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      Visible and Invisible Trends in Black Men's Health: Pitfalls and Promises for Addressing Racial, Ethnic, and Gender Inequities in Health

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          Abstract

          Over the past two decades, there has been growing interest in improving black men's health and the health disparities affecting them. Yet, the health of black men consistently ranks lowest across nearly all groups in the United States. Evidence on the health and social causes of morbidity and mortality among black men has been narrowly concentrated on public health problems (e.g., violence, prostate cancer, and HIV/AIDS) and determinants of health (e.g., education and male gender socialization). This limited focus omits age-specific leading causes of death and other social determinants of health, such as discrimination, segregation, access to health care, employment, and income. This review discusses the leading causes of death for black men and the associated risk factors, as well as identifies gaps in the literature and presents a racialized and gendered framework to guide efforts to address the persistent inequities in health affecting black men.

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          The Mark of a Criminal Record

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            Constructions of masculinity and their influence on men's well-being: a theory of gender and health.

            Men in the United States suffer more severe chronic conditions, have higher death rates for all 15 leading causes of death, and die nearly 7 yr younger than women. Health-related beliefs and behaviours are important contributors to these differences. Men in the United States are more likely than women to adopt beliefs and behaviours that increase their risks, and are less likely to engage in behaviours that are linked with health and longevity. In an attempt to explain these differences, this paper proposes a relational theory of men's health from a social constructionist and feminist perspective. It suggests that health-related beliefs and behaviours, like other social practices that women and men engage in, are a means for demonstrating femininities and masculinities. In examining constructions of masculinity and health within a relational context, this theory proposes that health behaviours are used in daily interactions in the social structuring of gender and power. It further proposes that the social practices that undermine men's health are often signifiers of masculinity and instruments that men use in the negotiation of social power and status. This paper explores how factors such as ethnicity, economic status, educational level, sexual orientation and social context influence the kind of masculinity that men construct and contribute to differential health risks among men in the United States. It also examines how masculinity and health are constructed in relation to femininities and to institutional structures, such as the health care system. Finally, it explores how social and institutional structures help to sustain and reproduce men's health risks and the social construction of men as the stronger sex.
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              Constructions of masculinity and their influence on men's well-being: a theory of gender and health

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                Author and article information

                Journal
                Annual Review of Public Health
                Annu. Rev. Public Health
                Annual Reviews
                0163-7525
                1545-2093
                March 18 2016
                March 18 2016
                : 37
                : 1
                : 295-311
                Affiliations
                [1 ]Department of Behavioral Sciences and Health Education and
                [2 ]Department of Sociology, University of Maryland at College Park, College Park, Maryland 20742
                [3 ]Division of Epidemiology and
                [4 ]Division of Social and Behavioral Health Sciences, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario M5T 3M7, Canada
                [5 ]Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, Chapel Hill, North Carolina 27599
                [6 ]Department of Health Management and Policy, College for Public Health and Social Justice, Saint Louis University, St. Louis, Missouri 63104; email:
                [7 ]Center for Medicine, Health, and Society and
                [8 ]Institute for Research on Men's Health, Vanderbilt University, Nashville, Tennessee 37240
                Article
                10.1146/annurev-publhealth-032315-021556
                6531286
                26989830
                6d1efa3e-c4f4-4ed4-91d4-ba11864a2519
                © 2016
                History

                Medicine,Cell biology,Immunology,Human biology,Microbiology & Virology,Life sciences
                Medicine, Cell biology, Immunology, Human biology, Microbiology & Virology, Life sciences

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