The Men's Center Approach: Ecological Interventions for College Men's Health

The Exosystem Impact: An Analysis of Male- and Female Physical Intimate Partner Violence Victimization in Heterosexual Relationships

An increasing body of sociological research explores the complexity of intimate partner violence (IPV) in heterosexual relationships. However, early research in this area concentrated exclusively on male perpetration, thereby necessitating a better understanding of the contexts behind female-perpetrated and bidirectional IPV. Using the two most recent cycles of the Canadian General Social Survey (2014 and 2019), our study employs a multinomial logistic regression model to examine the prevalence and severity of female and male physical IPV victimization among a large sample of married and common-law heterosexual couples. Framing our analysis through one concentric level of Dutton's (1990) nested ecological model, the exosystem, we aim to understand whether these indicators serve as protective markers against severe and nonsevere physical IPV. We investigate the impact of eight exosystem indicators (financial stress, number of children, length of relationship, religiosity, employment, social support, education, and income). Our findings suggest that social support, employment, and household income serve as protective markers against male and female physical IPV victimization. Other protective factors include the length of the relationship and the partner's religiosity for female-perpetrated violence. At the same time, the presence of children in the household reduces the likelihood of male-perpetrated IPV despite being a risk marker for female perpetration. Risk factors for both men and women include education and their partner's employment. Future research should undertake a more in-depth exploration of the impact of exosystem and macrosystem factors on instances of IPV to generate a better understanding of predictive and preventative measures.

Approaches to Engaging Men During Primary Healthcare Encounters: A scoping review

Gender-responsive healthcare is critical to advancing men's health given that masculinities intersect with other social determinants to impact help-seeking, engagement with primary healthcare, and patient outcomes. A scoping review was undertaken with the aim to synthesize gender-responsive approaches used by healthcare providers (HCPs) to engage men with primary healthcare. MEDLINE, PubMed, CINAHL, and PsycINFO databases were searched for articles published between 2000 and February 2024. Titles and abstracts for 15,659 citations were reviewed, and 97 articles met the inclusion criteria. Data were extracted and analyzed thematically. Thirty-three approaches were synthesized from across counseling/psychology, general practice, social work, nursing, psychiatry, pharmacy, and unspecified primary healthcare settings. These were organized into three interrelated themes: (a) tailoring communication to reach men; (b) purposefully structuring treatment to meet men's health needs, and (c) centering the therapeutic alliance to retain men in care. Strength-based and asset-building approaches focused on reading and responding to a diversity of masculinities was reinforced across the three findings. While these approaches are recommended for the judicious integration into health practitioner education and practice, this review highlighted that the evidence remains underdeveloped, particularly for men who experience health inequities. Critical priorities for further research include intersectional considerations and operationalizing gender-responsive healthcare approaches for men and its outcomes, particularly at first point-of-contact encounters.

Every guy needs his team: the promise of peer-led mentoring groups for college men

Objective: Our study conducted a preliminary evaluation of a peer-mentoring group program for college men (Freshmen League). Participants & Methods: We interviewed first-year men who participated in Freshmen League (n = 16) and others who did not (n = 10), asking them questions about authenticity, relationships, masculinity, and community. Using consensual qualitative research, we identified themes in constructions of their experiences and development throughout the year, and compared them across groups. Findings: Men in both groups reflected on becoming their authentic selves, feeling pressure to fit a mold, valuing friendship, and wanting to positively impact their community. However, Freshmen League participants were more likely to talk about vulnerability, positive influences of upperclassmen, connecting with others, alternative social norms, and social justice. Conclusions: Peer-led mentoring groups represent a promising direction as interventions to promote college men's health and campus culture. Directions for future research and considerations for program implementation are discussed.

Associations Between Masculine Norms and Health-Care Utilization in Highly Religious, Heterosexual Men

The purpose of this study was to use focus groups to explore married men’s avoidance of health-care utilization. Five focus groups of 8 to 10 married, heterosexual, male participants (N = 44) were conducted and analyzed using grounded theory methods. Several important themes emerged connected to how masculine norms were associated with health-care utilization at several domains including at the organizational level (perceptions of doctors), interpersonal level (past family context and current family context), and individual level (illness severity, money concerns). These themes were all connected with the societal theme of masculine norms, where men’s reasons for health-care utilization (or underutilization) seemed in large part to emerge because of their perceptions of male gender roles. Implications for married men’s health-care utilization and health prevention education will be discussed.

Eating disorder risk and body dissatisfaction based on muscularity and body fat in male university students

OBJECTIVE

To investigate the relationship between risk of eating disorders, body dissatisfaction, and perceptual attractiveness in male university students.

PARTICIPANTS

Research was conducted January-April 2012 and involved 339 male and 441 female students.

METHODS

Eating disorder risk was assessed with the Eating Attitudes Test (EAT) and body dissatisfaction and perceptual attractiveness determined with the Bodybuilder Image Grid (BIG).

RESULTS

There was a positive correlation (r=.16, p<.01) between the EAT and fat dissatisfaction and a negative correlation (r=-.14, p<.05) for muscle dissatisfaction, 28% of the males had an EAT score indicating that they were at risk for an eating disorder. Males chose a significantly more muscular and leaner body type than what females chose to be attractive.

CONCLUSION

College-aged males may be at risk for eating disorders based on distortions in their perceived ideal body image, both for fat and muscle.