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                <text>Moderation and mediation of the relationships between masculinity ideology and health status.</text>
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                <text>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).</text>
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                <text>Copyright © 2019 Elsevier Inc. All rights reserved.</text>
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