Understanding Men's Health and Illness: A Gender-relations Approach to Policy,Research, and Practice

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.     

Men and infertility: Insights from the sociology of gender

This review explores the framing of men and infertility in recent interdisciplinary social science research. I illustrate how men's diverse institutional roles surrounding medicalized experiences of infertility are critical for understanding inequality in reproduction. Situating research on men and infertility in the theoretical framework of gender as social structure shows how men's secondary position in reproduction can be seen across institutional roles, which include men as patients, men as partners, men as sperm donors, and men as doctors. Men's experiences with reproductive medicine often reinforce men's marginal position in reproductive medicine through institutionalized arrangements; yet, men are intimately and structurally involved in reproductive decisions. I argue that bringing gender to the center of research on infertility could make clear the many structural ways women and women's bodies are controlled, regulated, and treated by reproductive medicine.     

The impact of infertility on men's work and finances: Findings from a qualitative questionnaire study

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.     

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.     

Hybrid Masculinities: New Directions in the Sociology of Men and Masculinities

Hybrid masculinity refers to men's selective incorporation of performances and identity elements associated with marginalized and subordinated masculinities and femininities. We use recent theorization of hybrid masculinities to critically review theory and research that seeks to make sense of contemporary transformations in masculinity. We suggest that research broadly supports three distinct consequences associated with recent changes in performances and politics of masculinity that work to obscure the tenacity of gendered inequality. Hybrid masculinities (i) symbolically distance men from hegemonic masculinity; (ii) situate the masculinities available to young, White, heterosexual men as somehow less meaningful than the masculinities associated with various marginalized and subordinated Others; and (iii) fortify existing social and symbolic boundaries in ways that often work to conceal systems of power and inequality in historically new ways.     

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.     

This Sporting Life: The intersection of hegemonic masculinities,space and emotions among rugby players

Through an ethnographic study of rugby players, this research shows how when men enter a physical space, they are bound by codes that define what sort of masculinities and emotions they ‘should' perform in order to denote cultural legitimacy. The article investigates how different spaces on and off the rugby field influence how different masculinities are performed. Rugby players enact fleeting and relative masculinities as they move in and out of the multiple hyper‐masculine spaces they encounter on game day. The codes of masculinity dictated by these different spaces are manifest in the men's bodies and in their emotions.     

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.     

Warriors in suits: A Bourdieusian perspective on the construction and practice of military masculinity of Korean men

Within masculinity scholarship, there is a gap about how masculinity carries over from a broad social context to an organizational context. This article explores the construction and capitalization of masculinity through a series of experiences in social fields such as the military and college, and the transfer of militaristic masculinity into the workplace. Drawing on grounded theory methods, we conducted in‐depth interviews with 20 Korean men who completed their mandatory two‐year military service and subsequently joined large corporations in Korea. We uncovered a four‐phase model that depicts how Korean men's masculinity is constructed during military service and transferred to their organizational positions characterizing them as warriors in suits. Informed by a Bourdieusian perspective, this study shows how masculinities are constructed, reinforced and legitimatized by the structural influences of society, and how masculinity becomes the desired image of men at work, which perpetuates the gender and power gaps among organizational members.     

A pole new world: Maneuvering masculinity and sexuality among men who pole dance

Research on cisgender men's experiences in feminized or women-dominated sports, physical activities, and leisure time has revealed strategies men use to circumvent or maneuver stigmas to minimize negative perceptions. Pole dancing is an under-researched activity uniquely positioned to understand dynamics of gender and sexuality. In this research dialogue, we present preliminary results from 13 semi-structured interviews with U.S. men who pole dance to understand how they navigate masculinity and sexuality in pole dancing. First, we find men very strategically disclose their pole dancing to others in the context of the activity's connections to women, gay men, and sex work. Second, we note how men who “pole” often rely on gender essentialist tropes that reinforce the assumption of natural, biological differences between men and women in attempt to legitimize their participation. Third, men who pole are aware of the potential “creepiness” of their presence in pole dance spaces and use this as an opportunity for reflection. Exploring how men rationalize their participation in pole dance is useful to understand the gender and sexual dynamics of men's presence in women-dominated spaces and broader contemporary masculinities.     

Transition to fatherhood: New perspectives in the global context of changing men's identities

The proposed thematic session aims to highlight the main challenges that the cultural and structural changes within the families and in gender relations and the changing social expectations about men's involvement in the care of children and about fatherhood pose to men's and fathers’ identity. Fathering in contemporary society requires men to be simultaneously provider, guide, household help and nurturer. The difficulties of these roles, and the tensions they sometimes produce, challenge men's relationships with their female partners, the meaning and place of work in their lives and their sense of self as competent adults. We will also explore the relationship between transitions to fatherhoods and the challenges of balancing work and family obligations. How to balance paid work, other interests and relationships with responsibilities, anxieties and pleasures of childrearing are today concerns for both men and women.     

‘When you're boxing you don't think so much’: pugilism,transitional masculinities and criminal desistance among young Danish gang members

This paper draws upon international research evidence that suggests a relationship between protest masculinity and the manifestation of violent crime among young males, and that criminal desistance may be linked to (inter-) subjective processes such as the reconstruction of masculine identity. The paper considers the potential that pugilism (the art and practice of boxing) may have on enabling young, disadvantaged minority male gang members to find avenues for alternative identity construction and to gain transitional experiences which trigger self-confessed desistance actions. Drawing upon an ethnographic study conducted in a boxing rehabilitation centre on the outskirts of Copenhagen, Denmark, the paper reports on data gleaned from participant observation and qualitative interviews with 22 ethnic minority young men. Findings suggest that the masculine context within the rehabilitation programme provided the young men with a safe space to perform broader versions of locally dominated views on masculinity and to reflect on their current situations and dilemmas. The young men were clearly in transition and their desistance journeys were characterized by hope and ambition but also disappointment and despair. In some cases it appeared that the young men's dogged attempts to desist from crime became a new way for them to ‘do masculinity’. The authors draw upon the findings to make recommendations for policy, practice and research.     

Age and embodied masculinities: Midlife gay and heterosexual men talk about their bodies

This article integrates critical gerontology and masculinities theories to examine how midlife gay and heterosexual men experience their bodies in relation to cultural discourses of aging. Analyses of in-depth interviews with 15 gay and 15 heterosexual men ages 40–60 reveal that while both groups of men describe their bodies as deteriorating or declining in terms of functionality and are often distressed by these changes, midlife gay men also articulate a concern with a perceived decline in bodily appearance. Both gay and heterosexual midlife men frame their bodies as fundamentally different from women's, possibly in an attempt to protect a masculine identity in response to the threat that aging bodies pose to that identity. We argue that midlife men's embodied experiences are shaped by a discourse of midlife decline as well as inequalities between gay and heterosexual men. We also discuss the implications of embodiment for midlife men's well-being.     

Noise

This essay develops a cultural materialist theory of listening through a historical ethnography of Gibraltarian men's contradictory sensitivity to the ‘noise’ of mass media and desensitization to the industrial soundscape of the state. I argue that this contradiction can be historicized through close attention to the social antagonisms embedded in the history of noise ordinances, and the ways in which British colonial officials structured an idealized form of masculinity premised on the sonic relationships between bodies and technologies. Gibraltarian men reproduce this masculine disposition, and through it colonial hierarchies, in the seemingly banal practice of listening to mass media, and ignoring the soundscape of the neoliberal, colonial state.     

Still a “Stalled Revolution”? Work/Family Experiences,Hegemonic Masculinity,and Moving Toward Gender Equality

Hochschild described the “stalled revolution” in the late 1980s: women made great gains in labor force opportunities, particularly in stereotypically “masculine” fields, yet men did not move comparably into “feminine” roles. This article examines the current “stalls” in the gender equality movement regarding gendered experiences at work and home, including occupations, the gender wage gap, career trajectories, and the division of household labor. This article also discusses efforts to “unstall” the gender revolution. Pop culture solutions on the individual‐level and academic research on structural/cultural barriers often focus on women's access to historically “masculine” roles (e.g. representation in STEM fields). There is far less emphasis on men's involvement in historically “feminine” roles. Gender scholars examine hegemonic masculinity as the narrowly constrained expectations for men's “appropriate” behavior. While efforts to “unstall” the gender revolution focus largely on expanding women's opportunities, this article addresses why the gender revolution will remain incomplete and “stalled” without redefining hegemonic masculinity. Cross‐national research demonstrates that changing views of masculinity are critical for greater gender equality at work and home.     

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.     

Applying a Pattern-Centered Approach to Understanding How Attachment,Gender Beliefs,and Homosociality Shape College Men's Sociosexuality

Although early research and the popular press have characterized college men as universal beneficiaries of uncommitted sex, emerging research notes considerable variability in men's sociosexuality (i.e., uncommitted sexual beliefs, desires, and behaviors). This study examined how diversity in sociosexuality is tied to the ways in which attachment orientations, conformity to masculinity norms, and homosocial engagement (i.e., nonromantic same-sex bonds) are organized across individuals. Latent profile analysis of 495 college males (ages 17 to 25, 62% White, 83.5% heterosexual) detected five subgroups: Fully Unrestricted (10% of sample; high on sociosexuality and conformity to masculinity norms); Cognitively Unrestricted (36%; comparable to Fully Unrestricteds but low on sociosexual behavior), Fully Restricted (30%; opposite on all constructs when compared to Fully Unrestricteds); Avoidant (16%; similar to Fully Restricteds but with greater attachment avoidance); and Discrepant (8%; above average on sociosexual behavior but discordant within and across constructs). There were notable demographic, personality, and behavioral differences among the subgroups (e.g., nearly 50% of the Discrepants self-identified as sexual minorities; Fully Restricteds were the most religious; Avoidants were the most shy). Findings indicate that college men's sociosexuality is highly nuanced and suggest the need for additional work to understand how attachment, masculinity norms, and homosociality shape men's sexual relationships.