“…There is a persistent lack of knowledge about the mechanisms by which adherence to Hispanic gender-bound cultural norms influence treatment-related behaviors in this group ( Kissinger et al, 2013 ; NSDUH, 2012 ; Ojeda & Liang, 2014 ; Vega, Alderete, Kolody, & Aguilar-Gaxiola, 1998 ). Behavior norms believed to express masculinity such as toughness, self-reliance, expressions of strength, and emotional disconnectedness can result in maladaptive coping behaviors that have adverse effects on physical and emotional wellbeing ( Courtenay, 2000 ), particularly in Hispanic men ( Arciniega, Anderson, Tovar-Blank, & Tracey, 2008 ).…”