data collected from 391 young men who participated in a community-based, cross-sectional study of HIV-related risk and resilience among young sexual minority men in western Kenya, we ran a multivariate analysis of variance (MANOVA) to assess differences in conformity to masculine norms and four hierarchical linear regression models to examine the associations between conformity to masculine norms and symptoms of anxiety and depression for MSME and MSMW. MANOVA results revealed no significant differences between MSME and MSMW in overall conformity to masculinity, although MSMW were significantly more likely to conform to the masculine norm of power over women. Regression results revealed that conformity to norms of masculinity was bidirectionally associated with psychological distress and that these patterns of association were distinct for MSME and MSMW. The discussion explores possible explanations for revealed differences between MSME and MSMW using existing research. Clinical implications, limitations, and opportunities for future research are also discussed.