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      Are Men Aging as Oaks and Women as Reeds? A Behavioral Hypothesis to Explain the Gender Paradox of French Centenarians

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          Abstract

          Since the 1990s, several studies involving French centenarians have shown a gender paradox in old age. Even if women are more numerous in old age and live longer than men, men are in better physical and cognitive health, are higher functioning, and have superior vision. If better health should lead to a longer life, why are men not living longer than women? This paper proposes a hypothesis based on the differences in the generational habitus between men and women who were born at the beginning of the 20th century. The concept of generational habitus combines the generation theory of Mannheim with the habitus concept of Bourdieu based on the observation that there exists a way of being, thinking, and doing for each generation. We hypothesized that this habitus still influences many gender-linked behaviours in old age. Men, as “oaks,” seem able to delay the afflictions of old age until a breaking point, while women, as “reeds,” seem able to survive despite an accumulation of health deficits.

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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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            Identity Processes and Social Stress

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              Le sens pratique

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                Author and article information

                Journal
                J Aging Res
                JAR
                Journal of Aging Research
                SAGE-Hindawi Access to Research
                2090-2204
                2090-2212
                2011
                24 November 2011
                : 2011
                : 371039
                Affiliations
                1Equipe Démographie et Santé, INSERM, Centre Val d'Aurelle, Parc Euromédecine, U710, 34 298 Montpellier Cedex 5, France
                2Fondation Nationale de Gérontologie, 49 rue Mirabeau, 75015 Paris, France
                3Department of Human Welfare, Okinawa International University, 2-6-1 Ginowan City, Okinawa 901-2701, Japan
                4INSERM, U988 Site CNRS, rue Guy Môquet, 94801 Villejuif Cedex, France
                Author notes

                Academic Editor: Leonard W. Poon

                Article
                10.4061/2011/371039
                3233703
                22175018
                759e2fb7-13de-46bf-8ea8-bc96b4b51adb
                Copyright © 2011 Frédéric Balard et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 27 February 2011
                : 1 May 2011
                : 10 August 2011
                Categories
                Research Article

                Molecular medicine
                Molecular medicine

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