Understanding men's health and illness: a gender-relations approach to policy, research, and practice

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.     

Gay men's digital cultures beyond Gaydar and Grindr: LINE use in the gay Chinese diaspora of Australia

ABSTRACT

Recent research on gay men's digital cultures has focused predominantly on Western, English-language-based sites and populations. In the case of Australia, a country with an official multiculturalism framework in place and against a backdrop of significant levels of Asian immigration over the past several decades, a more pluralistic approach is needed to critically interrogate the dialectic between platforms, users and wider sociocultural complexities. To this end, the current paper presents research in progress on the social chat application LINE and its use amongst the Chinese diaspora of gay men in Australia. Drawing on data from participant observation carried out over several months during late 2015 and early 2016 in an Australian-based LINE group for local Chinese gay men, we highlight here how LINE functions as an important intermediary for many Chinese men engaging with gay men's digital cultures in this context. In particular, we show how LINE plays a crucial role in Chinese gay men's engagements with gay men's digital culture in Australia by (1) mediating this group's navigations of new social and cultural environments and (2) remediating their experiences within other platforms central to the broader GLBT community.     

Identifying Male College Students' Perceived Health Needs,Barriers to Seeking Help,and Recommendations to Help Men Adopt Healthier Lifestyles

Abstract

Seven focus groups at a university campus were formed to identify college men's health concerns, barriers to seeking help, and recommendations to help college men adopt healthier lifestyles. Content analysis was used to identify and organize primary patterns in the focus-group data. Results of the study revealed that the college men were aware that they had important health needs but took little action to address them. The participants identified both physical and emotional health concerns. Alcohol and substance abuse were rated as the most important issues for men. The greatest barrier to seeking services was the men's socialization to be independent and conceal vulnerability. The most frequently mentioned suggestions for helping men adopt healthier lifestyles were offering health classes, providing health information call-in service, and developing a men's center. Implications of the results are discussed.     

Men and masculinity in men's magazines: A review

This review article provides a thematic synthesis and overview of 30 years of research into the study of men and masculinity in men's magazines. Over 100 articles, book chapters, and books were reviewed to explore how scholars have approached the study of masculinity in such magazines and identify four major areas of inquiry: the commodification of masculinity; the relationship between sexism and misogyny in men's magazines and men's attitudes towards women; the vulnerability of men to, and the role of magazines in the construction of, men's body image anxieties; and the increasing sexualisation of men's bodies. The strengths and potential limitations of these four thematic approaches are identified, including an insufficiently nuanced account of the ways in which men might actually engage with images and ideas about masculinity in such magazines; an overly singular view of male sexuality that naturalises sexist and predatory behaviour; and an overemphasis on men's bodies as sites of vulnerability, risk, or crisis at the expense of more substantive considerations of the relationship between the representation of body modification practices and technologies, and men's embodied identities. The review concludes with an overview of the present field and some suggestions for future research.     

Sex Composition,Masculinity Stereotype Dissimilarity and the Quality of Men's Workplace Social Relations

Previous research suggests that the quality of men's work group social relations varies depending on the sex composition of the work unit. Previous studies also suggest that men derive different benefits from working with other men than with women and that the higher status associated with men and masculinity advantages men in their relations with women workers. Previous sex composition studies tell us little, however, about the extent to which the quality of men's work group social relations with women and other men depends on how well a man fits dominant masculinity stereotypes. Drawing on sex composition and gender constructionist approaches to gender and work I investigate in this study the effects of men's individual similarity to masculinity stereotypes on the affective quality of their social relations with coworkers, given the sex composition of their work groups. The data for this study consist of male, mostly white, non‐faculty employees of a public university in the northwest United States. I discuss my results in terms of both individual outcomes and implications for understanding sex and gender inequalities in work organizations.     

A Localized Masculine Crisis: Local Men's Subordination within the Marcellus Shale Region's Masculine Structure

Rural economic decline in the United States has contributed to new situational conditions under which men construct masculinity. Under these conditions, men define jobs and activities that were feminized during periods of economic stability as masculine. One exception to rural economic decline for men is economic growth associated with oil and natural gas development in geographical hot spots throughout the United States and around the world. Employment opportunities in the oil and gas industry largely favor men; however, it is unclear what effect this development has on local men because itinerant extralocal male workers complete most of the labor. This article conceptualizes masculinity as a social structure, and uses economic reports and theoretically distinct literatures on natural‐resource‐based masculinities and energy boomtowns to illuminate how multinational energy companies and a predominantly extralocal, male itinerant workforce in Pennsylvania's Marcellus Shale region cause adverse situational conditions for local men's constructions of masculinity. Within the new masculine structure, extralocal men's constructions of hegemonic masculinity become more important for defining the local socially dominant masculinity, which subordinates local men's constructions of nonhegemonic masculinities in their own communities. The article concludes with a discussion of how the oil and gas industry's hegemonic masculinity impedes sustainable economic development and community well‐being.     

Men in online eating disorder recovery spaces: Gendered barriers,content moderation,and narrative experimentation

Eating disorders (EDs), once considered solely a women's health problem, have increasingly affected men. Previous research on recovery from addiction has emphasized the importance of narratives, which help provide structure and make sense of events. While narratives are often important for an individual's recovery from hardship, hegemonic narratives can be invalidating and obstacles to wellbeing. The highly gendered nature of ED recovery narratives has posed a barrier to men adopting alternative, more successful narratives, particularly in female-dominated spaces. This study examines how content moderation policies and enforcement on Tumblr, Reddit, and an ED recovery website shape men's participation in ED recovery support groups dominated by women. We find that high degrees of moderation and censorship limit men's platform participation and narrative experimentation. However, platform rules without active censorship face the same challenges. Instead, narrative experimentation and greater participation from men occur during moderate regulation because they can share their experiences while also being encouraged to find salient aspects of other, healthier narratives. We observed that men were able to break from unhelpful recovery narratives when they could masculinize the suggestions from women with more productive approaches. While past research has shown that men are particularly reliant on hegemonic masculinity when their gender is challenged, we find that phenomenon is part of a more fundamental process of reconciling ideas into one's self-concept.     

The Glass Phallus: Pub(lic) Masculinity and Drinking in Rural New Zealand*

Abstract In this article I report the findings of an ethnographic study of men's pub drinking in rural New Zealand. By using the idea of hegemonic masculinity and incorporating theoretical ideas of gender performativity, the analysis focuses on aspects of drinking performance that are central to the establishment of hegemony by a particular version of masculinity in this community. Two important characteristics of pub drinking performance are conversational cockfighting and the disciplines of drinking. These combine to ensure that a particular version of masculinity, here called pub(lic) masculinity, is able to reproduce itself. A further finding is that masculinity in this kind of performative situation develops a degree of invisibility. Using the metaphor of the “glass phallus,” I engage with the difficulties of analyzing an invisible masculinity and argue that rendering masculinity visible is an important task for any sociological analysis of both public leisure sites in rural society and the embodied performance of alcohol consumption by men in public spaces.     

Explaining Men's Entry into Female‐Concentrated Occupations: Issues of Masculinity and Social Class

This article seeks to add to an understanding of why some men enter female‐concentrated occupations (and why the majority do not). Drawing on the results of in‐depth interviews with 27 men in a range of occupations, I illustrate and interpret the complex and often contradictory ways in which men approach the notion of working in female‐concentrated occupations and examine the impact that this has on their occupational outcomes. The data suggest that different attitudes to female‐concentrated work cannot in themselves explain men's presence there. Consequently I explore, with particular reference to social class, the context in which attitudes around gender, work and occupational destinations, are framed. I conclude that men's entry to female‐concentrated occupations may best be approached, not as an issue of ‘masculinity’ but as one of social mobility operating within a gendered labour market.     

Anal Cancer Screening: Barriers and Facilitators Among Ethnically Diverse Gay,Bisexual, Transgender,and Other Men Who Have Sex With Men

ABSTRACT

Knowledge and beliefs about anal cancer screening among gay and other men who have sex with men remains unclear, despite data that suggests significant risk for intra-anal HPV-related cancers. Nevertheless, community-based screening activities may be most effective when stakeholder perspectives are addressed. We conducted four focus groups among 16 male and 3 female health care advocates experienced in working with diverse gay and other men who have sex with men in Los Angeles. Barriers to anal cancer screening included lack of awareness, stigma, psychological and physical discomfort, the anus as hidden/private, primary concern with HIV, and men's lack of healthcare seeking. Facilitators were community screening sites, novel strategies such as home testing, health care system changes and targeted educational campaigns, which may increase anal cancer awareness and screening among ethnically diverse men who have sex with men.     

A multi‐faceted power analysis of men's violence to known women: from hegemonic masculinity to the hegemony of men

This article presents a multi‐faceted power analysis of men's violence to known women, by way of assessing two main perspectives on research in men and masculinities: first, that founded on hegemonic masculinity, and, second, that based on the hegemony of men. Each perspective is interrogated in terms of understandings of men's violence to known women. These approaches are articulated in relation to empirical research, and conceptual and theoretical analysis. Thus this article addresses to what extent hegemonic masculinity and the hegemony of men, respectively, are useful concepts for explaining and engaging with men's violence to known women? The article concludes with discussion of more general implications of this analysis.     

Gay Fathers Expanding the Possibilities for Us All

Abstract

This article describes a qualitative research study of 21 men who became fathers as openly gay men. The fathers were interviewed using a semi-structured questionnaire in a focus group format. The data were analyzed using grounded theory methodology. The narrative data depict the men's paths toward fatherhood. The themes elicited from their narratives suggested how gay men are changing traditional cultural norms for fathers, families, and masculinity. The authors propose that by degendering parenting, reconceptualizing family, and reworking masculine gender roles, gay fathers are expanding role norms in novel ways that may serve as alternative models for all families.     

Sex,Drugs, and Situation

Abstract

Although the general populace has stereotyped bathhouses that cater to men seeking sex with other men as facilitators of HIV transmission, little research has been conducted that examines such claims. The authors conducted structured, in-depth topical interviews with 41 men who frequent bathhouses in Houston, Texas. Qualitative data were collected. The qualitative data were analyzed using an inductive and deductive analytical process. The study finds that bathhouses are a setting in which sex occurs, but bathhouses per se do not determine the nature of sexual activities. Instead, the meanings patrons attach to the commercial public sex environment bath-houses and to the activities they perform there account for men's sexual risk behaviors. Many participants reported accurate knowledge regarding HIV and safer sex practices and also reported either avoiding penetrative sex or using condoms in this setting. Data are presented that elucidate the relationships between perceptions, drug use, and sexual risk behaviors. Findings are discussed in regard to intervention and future research.     

“Behind Every Great Man…”: The Male Marriage Wage Premium Examined Qualitatively

Studies across diverse national contexts reliably show that married men earn more than unmarried men, but the mechanisms responsible for this are still disputed. This article explores the male marriage wage premium from a new perspective, using longitudinal qualitative data from Russia (N = 94). Qualitative research is particularly suited to identifying underlying processes and, by analyzing men's accounts of the influence of their marital trajectories on their work, the authors were able to reexamine existing hypotheses and develop new ones. They propose 4 mechanisms that they hypothesize can influence men's work motivation and performance: premarital planning, 2 distinct “breadwinner” effects using expectancy and self determination theory, and monitoring by wives. They integrate these mechanisms within gender theory, arguing that the treatment aspect of the male marriage wage premium is an outcome of the “coproduction” of masculinity within marriage. Their recontextualization of existing theory also enables them to reveal weaknesses in the specialization hypothesis.     

Fathers in Prison

ABSTRACT

The parenting roles and responsibilities of incarcerated men have not traditionally been considered an important public concern. The impact of criminal justice policies and practices on family functioning has rarely been addressed by policy makers or family scholars and men's family obligations have not been a priority for the individuals responsible for the safety and security of correctional institutions. Similarly, and with few exceptions, fathers in prison have been out of sight and out of mind of community organizations concerned with family life and children's wellbeing. Several recent developments challenge this historical approach to handling parental incarceration and responsible fatherhood initiatives involving incarcerated fathers are being promoted. This article examines the individual and societal issues that must be addressed if responsible fatherhood among incarcerated men is to become a serious social goal. It presents an overview of the complex family roles and relationships of incarcerated men and describes ways in which individual situations and family preferences affect their ability to function as parents. Analyses of prison location strategies and communication regulations and the post-release environment are used to show how public policies influence and shape family relationships and responsible fatherhood. The article concludes with an agenda for research to guide informed and humane policy decisions.     

Learning to “Deal” and “De‐escalate”: How Men in Nursing Manage Self and Patient Emotions

While prior research has explored how gender frames emotion management processes, little work has specifically examined the links between men's emotion management in a caring profession and theory on masculine emotionality. Stereotyped as less sensitive to their own and others' emotions, male nurses confront unique challenges in navigating the profession's emotional demands. Drawing on men's diaries and interviews, I examine emergent emotion‐based processes that characterize men's emotional labor—the strategies men use to manage their own and patient emotions on the job. In managing their own emotion, men's narratives reveal three distinct strategies: reframing the nurse role, distancing, and relinquishing situational control. In managing patient emotions, they frame control over their own emotions as a means for managing others and emphasize knowledge/education as a strategy for managing patient stress and anxiety. While both male and female nurses may engage these strategies, men's emotion management implicates the simultaneous reproduction and disruption of hegemonic masculinity and the reason/emotion dualisms that undergird the current gender system. Implications for masculinity and emotion management theory, as well as recruiting, training, and retaining male nurses are explored.     

Sexuality,romantic orientation,and masculinity: Men as underrepresented in asexual and aromantic communities

This study examines men as a minority in asexual (experiencing low/no sexual attraction) and aromantic (experiencing low/no romantic attraction) communities. First, we situate our research in existing literature on asexuality, compulsory sexuality/compulsory romance, and hegemonic masculinities. In our analysis, we use survey data from the 2020 Asexual Community Survey (n = 4974) and 2020 Aromantic Census (n = 3018) to provide evidence that asexual and aromantic men are demographic minorities within asexual and aromantic communities. Next, we turn to two interview samples with 39 individuals who identify as aromantic and 77 individuals who identify as asexual. We analyzed these interviews to explore how sexuality and romance contribute to the construction of hegemonic masculinities. Our interviews reveal several important themes that highlight how asexual and aromantic men navigate their masculinity and identity amid asexual and aromantic communities as majority-woman spaces. We focus on three main themes: (1) masculinity as inherently sexual; (2) masculinity, heteronormativity, and the gendered construction of romance; and (3) asexual/aromantic identity, masculinity, and the split attraction model. Taken together, our results show how (hetero)sexuality and romantic relationship formation are fundamental to hegemonic masculinity. We find that asexual and aromantic men face cultural pressures and social stigma around initiating sex and performing romance. Asexual men must contend with managing a sexual identity that runs counter to men's supposedly innate sexual desire, thus situating them as inadequately masculine. Aromantic men, meanwhile, must manage inhabiting an identity that is conflated with the fuckboy/player trope, situating them as excessively masculine. This study demonstrates how centering asexual and aromantic perspectives reveals complexities in the ways hegemonic masculinity relies on participation in both sex and romance. We conclude by relating our findings to larger conversations on gender and sexualities as well as implications for future research on marginalized sexual identities.