Close Menu

Bahamian Men’s Masculine Ideology and Safer Sex Practices: Papa was no Rolling Stone

Journal Authors: 


Objective: Heterosexual adult men continue to be a neglected population that is at risk for HIV infection. Worldwide, cultural, and behavioral concepts continue to play a role in the spread of the infection. Likewise, across the Caribbean region, many heterosexual men acknowledge feeling social pressure in relationships to engage in behaviors that are perceived to be masculine (i.e. no condom use). However, the relationship between safer sex practices and masculine ideology has been more often presumed than examined and the relationship remains relatively obscure.

Methods: A descriptive correlational design was used to (a) examine the relationships among select demographics, masculine ideology, and safer sex behaviors; and (b) identify select predictors of safer sex practices among Bahamian men. Data were collected from a convenience sample of 185 men, 18 years and older, using the Male Role Norms Scale and Safe Sex Behavior Questionnaire.

Results: Using multivariate analysis, masculine ideology was negatively associated with safer sex behaviors (r = -.252, p < .01), important in explaining 28% variance and a significant contributor (p = .001, 95% CI: -.547-.153) in safer sex behaviors. Income (β = -.15, p < .01) and masculine ideology (β = -.24, p < .01) were significantly associated with safer sex behaviors.

Conclusion: Bahamian masculine ideology plays a key role in safer sex practices. This new knowledge directs HIV prevention programs to focus on cultural dynamics that may challenge men. Implications for future research and socially sensitive HIV prevention efforts targeting heterosexual men are discussed.

21 Jan, 2016
PDF Attachment: 
e-Published: 23 Feb, 2016


Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

Top of Page