scholarly journals The Impact of Fatherhood on Men’s Health and Development

2021 ◽  
pp. 63-91
Author(s):  
Milton Kotelchuck

AbstractFatherhood has a direct and substantial impact on men’s physical, mental and social health, and sense of paternal generativity over their life course. This chapter, the second of a pair in this volume, explores the bidirectional impact of fatherhood on men’s health in the perinatal period. It pulls together a scattered fatherhood literature and articulates six broad pathways by which fatherhood could potentially impact on men’s health and development, both positively and negatively. This systematic exploration represents a new focus for the Maternal and Child Health (MCH) field, especially in addressing the perinatal time period, a time not usually thought of as impacting on men’s health. This chapter attempts to establish a firmer scientific knowledge base and rationale to support new, targeted perinatal fatherhood health programs, policies, and research. Hopefully, these will also further contribute to the growing efforts to expand men’s and women’s parental gender role expectations and equity, and enhance the parenting health and men’s health movements. Similar to the dual orientation of the women’s preconception health initiatives, earlier, healthier, and more actively engaged fatherhood should lead to both improved reproductive and infant health outcomes and men’s own improved health across the life course.

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 422-422
Author(s):  
Roland Thorpe ◽  
Keith Whitfield

Abstract There is a paucity of research focusing on the complex interaction between social, behavioral, biological, and psychosocial factors, and health outcomes among men. This symposium contains a collection of papers that discuss some key social determinants of health (SDOH) that can provide insights to advance our understanding of men’s health and aging across the life course. Dawn will discuss the Stroke Counseling for Risk Reduction (SCORRE) intervention designed to increase awareness, risk perceptions, and health behaviors to reduce stroke risk in African Americans. Findings suggest tailoring the intervention to the needs and preferences of young African American men. Archibald and colleagues seek to determine if race differences in allostatic load (AL) among adult men vary by age. Black men 45-64 had a higher AL score (PR = 1.14, 95% CI 1.02, 1.28) than White men. Skipper and colleagues used a grounded theory approach to examine the negative interactions of 35 religious middle and old age Black men. Analyses reveal that church-related negative interactions broadly fall within the following themes: (1) ageism within intergenerational churches, (2) people are messy, and (3) issues with leadership. Bruce and colleagues examine the association between religious service attendance and mortality among Black men. Participants who attended at least once per week were 18% less likely to die than their peers who did not attend a religious service at all (HR 0.82; 95% CI 0.68-0.99). These presentations collectively will bolster our knowledge on key SDOH among men across the life course.


2015 ◽  
Vol 25 (3) ◽  
pp. 287 ◽  
Author(s):  
Derek M. Griffith, PhD

<p><strong>Objective: </strong>To consider how manhood is a key social determinant of minority men’s health.</p><p><strong>Design: </strong>This commentary explicates how manhood intersects with other determinants of health to shape minority men’s stress responses, health behaviors and health outcomes across the life course.</p><p><strong>Results: </strong>Manhood, which perpetu­ally needs to be proven, is an aspirational identity that is defined by the intersection of age, race/ethnicity and other identities. Mi­nority men seek to and successfully embody US-cultural and ethnic-specific aspects of manhood in their daily lives by engaging in behaviors that constantly reaffirm their gen­der identity through a complex internal and social calculus that varies by intra-personal characteristics and context. Manhood and health are relational constructs that highlight how the salience of masculinities are shaped by perceived and actual social norms and expectations. A life course perspective adds a framework for considering how some gendered beliefs, goals and behaviors change over time while others remain static. Three life course frameworks highlight dif­ferent mechanisms through which minority men’s life experiences and physiological and behavioral responses to gendered social norms, beliefs and expectations become embodied as premature mortality and other health outcomes over the life course.</p><p><strong>Conclusion: </strong>Manhood represents an impor­tant lens to understand how minority men’s identities, goals and priorities affect their health, yet the role of manhood in minority men’s health is understudied and under­developed. To achieve health equity, it is critical to consider how manhood shapes minority men’s lives and health across the life course, and to address how man­hood affects gendered and non-gendered mechanisms and pathways that explain minority men’s health over time. <em>Ethn Dis. </em>2015;25(3):287-293.</p>


2017 ◽  
Vol 47 (1) ◽  
pp. 59-74 ◽  
Author(s):  
Phillip L. Hammack ◽  
David M. Frost ◽  
Ilan H. Meyer ◽  
David R. Pletta

2019 ◽  
pp. 1-14 ◽  
Author(s):  
Jorge Marcos-Marcos ◽  
José Tomás Mateos ◽  
Àngel Gasch-Gallén ◽  
Carlos Álvarez-Dardet

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Constantin-Cristian Topriceanu ◽  
James C. Moon ◽  
Rebecca Hardy ◽  
Nishi Chaturvedi ◽  
Alun D. Hughes ◽  
...  

AbstractA frailty index (FI) counts health deficit accumulation. Besides traditional risk factors, it is unknown whether the health deficit burden is related to the appearance of cardiovascular disease. In order to answer this question, the same multidimensional FI looking at 45-health deficits was serially calculated per participant at 4 time periods (0–16, 19–44, 45–54 and 60–64 years) using data from the 1946 Medical Research Council (MRC) British National Survey of Health and Development (NSHD)—the world’s longest running longitudinal birth cohort with continuous follow-up. From these the mean and total FI for the life-course, and the step change in deficit accumulation from one time period to another was derived. Echocardiographic data at 60–64 years provided: ejection fraction (EF), left ventricular mass indexed to body surface area (LVmassi, BSA), myocardial contraction fraction indexed to BSA (MCFi) and E/e′. Generalized linear models assessed the association between FIs and echocardiographic parameters after adjustment for relevant covariates. 1375 participants were included. For each single new deficit accumulated at any one of the 4 time periods, LVmassi increased by 0.91–1.44% (p < 0.013), while MCFi decreased by 0.6–1.02% (p < 0.05). A unit increase in FI at age 45–54 and 60–64, decreased EF by 11–12% (p < 0.013). A single health deficit step change occurring between 60 and 64 years and one of the earlier time periods, translated into higher odds (2.1–78.5, p < 0.020) of elevated LV filling pressure. Thus, the accumulation of health deficits at any time period of the life-course associates with a maladaptive cardiac phenotype in older age, dominated by myocardial hypertrophy and poorer function.


2019 ◽  
Vol 35 (4) ◽  
pp. 804-811
Author(s):  
J Wills ◽  
S Sykes ◽  
S Hardy ◽  
M Kelly ◽  
C Moorley ◽  
...  

Abstract Gender variations in health literacy have implications for engagement in preventive behaviours and the uptake of health services, especially in areas such as the Caribbean where there are marked disparities in life expectancy and health service utilization. A self-reported questionnaire was used to examine men’s concepts of health, their help-seeking behaviours and their functional and interactive health literacy. Two hundred and forty-eight men across the life course participated at three sites in Trinidad. Data were analysed using descriptive statistics, with free-text responses analysed thematically. Men were concerned about, and accepted responsibility for their own health but social norms concerning sickness and masculinity were barriers to accessing health services. Almost one-third (31.5%) sought advice from a healthcare service when they were last sick because they were prompted to do so by their wife/partner or family. Levels of functional and interactive health literacy were not high among older men, who were reliant on healthcare professionals to communicate health messages. There was an age divide in e-health literacy. There is little published evidence on men’s health literacy, particularly from Caribbean countries such as Trinidad and Tobago. This study highlights the importance of the design and implementation of specific policies focusing on men’s health. A major challenge is to engage with men who do not access health services.


2015 ◽  
Vol 21 (Suppl 1) ◽  
pp. A3.1-A3
Author(s):  
Marilyn Metzler ◽  
Malia Richmond-Crum ◽  
Kate Taft ◽  
Kate Hess Pace ◽  
Calondra Tibbs ◽  
...  

2018 ◽  
Vol 1 (SP1) ◽  
pp. e23-e35
Author(s):  
Noel Richardson ◽  
Paula Carroll

Historically, men, as a population group, have been conspicuous by their absence at a global and national health policy level. Moreover, most gender-focused health policy initiatives and gender-mainstreaming approaches to health have tended to be synonymous with women’s health. This places Ireland’s National Men’s Health Policy (NMHP) and recent external 5-year review in the collector’s item category within the wider health policy landscape.   This paper will review the impetus and background to men’s health policy development in Ireland against a backdrop of the invisibility of men more generally from health policy. Reflecting on the key milestones and challenges associated with transitioning from policy development to implementation, the paper will seek to inform a wider public health debate on the case for targeting men as a specific population group for the strategic planning of health. The case for a NMHP on the grounds of a gender inequity will also be explored in the context of contributing more broadly to gender equality. There will be a particular focus on exploring how strategies associated with governance and accountability, advocacy, research and evaluation, partnerships and capacity-building, have acted as a catalyst and framework for action in the rollout of a broad range of men’s health initiatives. With the central challenge being the translation of cross-departmental and inter-sectoral recommendations into sustainable actions, the role of NMHP in applying a gender lens to other policy areas will also be discussed.   Ireland’s NMHP has raised the visibility of men’s health in Ireland; the lessons learned during its implementation provide a strong rationale and blueprint for NMHP development elsewhere.


2021 ◽  
Vol 69 (5152) ◽  
pp. 1638-1641
Author(s):  
Beatriz Salvesen von Essen ◽  
Katherine Kortsmit ◽  
Denise V. D’Angelo ◽  
Lee Warner ◽  
Ruben A. Smith ◽  
...  

2021 ◽  
Vol 9 (4) ◽  
pp. 81-91
Author(s):  
Nicolas M. Legewie

How do individuals achieve upward mobility in education despite the well‐documented mechanisms that foster reproduction of inequalities? This question presents a fundamental puzzle for social science researchers and has generated an increasing body of research. The present article tackles the puzzle using a life course and personal network lens. Studying educational trajectories in Germany of students whose parents have low educational degrees, it asks: What paths did students take through the education system, what personal network factors were important for their educational attainment, and how did these factors change over students’ life courses? In contrast to most studies that zoom in on a specific transition or time period, the article uses data from 36 retrospective in‐depth interviews that allow a sweeping view of respondents’ educational careers. Thanks to a systematic case selection scheme, the data also enables comparisons between students who became upwardly mobile and those who replicated their parents’ low educational degrees. Findings suggest four types of trajectories: direct upward mobility, indirect upward mobility, direct non‐mobility, and indirect non‐mobility. I discuss four personal network factors that seem to drive these trajectories: support with academic efforts, encouragement, support with solving problems, and role models. Upwardly mobile students showed combinations of two or more of these four factors that established higher education as the students’ goal, and provided them with tools and support to reach that goal. With these findings, the article contributes to literature on inclusion in education, social inequality and mobility, personal networks, and the life course.


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