caa a22 4500 606231501 CHVBK 20210128101220.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s10508-015-0501-9 doi (NATIONALLICENCE)springer-10.1007/s10508-015-0501-9 Zeglin Robert Department of Counseling and Human Development, George Washington University, 2134 G St. NW, 3rd Floor, 20037, Washington, DC, USA aut Assessing the Role of Masculinity in the Transmission of HIV: A Systematic Review to Inform HIV Risk Reduction Counseling Interventions for Men Who Have Sex with Men [Elektronische Daten] [Robert Zeglin] HIV affects over 1.2million people in the United States; a substantial number are men who have sex with men (MSM). Despite an abundance of literature evaluating numerous social/structural and individual risk factors associated with HIV for this population, relatively little is known regarding the individual-level role of masculinity in community-level HIV transmission risk. To address this gap, the current analysis systematically reviewed the masculinity and HIV literature for MSM. The findings of 31 sources were included. Seven themes were identified: (1) number of partners, (2) attitudes toward condoms, (3) drug use, (4) sexual positioning, (5) condom decision-making, (6) attitudes toward testing, and (7) treatment compliance. These factors, representing the enactment of masculine norms, potentiate the spread of HIV. The current article aligns these factors into a masculinity model of community HIV transmission. Opportunities for counseling interventions include identifying how masculinity informs a client's cognitions, emotions, and behaviors as well as adapting gender-transformative interventions to help create new conceptualizations of masculinity for MSM clients. This approach could reduce community-level HIV incidence. Springer Science+Business Media New York, 2015 Masculinity nationallicence HIV nationallicence Men who have sex with men nationallicence Gender-transformative nationallicence Sexual orientation nationallicence Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/7(2015-10-01), 1979-1990 0004-0002 44:7<1979 2015 44 10508 https://doi.org/10.1007/s10508-015-0501-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10508-015-0501-9 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Zeglin Robert Department of Counseling and Human Development, George Washington University, 2134 G St. NW, 3rd Floor, 20037, Washington, DC, USA aut NATIONALLICENCE 773 0- Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/7(2015-10-01), 1979-1990 0004-0002 44:7<1979 2015 44 10508