Masculinity Barriers to Ever Completing Colorectal Cancer Screening among American Indian/Alaska Native, Black, and White Men (Ages 45-75).

Disparities in colorectal cancer (CRC) mortality among White, Black, and American Indian/Alaska Native (AIAN) men are attributable to differences in early detection screening. Determining how masculinity barriers influence CRC screening completion is critical for cancer prevention and control. To determine whether masculinity barriers to medical care are associated with lower rates of ever completing CRC screening, a survey-based study was employed from December 2020-January 2021 among 435 White, Black, and AIAN men (aged 45-75) who resided in the US. Logistic regression models were fit to four Masculinity Barriers to Medical Care subscales predicting ever completing CRC screening. For all men, being strong was associated with 54% decreased odds of CRC screening completion (OR 0.46, 95% CI 0.23 to 0.94); each unit increase in negative attitudes toward medical professionals and exams decreased the odds of ever completing CRC screening by 57% (OR 0.43, 95% CI 0.21 to 0.86). Black men who scored higher on negativity toward medical professionals and exams had decreased odds of ever screening. Consideration of masculinity in future population-based and intervention research is critical for increasing men's participation in CRC screening, with more salience for Black men.

Masculinity and compliance with Centers for Disease Control and Prevention recommended health practices during the COVID-19 pandemic.

OBJECTIVE: It has been documented that men are suffering more severe illnesses and deaths in the coronavirus disease 2019 (COVID-19) pandemic than women, which is thought to be due to a combination of biological and behavioral factors, paralleling men's greater morbidity and mortality overall. The present study tested and found support for four hypotheses regarding a model of the relationships between traditional masculinity ideology (TMI) and Centers for Disease Control and Prevention (CDC) recommended COVID-19 practices (CDC adherence), as mediated by conformity to several masculine norms and moderated by conspiratorial attitudes toward the pandemic (conspiratorial attitudes). METHOD: Data were collected online from a convenience sample of U.S. men that was selected to be nationally representative in terms of race/ethnicity and region of residence (N = 306; Mean age 41.79; SD = 15.90). RESULTS: Conditional process modeling was used to test the model, revealing moderated mediation relationships between masculinity variables and CDC adherence conditional on conspiratorial attitudes. TMI was indirectly and inversely related to CDC adherence through conformity to playboy norms. These effects were strongest at high values of conspiratorial attitudes. Pursuit of status norms were associated with more CDC adherence but only at low levels of conspiratorial attitudes. CONCLUSION: The present study identified masculinity factors that are linked with men's CDC adherence to the CDC recommended practices during the COVID-19 pandemic, and the relationships among them. Future research should confirm the mediation results in a longitudinal or experimental study. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Dimensionality, variance composition, and development of a brief form of the duke health profile, and its measurement invariance across five gender identity groups.

OBJECTIVE: To conduct advanced psychometric analyses on the Duke Health Profile, a popular measure of health-related quality of life. DESIGN: Online survey. Data (N = 1233, 34.3% transgender) were from community and college participants. Dimensionality was assessed for the first time using exploratory factor analysis (EFA) with part of the sample, followed by single- and multi-group confirmatory factor analyses (CFA) with the balance of the sample. RESULTS: EFA resulted in a 14-item three factor structure: mental, physical and social health. CFA estimated four models (common factors, bifactor, hierarchical, unidimensional), none demonstrated adequate fit. From another EFA specifying one factor, the 6-item Duke Health Profile-Brief Form was developed based on updated guidelines for shortening composite measurement scales, which was assessed using CFA, finding good fit to the data. Measurement invariance by gender was assessed across the diverse gender spectrum, finding evidence for configural, metric, and partial scalar invariance. CONCLUSIONS: There is insufficient evidence to use the general, mental, social and physical health scores of the DUKE Health Profile. However, there is evidence supporting the use of the unidimensional DUKE-BF, which is largely invariant between cisgender men and women, transgender men and women, and transgender men and non-binary participants.

Variance Composition, Reliability, Validity, and Measurement Invariance of the Toronto Alexithymia Scale-20 in Nonclinical Samples.

The present study extended prior work on the Toronto Alexithymia Scale-20 (TAS-20). The TAS-20 total scale score is commonly used in research in the psychology of men and masculinities and in clinical practice, but most published confirmatory factor analyses (CFA's) do not support this use. Using a sample of 913 men and women, variance composition was assessed, and model-based dimensionality and reliability coefficients were calculated, finding evidence for unidimensionality, which supports the use of the total scale raw score but not that of the subscales, although the model fit was less than desired. Convergent and concurrent evidence was found for the validity of the TAS-20 in men as a unidimensional scale (N = 505) by examining relationships with latent variables of several constructs in the nomological network. An assessment of measurement invariance by gender (men, women) found evidence for metric invariance, indicating that cisgender men and women understand the scale in the same way. It is recommended that the TAS-20 scale developers follow recommended procedures to trim composite measurement scales to improve the psychometric properties (i.e., model fit) of the TAS.

Psychometric Properties and Analysis of the Masculinity Barriers to Medical Care Scale Among Black, Indigenous, and White Men.

Non-Hispanic (NH) Black, American Indian/Alaska Native (Indigenous), and NH-White men have the highest colorectal cancer (CRC) mortality rates among all other racial/ethnic groups. Contributing factors are multifaceted, yet no studies have examined the psychometric properties of a comprehensive survey examining potential masculinity barriers to CRC screening behaviors among these populations. This study assessed the psychometric properties of our Masculinity Barriers to Medical Care (MBMC) Scale among NH-Black, Indigenous, and NH-White men who completed our web-based MBMC, Psychosocial Factors, and CRC Screening Uptake & Intention Survey. We conducted exploratory factor analysis on a sample of 254 men and multivariate analysis of variance (MANOVA) on a separate sample of 637 men nationally representative by age and state of residence. After psychometric assessment, the MBMC scale was reduced from 24 to 18 items and from six to four subscales. NH-Black men's mean scores were lowest on three of four subscales (Being Strong, Negative and Positive Attitudes) and highest on the Acknowledging Emotions subscale. Compared with both Indigenous and NH-White men, NH-Black men had significantly lower Negative Attitudes subscale scores and significantly higher scores on the Acknowledging Emotions subscale. Compared with both Indigenous and NH-Black men, NH-White men had significantly higher Being Strong and Positive Attitudes subscales scores. This study expands on previous research indicating that, among racialized populations of men, endorsement of traditional masculine ideologies influences engagement in preventive health behaviors. Our scale can be tailored to assess attitudes to screening for other cancers and diseases that disproportionately burden medically underserved populations.

A. Eugene Shapiro (1919-2021).

Memorializes Eugene A. Shapiro (1919-2021). A trailblazer in professional psychology, Shapiro played key roles institutionally in establishing psychology as a major health profession. He won a scholarship to Rutgers to complete his BS in psychology, and later won acceptance into the doctoral program in clinical psychology at New York University (NYU). He earned his PhD from NYU in 1953. Gene, along with Jack Wiggins, was instrumental in increasing the availability of psychological services to military personnel and their families under programs such as the Civilian Health and Medical Program of the Uniformed Services. Gene helped foreground the interests of practicing psychologists in American Psychological Association (APA), upgrading the Office for Professional Practice to the Practice Directorate. He also helped found the Graduate School of Applied and Professional Psychology at Rutgers University, the first university-based professional school in the country, and was a pioneer in the prescribing psychologist movement. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Male-Type and Prototypal Depression Trajectories for Men Experiencing Mental Health Problems.

Growing interest in gender-sensitive assessment of depression in men has seen the development of male-specific screening tools. These measures are yet to be subject to longitudinal latent modelling, which limits evidence about the ability of these tools to detect change, especially relative to established screening scales. In this study, three waves of data were collected from 234 men (38.35 years, SD = 14.09) including 3- and 6-month follow-up. Analyses focused on baseline differences and symptom trajectories for the Patient Health Questionnaire (PHQ; prototypic symptoms) and the Male Depression Risk Scale (MDRS; male-type symptoms). At baseline, men not accessing treatment reported higher MDRS scores relative to treatment-engaged men. There was no group difference for the PHQ. Internal consistency (α, ω) coefficients indicated comparable reliability for both measures across the three waves. Multidomain latent growth modelling, including current treatment engagement as a covariate, reported good model fit (CFI = 0.964, TLI = 0.986, RMSEA = 0.081, SRMR = 0.033) with differential findings for the PHQ and MDRS. Consistent with the baseline between-group analysis, current treatment effects were observed for the MDRS, but not the PHQ. Trajectory modelling for the MDRS indicated that greater severity resulted in slower improvement by 6 months. In contrast, there was no difference in the PHQ rate of change between baseline and 6 months. Findings support the psychometric utility of the MDRS as a male-specific symptom domain measure sensitive to both longitudinal change and potential treatment effects for symptomatic men, in ways not discernible by the PHQ. The MDRS may be a useful adjunctive screening tool for assessing men's depression.

Development and evaluation of a new short form of the Conformity to Masculine Norms Inventory (CMNI-30).

The Conformity to Masculine Norms Inventory (CMNI) has been an important tool in researching masculinity. With the original measure at 94 items (Mahalik et al., 2003), there have been several abbreviated forms developed from 11 to 55 items. However, in confirmatory factor analyses (CFA's) testing 13 common factors, bifactor, hierarchical, and unidimensional models, only 4 models demonstrated adequate fit to the data, and most of these were for the still quite long 46-item version. As a result, there was no psychometrically strong truly short form of the CMNI. In the present study, data from 1561 community and university men were used to develop a short form. First an exploratory factor analysis using a portion of the data was conducted, which resulted in a 10-subscale dimensionality, followed by CFA estimating a common factors model. The results of the CFA were used to create two candidate models for a 30-item short form of the CMNI, based on Classical test theory (CTT) and optimized CTT. The best-fitting candidate model for the CMNI-30 was CTT. Next, the fit of the 29, 46, and 94 item models were compared to the 30-item version, which had the superior fit. Then, measurement invariance between White men and men of color was assessed, choosing this comparison because hegemonic masculinity is theorized to marginalize men of color. Evidence was found for full configural and metric, and partial scalar and residuals invariance. Finally, significant relationships between CMNI-30 scores and indicators of depression and anxiety provides preliminary concurrent evidence for its validity. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

An appraisal of the American Psychological Association's Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder.

In 2017, the American Psychological Association published the Clinical Practice Guidelines for the Treatment of Posttraumatic Stress Disorder (PTSD) in Adults. Although the Guideline Development Panel aimed to produce guidelines based on the best available scientific evidence, concerns were raised that the guidelines would constrain the implementation of some effective psychotherapies and limit clinician autonomy, potentially leading to coverage for only manualized, time-limited, cognitive-behavioral treatments. The following article reviews the PTSD guidelines in light of the evidence-based practice in psychology policy adopted by the American Psychological Association in 2006. We highlight the strengths of the guidelines as currently written while recognizing areas in which the guidelines do not meet evidence-based practice in psychology recommendations. A clinical vignette of the treatment of a complex patient with PTSD and significant comorbidities is provided to illustrate the difficulty of clinical decision-making and how the guidelines may complicate the delivery of effective treatments. We conclude with recommendations on how to consider a broad range of research evidence, appropriately integrate clinician expertise, and better appreciate the role of patient values and preferences in PTSD treatment decision-making. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Moderation and mediation of the relationships between masculinity ideology and health status.

OBJECTIVE: The purpose of this study was to assess the direct and indirect relationships between the endorsement of traditional masculinity ideology (TMI) and self-reported health status through potential mediating variables of expectations of benefits from health risk behaviors and actual health risk behaviors. In addition, the objective was to test the moderating effect of gender identity, broadly defined (including cisgender and transgender men and women and nonbinary persons). METHOD: Participants (N = 1233; 34.3% transgender) participated in an online survey, responding to measures of TMI, expectations of benefits, health behaviors, health status, and demographics. Data were analyzed using conditional process modeling. RESULTS: TMI was positively and directly associated with general health status for self-identified men (regardless of their sex assigned at birth), and with mental health for both men and women, but was not associated with physical health for persons of any gender identity. TMI was positively and directly associated with expectations of benefits for both men and women. Expectations of benefits from engaging in health risk behaviors was positively associated with health risk behaviors, and health risk behaviors had a large negative association with health status, for people of all gender identities. CONCLUSIONS: TMI may be a general and mental health protective factor for self-identified men, and a mental health protective factor for women, regardless of assigned sex at birth. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

The development and evaluation of a brief form of the Normative Male Alexithymia Scale (NMAS-BF).

The current study extended prior work on the Normative Male Alexithymia Scale (NMAS), a unidimensional measure of some men's limitations in expressing emotion that results from gender-based socialization informed by the masculine norm of restrictive emotionality (RE). Data (N = 505 men) were from Amazon Mechanical Turk participants. First, dimensionality was reassessed using exploratory factor analysis, which supported the unidimensional structure. Second, based on these results, three 6-item models of the NMAS-Brief Form (NMAS-BF) were developed, based on classical test theory (CTT), CTT optimized to avoid item redundancy, and item response theory (IRT). Third, the relative fits of these versions were assessed using confirmatory factor analysis on a separate part of the sample, finding that the IRT version was the best fitting model. Fourth, evidence for reliability for the NMAS-BF items (α = .80) and validity was found. Convergent evidence for validity was supported by a significant, moderate, positive correlation between the latent constructs of the NMAS-BF and Toronto Alexithymia Scale-20 (TAS-20), which measures clinical alexithymia. Concurrent evidence for validity of the latent factor of the NMAS-BF was assessed in a structural regression model which found that the NMAS-BF uniquely predicted RE scores when TAS-20 scores were included in the model. Finally, incremental evidence for validity was examined using hierarchical multiple regression, finding that NMAS-BF scores significantly predicted variance in RE scores above and beyond that predicted by TAS-20 scores. The results are discussed in relation to prior literature, future research directions, applications to counseling practice, and limitations. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Ronald E. Fox (1936-2018).

Presents an obituary of Ronald E. Fox (1936-2018). Fox was a visionary, trailblazer, and leader in the practice of psychology for over 50 years, renowned for his ability to bring psychologists together to meet society's most pressing needs. Fox envisioned a broad social role for professional psychology, moving beyond psychotherapy for people with psychological problems to encompass general health, prevention, and well-being. He also had a long history of involvement in the APA. He was always a step or two ahead of us-creating the Practice Directorate, supporting the APA's reorganization that created the directorate structure, urging all of us to contribute to political action. He was recognized for his contributions with many awards, including the Distinguished Career Contributions to Practice of Psychology Gold Medal Award from the American Psychological Foundation (1994) and the Raymond D. Fowler Award for Outstanding Contributions to APA (2009). (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Complex Relationships Among Masculine Norms and Health/Well-Being Outcomes: Correlation Patterns of the Conformity to Masculine Norms Inventory Subscales.

The Conformity to Masculine Norms Inventory (CMNI) is a widely used multidimensional scale. Studies using the CMNI most often report only total scale scores, which are predominantly associated with negative outcomes. Various studies since the CMNI's inception in 2003 using subscales have reported both positive and negative outcomes. The current content analysis examined studies ( N = 17) correlating the 11 subscales with 63 criterion variables across 7 categories. Most findings were consistent with past research using total scale scores that reported negative outcomes. For example, conformity to masculine norms has been inversely related to help-seeking and positively correlated with concerning health variables, such as substance use. Nonetheless, past reliance on total scores has obscured the complexity of associations with the CMNI in that 30% of the findings in the present study reflected positive outcomes, particularly for health promotion. Subscales differed in their relationships with various outcomes: for one subscale they were predominantly positive, but six others were mostly negative. The situational and contextual implications of conformity to masculine norms and their relationships to positive and negative outcomes are discussed.

Variance composition, measurement invariance by gender, and construct validity of the Femininity Ideology Scale-Short Form.

The current study extended prior work on the Femininity Ideology Scale (FIS), a multidimensional measure of traditional femininity ideology (TFI), in several ways. First, we conducted exploratory factor and bifactor analyses, which revealed a general TFI factor and 3 specific factors: dependence/deference, purity, and emotionality/traditional roles. Second, based on these results we developed the 12-item FIS-Short Form (FIS-SF). Third, we assessed the FIS-SF using confirmatory factor analysis on a separate sample, finding that the items loaded on the general factor and 3 specific factors as hypothesized, and that the bifactor model fit better than common factors and unidimensional models. Fourth, model-based reliability estimates tentatively support the use of raw scores to represent the general TFI factor and the emotionality/traditional roles specific factor, but the other 2 specific factors are best measured using SEM or by ipsatizing their scores. Fifth, we assessed measurement invariance across 2 gender groups, finding evidence for configural invariance for all factors, and for partial metric invariance for the specific factors. Sixth, we found evidence for the convergent construct validity of the FIS-SF general factor and the emotionality/traditional roles specific factors by examining relationships with the latent variables of several constructs in the nomological network. The results are discussed in relationship to prior literature, future research directions, applications to counseling practice, and limitations. Data (N = 1,472, 907 women, 565 men, 530 people of color) were from community and college participants who responded to an online survey. (PsycINFO Database Record

Further examination of the factor structure of the Male Role Norms Inventory-Short Form (MRNI-SF): Measurement considerations for women, men of color, and gay men.

Using multigroup structural equation modeling in a large sample of online-survey respondents (N = 6,744), the present study examined the reliability and dimensionality of the Male Role Norms Inventory-Short Form (MRNI-SF), a popular measurement of traditional masculinity ideology (TMI), and also tested measurement invariance between individuals that do and do not fit the White heterosexual male TMI reference group. Results indicated that (a) it is appropriate to model the MRNI-SF using either a bifactor or unidimensional model but not a second-order model, (b) the raw MRNI-SF total score is a suitable measure of the general TMI construct, (c) the raw self-reliance through mechanical skills and negativity toward sexual minorities subscale scores may be appropriate measures of their respective specific factors (akin to subscale factors), and (d) SEM or ipsatizing procedures should be used to model the 5 other specific factors, given the insufficient model-based reliability of their raw subscale scores. When comparing men to women, White men to Black and Asian men, and gay men to heterosexual men, the MRNI-SF demonstrated configural invariance and at least partial metric invariance (i.e., measured similar constructs). However, scalar and residuals invariance were only supported for Asian men compared to White men. Taken together, these findings suggest that a general TMI factor of the MRNI-SF is best represented by a bifactor model, even in individuals that do not fit the White heterosexual male TMI reference group, but the instrument may be tapping somewhat different constructs in women, Black men, and gay men. (PsycINFO Database Record

Family psychology and the psychology of men and masculinities.

This article was invited to mark the 30th anniversary of the Journal of Family Psychology, which is also the 125th anniversary of APA publications. I served as the second Editor of the journal, from 1992 to 1997. I reflect on some of the similarities and differences between the journal's mission statements from 1992 and 2016, and then discuss my intellectual evolution from family psychologist to psychologist of men and masculinities, pointing out opportunities for collaboration. (PsycINFO Database Record

Construct validity evidence for the Male Role Norms Inventory-Short Form: A structural equation modeling approach using the bifactor model.

The construct validity of the Male Role Norms Inventory-Short Form (MRNI-SF) was assessed using a latent variable approach implemented with structural equation modeling (SEM). The MRNI-SF was specified as having a bifactor structure, and validation scales were also specified as latent variables. The latent variable approach had the advantages of separating effects of general and specific factors and controlling for some sources of measurement error. Data (N = 484) were from a diverse sample (38.8% men of color, 22.3% men of diverse sexualities) of community-dwelling and college men who responded to an online survey. The construct validity of the MRNI-SF General Traditional Masculinity Ideology factor was supported for all 4 of the proposed latent correlations with: (a) Male Role Attitudes Scale; (b) general factor of Conformity to Masculine Norms Inventory-46; (c) higher-order factor of Gender Role Conflict Scale; and (d) Personal Attributes Questionnaire-Masculinity Scale. Significant correlations with relevant other latent factors provided concurrent validity evidence for the MRNI-SF specific factors of Negativity toward Sexual Minorities, Importance of Sex, Restrictive Emotionality, and Toughness, with all 8 of the hypothesized relationships supported. However, 3 relationships concerning Dominance were not supported. (The construct validity of the remaining 2 MRNI-SF specific factors-Avoidance of Femininity and Self-Reliance through Mechanical Skills was not assessed.) Comparisons were made, and meaningful differences noted, between the latent correlations emphasized in this study and their raw variable counterparts. Results are discussed in terms of the advantages of an SEM approach and the unique characteristics of the bifactor model. (PsycINFO Database Record

Confirmatory factor analytic investigation of variance composition, gender invariance, and validity of the Male Role Norms Inventory-Adolescent-revised (MRNI-A-r).

Confirmatory factor analysis of responses to the Male Role Norms Inventory-Adolescent-revised (MRNI-A-r) from 384 middle school students (163 boys, 221 girls) indicated that the best fit to the data was a bifactor model incorporating the hypothesized 3-factor structure while explicitly modeling an additional, general factor. Specifically, each item-level indicator loaded simultaneously on 2 factors: a general traditional masculinity ideology factor and a specific factor corresponding to 1 of the 3 hypothesized masculine norms for adolescents: Emotionally Detached Dominance, Toughness, and Avoidance of Femininity. Invariance testing across gender supported metric invariance for the general factor only. Although item loadings on the general factor were similar across boys and girls, the specific factor loadings varied substantially, with many becoming nonsignificant in the presence of the general factor for girls. A structural regression analysis predicting latent variables of the Meanings of Adolescent Masculinity Scale (MAMS), the Rosenberg Self-esteem Scale, and the Discipline, School Difficulties, and Positive Behavior Scale (DSDPBS) indicated that the general factor was a strong predictor of MAMS for both genders and DSDPBS for girls. Findings indicate that the MRNI-A-r general factor is a valid and reliable indicator of overall internalization of traditional masculinity ideology in adolescents; however, the specific factors may have different meanings for boys as compared with girls and lack validity in the presence of the general factor. These findings are consistent with a developmental perspective of gender ideology that views adolescence as a time when a differentiated cognitive schema of masculine norms is beginning to develop. (PsycINFO Database Record

Construct distinctiveness and variance composition of multi-dimensional instruments: Three short-form masculinity measures.

Focusing on a set of 3 multidimensional measures of conceptually related but different aspects of masculinity, we use factor analytic techniques to address 2 issues: (a) whether psychological constructs that are theoretically distinct but require fairly subtle discriminations by survey respondents can be accurately captured by self-report measures, and (b) how to better understand sources of variance in subscale and total scores developed from such measures. The specific measures investigated were the: (a) Male Role Norms Inventory-Short Form (MRNI-SF); (b) Conformity to Masculine Norms Inventory-46 (CMNI-46); and (c) Gender Role Conflict Scale-Short Form (GRCS-SF). Data (N = 444) were from community-dwelling and college men who responded to an online survey. EFA results demonstrated the discriminant validity of the 20 subscales comprising the 3 instruments, thus indicating that relatively subtle distinctions between norms, conformity, and conflict can be captured with self-report measures. CFA was used to compare 2 different methods of modeling a broad/general factor for each of the 3 instruments. For the CMNI-46 and MRNI-SF, a bifactor model fit the data significantly better than did a hierarchical factor model. In contrast, the hierarchical model fit better for the GRCS-SF. The discussion addresses implications of these specific findings for use of the measures in research studies, as well as broader implications for measurement development and assessment in other research domains of counseling psychology which also rely on multidimensional self-report instruments.

Moderated mediation of the relationships between masculinity ideology, outcome expectations, and energy drink use.

OBJECTIVE: The consumption of energy drinks is a growing health-risk behavior for young men in the United States. The present study investigated the relationship between masculinity ideology, outcome expectations, energy drink use, and sleep disturbances. METHOD: The authors recruited 467 adult males from universities and the Internet who provided data on their endorsement of traditional masculinity ideology, outcome expectations for use of energy drinks, use of energy drinks, and sleep disturbances. A theoretical model positing moderated mediation was tested using structural equation modeling and conditional process modeling. RESULTS: The results supported the hypothesized model in which endorsement of traditional masculinity ideology was linked with increased outcome expectations for benefits of energy drinks, which in turn was linked with increased energy drink consumption, and which finally was linked with greater sleep disturbance symptoms. The relationship between masculinity ideology and energy drink outcome expectations was moderated by age (significant for younger men but not for older men), and the relationship between energy drink outcome expectations and energy drink use was moderated by race (significant for White men but not for racial minority men). CONCLUSION: The present study adds to the literature on potential negative health implications of the endorsement of traditional masculinity ideology by offering a link between predictors of energy drink use (masculinity ideology, outcome expectations) and health outcomes of energy drink use (e.g., sleep disturbance).