Skip to main content
Log in

The gap of masculinity in the research on HIV among men who have sex with men: A review of quantitative literature and theoretical contributions on gender and masculinity approaches

  • Original Article
  • Published:
Social Theory & Health Aims and scope Submit manuscript

Abstract

HIV transmission among men who have sex with men (MSM) is still expanding globally. A wide myriad of factors that determine sexual risk practices assumption have been identified. Traditional masculine gender norms have been indicated as a possible determinant of risk practices performance among MSM. To identify how quantitative and mixed research values masculinities and their role in HIV transmission practices, a literature review was conducted. Results found that quantitative and mixed research highlighted situations related to HIV transmission in three areas: factors influencing perception and motivations for risk practices engagement; environmental influences facilitating risk taking and the description of new ways to take risks. Quantitative and mixed research took into account masculinity only related to hegemonic traits, both in the risk situations explanations described in the studies and in the measurement instruments used. Although interest on masculinity as a determinant of risk practices in research is increasing, appropriate tools to measure and analyze how masculinity is playing in these arenas are limited and tend to homogenize traits related to masculinity. New approaches, regarding the diversity of masculinities, identity constructions and different sexual interaction ways, as unequal and power relations among men, are needed to better understand and frame HIV transmission among MSM.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Figure 1

Similar content being viewed by others

References

  • Adam, B.D., Husbands, W., Murray, J. and Maxwel, J. (2008) Circuits, networks, and HIV risk management. AIDS Education and Prevention 20 (5): 420–434.

    Article  Google Scholar 

  • AmfAR, The Foundation for AIDS Research. (2010) MSM and the global HIV/AIDS epidemic: Assessing PEPFAR and looking forward, http://www.amfar.org/uploadedFiles/_amfarorg/Around_the_World/IBPepfar(1).pdf, accessed 28 April 2014.

  • Badinter, E. (1993) XY. La identidad masculina. Madrid, Spain: Alianza Editorial.

    Google Scholar 

  • Balán, I.C., Carballo-Diéguez, A., Ventuneac, A. and Remien, R.H. (2009) Intentional condomless anal intercourse among latino MSM who meet sexual partners on the internet. AIDS Education and Prevention 21 (1): 14–24.

    Article  Google Scholar 

  • Bauermeister, J.A., Carballo-Diéguez, A., Ventuneac, A. and Dolezal, C. (2009) Assessing motivations to engage in intentional condomless anal intercourse in HIV-risk contexts (‘bareback sex’) among men who have sex with men. AIDS Education and Prevention 21 (2): 156–168.

    Article  Google Scholar 

  • Bauermeister, J.A., Giguere, R. and Carballo-Diéguez, A. (2010) Perceived risks and protective strategies employed by young men who have sex with men (YMSM) when seeking online sexual partners. Journal of Health Communication 15 (6): 679–690.

    Article  Google Scholar 

  • Berg, R.C. (2008) Barebacking among MSM internet users. AIDS and Behavior 12 (5): 822–833.

    Article  Google Scholar 

  • Berg, R.C. (2009) Barebaking: A review of literature. Archives of Sexual Behavior 38 (5): 754–764.

    Article  Google Scholar 

  • Berg, R.C., Tikkanen, R. and Ross, M.W. (2011) Predictors of reporting bareback sex among a diverse sample of MSM recruited through a Swedish website. AIDS Care: Psychological and Socio-medical Aspects of AIDS/HIV 23 (12): 1644–1651.

    Article  Google Scholar 

  • Beyrer, C. et al (2012) Global epidemiology of HIV infection in men who have sex with men. Lancet 380 (9839): 367–377.

    Article  Google Scholar 

  • Biswas, M.H.A. (2012) AIDS epidemic worldwide and the millennium development strategies: A light for lives. HIV & AIDS Review 11 (4): 87–94.

    Article  Google Scholar 

  • Blackwell, C.W. (2008) Men who have sex with men and recruit bareback sex partners on the internet:Implications for STI and HIV prevention and client education. American Journal of Men’s Health 2 (4): 306–313.

    Article  Google Scholar 

  • Bourdieu, P. (2000) La dominació masculina. Barcelona, Spain: Edicions 62.

    Google Scholar 

  • Bull, S.S., McFarlane, M., Lloyd, M. and Rietmeijer, C. (2004) The process of seeking sex partners online and implications for STD/HIV prevention. AIDS Care 16 (8): 1012–1020.

    Article  Google Scholar 

  • Butler, J. (2001) Gender Trouble: Feminism and the Subversion of Identity. New York: Rouletge.

    Google Scholar 

  • Carballo-Diéguez, A. et al (2006) Cybercartography of popular internet sites used by New York City men who have sex with men interested in bareback sex. AIDS Education & Prevention: An Interdisciplinary Journal 18 (6): 475–489.

    Article  Google Scholar 

  • Connell, R.W. and Messerschmidt, J.W. (2005) Hegemonic masculinity: Rethinking the concept. Gender and Society 19 (6): 829–859.

    Article  Google Scholar 

  • Connell, R.W. (2005) Masculinities. Cambridge: Polity Press.

    Google Scholar 

  • Connell, R. (2011) Confronting Equality. Gender, Knowledge and Global Change. Cambridge: Polity Press.

    Google Scholar 

  • Connell, R. (2012) Gender, health and theory: Conceptualizing the issue, in local and world perspective. Social Science & Medicine 74 (11): 1675–1683.

    Article  Google Scholar 

  • Courtenay, W.H. (2000) Constructions of masculinity and their influence on men’s well-being: A theory of gender and health. Social Science and Medicine 50 (10): 1385–1401.

    Article  Google Scholar 

  • Dillon, P.J. and Basu, A. (2014) HIV/AIDS and minority men who have sex with men: A meta-ethnographic synthesis of qualitative research. Health Communication 29 (2): 182–192.

    Article  Google Scholar 

  • Fernández-Dávila, P. (2009) Necesidades no-sexuales que motivan a un grupo de hombres que tienen sexo con hombres a involucrarse en prácticas sexuales de alto riesgo. Forum Qualitative Social Research, http://nbn-resolvin.de/urn:nbn:de:0114-fqs0902219, accessed 20 January 2014.

  • Fernández-Dávila, P. and Zaragoza, K. (2011) Hombres jóvenes que tienen sexo con hombres: ¿un colectivo en alto riesgo para la infección por el VIH? Gaceta Sanitaria 25 (5): 372–378.

    Article  Google Scholar 

  • Fields, E.L. et al (2012) Risk and perceptions of masculinity among young black MSM. Journal of Adolescent Health 50 (3): 296–303.

    Article  Google Scholar 

  • Goodroad, B.K., Kirksey, K.M. and Butensky, E. (2000) Bareback sex and gay men: An HIV prevention failure. Journal of the Association of Nurses in AIDS Care 11 (6): 29–36.

    Article  Google Scholar 

  • Grov, C., Parsons, J.T. and Bimbi, D.S. (2010) Sexual compulsivity and sexual risk in gay and bisexual men. Archives of Sexual Behavior 39 (4): 940–949.

    Article  Google Scholar 

  • Grov, C., Parsons, J.T. and Bimbi, D.S. (2010a) The association between penis size and sexual health among men who have sex with men. Archives of Sexual Behavior 39 (3): 788–797.

    Article  Google Scholar 

  • Halkitis, P.N., Parsons, J.T. and Wilton, L. (2003) Barebacking among gay and bisexual men in New York City: Explanations for the emergence of intentional unsafe behavior. Archives of Sexual Behavior 32 (4): 351–357.

    Article  Google Scholar 

  • Halkitis, P.N. and Parsons, J.T. (2003a) Intentional unsafe sex (barebacking) among HIV-positive gay men who seek sexual partners on the internet. AIDS CARE 15 (3): 367–378.

    Article  Google Scholar 

  • Halkitis, P.N. et al (2008) Methamphetamine and poly-substance use among gym-attending men who have sex with men in New York City. Annals of Behavioral Medicine 35 (1): 41–48.

    Article  Google Scholar 

  • Hamilton, C.J. and Mahalik, J.R. (2009) Minority stress, masculinity, and social norms predicting gay men’s health risk behaviors. Journal of Counseling Psychology 56 (1): 132–141.

    Article  Google Scholar 

  • Hammarström, A., Johansson, K. and Annandale, E. et al (2014) Central gender theoretical concepts in health research: The state of the art. Journal of Epidemiology and Community Health 68 (2): 3185–3190.

    Article  Google Scholar 

  • Harper, G.W. (2007) Sex isn’t that simple: Culture and context in HIV prevention interventions for gay and bisexual male adolescents. American Psychologist 62 (8): 806–819.

    Article  Google Scholar 

  • Herrick, A.L. et al (2013) Adversity and syndemic production among men participating in the multicenter AIDS cohort study: A life-course approach. American Journal of Public Health 103 (1): 79–85.

    Article  Google Scholar 

  • Holmes, D. and O’Byrne, P. (2006) Bareback sex and the law: The difficult issue of HIV status disclosure. Journal of Psychosocial Nursing 44 (7): 26–33.

    Google Scholar 

  • Holmes, D. and Warner, D. (2005) The anatomy of a forbidden desire: Men, penetration and semen exchange. Nursing Inquiry 12 (1): 10–20.

    Article  Google Scholar 

  • Holmes, D. et al (2008) Bareback sex: Conflation of risk and masculinity. International Journal of Men’s Health 7 (2): 171–191.

    Article  Google Scholar 

  • Holt, M. (2013) Enacting and imagining gay men: The looping effects of behavioural HIV surveillance in Australia. Critical Public Health 23 (4): 404–417.

    Article  Google Scholar 

  • Houston, E., Sandfort, T., Dolezal, C. and Carballo-Diéguez, A. (2012) Depressive symptoms among MSM who engage in bareback sex: Does mood matter? AIDS Behavior 16 (8): 2209–2215.

    Article  Google Scholar 

  • Klein, H. (2012) Anonymous sex and HIV risk practices among men using the Internet specifically to find male partners for unprotected sex. Public Health 126 (6): 471–481.

    Article  Google Scholar 

  • Klein, H. and Tilley, D.L. (2012) Perceptions of HIV risk among internet-using, HIV-negative barebacking men. American Journal of Men’s Health 6 (4): 280–293.

    Article  Google Scholar 

  • Mansergh, G. et al (2002) ‘Barebacking’ in a diverse sample of men who have sex with men. AIDS 16 (4): 653–659.

    Article  Google Scholar 

  • Nodin, N., Valera, P., Ventuneac, A., Maynard, E. and Carballo-Diéguez, A. (2011) The internet profiles of men who have sex with men within bareback websites. Culture, Health and Sexuality 13 (9): 1015–1029.

    Article  Google Scholar 

  • Núñez, G. (2011) Hombres indígenas, diversidad sexual y vulnerabilidad al VIH-Sida: una exploración sobre las dificultades académicas para estudiar un tema emergente en la antropología. Desacatos 35: 13–28.

    Google Scholar 

  • Pantalone, D.W., Bimbi, D.S. and Parsons, J.T. (2008) Motivations for the recreational use of erectile enhancing medications in urban gay and bisexual men. Sexually Transmitted Infections 84 (6): 458–462.

    Article  Google Scholar 

  • Parent, M.T., Torrey, C. and Michaels, M.S. (2012) ‘HIV testing is so gay’: The role of masculine gender role conformity in HIV testing among men who have sex with men. Journal of Counseling Psychology 59 (3): 465–470.

    Article  Google Scholar 

  • Parsons, J.T. and Bimbi, D.S. (2007) Intentional unprotected anal intercourse among sex who have sex with men: Barebacking – from behavior to identity. AIDS and Behavior 11 (2): 277–287.

    Article  Google Scholar 

  • Philips, A.F. and Pirkle, C.M. (2011) Moving beyond behaviour: Advancing HIV risk prevention epistemologies and interventions (A report on the state of the literature). Global Public Health: An International Journal for Research, Policy and Practice 6 (6): 577–592.

    Article  Google Scholar 

  • Pollock, J.A. and Halkitis, P.N. (2009) Environmental factors in relation to unprotected sexual behavior among gay, bisexual, and other MSM. AIDS Education and Prevention 21 (4): 340–355.

    Article  Google Scholar 

  • Sabo, D. (2000) Comprender la salud de los hombres. Un enfoque relacional y sensible al género. In: Organización Panamericana de la Salud. 4. Harvard Center for Population and Developement Studies; Occasional Publication.

    Google Scholar 

  • Stein, D., Silvera, R., Hagerty, R. and Marmor, M. (2012) Viewing pornography depicting unprotected anal intercourse: Are there implications for HIV prevention among men who have sex with men? Archives of Sexual Behavior 41 (2): 411–419.

    Article  Google Scholar 

  • Tallada, J. (2011) La promoción de nuevos modelos de masculinidad para prevenir el VIH entre hombres que practican sexo con hombres en Nicaragua: Centro para la Prevención y Educación del SIDA. Serie de Estudios de Casos, AIDSTAR-One, Task Order 1 Arlington, VA: USAID’s AIDS Support and Technical Assistance Resources.

    Google Scholar 

  • UNAIDS. (2009) UNAIDS action framework: Universal access for men who have sex with men and transgender people, http://www.undp.org/content/dam/aplaws/publication/en/publications/hiv-aids/unaids-action-framework-universal-access-for-men-who-have-sex-with-men-and-transgender-people/MSM%20Framework%20with%20UNDP%20Logo.pdf, accessed 21 April 2014.

  • Van de Ven, P., Prestage, G., Crawford, J., Grulich, A. and Kippax, S. (2000) Sexual risk behaviour increases and is associated with HIV optimism among HIV-negative and HIV-positive gay men in Sydney over the 4 year period to February 2000. AIDS 14 (18): 2951–2953.

    Article  Google Scholar 

  • Van Griensven, F., de Lind van Wijngaarden, J.W., Baral, S. and Grulich, A. (2009) The global epidemic of HIV infection among men who have sex with men. Current Opinion in HIV and AIDS 4 (5): 300–307.

    Article  Google Scholar 

  • Wheldon, C.W. and Pathak, E.B. (2010) Masculinity and relationship agreements among male same-sex couples. Journal of Sex Research 47 (5): 460–470.

    Article  Google Scholar 

  • WHO. (2010) A hidden epidemic: HIV; men who have sex with men and transgender peoplein Eastern Europe and Central Asia Regional Consultation, http://www.euro.who.int/__data/assets/pdf_file/0010/140410/e94967.pdf?ua=1, accessed 15 March 2014.

  • Wolitski, R.J., Valdiserri, R.O., Denning, P.H. and Levine, W.C. (2001) Are we headed for a resurgence of the HIV epidemic among men who have sex with men? American Journal of Public Health 91 (6): 883–888.

    Article  Google Scholar 

  • Yep, G.A., Lovaas, K.E. and Pagonis, A.V. (2002) The case of riding ‘bareback’: Sexual practices and the paradoxes of identity in the era of AIDS. Journal of Homosexuality 42 (4): 1–14.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gallén, À., Tomás, C. The gap of masculinity in the research on HIV among men who have sex with men: A review of quantitative literature and theoretical contributions on gender and masculinity approaches. Soc Theory Health 13, 202–218 (2015). https://doi.org/10.1057/sth.2015.4

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1057/sth.2015.4

Keywords

Navigation