Exploring the intersection of hegemonic masculinity, sexuality, and addiction in men: a qualitative study

Abstract

Background/Objectives: In our society, as well as in many other parts of the world, sexuality is shaped through gender-differentiated socialization. This process compels individuals to align their desires, behaviors, emotions, and thoughts with the expectations of normative sexuality, especially hegemonic heterosexuality. The primary objective of this current research was to examine the influence of hegemonic masculinity on the sexuality of men struggling with addiction. Method: This study employed a qualitative approach, specifically using conventional content analysis. To ensure research quality and transparency, the study adhered to the Standards for Reporting Qualitative Research (SRQR) and the Consolidated Criteria for Reporting Qualitative Studies (COREQ). Fourteen participants from a therapeutic community for addiction treatment in Spain were selected through purposive sampling. Data collection involved semi-structured interviews, supplemented by participant observation. The sample size was determined based on the principle of data saturation. Results: The findings reveal that factors such as gender-differentiated socialization, particularly the values associated with hegemonic masculinity (e.g., the pressure to maintain constant sexual availability and sexual initiative), alongside excessive engagement with prostitution and pornography, are closely linked to substance abuse, the development of addictions, and the emergence of sexual dysfunctions in men. The study also highlights the role of challenges related to oppression rooted in heteronormativity—understood as the imposition of rigid norms governing sexual orientation and behavior—in shaping sexual problems and in the origin and maintenance of addictions in men. Conclusions: It is essential to implement an intervention strategy that promotes egalitarian masculinities within the treatment of men with addiction issues, emphasizing a biopsychosocial approach to sexuality that integrates a gender perspective. Additionally, it is crucial to incorporate gender-sensitive interventions into rehabilitation programs for both men and women, ensuring a comprehensive understanding of each group’s specific needs and fostering the development of healthy, equitable relationships in the context of addiction treatment.