Social support as a mediator between masculinity norms and health behaviors among public safety personnel in Kelantan, Malaysia

Abstract Men, particularly those in public safety roles, are more prone to engaging in health-risk behaviors due to societal expectations surrounding masculinity. These norms often discourage help-seeking behaviors and encourage self-reliance, which can lead to poorer health outcomes. Previous resea...

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Main Authors: Muhammad Iqbal Haji Mukhti, Mohd Ismail Ibrahim
Format: Article
Language:English
Published: Nature Portfolio 2025-04-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-97434-0
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author Muhammad Iqbal Haji Mukhti
Mohd Ismail Ibrahim
author_facet Muhammad Iqbal Haji Mukhti
Mohd Ismail Ibrahim
author_sort Muhammad Iqbal Haji Mukhti
collection DOAJ
description Abstract Men, particularly those in public safety roles, are more prone to engaging in health-risk behaviors due to societal expectations surrounding masculinity. These norms often discourage help-seeking behaviors and encourage self-reliance, which can lead to poorer health outcomes. Previous research has suggested that social support can mitigate the negative effects of rigid masculinity norms on health behaviors. This study aims to explore the mediating role of social support in the relationship between masculinity norms and health behaviors among male public safety personnel in Kelantan, Malaysia. This cross-sectional study involved 257 male public safety personnel (PSPs) from three government uniformed agencies in Kelantan. Participants were recruited through simple random sampling and completed three validated instruments: the Conformity to Masculine Norms Inventory (CMNI-30), the Health Behavior Inventory-Short Form (HBI-SF), and the Malay version of the Multidimensional Scale of Perceived Social Support (MSPSS-M). Structural equation modeling (SEM) was used to assess the mediating effect of social support in the relationship between masculinity norms and health behaviors. SEM analysis revealed that social support fully mediates the relationship between masculinity norms and health behaviors among PSPs. A significant negative association was found between masculinity norms and perceived social support (β = − 0.864, p < 0.001), indicating that stronger adherence to traditional masculinity norms is associated with reduced perceptions of social support. Additionally, perceived social support was significantly associated with healthier behaviors (β = − 0.483, p = 0.001). The indirect effect of masculinity norms on health behaviors through social support was also statistically significant (β = 0.418, p = 0.027), highlighting the critical role of social support in mitigating the adverse health impacts of traditional masculinity norms. This study highlights the importance of social support as a mediator in promoting healthier behaviors among men in high-stress occupations such as PSPs. Interventions aimed at addressing harmful masculinity norms and enhancing perceived social support could effectively improve health outcomes in this population. Public health strategies should prioritize modifying rigid masculine expectations and reinforcing supportive networks to encourage positive health behaviors among PSPs.
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spelling doaj-art-afa2f7c2fc3349ba8578e5d48aed98932025-08-20T02:17:50ZengNature PortfolioScientific Reports2045-23222025-04-0115111110.1038/s41598-025-97434-0Social support as a mediator between masculinity norms and health behaviors among public safety personnel in Kelantan, MalaysiaMuhammad Iqbal Haji Mukhti0Mohd Ismail Ibrahim1Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Health CampusDepartment of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Health CampusAbstract Men, particularly those in public safety roles, are more prone to engaging in health-risk behaviors due to societal expectations surrounding masculinity. These norms often discourage help-seeking behaviors and encourage self-reliance, which can lead to poorer health outcomes. Previous research has suggested that social support can mitigate the negative effects of rigid masculinity norms on health behaviors. This study aims to explore the mediating role of social support in the relationship between masculinity norms and health behaviors among male public safety personnel in Kelantan, Malaysia. This cross-sectional study involved 257 male public safety personnel (PSPs) from three government uniformed agencies in Kelantan. Participants were recruited through simple random sampling and completed three validated instruments: the Conformity to Masculine Norms Inventory (CMNI-30), the Health Behavior Inventory-Short Form (HBI-SF), and the Malay version of the Multidimensional Scale of Perceived Social Support (MSPSS-M). Structural equation modeling (SEM) was used to assess the mediating effect of social support in the relationship between masculinity norms and health behaviors. SEM analysis revealed that social support fully mediates the relationship between masculinity norms and health behaviors among PSPs. A significant negative association was found between masculinity norms and perceived social support (β = − 0.864, p < 0.001), indicating that stronger adherence to traditional masculinity norms is associated with reduced perceptions of social support. Additionally, perceived social support was significantly associated with healthier behaviors (β = − 0.483, p = 0.001). The indirect effect of masculinity norms on health behaviors through social support was also statistically significant (β = 0.418, p = 0.027), highlighting the critical role of social support in mitigating the adverse health impacts of traditional masculinity norms. This study highlights the importance of social support as a mediator in promoting healthier behaviors among men in high-stress occupations such as PSPs. Interventions aimed at addressing harmful masculinity norms and enhancing perceived social support could effectively improve health outcomes in this population. Public health strategies should prioritize modifying rigid masculine expectations and reinforcing supportive networks to encourage positive health behaviors among PSPs.https://doi.org/10.1038/s41598-025-97434-0Social supportMasculinity normsHealth behaviorsPublic safety personnelMediation analysisCross-sectional study
spellingShingle Muhammad Iqbal Haji Mukhti
Mohd Ismail Ibrahim
Social support as a mediator between masculinity norms and health behaviors among public safety personnel in Kelantan, Malaysia
Scientific Reports
Social support
Masculinity norms
Health behaviors
Public safety personnel
Mediation analysis
Cross-sectional study
title Social support as a mediator between masculinity norms and health behaviors among public safety personnel in Kelantan, Malaysia
title_full Social support as a mediator between masculinity norms and health behaviors among public safety personnel in Kelantan, Malaysia
title_fullStr Social support as a mediator between masculinity norms and health behaviors among public safety personnel in Kelantan, Malaysia
title_full_unstemmed Social support as a mediator between masculinity norms and health behaviors among public safety personnel in Kelantan, Malaysia
title_short Social support as a mediator between masculinity norms and health behaviors among public safety personnel in Kelantan, Malaysia
title_sort social support as a mediator between masculinity norms and health behaviors among public safety personnel in kelantan malaysia
topic Social support
Masculinity norms
Health behaviors
Public safety personnel
Mediation analysis
Cross-sectional study
url https://doi.org/10.1038/s41598-025-97434-0
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