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1.
《The aging male》2013,16(1):16-20
Aim.?Symptoms of late-onset hypogonadism (LOH) are often unspecific, and the existence of a male climacteric has been much debated. In this study, we investigate aging men's thoughts about, and beliefs, in a ‘male climacteric’.

Methods.?A questionnaire was developed including background demographic data, symptoms possibly related to LOH and questions about men's thoughts and beliefs in a ‘male climacteric’. All men, 55-, 65- and 75-years old, living in Linkoping, Sweden (n?=?1885) received the questionnaire.

Results.?One thousand three hundred fifty-six (72%) questionnaires were eligible for evaluation, 65.4% of the responders had heard of a ‘male climacteric’, and 42.2% believed it existed but only 3% had sought medical advice for these symptoms. More than half believed that a ‘male climacteric’ was related to decreased libido and less strong erections. Almost half of the men thought that decreased memory and/or dystymia and anxiousness were related to a male climacteric.

Conclusions.?The majority of men have heard of a male climacteric, but only a minority had consulted a practitioner about their symptoms. More information and knowledge are needed, for the general population to better motivate men to seek medical advice and also for the health care professionals to better deal with the symptoms of LOH.  相似文献   

2.
Introduction.?Erectile dysfunction (ED) is a common medical disorder affecting the aging male. A man's perception of a disease affects his health seeking behaviour. This study aimed to explore perceptions of ED among men with ED and how these perceptions came about.

Methods.?This qualitative study utilized in-depth interviews involving 17 urban men aged between 40 and 75 years old.

Results.?Misconceptions existed regarding the definitions of ED. Most men perceived impotence to be more serious than ED. Although most were aware of the medical causes of ED, ‘overuse of penis’ and black magic were mentioned as culturally-related causes. ED was perceived as a serious problem associated with loss of manhood and it had a significant impact on relationships with their partners. However, some adopted an ‘accepting’ view and attributed it to aging and fate. Most men were only familiar with PDE-5 inhibitors and traditional therapies. PDE-5 inhibitors were perceived to be effective but they were concerned about side effects and costs.

Conclusions.?Identifying men's perceptions of ED and its treatment would help doctors in their consultation, and inform health policy makers in planning appropriate public education and services.  相似文献   

3.
This study investigated how men adapt to erectile dysfunction and other sexual side-effects of prostate cancer treatment. The study recruited nonheterosexual and heterosexual men using an anonymous, international, online survey (N = 558). This article focuses on a qualitative analysis of answers (n = 348) to one open-ended question on sexual practices after treatment. Five themes emerged: (a) recovery of erectile function; (b) reframing sexual practices; (c) the importance of partners; (d) exploring anal sex; (e) the use of masturbation. The findings suggest that men should explore varied sexual options. Partners are also important in the overall recovery of men's sexual lives.  相似文献   

4.
The impact of infertility on the emotional, social and relational aspects of men's lives is now more widely understood. Yet the impact of infertility on men's working lives and financial status remains largely overlooked. Drawing on a qualitative questionnaire study into men's experiences of infertility (n = 41), this article examines how work and finances are managed and negotiated during infertility, including treatment cycles. Three key themes were identified from our thematic analysis: managing infertility in the workplace; compromised job performance, (in)security and progression; the financial burden of infertility, suggesting that infertility can have significant implications for men's working lives, including their identities as productive workers. The impact had a gendered dimension, with threats to masculine‐relevant breadwinner roles and career ambitions. Awareness and management of infertility as a chronic health condition could be a useful way for employers to support disclosure of infertility and to allow men to navigate infertility and their working lives and identities in less stress‐inducing ways. This article contributes to our growing understanding of the stigma men experience in relation to infertility and how such stigma may intersect with masculinity in general and breadwinning in particular.  相似文献   

5.
Abstract

This chapter is inspired by contrasting passages in two stories. The first is in Jamaica Kincaid's story, ‘The Embassy of Cambodia'. Her narrator, who is following a transversality between two forms of atrocity: those practiced by states, as in the case of Cambodia's Khmer Rouge exterminism and that inflicted on abused migrant domestic workers from third world countries. The narrator notes that people in her village are too distracted to heed peoples’ afflictions: ‘The fact is if we followed the history of every little country in this world?…?we would have no space left in which to live our own lives or to apply ourselves to necessary tasks?…?’. In contrast, in Daniel Alarcon's story, ‘Collectors', a seasoned convict is explaining to his new cell mate how to survive by reading signs as you watch the men in the prison yard:
Did they have their arms at their sides, or crossed in front of them? How widely did they open their mouths when they talked? Could you see their teeth were their eyes moving quickly, side to side? Or slowly, as if taking in every detail?  相似文献   

6.
This article focuses on the enduring significance of craft in the careers of Kent Royal Dockyard craftworkers and their sons and grandsons after deindustrialization. The closure of this naval shipbuilding and repair yard together with the subsequent move to post‐industrial employment did not end men's engagement with their craft practices. Instead, this developed into a ‘craft outlook’ defined by a motivation for performing actualizing labour that interwove paid and non‐paid work. Men's careers did not become individualized projects of self as collaborative intergenerational practices gave a long‐term narrative to their careers and lives. Therefore, three contributions are proposed to the literature on working‐class male careers and craft. First, an analytical framework is advanced that empirically distinguishes a ‘craft outlook’ from traditional manual trade employment. Second, a craft outlook reflected ‘whole life careers’ that were constructed from both paid and non‐paid work. Third, the concept of ‘human imprint’ is developed to recognize the generational affirmation produced by the transmission of craft practices.  相似文献   

7.
This article analyses the narratives of men managers to see how they perceive their wives' support in relation to their careers. Our aim is to focus on different forms of spousal support and explore how the support can evolve in the course of the men's careers. We are also interested in what kind of gender relations men produce when narrating their experiences of spousal support for their career. The research material comprises interviews with 29 managers who are fathers. In contrast to many previous studies, the results here suggest that spousal support is not a fixed or uncomplicated phenomenon but is constructed as various and flexible by men: negotiated, enriching and declining. The narrative analysis, in which we detected three different story‐lines — romance, ‘happily‐ever‐after’ and tragedy — shows that the most positive narratives in terms of life satisfaction and career success were those in which spousal support was constructed as negotiated and men were willing to be flexible and adaptable in their gender relations with their spouse. More attention to a father's work and family integration is needed in the field of management and organizations.  相似文献   

8.
In a variety of discourses and empirical studies it has been argued that compared with women, men show more reluctance to express intimate emotion in heterosexual couple relationships. Our paper attempts to theorise this gender asymmetry in intimate emotional behaviour as a sort of ‘emotional power’, within the wider context of continuing gender inequalities of resources and power in society. To the extent that men's role as breadwinner becomes their central life interest (they become ‘workaholics’), women are left with emotional responsibility for the private sphere, including the performance of the ‘emotion work’ necessary to maintain the couple relationship itself. Increasingly women's dissatisfaction in relationships (which men dismiss as unjustified ‘whingeing’) stems mainly from this unequal division. Yet many women still collude with male power by living the family ‘myth’ and ‘playing the couple game’; they perform emotion work on themselves to convince themselves that they are ‘ever so happy really’, thereby helping to reproduce their own false consciousness. This suggests that gender asymmetry in relation to intimacy and emotion work may be the last and most obstinate manifestation and frontier of gender inequality.  相似文献   

9.
ABSTRACT

Objectives: Stigma connected with HIV/AIDS has decreased considerably since the early epidemic yet affects those living with HIV in many ways. Little research, particularly qualitative research, concerning HIV stigma from the perspective of gay men has emerged. The present qualitative study aimed to fill this evidence gap by examining how HIV stigma is perceived and experienced by gay men who have become HIV-infected and how they respond to this stigma. Methods: Thematic analysis of 19 gay men's narratives identified six main themes. Results: Encountering HIV stigmatization was common and was linked to the physical stigmata identifying respondents as HIV-positive. Overwhelmingly, they found stigmatization to be most intensely felt within gay communities. One profound theme was internalized HIV stigma, referring to respondents’ internalized negative feelings about their HIV status. A related theme was the closeted nature of HIV. Lastly, regarding how the men dealt with the HIV diagnosis and experiences of HIV stigma, a theme of adaptation became clear. Conclusions: Although exploratory, the results can serve as a beginning framework for understanding and assisting seropositive gay men who experience HIV stigma. The findings are important because it is realistic to expect that in a climate in which HIV has become increasingly invisible and closeted and in which infections are on the rise, gay and bisexual men will be increasingly affected and infected by HIV.  相似文献   

10.
Paid work is generally accepted as an important dimension of hegemonic masculinities and men's identities, which can become heightened when they become fathers. Changes in global economies together with educational shifts and other demographic patterns mean that paid work has become a significant feature of many women's lives too. Increasingly across Europe women who are mothers combine caring, domestic chores, and paid work. Using data from a qualitative longitudinal study on women's experiences of transition to first-time motherhood in the UK, this paper will explore how women narrate and reconcile their decisions either to return to paid work or not to, following the birth of their first child (Miller 2005). These findings are considered alongside a companion study on men's experiences of transition to first-time fatherhood (Miller 2011). The comparison shows that women articulate work and caring decisions in narratives which convey a sense of ‘guilt’, whilst the men are able to talk more freely – and acceptably – about ‘career progression’ and the importance of work to their identity and their new family. Even though recent research points to some changes in men's involvement in caring and women's increased activities in the work-place, particular aspects of these arrangements remain seemingly impervious to change.  相似文献   

11.
Middle‐aged men's experiences of gay voluntary organizations (GVOs) are neglected in research. To address this knowledge gap, this article extends Bourdieusian theorizing beyond that deployed by Hakim (2010) and Green (2008) concerning ‘erotic capital’ to demonstrate how norms in GVOs can facilitate or frustrate mobilization of ‘ageing capital’ by middle‐aged gay men living in Manchester (UK), which has implications for comparable cities within and beyond a UK context. Based on interviews with 22 men aged 39–55, this article demonstrates how ‘ageing capital’ can facilitate challenge to gay ageism but also how such ageism can frustrate and even overwhelm men's capacities to deploy ageing capital in generic GVOs, thus reinforcing intergenerational conflict and expression of ageism towards younger gay men. In doing so, this article contributes to knowledge about the reproduction of the relations of ageism in a particular field of gay existence.  相似文献   

12.
ABSTRACT

This article considers the possibilities and limits of applying institutional ethnography, a feminist theoretical and methodological approach that contributes to collective projects of investigating and transforming social life. Elaborating on the approach, the article reports on an ethnographic exploration of visual artists’ experiences and struggles in Canada's art world – a project that started from the standpoint of practising visual artists, examined their work and relations, and explicated practices and logics of art and valued work conditioning their lives. Speaking back to formal or text-based investigations of particular institutions, the article grapples with how to engage in research that more fully reveals the ‘social,’ attending to everyday life, to the ‘life work’ that people do, and to social forms that are threaded through intersecting, localized intimate and institutional spheres.  相似文献   

13.
Abstract

Men's health has emerged as an important public concern that may require new kinds of healthcare interventions and increased resources. Considerable uncertainty and confusion surround prevailing understandings of men's health, particularly those generated by media debate and public policy, and health research has often operated on oversimplified assumptions about men and masculinity. A more useful way of understanding men's health is to adopt a gender-relations approach. This means examining health concerns in the context of men's and women's interactions with each other, and their positions in the larger, multidimensional structure of gender relations. Such an approach raises the issue of differences among men, which is a key issue in recent research on masculinity and an important health issue. The gender-relations approach offers new ways of addressing practical issues of healthcare for men in college environments.  相似文献   

14.
An important aim of Norwegian work–family policies is to enhance the family role of fathers. Time-use surveys show a slight increase in fathers’ family work, but we still know little about the relationship between men's family circumstances and working hours. On the one hand, policy measures encourage the greater involvement of fathers in family life. On the other hand, men are the main providers in most couples and employment and breadwinning are still important components of men's fathering identity. In this paper, we examine the relationship between fatherhood and working time, with a particular focus on the possible effects of the number and ages of children. Utilizing the Norwegian Labour Force Survey 2005, we find that men's contractual working hours are not significantly affected by their parental status, but men do curtail their actual working hours when they have young children, and particularly if there is only one child in the household. However, men with school-aged children actually work longer hours than non-fathers and men with young children.  相似文献   

15.
Abstract

Men play a key role in determining good sexual health outcomes for themselves and their sexual partners. However, many interventions and much of the programmatic focus and effort in reproductive and sexual health care delivery, are focused on women. This paper shows how international goals for development (the Millennium Development Goals), and international agreements on population and development (such as that agreed at the International Conference on Population and Development, Cairo,1994) cannot be met without the full and active involvement of men. We argue that achieving international goals and targets requires more than simply encouraging men to take more responsibility for their actions, it requires a detailed understanding of men's own concerns in the field of sexual health and a commitment to address those concerns to achieve better sexual health for all.

Using examples from south Asia, the paper explores the evidence surrounding the burden of men's sexual ill-health in the Region. We find that while public health programmes are (rightly) focused on controlling HIV (and sexually transmitted infections to some degree), evidence from population-based surveys of men across south Asia shows that men are most concerned with ‘psycho-sexual conditions’ including discharge syndromes, weakness, and erectile dysfunction. There is evidence that some of these conditions may be linked to higher rates of risk-taking and gender-based violence in some men. We further review patterns of care seeking for men reporting these and other sexual health problems.

We conclude that the challenges facing public health professionals are how to ensure that men receive interventions which are appropriate (and affordable and accessible and of high quality) for addressing their own sexual health concerns whilst also meeting wider public health goals of improving population levels of sexual and reproductive health.  相似文献   

16.
Little is understood about how experiencing cancer and aging together can disrupt people's socio-personal worlds and lead to existential questions about identity, life ambiguity, and death. Toward this end, we interpreted the metaphors that three aging men with cancer used in a focus group to describe their existential concerns. We also considered how two dominant cultural discourses around cancer and aging, generally referred to as discourses of “progress” and “decline”, figured into the participants' meanings. Finally, we compared the men's attitudes toward cancer and aging to dominant ideas about how men respond to these life events. Through interpretative phenomenological analysis, informed by critical phenomenology, we came to three conclusions. First, the men's interpretations of cancer and aging shared similar existential themes of tragedy and transcendence. Second, these existential concerns were informed by dominant discourses of cancer and aging, in that they followed the culturally constructed trajectories of decline and progress, respectively. The men's metaphors point to a negotiation of these two discourses. A third and related point is that the men predominantly contradicted gendered assumptions about dealing with life adversity but in some ways repeated them. This research indicates that people interpret cancer and aging in somewhat shared ways, via dominant cultural discourses, but also in individual ways depending on personal life histories. As discourses and life histories seem to influence how people make sense of aging life with cancer, it may be useful to be aware of these contexts when providing psycho-social care to aging cancer patients.  相似文献   

17.
Abstract

In this study, 20 gay or bisexual men's experiences of coming out to wives were explored. Specifically, their attitudes and behaviors before, during, and after marriage were examined. Findings were provided about upbringing, reasons for entering marriage, and the coming out process. Through semi-structured interviews information was obtained about the factors which led up to the revelation of homosexuality or bisexuality and about how these men experienced their relationships with their wives and family after coming out. The interviews revealed the fears which prevented these men from coming out earlier in their lives. The most common reason for entering marriage was due to social and family pressure and because of the desire to have a normal, healthy life. Attitudes toward gays and lesbians were negative before marriage and worsened following disclosure.  相似文献   

18.
Drawing on data from an Economic and Social Research Council‐funded project, this article explores the implications of different occupational cultures for men's masculine identity. With a focus on embodiment and individual agency, it explores the argument that it is within ‘scenes of constraint’ that gendered identities are both ‘done’ and ‘undone’. In this article we examine embodied experience in occupational cultures commonly stereotyped as ‘masculine’ or ‘feminine’ (hairdressing, estate agency and firefighting), showing how men conform to, draw upon and resist the gendered stereotypes associated with these occupations. What we argue is that gendered conceptions of ‘the body’ need to be differentiated from individual men's embodiment. Instead, processes of identification can be shown to emerge via embodied experiences of particular kinds of gendered body, and in the ways in which men negotiate the perception of these bodies in different occupational contexts.  相似文献   

19.
Summary

How can women deal with unwanted sexual advances from male dating partners in ways that are effective and that, at least initially, take the men's feelings into account? In Study 1,354 under graduate men watched videotapes in which a woman either did or did not openly communicate early during a date that she did not want to do more than kiss. Open communication decreased men's ratings of how much she wanted petting and intercourse, how likely they would be to attempt these behaviors with her, and how “led on” they would feel if they attempted these behaviors and she refused. In Study 2, 424 undergraduate men were presented with 28 responses women could make to a man's sexual advances. They rated each on its effectiveness in getting them to stop their advances and its effect on the relationship. Women can use this information when responding to unwanted sexual advances, taking into account the relative importance of stopping the advance and maintaining the relationship.  相似文献   

20.
ABSTRACT

This article uses a social generations approach to explore the lives of young people transitioning to life after schooling. Drawing on ethnographic research in England during the geopolitical uncertainty of 2016–2017, we track the trajectories and narratives of six individuals. The research begins with final year pupils in schools talking about their futures, during and after their A-Level exams. We then follow these individuals on routes to Higher Education and employment, exploring how they are socialised into imaginings of the future and/or struggle to inhabit these futures. A deeply ingrained, modernist, neoliberal reckoning of future time is normalised through experiences of schooling. However, this logic is troubled profoundly in the transition to life after school. Young people’s experiences in an unpredictable present run in stark contrast to the ordered trajectory of future action they have been socialised to expect. Amidst this uncertainty, ambivalence towards shaping the future (‘Fuck It, Shit Happens’) can in some ways feel like the most agentic stance to take. Furlong et al.’s (2011) social generations approach to understanding youth transitions reveals how we must critique the very concept of ‘the future’ if we are to understand the reality of youth transitions in the present.  相似文献   

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