Healthy Men 2020

Porche, Demetrius J.

doi:10.1177/1557988309361158

Cited by 10 publications

(12 citation statements)

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“…In the United States, men die sooner (roughly by 5 years) than women from 9 out of the top 10 leading causes of death ( Table 1 ; NCHS, 2010 ). In addition, U.S. men also tend to have higher risk occupations, experience poorer overall health, and have less positive quality of life indicators than women ( Porche, 2010 ; Wilkins, 2010 ). Compared with women, therefore, men appear to have a relative health “disadvantage” when stratified by race, ethnicity, and socioeconomic status (SES), further highlighting a health disparity that has received little attention in recent years (see James, Salganicoff, Ranji, Goodwin, & Duckett, 2012 ).…”

Section: Introductionmentioning

confidence: 99%

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Development and Testing of a Conceptual Model Regarding Men’s Access to Health Care

et al. 2016

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Epidemiologic data suggest men often experience excessive morbidity and early mortality, possibly compromising family and community health over the lifespan. Moreover, the negative financial/economic consequences affected by poor male health outcomes also has been of great concern in the United States and abroad. Early and consistent access to preventative health care may improve health outcomes; however, men are far less likely to access these services. The purpose of this study was to understand what factors preclude men from accessing health care. We surveyed 485 participants using a 58-item online survey built from a conceptual model previously developed by the researchers using hegemonic masculinity theory, the theory of normative contentment, and the health belief model. For men, three items significantly (ps < .05) predicted whether they had seen a health care provider in the past year: “I/Men do not access healthcare because I do not think there is anything wrong with me,” “My health is only about me,” and “I/Men do not access healthcare because most men in my family do not access healthcare.” Other correlations of practical significance also were noted. Results suggest gender norms and masculine ideals may play a primary role in how men access preventative health care. Future programming targeting males should consider barriers and plan programs that are gender-sensitive in addition to being gender-specific. Clinical implications are discussed.

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Section: Introductionmentioning

confidence: 99%

“…For example, weakness, femininity, stigma, and many other “challenges” to one’s masculine ideals often are at odds with health care and health-seeking behaviors in men. If culture promotes a “tough it out” ideology, a majority likely will live sicker and experience less health-related quality of life ( Porche, 2010 ).…”

Section: Introductionmentioning

confidence: 99%

Development and Testing of a Conceptual Model Regarding Men’s Access to Health Care

et al. 2016

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“…These explanations highlight individual risk, responsibility, and blame, which decontextualize risk behaviors and overlook the valid frames that highlight the ways in which health behaviors are culturally generated and structurally maintained. Framing men’s health in this manner blames men for their poor health outcomes versus blaming the lack of research, professional education in men’s health as a specialization ( Porche, 2007 ), or population health infrastructure to address men’s health ( Porche, 2010 ; Williams & Giorgianni, 2010 ). Defining and approaching men’s health in this manner, while congruent with cultural and political beliefs about the role of agency and personal responsibility in men’s health, neglects the cultural, social, and built environmental context that affords men the opportunity to engage in certain health practices more than others ( Griffith, 2016 ; Jackson & Knight, 2006 ).…”

Section: What Is Men’s Health and What Are Some Challenges With Currementioning

confidence: 99%

“Centering the Margins”: Moving Equity to the Center of Men’s Health Research

Griffith

2018

Am J Mens Health

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How might the science of men’s health progress if research on marginalized or subordinated men is moved from the margins of the literature to the center? This commentary seeks to answer this question, suggesting that if more attention is paid to men of color and other marginalized men, the field will be greatly enriched in its ability to understand determinants of men’s health. Reimagining men’s health by moving men’s health disparities to a primary focus of the field may yield critical new insights that would be essential to moving men’s health to the center of health equity research. Focusing on the dual goals of improving the health of marginalized men and examining the determinants of disparities among men and between men and women will yield insights into mechanisms, pathways, and strategies to improve men’s health and address health disparities. Current definitions of health disparities limit the nation’s ability to dedicate resources to populations that need attention—men of color and other marginalized men—that do not fit these definitions. Moving marginalized men to the center of research in men’s health will foster new ways of understanding determinants of men’s health that cannot be identified without focusing on populations of men whose health is as influenced by race, ethnicity, and other structures of marginalization as it is by gender and masculinities. Using Black men as a case example, the article illustrates how studying marginalized men can refine the study of men’s health and health equity.

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“…4 This is a challenge, particularly in the US where policies and programs to improve men’s health have focused primarily on changing men’s health behaviors and changing men’s notions of masculinity. 54 While it is certainly progress to see benchmarks explicitly for men’s health for the first time, the men’s health topics included in Healthy People 2020 seem to reflect more our cultural beliefs that men’s health is synonymous with men’s sexual functioning, sexual risk behavior and virility, rather than the leading causes of death for this population. 55 There are other models, however: Brazil, Ireland and Australia for example.…”

Section: Toward a Biopsychosocial Approach To Men’s Health Disparitiementioning

confidence: 99%

Biopsychosocial Approaches to Men's Health Disparities Research and Policy

Griffith

2016

Behavioral Medicine

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Healthy Men 2020

Cited by 10 publications

References 0 publications

Development and Testing of a Conceptual Model Regarding Men’s Access to Health Care

Development and Testing of a Conceptual Model Regarding Men’s Access to Health Care

“Centering the Margins”: Moving Equity to the Center of Men’s Health Research

Biopsychosocial Approaches to Men's Health Disparities Research and Policy

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