The Roots and Fruits of Masculinity: Social Antecedents and Sexual Relationship Consequences of Young Men's Adherence to Masculine Norms.

On a longitudinal sample of 181 emerging adult men (Mage = 19.36, SDage = 1.48), we analyzed how diverse socializing agents (fathers, male peers, magazines, music videos, TV dramas, and TV sitcoms) related to adherence to masculine norms, and how norm adherence related to men's interpersonal sexual cognitions and behaviors (romantic relationship self-efficacy, sexual self-esteem, and alcohol-primed sexual encounters). We found that male peers, magazines, and music videos related to masculine norm adherence one year later, and that norm adherence predicted increased alcohol-primed sexual encounters. We followed this up with analyses investigating the role of specific masculine norms and found unique socialization and outcome paths for different masculine norms. For example, analyses indicated that male peers were positively related to norms of winning, power over women, playboy attitudes, and risk-taking, and that playboy attitudes, risk-taking, emotional control, and self-reliance predicted lower levels of romantic relationship self-efficacy. Interestingly, sitcom viewing related to lower adherence to masculine norms including heterosexual presentation and having power over women. Findings identify the unique influence of male peers, magazines, and music videos on young men's sexual cognitions and behaviors and highlight how combining different socialization agents in one model is key to identifying these unique patterns of socialization and their consequences.

Men's Knowledge of Anticipatory Guidance Topics: Results From a Nationally Representative Survey.

OBJECTIVE: 1) To describe young men's knowledge of infant routines, discipline, development, safety, sleep, and nutrition, using items assessing the American Academy of Pediatrics Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents. 2) To report differences in knowledge between fathers and non-fathers. 3) To examine factors associated with men's greater knowledge. METHODS: Participants were men (N = 1303) aged 18 to 35 years responding to a cross-sectional survey that was administered to a national panel established through probability sampling of the civilian, non-institutionalized US population. Survey weights allow reporting of nationally representative analyses. RESULTS: Participants (mean age = 27; 58% white, 36% fathers) correctly answered 52% of the infant knowledge questions. Fathers and non-fathers answered 64% and 46% of the items correctly, respectively. The difference in knowledge between fathers and non-fathers was statistically significant (B = 0.16, P< .001). The subscale with the highest number of correct responses was routines (80% accuracy), followed by discipline (59% accuracy), safety (52% accuracy), sleep (51% accuracy), development (50% accuracy), and nutrition (40% accuracy). Multivariate analyses showed that depressive symptoms (B = -0.07, P < .05) were associated with lower infant knowledge, while higher education (B = 0.06, P < .05) and current employment (B = 0.06, P < .01) were associated with higher infant knowledge. CONCLUSIONS: Significant gaps exist in men's knowledge of infant development. Pediatric health care providers can address gaps in parenting knowledge by providing anticipatory guidance to fathers.

The Association Between Stereotypical Gender and Dating Beliefs and Digital Dating Abuse Perpetration in Adolescent Dating Relationships.

Digital media have become a significant context for adolescent dating relationships. As the use of social media and mobile phones increases, so do concerns that these media might be a context for "digital dating abuse" (DDA), or the use of digital media to harass, pressure, threaten, coerce, or monitor a dating partner. Although DDA has been shown to be common in adolescent dating relationships, little is known about the predictors of DDA perpetration or the role of stereotypical gender and dating beliefs in shaping these behaviors. This survey study of 703 high school students with dating experience investigated the role of gender beliefs in DDA perpetration using structural equation modeling. The survey included items pertaining to participants' digital media use, stereotypical gender and dating beliefs, and three types of DDA perpetration. Girls reported more frequent perpetration of some types of DDA, and boys expressed greater endorsement of stereotypical gender and dating beliefs. The data supported our hypothesized models, such that endorsement of stereotypical beliefs was associated with different types of DDA perpetration for girls and boys. Higher endorsement of stereotypical beliefs was related to perpetration of digital monitoring and control behaviors for girls, and to directly aggressive and hostile digital behaviors for boys. These patterns align with stereotypical gender roles. Associations with sexually coercive digital behaviors for both girls and boys are discussed. This study suggests that beyond the gender of the perpetrator, societal beliefs about gender and dating may shape the problematic use of digital media in dating relationships.

Examining attitudes towards sexual violence and IPV prevention activities among fraternity members with official and unofficial houses.

OBJECTIVE: This study explored differences in attitudes about sexual violence, knowledge of intimate partner violence (IPV) prevention resources, and participation in IPV prevention activities among young men based on their fraternity membership and house status (ie, official house versus unofficial house versus no house). Participants: 1,457 undergraduate men completed surveys in the 2017-2018 academic year. Fraternity members indicated whether their fraternity had an official, unofficial, or no house. Methods: The survey included measures of attitudes towards sexual violence, knowledge of IPV resources, and participation in IPV prevention activities. Results: Fraternity members with unofficial houses were more accepting of sexual violence than nonmembers, whereas fraternity members with official houses were exposed to more IPV prevention messages than nonmembers. Conclusions: Results highlight the importance of considering fraternity house status as a risk factor for sexual violence. Unofficial houses that are not regulated by the university may be particularly problematic for IPV.

Prescription Opioid Misuse and Intimate Partner Violence Perpetration among a Nationally Representative Sample of Young Men.

BACKGROUND: Drug use is associated with intimate partner violence (IPV) perpetration among men, but few studies have examined the relation between prescription opioid misuse and IPV perpetration. Objectives: The purpose of this study is to examine the relation between prescription opioid misuse and IPV perpetration while controlling for demographic, depression, alcohol, and illicit drug use risk factors among a non-clinical, nationally representative sample of young men aged 18-35. Methods: Cross-sectional survey in August 2014 of 1,053 partnered men aged 18-35 in a nationally representative sample of the adult U.S. population. The survey assessed physical IPV perpetration, depressive symptoms, alcohol misuse, marijuana use, illegal drug use, prescription opioid misuse, and demographic characteristics. We calculated descriptive statistics and conducted weighted bivariate and multivariate logistic regression to assess associations of IPV perpetration with prescription opioid misuse and other known IPV risk factors. Results: Weighted analyses show 19.4% of men reported IPV perpetration in the current or most recent relationship, and 7.3% reported prescription opioid misuse in the past year. After controlling for marijuana use, illegal drug use, depressive symptoms, and demographic characteristics, prescription opioid misuse in the past year (A.O.R. = 1.94, 95% CI = 1.33-2.84) was associated with increased odds of young men's physical IPV perpetration in the current or most recent relationship. Conclusions/importance: Prescription opioid misuse is associated with IPV perpetration at a population-level among young men and is not unique to clinical samples. Prevention and intervention strategies should be developed to simultaneously target prescription opioid misuse and IPV perpetration.

Prevalence of Intimate Partner Violence and Beliefs About Partner Violence Screening Among Young Men.

PURPOSE: Few clinical guidelines focus on how physicians can identify intimate partner violence (IPV) perpetration or victimization among male patients, and little is known of men's experiences and beliefs regarding screening in health care settings. Our objective was to determine prevalence of men's experiences with IPV screening in health care settings and associations with men's beliefs regarding health care clinician identification of IPV. METHODS: Using a cross-sectional online survey of a nationally representative sample of 916 men aged 18-35 years, we conducted survey-weighted descriptive analyses to determine IPV prevalence, screening experiences and beliefs, and multivariate logistic regression to examine associations of demographics, IPV perpetration, and IPV victimization with men's screening experiences and beliefs. RESULTS: Of 916 men surveyed, 19% reported perpetration and 27% reported victimization in relationship with current or previous spouse/partner, 90% believed health care clinicians should ask about perpetration, 92% believed health care clinicians should ask about victimization, but only 11% had been asked about perpetration and 13% about victimization. Beliefs regarding IPV were associated with African American non-Hispanic race, IPV perpetration, and IPV victimization. Experiences being asked about IPV were associated with educational attainment and IPV perpetration. CONCLUSIONS: Among young US men, 9 in 10 support IPV identification by health care clinicians, nearly 1 in 5 report using IPV, but only about 1 in 10 report health care clinicians asking about IPV. These represent missed opportunities for health care IPV identification. Beliefs and experiences regarding health care IPV identification vary by race, education, and men's IPV perpetration and victimization. These disparities can inform tailored health care identification approaches.

Impact of Exposure to Sexual Violence Prevention Messages on Students' Bystander Behavior.

Bystander intervention is a prevention strategy commonly used to address campus sexual violence. Increasingly, there are calls for prevention efforts to be multilevel and ongoing. The current study investigated the impact of receiving varied prevention messages throughout adolescence and into early adulthood to determine whether it influences college students' awareness of sexual violence, willingness to intervene as a helpful bystander, and actual prosocial bystander behavior. These questions were tested through administration of an online survey to a racially and ethnically diverse sample of 1,047 undergraduate students at a large, urban university in the mid-Atlantic. Results found that most students received information about sexual violence prior to coming to campus from a variety of sources, and that the sources varied significantly by gender and race. Regression analysis found that greater exposure to prevention messages prior to coming to college was significantly associated with greater bystander intentions and behavior even after accounting for gender and race and exposure since coming to college. The findings provide initial support to expand the scope of prevention efforts and to begin them prior to college.

Bros Will Be Bros? The Effect of Fraternity Membership on Perceived Culpability for Sexual Assault.

To examine the link between fraternity membership and sexual assault perpetration, we used an experimental design to assess the role of perceptions in an ambiguous sexual assault scenario. Undergraduates (N = 408) were randomly assigned to either an experimental group where the perpetrator is a fraternity member or a control group where no fraternity information is given. Males rated perpetrators as less guilty and victims as more culpable when the perpetrator was a fraternity member, suggesting that sexual violence may be reinforced among fraternity members as they are both more likely to perpetrate sexual assault and less likely to be blamed.

A longitudinal study of interest and membership in a fraternity, rape myth acceptance, and proclivity to perpetrate sexual assault.

OBJECTIVE: This study explored the relation between interest and membership in a fraternity and acceptance of sexual violence (eg, rape myth acceptance, proclivity to perpetrate sexual aggression) among first year college men. PARTICIPANTS: A total of 315 men were surveyed before their first year of college (June-August 2010) and again at 4 time points over the next year. METHODS: Participants responded to measures of rape myth acceptance and proclivity to perpetrate sexual aggression. RESULTS: Interested members scored higher on proclivity to perpetrate sexual aggression and some rape myths than noninterested nonmembers; interested nonmembers scored in between the 2 groups. CONCLUSIONS: Results highlight the importance of considering both fraternity membership and interest in joining a fraternity, as well as examining individual rape myths, in studies of fraternity membership and sexual violence.

Contributions of Social Comparison and Self-Objectification in Mediating Associations Between Facebook Use and Emergent Adults' Psychological Well-Being.

Although Facebook was created to help people feel connected with each other, data indicate that regular usage has both negative and positive connections to well-being. To explore these mixed results, we tested the role of social comparison and self-objectification as possible mediators of the link between Facebook use and three facets of psychological well-being: self-esteem, mental health, and body shame. Participants were 1,104 undergraduate women and men who completed surveys assessing their Facebook usage (minutes, passive use, and active use), social comparison, self-objectification, and well-being. Data were analyzed using structural equation modeling, testing separate models for women and men. Models for each gender fit the data well. For women and men, Facebook use was associated with greater social comparison and greater self-objectification, which, in turn, was each related to lower self-esteem, poorer mental health, and greater body shame. Mediated models provided better fits to the data than models testing direct pathways to the mediators and well-being variables. Implications are discussed for young people's social media use, and future directions are provided.

Baseline physical health-related quality of life and subsequent depression outcomes in cardiac patients.

Among 137 depressed cardiac patients, lower baseline physical health-related quality of life (HRQoL) was independently associated with greater depression persistence at 6 months among patients randomized to collaborative care, but not usual care. Low physical HRQoL may impact collaborative care effectiveness and indicate a need for alternate depression treatment.

A double-blind, placebo-controlled study of the impact of galantamine on anterograde memory impairment during electroconvulsive therapy.

BACKGROUND: Electroconvulsive therapy (ECT) continues to be an effective treatment option for patients who fail to respond to pharmacological interventions, are unable to tolerate medications, and show a suboptimal response to behavioral and psychotherapeutic treatments. However, risks for cognitive impairment may contribute to some patients' refusal of ECT. METHODS: The present study examined galantamine as a pharmacological intervention to reduce cognitive adverse effects from ECT. Thirty-nine inpatients diagnosed with major depressive disorder; bipolar disorder, depressed type; or schizoaffective disorder, depressed type and admitted for ECT were randomized to galantamine or placebo. Study drugs were initiated 24 to 48 hours before starting ECT and continued throughout the course of ECT. A neuropsychological test battery was administered at baseline and 24 to 48 hours after completing a course of ECT treatments. Depression severity was monitored using the 17-item Hamilton Rating Scale for Depression and Clinical Global Impression Scale at baseline, weekly, and end point. Self-rated adverse effects were monitored weekly. RESULTS: Thirty participants (12 patients in the galantamine group, 18 patients in the placebo group) had both pretreatment and posttreatment neuropsychological ratings. Those in the galantamine group scored significantly higher at discharge for delayed memory (t28 = 2.44, P < 0.05). Hierarchical regressions examined if treatment condition predicted changes in delayed memory scores from baseline to discharge. Inclusion of the treatment condition in the final model made a significant incremental improvement in prediction (ΔR = 0.12, F1,27 change = 4.65, P < 0.05; ß = 0.37, t = 2.16, P < 0.05). Galantamine was well tolerated with no clinically significant bradycardia or prolonged paralysis when administered with ECT. CONCLUSIONS: Galantamine may be protective against impairment in retention of new learning. Galantamine exhibited minimal adverse effects and was safe when administered during ECT. The present findings require replication by future researchers using larger samples before broad conclusions can be drawn.

Parent involvement is associated with early success in obesity treatment.

OBJECTIVE: The study examined the influence of parent involvement and family factors on body mass index (BMI) change in a pediatric obesity treatment program. METHODS: A total of 104 children and their caregivers were examined during a 12-week obesity intervention. Participants (mean age = 11.42 years; SD = 2.83) and their caregivers completed measures of family environment and depression prior to enrollment. Children's BMI and parental involvement were rated weekly during the intervention. Logistic regressions were conducted to examine the role of sociodemographic factors, family characteristics, and parent involvement on weight. RESULTS: Children with the lowest parent involvement were less likely to lose any weight or have clinically significant (>or=2 kg) weight loss. Demographics and family factors did not predict BMI change. Parent involvement related to ethnicity, absences and physical activity. CONCLUSIONS: Parental involvement may be helpful in identifying who is likely to do well in a weight loss program.