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Articles

“I Feel Like More of a Man”: A Mixed Methods Study of Masculinity, Sexual Performance, and Circumcision for HIV Prevention

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  • Adams, A., & Moyer, E. (2015). Sex is never the same: Men’s perspectives on refusing circumcision from an in-depth qualitative study in Kwaluseni, Swaziland. Global Public Health, 10, 721–738. doi:10.1080/17441692.2015.1004356
  • Atlas.ti. (2012). Version 7.1. Berlin, Germany: ATLAS.ti Scientific Software Development GmbH.
  • Auvert, B., Taljaard, D., Lagarde, E., Sobngwi-Tambekou, J., Sitta, R., & Puren, A. (2005). Randomized, controlled intervention trial of male circumcision for reduction of HIV infection risk: The ANRS 1265 trial. PLoS Medicine, 2(11), e298. doi:10.1371/journal.pmed.0020298
  • Auvert, B., Taljaard, D., Rech, D., Lissouba, P., Singh, B., Bouscaillou, J., … Binagwaho, A. (2013). Association of the ANRS-12126 male circumcision project with HIV levels among men in a South African township: Evaluation of effectiveness using cross-sectional surveys. PLoS Medicine, 10(9), e1001509. doi:10.1371/journal.pmed.1001509
  • Bailey, R. C., Moses, S., Parker, C. B., Agot, K., Maclean, I., Krieger, J. N., … Ndinya-Achola, J. O. (2007). Male circumcision for HIV prevention in young men in Kisumu, Kenya: A randomised controlled trial. The Lancet, 369, 643–656. doi:10.1016/S0140-6736(07)60312-2
  • Barrington, C. (2007). Social networks, norms, and the HIV-related behaviors among the male partners of female sex workers in La Romana, Dominican Republic (Unpublished doctoral dissertation). Johns Hopkins University, Baltimore, MD.
  • Brito, M. O., Caso, L. M., Balbuena, H., & Bailey, R. C. (2009). Acceptability of male circumcision for the prevention of HIV/AIDS in the Dominican Republic. PLoS One, 4(11), e7687. doi:10.1371/journal.pone.0007687
  • Brito, M. O., Lerebours, L., Volquez, C., Basora, E., Khosla, S., Lantigua, F., … Cameron, D. W. (2015). A clinical trial to introduce voluntary medical male circumcision for HIV prevention in areas of high prevalence in the Dominican Republic. PLoS One, 10(9), e0137376. doi:10.1371/journal.pone.0137376
  • Brito, M. O., Luna, M., & Bailey, R. C. (2010). The feasibility and acceptability of male circumcision among men, women, and health providers of the Altagracia Province, Dominican Republic. AIDS Care, 22, 1530–1535. doi:10.1080/09540121.2010.484455
  • Butler, J. (1993). Bodies that matter: On the discursive limits of sex. London, UK: Routledge.
  • Carpenter, L. M., & Kettrey, H. H. (2015). (Im)perishable pleasure, (in)destructible desire: Sexual themes in U.S. and English news coverage of male circumcision and female genital cutting. Journal of Sex Research, 52(8), 841–856. doi:10.1080/00224499.2014.950720
  • Castro-Vázquez, G. (2012). Sexuality, gender or hygiene: Urologists and plastic surgeons discussing male circumcision in Japan. Critical Public Health, 23, 1–16.
  • Castro-Vázquez, G. (2013a). The beauty of male circumcision in Japan: Gender, sexuality, and the male body in a medical practice. Sociology, 47, 687–704. doi:10.1177/0038038512453794
  • Castro-Vázquez, G. (2013b). Gender, pride, and medical circumcision in contemporary Japan. Culture, Health, and Sexuality, 15, 101–113. doi:10.1080/13691058.2012.738827
  • CESDEM & Macro International Inc. (2014). Encuesta Demografica y de Salud 2013 [Demographic and health survey 2013]. Santo Domingo, Dominican Republic: CESDEM & Macro International.
  • Cohan, M. (2009). Adolescent heterosexual males talk about the role of male peer groups in their sexual decision making. Sexuality and Culture, 13, 152–177. doi:10.1007/s12119-009-9052-3
  • Connell, R. W. (1995). Masculinities. Berkeley: University of California Press.
  • Connell, R. W., & Messerschmidt, J. W. (2005). Hegemonic masculinity rethinking the concept. Gender and Society, 19, 829–859. doi:10.1177/0891243205278639
  • Consejo Nacional de Poblacion y Familia. (2010). Estimaciones y proyecciones de la poblacion Dominicana por Regiones, Provincias, Municipios y Distritos Municipales, 2010 [Estimations and projections for the Dominican populations by Region, Province, Municipality, and Municipal Districts, 2010]. Santo Domingo, Dominican Republic: Consejo Nacional de Poblacion y Familia.
  • 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, 1385–1401. doi:10.1016/S0277-9536(99)00390-1
  • Creswell, J., & Plano Clark, V. (2011). Designing and conducting mixed methods research (2nd ed.). Thousand Oaks, CA: Sage.
  • de Moya, E. A. (2004). Power games and totalitarian masculinity in the Dominican Republic. In R. Reddock (Ed.), Interrogating Caribbean masculinities: Theoretical and empirical analyses (pp. 68–102). Kingston, Jamaica: University of West Indies Press.
  • DIGECITSS. (2014). El Estado Epidemico del VIH en Republica Dominicana [The state of the HIV epidemic in the Dominican Republic]. Santo Domingo, Dominican Republic: DIGECITSS.
  • Dowsett, G. W., & Couch, M. (2007). Male circumcision and HIV prevention: Is there really enough of the right kind of evidence? Reproductive Health Matters, 15, 33–44. doi:10.1016/S0968-8080(07)29302-4
  • Dworkin, S. L., Fleming, P. J., & Colvin, C. J. (2015). The promises and limitations of gender-transformative health programming with men: Critical reflections from the field. Culture, Health, and Sexuality, 17, s128–s143. doi:10.1080/13691058.2015.1035751
  • Dworkin, S. L., Treves-Kagan, S., & Lippman, S. A. (2013). Gender-transformative interventions to reduce HIV risks and violence with heterosexually-active men: A review of the global evidence. AIDS and Behavior, 17, 2845–2863. doi:10.1007/s10461-013-0565-2
  • Eisler, R. M., & Skidmore, J. R. (1987). Masculine gender role stress: Scale development and component factors in the appraisal of stressful situations. Behavior Modification, 11, 123–136. doi:10.1177/01454455870112001
  • Emerson, R. M., Fretz, R. I., & Shaw, L. L. (2011). Writing ethnographic fieldnotes. Chicago, IL: University of Chicago Press.
  • Fleming, P. J., Andes, K. L., & DiClemente, R. J. (2013). “But I’m not like that”: Young men’s navigation of normative masculinities in a marginalised urban community in Paraguay. Culture, Health, and Sexuality, 15, 652–666. doi:10.1080/13691058.2013.779027
  • Fleming, P. J., Barrington, C., Perez, M., Donastorg, Y., & Kerrigan, D. (2014). Amigos and amistades: The role of men’s social network ties in shaping HIV vulnerability in the Dominican Republic. Culture, Health, and Sexuality, 16, 883–897. doi:10.1080/13691058.2014.919028
  • Fleming, P. J., Barrington, C., Perez, M., Donastorg, Y., & Kerrigan, D. (2015). Strategies for recruiting steady male partners of female sex workers for HIV research. AIDS and Behavior, 19, 362–368. doi:10.1007/s10461-014-0894-9
  • Fleming, P. J., DiClemente, R. J., & Barrington, C. (2015). Masculinity and HIV: Dimensions of masculine norms that contribute to men’s HIV-related sexual behaviors. AIDS and Behavior. Advanced online publication. doi:10.1007/s10461-015-1264-y
  • Fleming, P. J., Lee, J. G., & Dworkin, S. L. (2014). “Real men don’t”: Constructions of masculinity and inadvertent harm in public health interventions. American Journal of Public Health, 104, 1029–1035. doi:10.2105/AJPH.2013.301820
  • Flood, M. (2008). Men, sex, and homosociality: How bonds between men shape their sexual relations with women. Men and Masculinities, 10, 339–359. doi:10.1177/1097184X06287761
  • Gibbs, G. (2008). Analyzing qualitative data. Thousand Oaks, CA: Sage.
  • Gilmore, D. D. (1990). Manhood in the making: Cultural concepts of masculinity. New Haven, CT: Yale University Press.
  • Gottert, A. (2014). Gender norms, masculine gender-role strain and HIV risk behaviors among men in rural South Africa (Unpublished doctoral dissertation). University of North Carolina, Chapel Hill, NC.
  • Gray, R., Kigozi, G., Kong, X., Ssempiija, V., Makumbi, F., Wattya, S., … Wawer, M. J. (2012). The effectiveness of male circumcision for HIV prevention and effects on risk behaviors in a posttrial follow-up study. AIDS, 26(5), 609–615. doi:10.1097/QAD.0b013e3283504a3f
  • Gray, R., Kigozi, G., Serwadda, D., Makumbi, F., Watya, S., Nalugoda, F., … Wawer, M. J. (2007). Male circumcision for HIV prevention in men in Rakai, Uganda: A randomised trial. The Lancet, 369, 657–666. doi:10.1016/S0140-6736(07)60313-4
  • Grund, J. M., & Hennink, M. M. (2012). A qualitative study of sexual behavior change and risk compensation following adult male circumcision in urban Swaziland. AIDS Care, 24, 245–251.
  • Guest, G., Bunce, A., & Johnson, L. (2006). How many interviews are enough? An experiment with data saturation and variability. Field Methods, 18, 59–82. doi:10.1177/1525822X05279903
  • Guest, G., & Fleming, P. J. (2014). Mixed methods research. In G. Guest & E. Namey (Eds.), Public health research methods (pp. 581–610). Thousand Oaks, CA: Sage.
  • Halperin, D. T., de Moya, E. A., Perez-Then, E., Pappas, G., & Garcia Calleja, J. M. (2009). Understanding the HIV epidemic in the Dominican Republic: A prevention success story in the Caribbean? JAIDS: Journal of Acquired Immune Deficiency Syndromes, 51, SS52–SS59. doi:10.1097/QAI.0b013e3181a267e4
  • Herold, E., Garcia, R., & DeMoya, T. (2001). Female tourists and beach boys: Romance or sex tourism? Annals of Tourism Research, 28, 978–997. doi:10.1016/S0160-7383(01)00003-2
  • Katisi, M., & Daniel, M. (2015). Safe male circumcision in Botswana: Tension between traditional practices and biomedical marketing. Global Public Health, 10, 739–756. doi:10.1080/17441692.2015.1028424
  • Khan, S. I., Hudson-Rodd, N., Saggers, S., Bhuiyan, M. I., Bhuiya, A., Karim, S. A., & Rauyajin, O. (2008). Phallus, performance, and power: Crisis of masculinity. Sexual and Relationship Therapy, 23, 37–49. doi:10.1080/14681990701790635
  • Khumalo-Sakutukwa, G., Lane, T., Van-Rooyen, H., Chingono, A., Humphries, H., Timbe, A., … Morin, S. F. (2013). Understanding and addressing socio-cultural barriers to medical male circumcision in traditionally non-circumcising rural communities in sub-Saharan Africa. Culture, Health, and Sexuality, 15, 1085–1100. doi:10.1080/13691058.2013.807519
  • Kigozi, G., Watya, S., Polis, C. B., Buwembo, D., Kiggundu, V., Wawer, M. J., … Gray, R. H. (2008). The effect of male circumcision on sexual satisfaction and function, results from a randomized trial of male circumcision for human immunodeficiency virus prevention, Rakai, Uganda. BJU International, 101(1), 65–70. doi:10.1111/bju.2008.101.issue-1
  • Krieger, J. N., Mehta, S. D., Bailey, R. C., Agot, K., Ndinya-Achola, J. O., Parker, C., & Moses, S. (2008). Adult male circumcision: Effects on sexual function and sexual satisfaction in Kisumu, Kenya. Journal of Sexual Medicine, 5, 2610–2622. doi:10.1111/j.1743-6109.2008.00979.x
  • Mahalik, J. R., Burns, S. M., & Syzdek, M. (2007). Masculinity and perceived normative health behaviors as predictors of men’s health behaviors. Social Science an Medicine, 64, 2201–2209. doi:10.1016/j.socscimed.2007.02.035
  • Mattson, C. L., Bailey, R. C., Muga, R., Poulussen, R., & Onyango, T. (2005). Acceptability of male circumcision and predictors of circumcision preference among men and women in Nyanza Province, Kenya. AIDS Care, 17(2), 182–194. doi:10.1080/09540120512331325671
  • McLellan, E., MacQueen, K. M., & Neidig, J. L. (2003). Beyond the qualitative interview: Data preparation and transcription. Field Methods, 15, 63–84. doi:10.1177/1525822X02239573
  • Mehta, S. D., Moses, S., Agot, K., Odoyo-June, E., Li, H., Maclean, I., … Bailey, R. C. (2013). The long-term efficacy of medical male circumcision against HIV acquisition. AIDS, 27(18), 2899–2709. doi:10.1097/01.aids.0000432444.30308.2d
  • Miles, M. B., & Huberman, A. M. (1994). Matrix displays: Some rules of thumb qualitative data analysis (pp. 239–244). Thousand Oaks, CA: Sage.
  • Mlewa, A. J. (2013). Acceptability of medical male circumcision among uncircumcised young men at Mansa College of Education, Zambia: Influence of perception about effects on male sexuality (Unpublished master’s thesis). Stellenbosch University, Stellenbosch, South Africa.
  • Montano, D. E., Kasprzyk, D., Hamilton, D. T., Tshimanga, M., & Gorn, G. (2014). Evidence-based identification of key beliefs explaining adult male circumcision motivation in Zimbabwe: Targets for behavior change messaging. AIDS and Behavior, 18, 885–904. doi:10.1007/s10461-013-0686-7
  • Morris, B. J., & Krieger, J. N. (2013). Does male circumcision affect sexual function, sensitivity, or satisfaction? A systematic review. Journal of Sexual Medicine, 10, 2644–2657. doi:10.1111/jsm.12293
  • Moyo, S., Mhloyi, M., Chevo, T., & Rusinga, O. (2015). Men’s attitudes: A hindrance to the demand for voluntary medical male circumcision—A qualitative study in rural Mhondoro-Ngezi, Zimbabwe. Global Public Health, 10, 708–720. doi:10.1080/17441692.2015.1006241
  • Ning, C., Jiang, J., Ye, L., Yang, X., Wei, B., Deng, W., … Landay, A. (2013). Comparison of three intervention models for promoting circumcision among migrant workers in western China to reduce local sexual transmission of HIV. PLoS One, 8(9), e76107. doi:10.1371/journal.pone.0076107
  • O’Neil, J. M., Helms, B. J., & Gable, R. K. (1986). Gender-role conflict scale: College men’s fear of femininity. Sex Roles, 14(5), 335–350.
  • Padilla, M. (2008). Caribbean pleasure industry: Tourism, sexuality, and AIDS in the Dominican Republic. Chicago, IL: University of Chicago Press.
  • Price, J. E., Phiri, L., Mulenga, D., Hewett, P. C., Topp, S. M., Shiliya, N., & Hatzold, K. (2014). Behavior change pathways to voluntary medical male circumcision: Narrative interviews with circumcision clients in Zambia. PLoS One, 9(11), e111602. doi:10.1371/journal.pone.0111602
  • Reeser, T. W. (2010). Masculinities in theory: An introduction. Oxford, UK: Wiley-Blackwell.
  • Rennie, S., Perry, B., Corneli, A., Chilungo, A., & Umar, E. (2015). Perceptions of voluntary medical male circumcision among circumcising and non-circumcising communities in Malawi. Global Public Health, 10, 679–691. doi:10.1080/17441692.2015.1004737
  • Richters, J. (2006). Circumcision and the socially imagined sexual body. Health Sociology Review, 15(3), 248–257. doi:10.5172/hesr.2006.15.3.248
  • Riess, T. H., Achieng, M. M., Otieno, S., Ndinya-Achola, J., Bailey, R. C., & Myer, L. (2010). “When I was circumcised I was taught certain things”: Risk compensation and protective sexual behavior among circumcised men in Kisumu, Kenya. PLoS One, 5(8), e12366. doi:10.1371/journal.pone.0012366
  • Rojas, P., Malow, R., Ruffin, B., Rothe, E. M., & Rosenberg, R. (2011). The HIV/AIDS epidemic in the Dominican Republic: Key contributing factors. Journal of the International Association of Physicians in AIDS Care, 10(5), 306–315. doi:10.1177/1545109710397770
  • Saldaña, J. (2009). The coding manual for qualitative researchers. Thousand Oaks, CA: Sage.
  • Sandelowski, M. (1995). Qualitative analysis: What it is and how to begin. Research in Nursing and Health, 18, 371–375. doi:10.1002/(ISSN)1098-240X
  • SAS Institute Inc. (2014). SAS, 9.4. Cary, NC: SAS Institute Inc.
  • Senkul, T., Iser, I. C., Sen, B., KarademIr, K., Saracoglu, F., & Erden, D. (2004). Circumcision in adults: Effect on sexual function. Urology, 63, 155–158. doi:10.1016/j.urology.2003.08.035
  • Sgaier, S. K., Reed, J. B., Thomas, A., & Njeuhmeli, E. (2014). Achieving the HIV prevention impact of voluntary medical male circumcision: Lessons and challenges for managing programs. PLoS Med, 11(5), e1001641. doi:10.1371/journal.pmed.1001641
  • Silverman, E. K. (2004). Anthropology and circumcision. Annual Review of Anthropology, 33, 419–445. doi:10.1146/annurev.anthro.33.070203.143706
  • Skolnik, L., Tsui, S., Ashengo, T. A., Kikaya, V., & Lukobo-Durrell, M. (2014). A cross-sectional study describing motivations and barriers to voluntary medical male circumcision in Lesotho. BMC Public Health, 14, 1119. doi:10.1186/1471-2458-14-1119
  • Stewart-Williams, S., & Podd, J. (2004). The placebo effect: Dissolving the expectancy versus conditioning debate. Psychological Bulletin, 130, 324–340. doi:10.1037/0033-2909.130.2.324
  • Tian, Y., Liu, W., Wang, J.-Z., Wazir, R., Yue, X., & Wang, K.-J. (2013). Effects of circumcision on male sexual functions: A systematic review and meta-analysis. Asian Journal of Andrology, 15(5), 662–666. doi:10.1038/aja.2013.47
  • Tynan, A., Hill, P. S., Kelly, A., Kupul, M., Aeno, H., Naketrumb, R., … Vallely, A. (2013). Listening to diverse community voices: The tensions of responding to community expectations in developing a male circumcision program for HIV prevention in Papua New Guinea. BMC Public Health, 13, 749. doi:10.1186/1471-2458-13-749
  • UNAIDS. (2013). Global Report: UNAIDS report on the global AIDS epidemic 2013. Geneva, Switzerland: United Nations Joint Programme on HIV/AIDS.bk_AQCmts12b
  • UNAIDS, COPRESIDA, & DIGECITSS. (2010). HIV modes of transmission model: Analysis of the distribution of new infections in the Dominican Republic and recommendations for prevention. Santo Domingo, Dominican Republic: UNAIDS.
  • Villa-Torres, L., Fleming, P. J., & Barrington, C. (2015). Engaging men as promotores de salud: Perceptions of community health workers among Latino men in North Carolina. Journal of Community Health, 40, 167–174. doi:10.1007/s10900-014-9915-x
  • Weiss, C. (1966). Motives for male circumcision among preliterate and literate peoples. Journal of Sex Research, 2(2), 69–88. doi:10.1080/00224496609550503
  • West, C., & Zimmerman, D. H. (1987). Doing gender. Gender and Society, 1, 125–151. doi:10.1177/0891243287001002002
  • World Health Organization. (2011). Progress in scaling up voluntary medical male circumcision for HIV prevention in East and Southern Africa: January–December 2011. Geneva, Switzerland: World Health Organization.

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