Real
men don't cry, fear nothing, and they also don't go to the doctor...
At least, that's the impression given by numerous surveys and statistics
from throughout the Western World. In the US, UK and Australia,
men on average visit the doctor far less often than women. And when
they do go, it's only when things are serious, or after much prompting
from the women in their lives.
A New York Times study revealed that men make up only 40% of all
visits to physicians. A telephone survey conducted by CNN and Men's
Health found that only 60% of men had had a health exam in the last
year. And a recent survey by a UK cancer research institute found
that 48% of men would put off going to the doctor if they developed
warning signs of cancer.
This reluctance of men to see medical specialists has governments
worried. They see a health crisis looming as more and more men avoid
treatment and then end up with serious problems, meaning more pressure
on already strained public health systems. Prevention is always
far more cost effective than cure.
And they have good reason to be worried. According to a range of
measures, men's health is not as good as it could be. These include:
- Men's life expectancy is lower than women's. On average, men in
Western countries live 8 years less than women.
- Men are more likely to develop coronary heart disease, the biggest
killer of men under 75. Obesity is a major risk factor for heart
attack, and men are more likely to be obese than women - for example,
around 50% of Australian men are obese compared to one third of
Australian women. Men are also more likely to die of stroke. Skin
cancer is also an issue, as men are less likely to have suspicious
moles checked out.
- Men take more risks. This means they're more likely to be involved
in car accidents, and to undertake risky behaviour such as drug
taking, drinking excessive amounts of alcohol and smoking.
- Men in manual jobs are more likely to smoke and drink alcohol,
which increases the risk of heart attack and stroke.
- Men also suffer more from mental illness, and significantly more
men than women commit suicide.
In the past few years researchers have worked hard to find exactly
why it is that men won't to the doctor. Most are in agreement that
perceptions of masculinity are at least partly to blame. Psychologists
say that men are brought up to think they must be strong and not
acknowledge pain. To some men, seeing a doctor may feel like a suggestion
of weakness. Society says that men need to be strong, and tough
things out. Admitting to being sick may undermine that strength.
This fear of being "unmanly" crosses over into the area
of sexual health as well. Dennis Kelly, founder of the UK-based
Men's Clinic, says men often feel uncomfortable or embarrassed about
seeking help when it comes to sex.
"We have the stereotype that men are born knowing everything
about sex," Kelly said. "To have something wrong can really
be a blow to their sexuality."
Kelly says that social conditioning is also a factor. Women are
used to seeing doctors for pap smears, contraception and other sexual
and reproductive issues. For women, it can be seen as a matter of
"maintenance" rather than sickness. Men, however, do not
experience the same level of attention when it comes to sexual health,
and this can lead to problems.
Fear is also an issue. Some men may be worried about hearing bad
news, and hope that the problem will resolve itself without intervention.
Young men in particular may also see visiting the doctor purely
as a reactionary measure rather than a preventative one. In the
full bloom of health, it may be seen as unnecessary to have yearly
checks on blood pressure or blood sugar. It's only as men reach
their forties, and begin to experience the effects of age, both
on themselves and their parents, that men start to think seriously
about their health.
Moves are now being made to address the issue. A number of specialised
"men only" health centres exist to cater to men's needs.
The Male Health Center in Dallas, Texas, is operated by a urologist
who aims to take a holistic approach to men's health.
"Men need an Ob/Gyn of their own," says the center's website.
"At the Male Health Center, we provide treatment for all areas
of male health. Our programs include impotence, prostate disorders,
sexually transmitted diseases, vasectomy, cancer screening and wellness."
The center also works with employers to better educate men about
the importance of self screening for testicular cancer and other
preventative measures.
Lobby groups are also urging governments to run awareness campaigns
and contribute more funding towards men's health. A British example
is The Men's Health Forum, set up in 1994 with the aim of developing
services to meet men's needs and encouraging men to change their
risk-taking behaviours. The group runs a website providing medical
information, and conducts events such as men's health week.
While the group advocates better funding for men, they say it should
not occur at the expense of women's health resources.
In the past, feminists have argued that men need to change the way
the view themselves in order for women to achieve equality. Now
it seems that adjusting notions of masculinity is also vital to
ensuring men are much healthier and happier in the future.
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