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Evolutionary Human Sciences 2023The impact of sexual dimorphism on facial attractiveness has been controversial owing to contradictory results, particularly in studies on female preferences. Given that...
The impact of sexual dimorphism on facial attractiveness has been controversial owing to contradictory results, particularly in studies on female preferences. Given that sexually dimorphic facial features, especially more masculine ones, have been previously related to the perception of anger, we investigated the bi-directional influence of emotional expressions and facial masculinity and explored their impact on women's preferences for facial masculinity. We confirmed the effect of facial sexual dimorphism on the perception of emotional cues (happiness and anger) and explored whether smiling or angry expressions influence women's perception of masculinity in male faces. Additionally, we examined women's preferences for emotionally expressive male faces altered along a continuum of masculinity. The results showed that masculinised faces are perceived as angrier, while feminised faces are perceived as happier (Experiment 1), and that angry faces are perceived as more masculine when compared with happy faces (Experiment 2). It is noteworthy that our Experiment 3 uncovered a pivotal finding: women prefer reduced feminisation in happy faces compared with neutral/angry faces. This suggests that the avoidance response observed towards masculinity is attenuated by a smiling expression. The current study introduces a new perspective to be considered when exploring the role of facial masculinity in women's attractiveness preferences.
PubMed: 38155757
DOI: 10.1017/ehs.2023.28 -
American Journal of Men's Health 2023How do older men's masculine ideals affect their health? Are masculine activities involved in this relationship? Masculine identity upholds beliefs about masculine...
How do older men's masculine ideals affect their health? Are masculine activities involved in this relationship? Masculine identity upholds beliefs about masculine enactment. These beliefs can be detrimental to men and can lead to behaviors that can put undue stress on them. We examine how masculine ideals are associated with health and depressive symptomatology in older men. We used 2011 data from the Wisconsin Longitudinal Study ( = 2,594) to investigate how masculine ideals inform older men's health and how participation in masculine activities might shape these outcomes. Findings from this study illustrate that traditional masculine ideals are associated with worse self-rated health (SRH), greater chronic illness, and depressive symptomatology. For masculine activities, doing repairs and car maintenance was associated with less chronic illness and depression. Belonging to a senior men's group was associated with worse SRH, greater chronic illness, and greater depression. Therefore, older men's greater endorsement of traditional masculine ideals was generally associated with worse health, though certain masculine activities affected this relationship. We posit that more gender-equitable beliefs may be useful for improving the "men's health gap."
Topics: Male; Humans; Aged; Masculinity; Wisconsin; Longitudinal Studies; Men; Chronic Disease
PubMed: 38146106
DOI: 10.1177/15579883231220714 -
BMC Cancer Feb 2024Men with breast cancer experience unique physical and emotional challenges. However, a thorough understanding of these experiences including the psychosocial effects and...
BACKGROUND
Men with breast cancer experience unique physical and emotional challenges. However, a thorough understanding of these experiences including the psychosocial effects and supportive care needs have received less attention. In some settings, men with breast cancer experience stigma within the healthcare system and their care needs are not prioritised. This influences the level of professional support offered, consequently worsening their health and well-being outcomes. This review explored the variabilities in the experiences and treatment modalities of male breast cancer (MBC) across different contexts.
METHODS
All primary study designs including qualitative, quantitative, and mixed methods studies that reported on the experiences, treatment approaches and outcomes of MBC were included in this systematic review. Six databases (Embase, Medline, PsycINFO, Global Health, CINAHL and Web of Science) were searched for articles from January 2000 to September 2023. A results-based convergence synthesis was used for data analysis and reported using PRISMA guidelines.
RESULTS
Of the studies screened (n = 29,687), forty-four fulfilled the predetermined criteria and were included. Our findings relating to the experiences and treatment approaches of MBC are broadly themed into three parts. Theme 1-Navigating through a threat to masculinity: describes how males experienced the illness reflecting on detection, diagnosis, coming to terms with breast cancer, and disclosure. Theme 2- Navigating through treatment: captures the experiences of undergoing breast cancer treatment/ management following their diagnosis. Theme 3-Coping and support systems: describes how MBC patients coped with the disease, treatment process, aftercare/rehabilitative care, and the available support structures.
CONCLUSIONS
Men experience a myriad of issues following a breast cancer diagnosis, especially with their masculinity. Awareness creation efforts of MBC among the public and healthcare practitioners are urgently required, which could change the perception of men in promoting early diagnosis, adherence to treatments, post-treatment monitoring, oncological results and a better quality of life. Considerations for training, education and development of specialised guidelines for healthcare practitioners on MBC would provide the necessary knowledge and skills to enhance their practice through the adoption of person-centred and male-specific care strategies. Professional care intervention and support for MBC should not end after the diagnosis phase but should extend to the entire treatment continuum and aftercare including future research focusing on MBC specific clinical trials.
TRIAL REGISTRATION
PROSPERO Registration No. CRD42021228778.
Topics: Humans; Male; Breast Neoplasms, Male; Quality of Life; Delivery of Health Care; Educational Status; Qualitative Research
PubMed: 38317128
DOI: 10.1186/s12885-024-11911-9 -
BMC Public Health Nov 2023Injury mortality surveillance systems are critical to monitor changes in a population's injury outcomes so that relevant injury prevention responses may be adopted. This...
A qualitative exploration of forensic pathology service staff perceptions of the implementation barriers and facilitators of manual- and electronic injury mortality surveillance system methods in South Africa.
BACKGROUND
Injury mortality surveillance systems are critical to monitor changes in a population's injury outcomes so that relevant injury prevention responses may be adopted. This is particularly the case in South Africa, where the injury burden is nearly twice the global rate. Regular evaluations of surveillance systems are pivotal to strengthening surveillance capacity, performance, and cost effectiveness. The National Injury Mortality Surveillance System (NIMSS) is an injury mortality surveillance system that is currently focused in Mpumalanga and utilises manual and electronic web-based systems for data collection. This study explored Forensic Pathology Service (FPS) staff perceptions of the implementation barriers and facilitators of manual- and electronic injury mortality surveillance system methods.
METHODS
A qualitative study was employed using purposive sampling. Forty-seven participants, aged 29 to 59 years comprising 31 males and 16 females were recruited across 21 FPS facilities that serve the province. The formative evaluation occurred over the November 2019 to November 2022 period. Twelve focus group discussions were thematically analysed to determine emerging themes and patterns related to the use of the system using the WHO surveillance system guidelines as a framework.
RESULTS
The key themes concerning the barriers and facilitators were located along WHO attributes of simplicity, acceptability, timeliness, flexibility, data quality and stability. Distinctions between the manual and e-surveillance systems were drawn upon across the attributes highlighting their experience with the system, user preference, and its contextual relevance. With Mpumalanga predominantly rural, internet connectivity was a common issue, with most participants consequently showing a preference for the manual system, even though the electronic system's automated internal validation process was of benefit. The data quality however remained similar for both methods. With program stability and flexibility, the manual system proved more beneficial as the dataset was reported to be easily transferrable across computer devices.
CONCLUSION
Obtaining FPS perceptions of their experiences with the system methodologies are pertinent for the enhancement of injury surveillance systems so to improve prospective engagements with the systems. This will facilitate timely and accurate injury mortality information which is vital to inform public policy, and injury control and prevention responses.
Topics: Male; Female; Humans; South Africa; Forensic Pathology; Prospective Studies; Data Collection; Qualitative Research
PubMed: 38017400
DOI: 10.1186/s12889-023-17337-5 -
BMC Primary Care Jan 2024In the United States, Latinos face a wide array of cultural and structural barriers to accessing and utilizing mental health care. Latino men specifically are at high...
BACKGROUND
In the United States, Latinos face a wide array of cultural and structural barriers to accessing and utilizing mental health care. Latino men specifically are at high risk of receiving inadequate mental health care, possibly due to additional obstacles they experience that are related to masculinity. Among men more generally, greater adherence to emotional control and self-reliance is associated with higher depression severity and less depression help-seeking. Men experience more stigma toward depression and help-seeking and are less likely to be diagnosed with depression than women. However, Latino men's barriers and facilitators to depression care remain largely unexplored. The objective of this study was to examine barriers and facilitators to depression care that are related to masculinity among English- and Spanish-speaking Latino men in a primary care setting.
METHODS
We used convenience and purposive sampling to recruit primary care patients who self-identified as Latino men, spoke English or Spanish, and screened positive for depressive symptoms on the Patient Health Questionnaire-2 or had a history of depression. Semi-structured interviews were conducted between December 2020 and August 2021. The interview guide examined views and experiences of depression, masculinity, and barriers and facilitators to engaging in depression care. Utilizing consensual qualitative research and thematic analysis informed by modified grounded theory, barriers and facilitators to depression care were identified.
RESULTS
We interviewed thirteen participants who varied in English proficiency, education, income, and country of origin. Barriers and facilitators were placed into three domains-Self-Recognition of Depression, Seeking Help for Depression, and Depression Diagnosis and Treatment. Participants described aspects of masculinity as barriers (emotional control and pressure to provide), facilitators (honesty, courage, collaboration, practicality, and responsibility), or both (self-reliance and autonomy).
CONCLUSIONS
Masculinity influences barriers and facilitators for depression care among Latino men at the levels of self-recognition, seeking help, and diagnosis and treatment. Clinicians may promote Latino men's engagement in depression care by understanding patients' values and framing depression care as affirming masculinity. Providing education to primary care physicians and other healthcare professionals on gender and depression and addressing structural barriers are essential to providing access to all who need depression care.
Topics: Male; Humans; Female; Depression; Patient Acceptance of Health Care; Men; Qualitative Research; Primary Health Care
PubMed: 38245674
DOI: 10.1186/s12875-024-02275-x -
American Journal of Men's Health 2023Suicide is a major public health concern and leading cause of death among men in Canada. This study reports the feasibility and acceptability of Buddy Up, a peer-based...
Suicide is a major public health concern and leading cause of death among men in Canada. This study reports the feasibility and acceptability of Buddy Up, a peer-based suicide prevention campaign for men. A mixed-methods approach was used to analyze respondent survey questionnaires ( = 48) and individual participant interviews ( = 19) collected from campaign users. Survey respondents reported that they enjoyed their involvement in the campaign (92%), were more confident to talk with men about mental health and suicide (95%), and would recommend Buddy Up to others (95%). Qualitative interviews were thematically analyzed to develop three inductively derived themes: (a) Engaging men with relatable masculine content and design: "Buddy Up really spoke to them in their language," highlighting the importance of understanding and working with gendered practices and motivations to legitimize and motivate involvement in suicide prevention; (b) Leveraging campaign participation to initiate conversations and promote mental health: "It gives men language and license to start asking questions," revealing ways in which participants utilized Buddy Up to negotiate and norm checking-in to promote men's mental health; and (c) Driving new masculine cultures: "We start every meeting with a mental health moment," identifying how participants fostered healthy milieus for disclosing mental health challenges with teamwork and preventive action under the banner of Buddy Up. The study findings support the feasibility of Buddy Up and highlight the acceptability of peer-based approaches to mental health promotion. The findings can also empirically guide future efforts for systematically building men's peer-based suicide prevention programs.
Topics: Male; Humans; Masculinity; Suicide Prevention; Men; Suicide; Men's Health; Language
PubMed: 37904538
DOI: 10.1177/15579883231209189 -
Journal of the Academy of Nutrition and... Jun 2024Celiac disease (CD) is an autoimmune condition managed by strict adherence to a gluten-free diet. Dietary choice has gendered connotations, and men with CD may face...
BACKGROUND
Celiac disease (CD) is an autoimmune condition managed by strict adherence to a gluten-free diet. Dietary choice has gendered connotations, and men with CD may face judgment from others when following a gluten-free diet. However, little is known about health-related stigma in men with CD.
OBJECTIVES
The study aim was to explore the health-related stigma and challenges faced by men with CD, and the influence of CD on their lives.
METHODS
Qualitative semistructured online interviews were conducted with men living with CD.
PARTICIPANTS
Twenty adults (aged 18 years or older) identifying as men living in the United Kingdom, with self-reported CD, were recruited using social media and opportunistic sampling.
STATISTICAL ANALYSES
Participants provided rich, detailed discussions about aspects of their experience of living with CD. Reflexive thematic analysis was used, with a critical-realist lens that enabled researchers to connect men's experiences within wider sociocultural constructs such as masculinity and social identity.
RESULTS
Three themes were identified: CD threatens social inclusion; others' assumptions about CD and microaggressions have a psychological influence, and masculine norms, health-related stigma, and power dynamics influence men's health behaviors and everyday experience. Health-related stigma was found to be interconnected with these men's gendered social environment, suggesting that may be an important social and structural determinant of dietary, health-related, and health support-seeking behaviors in men diagnosed with CD.
CONCLUSIONS
Contrary to prior assumptions, health-related stigma influences men with CD of all ages, particularly in social settings. The study unveils the complex interplay of individual beliefs, social norms, and power dynamics, in particular with other men, that influence individual beliefs and emphasize the performative aspect of food consumption. Internalized stigma and microaggressions influence men's well-being. To better support men with CD, health providers, charitable organizations, and the food industry should address the social influence of adherence to a gluten-free diet, in particular perceived threats to social status and inclusion, which may cause concern, influence food choice, and influence dietary adherence.
Topics: Humans; Celiac Disease; Male; Social Stigma; Adult; Middle Aged; Qualitative Research; Diet, Gluten-Free; United Kingdom; Masculinity; Aged; Young Adult; Social Identification; Health Behavior
PubMed: 38040116
DOI: 10.1016/j.jand.2023.11.018 -
Heliyon Aug 2023Gender equality is one of the most important determinants of health. Discriminatory interventions, values, beliefs, and prejudices of healthcare professionals during...
PROBLEM
Gender equality is one of the most important determinants of health. Discriminatory interventions, values, beliefs, and prejudices of healthcare professionals during their service affect health adversely.
BACKGROUND
There is not adequate information about the views of healthcare professionals on gender roles.
AIM
This study was conducted to understand and define the views of healthcare professionals involved in the health system on gender roles.
METHODS
This study was performed using the "phenomenological method," one of the qualitative research methods. A total of 28 healthcare professionals - 10 midwives, 12 nurses, and 6 - were included in the research. Individual in-depth interviews were held with the healthcare professionals included in the study.
FINDINGS
As a result of the descriptive analysis performed after the individual interviews about the views of healthcare professionals on gender roles, 6 main themes were determined. These themes are (1) the neglect of women by society, (2) using force on women, (3) seeing women as sexual objects, (4) having a say in society, (5) glorified masculinity and femininity roles, and (6) gender equality.
DISCUSSION
In this study, healthcare professionals expressed that women were neglected by societies since gender roles were determined by patriarchal societies. This situation adversely influences the health of individuals. Importance should be attached to equality between women and men to improve health. Healthcare professionals who support equality will improve the quality of care.
CONCLUSION
Healthcare professionals should provide equitable services without discrimination. This equitable care they provide will positively affect the health of individuals.
PubMed: 37560673
DOI: 10.1016/j.heliyon.2023.e18576 -
Personality & Social Psychology Bulletin Jul 2023Three experiments ( = 943) tested whether men (but not women) responded to gender threats with increased concern about how one looks in the eyes of others (i.e., public...
Three experiments ( = 943) tested whether men (but not women) responded to gender threats with increased concern about how one looks in the eyes of others (i.e., public discomfort) and subsequent anger that, in turn, predicted attitudes about sexual violence. Consistent with predictions, for men, learning that one is like a woman was associated with threat-related emotions (public discomfort and anger) that, in turn, predicted the increased likelihood to express intent to engage in quid-pro-quo sexual harassment (Study 1), recall sexually objectifying others (Study 2), endorse sexual narcissism (Study 2), and accept rape myths (Study 3). These findings support the notion that failures to uphold normative and socially valued embodiments of masculinity are associated with behavioral intentions and attitudes associated with sexual violence. The implications of these findings for the endurance of sexual violence are discussed.
PubMed: 37417681
DOI: 10.1177/01461672231179431 -
American Journal of Men's Health 2024Mental ill-health and suicide represent a significant proportion of the burden of global disease among men. Connell's relational theory of masculinities provides a... (Review)
Review
Mental ill-health and suicide represent a significant proportion of the burden of global disease among men. Connell's relational theory of masculinities provides a useful framework to explore how mental health literacy, mental health stigma, and delayed help-seeking and help-offering behaviors are associated with mental ill-health among men, particularly within male-dominated industries. To address the high incidences of mental ill-health in male-dominated industries, several workplace interventions targeting these outcomes have been implemented. No review to date has examined the current state of evidence for these interventions or identified the behavior change techniques used. This review was restricted to empirical, quantitative research reporting on psychosocial interventions targeting mental health literacy, stigma, and help-seeking and help-offering behaviors in male-dominated industries. Quality appraisal was completed using the Effective Public Health Practice Project and a narrative synthesis was conducted. Twelve articles were included for review which reported on four distinct interventions. The methodological quality of two articles was strong, three moderate and seven weak. The strongest evidence of intervention effects related to mental health literacy and help-seeking intentions. There was less evidence relating to help-offering and help-seeking behaviors and mental health stigma. Sixteen behavior change techniques were identified across interventions that are discussed in relation to the wider men's health literature. The evidence on psychosocial interventions in male-dominated industries is limited due to methodological and conceptual issues. Recommendations for future research include standardized reporting of intervention descriptions, the use of theory to guide intervention development, and utilizing validated and reliable outcome measures.
Topics: Humans; Male; Mental Health; Health Literacy; Workplace; Social Stigma; Masculinity; Help-Seeking Behavior
PubMed: 38581228
DOI: 10.1177/15579883241236223