-
American Journal of Men's Health 2023Men are less likely than women to access or engage with a range of generic health programs across a diversity of settings. Designing health programs that mitigate...
Men are less likely than women to access or engage with a range of generic health programs across a diversity of settings. Designing health programs that mitigate barriers associated with normative ideals of masculinity has been widely viewed as a key factor in how health systems should respond, but strategies to engage men have often narrowly conceptualized male health behavior and risk inadvertently reinforcing negative and outdated gender stereotypes. Currently absent from the men's health literature is practical guidance on gender-transformative approaches to men's health program design-those which seek to quell harmful gender norms and purposefully promote health equity across wide-ranging issues, intervention types, and service contexts. In this article, we propose a novel conceptual model underpinned by gender-transformative goals to help guide researchers and practitioners tailor men's health programs to improve accessibility and engagement. The "5C framework" offers key considerations and guiding principles on the application of masculinities in program design irrespective of intervention type or service context. By detailing five salient phases of program development, the framework is intended as a designate approach to the design of accessible and engaging men's health programs that will foster progressive changes in the ways in which masculinity can be interpreted and expressed as a means to achieve health for all.
Topics: Humans; Male; Female; Men's Health; Health Promotion; Masculinity; Health Behavior; Program Development
PubMed: 37496323
DOI: 10.1177/15579883231186463 -
American Journal of Men's Health 2020Physical and emotional pain from combat-related injuries and experiences are serious problems among Latino veterans. This study fleshes out existing cultural constructs...
Physical and emotional pain from combat-related injuries and experiences are serious problems among Latino veterans. This study fleshes out existing cultural constructs and concepts (e.g., machismo and familism) from the participants' point of view and may serve as an important step in unraveling the influence of Latino culture on pain, providing a deeper and more critical theorization between masculinity, race/ethnicity, and the military. Using 26 interviews from U.S.-born Latino veterans, this study analyzes the meanings and experiences of pain from combat, masculinity, and how culture affects expressions of pain. The following themes emerged: (a) Latino culture and ethnicity, (b) machismo and pain, (c) the transforming self, and (d) feeling disconnected and dealing with pain. Overall, respondents were governed by strict gender standards influenced by their ethnic identity and exacerbated by military masculinity. Findings suggest that the study of race/ethnicity acts as a fundamental framework from which to understand the experiences and behaviors of pain.
Topics: Ethnicity; Hispanic or Latino; Humans; Male; Masculinity; Pain; Veterans
PubMed: 33256534
DOI: 10.1177/1557988320976304 -
American Family Physician Jun 2003Hirsutism is a common disorder, often resulting from conditions that are not life-threatening. It may signal more serious clinical pathology, and clinical evaluation... (Review)
Review
Hirsutism is a common disorder, often resulting from conditions that are not life-threatening. It may signal more serious clinical pathology, and clinical evaluation should differentiate benign causes from tumors or other conditions such as polycystic ovary syndrome, late-onset adrenal hyperplasia, and Cushing's syndrome. Laboratory testing should be based on the patient's history and physical findings, but screening for levels of serum testosterone and 17alpha-hydroxyprogesterone is sufficient in most cases. Women with irregular menses and hirsutism should be screened for thyroid dysfunction and prolactin disorders. Pharmacologic and/or nonpharmacologic treatments may be used. Advances in laser hair removal methods and topical hair growth retardants offer new options. The use of insulin-sensitizing agents may be useful in women with polycystic ovary syndrome.
Topics: Algorithms; Female; Hirsutism; Humans; Physical Examination
PubMed: 12825846
DOI: No ID Found -
Journal of Cancer Survivorship :... Feb 2022Body image, self-esteem, and masculinity are three interconnected constructs in men with prostate cancer, with profound effects on quality of life. This meta-synthesis... (Review)
Review
PURPOSE
Body image, self-esteem, and masculinity are three interconnected constructs in men with prostate cancer, with profound effects on quality of life. This meta-synthesis aimed to evaluate all known qualitative studies published studying the effect of prostate cancer on these constructs.
METHODS
A systematic review utilising PubMed, Embase, MEDLINE, and PsycINFO databases up to May 2020 was conducted in line with PRISMA and ENTREQ guidelines. All qualitative studies of men's experiences with body image, self-esteem, and masculinity whilst living with prostate cancer were included. A thematic meta-synthesis was conducted to identify emergent descriptive and analytical themes under the main study constructs.
RESULTS
Of 2188 articles identified, 68 were included. Eight descriptive themes were identified under two analytical themes: 'Becoming a Prostate Cancer Patient' and 'Becoming a Prostate Cancer Survivor'. These described the distress caused by changes to body image, sexual functioning, sense of masculinity, and self-esteem, and the subsequent discourses men engaged with to cope with and manage their disease. A key element was increased flexibility in masculinity definitions, and finding other ways to re-affirm masculinity.
CONCLUSIONS
Prostate cancer has an important effect on men's health post-diagnosis, and we identified strong relationships between each construct evaluated. The role of hegemonic masculinity is important when considering men's coping mechanisms and is also a key factor when addressing these constructs in counselling post-treatment.
IMPLICATIONS FOR CANCER SURVIVORS
This meta-synthesis provides key topics that uniquely affect prostate cancer survivors, enabling these patients to be effectively counselled, and have their concerns recognised by clinicians.
Topics: Body Image; Humans; Male; Masculinity; Prostatic Neoplasms; Qualitative Research; Quality of Life; Self Concept
PubMed: 33963973
DOI: 10.1007/s11764-021-01007-9 -
Digestive Diseases and Sciences Feb 2022
Topics: Black or African American; Colorectal Neoplasms; Early Detection of Cancer; Humans; Male; Masculinity; Patient Acceptance of Health Care
PubMed: 33811564
DOI: 10.1007/s10620-021-06962-y -
Proceedings of the Royal Society of... Dec 1959
Topics: Adrenal Cortex Hormones; Adrenogenital Syndrome; Female; Humans; Medical Records; Virilism
PubMed: 13852146
DOI: No ID Found -
International Journal of Environmental... Nov 2022It is hypothesized that levels of femininity and masculinity may be relevant to specific types of engagement in action. For this reason, the aim of this study was to...
It is hypothesized that levels of femininity and masculinity may be relevant to specific types of engagement in action. For this reason, the aim of this study was to search for relationships between psychological dimensions of femininity and masculinity and different forms of motivation, as well as their specific parts, among women and male athletes practicing team sports games. We researched 49 women aged 19 to 32 years representing sports such as football, handball, hockey, volleyball, and basketball and 56 men aged 18 to 31 years practicing football, hockey, volleyball, basketball, and handball. The respondents completed the Inventory to Assess Psychological Gender (IPP) and the Polish adaptation of the Sport Motivation Scale (SMS). It was determined that the psychological dimension of femininity was (in the male group) positively related to the dimension of amotivation, i.e., the lack of perception of a relationship between one's action and the outcome. In turn, the psychological dimension of masculinity was positively related to the motivation to know, motivation to accomplish, and motivation to experience stimulation, as well as the overall level of intrinsic motivation and the overall dimension of extrinsic motivation. Furthermore, the masculinity dimension is, in male athletes, related to the level of the introjection motive, i.e., the process of integrating accepted patterns.
Topics: Male; Humans; Female; Femininity; Masculinity; Motivation; Basketball; Soccer
PubMed: 36497841
DOI: 10.3390/ijerph192315767 -
Hematology. American Society of... Dec 2017Despite significant progress in transplantation by the addition of alternative hematopoietic stem cell sources, many patients with inherited bone marrow failure... (Review)
Review
Despite significant progress in transplantation by the addition of alternative hematopoietic stem cell sources, many patients with inherited bone marrow failure syndromes are still not eligible for a transplant. In addition, the availability of sequencing panels has significantly improved diagnosis by identifying cryptic inherited cases. Androgens are the main nontransplant therapy for bone marrow failure in dyskeratosis congenita and Fanconi anemia, reaching responses in up to 80% of cases. Danazol and oxymetholone are more commonly used, but virilization and liver toxicity are major adverse events. Diamond-Blackfan anemia is commonly treated with corticosteroids, but most patients eventually become refractory to this treatment and toxicity is limiting. Growth factors still have a role in inherited cases, especially granulocyte colony-stimulating factor in congenital neutropenias. Novel therapies are warranted and thrombopoietin receptor agonists, leucine, quercetin, and novel gene therapy approaches may benefit inherited cases in the future.
Topics: Androgens; Bone Marrow Diseases; Chemical and Drug Induced Liver Injury; Danazol; Female; Genetic Diseases, Inborn; Genetic Therapy; Humans; Leucine; Oxymetholone; Quercetin; Stem Cell Transplantation; Syndrome; Virilism
PubMed: 29222242
DOI: 10.1182/asheducation-2017.1.96 -
The Journal of Adolescent Health :... Mar 2018Adolescent and young adult men do poorly on indicators of mental health evidenced by elevated rates of suicide, conduct disorder, substance use, and interpersonal... (Review)
Review
Adolescent and young adult men do poorly on indicators of mental health evidenced by elevated rates of suicide, conduct disorder, substance use, and interpersonal violence relative to their female peers. Data on global health burden clearly demonstrate that young men have a markedly distinct health risk profile from young women, underscoring different prevention and intervention needs. Evidence indicates that boys disconnect from health-care services during adolescence, marking the beginning of a progression of health-care disengagement and associated barriers to care, including presenting to services differently, experiencing an inadequate or poorly attuned clinical response, and needing to overcome pervasive societal attitudes and self-stigma to access available services. This review synthesizes key themes related to mental ill health in adolescent boys and in young adult men. Key social determinants are discussed, including mental health literacy, self-stigma and shame, masculinity, nosology and diagnosis, and service acceptability. A call is made for focused development of policy, theory, and evaluation of targeted interventions for this population, including gender-synchronized service model reform and training of staff, including the e-health domain. Such progress is expected to yield significant social and economic benefits, including reduction to mental ill health and interpersonal violence displayed by adolescent boys and young adult men.
Topics: Adolescent; Health Services Accessibility; Humans; Male; Masculinity; Mental Health Services; Social Stigma; Substance-Related Disorders; Suicide; Young Adult
PubMed: 29455724
DOI: 10.1016/j.jadohealth.2017.07.024 -
Canadian Journal of Public Health =... Aug 2022The dominant discourse in literature often constructs heterosexual African, Caribbean, and Black (ACB) masculinity as inherently problematic and in need of "correction,...
OBJECTIVES
The dominant discourse in literature often constructs heterosexual African, Caribbean, and Black (ACB) masculinity as inherently problematic and in need of "correction, repair, or rescue." This discourse privileges hegemonic male standards and conceals the power relations that shape racialized masculinities. Our study of self-identified heterosexual ACB men and male youth examines how performative and perceptual attenuations of hegemonic masculinity can moderate social and behavioural vulnerabilities in the context of HIV prevention, transmission, and survival.
METHODS
We used descriptive qualitative methods informed by community-based participatory research. Individual in-depth interviews and focus group discussions were conducted with 63 ACB men and male youth (aged 16 and above) residing in Ottawa, Canada, including community leaders, HIV service providers, and decision makers. The interviews were transcribed verbatim, and thematically analyzed with NVivo software. Member-checking, peer debriefing, and external audit ensured trustworthiness of data.
RESULTS
ACB men and male youth define masculinity by their ability to provide for, protect, love, and lead their families. Within ACB cultures, men demonstrate their masculinity through their traditional role as family breadwinners, and are expected to be strong, bold, and responsible. This positive view of masculinity is potentially beneficial to the well-being of ACB men and male youth, and challenges mainstream notions of Black masculinity as uncontrolled, risky, toxic, or even predatory.
CONCLUSION
A positive view of masculinity among ACB heterosexual men and youth could support future practice and policy interventions aimed at strengthening community responses to HIV and health.
Topics: Adolescent; Black People; Focus Groups; HIV Infections; Heterosexuality; Humans; Male; Masculinity
PubMed: 35290655
DOI: 10.17269/s41997-021-00596-3