One Step Toward More Research on Aging Masculinities: Operationalizing the Hegemonic Masculinity for Older Men Scale (HMOMS)

2018 ◽  
Vol 27 (2) ◽  
pp. 183-203 ◽  
Author(s):  
Kristen W. Springer ◽  
Dawne M. Mouzon

Extensive research has documented how hegemonic conceptions of masculinity shape men’s behaviors, beliefs, and health. However, most research focuses on younger men and most datasets of aging adults do not include measures of masculinity. This two-pronged omission renders older men relatively invisible. Part of the reason for this invisibility is the lack of reliable, validated measures of masculinity applicable to aging men. In this project, we document, describe, and validate an eight-item hegemonic masculinity measure administered to more than 1,000 older men (~65 years old). Multivariate analyses predicting gender-typed hobbies consistently validate this Hegemonic Masculinity for Older Men Scale (HMOMS), pointing to the HMOMS as an exciting new option for further exploring the nuances and correlates of masculinity ideals among aging men.

2021 ◽  
pp. 1097184X2098175
Author(s):  
Neal King ◽  
Toni Calasanti ◽  
Ilkka Pietilä ◽  
Hanna Ojala

Most citations to “hegemonic masculinity” focus on gender ideals and men’s attempts to justify domination. Few scholars have tested the theory that masculinity can be hegemonic in effect by gaining the overt consent of others to their domination. We specify this largely untested theory and use data from a pilot study of middle-age men for our demonstration of how to operationalize and recognize hegemony. We argue that scholars will find that effect at intersections of gender and other inequalities such as age. We show that, in their discussion of linked ideals of gender and age, three respondents mention domination of older men by younger men, and then both consent to that domination and accept personal responsibility for forestalling it through regimens of fitness, productivity, and health. We call for further research on the hegemony of masculinity via study of intersections of gender with such understudied inequities as age.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 825-825
Author(s):  
Liat Ayalon ◽  
Josep Armengol ◽  
Michael Kimmel

Abstract Traditionally, gerontology research has been relatively genderless. When the intersection of age and gender was explored, this was done primarily by focusing on the experiences of older women. Much less is known about the experiences of older men. The present symposium brings together work from the humanities and the social sciences in order to explore societal images and personal experiences of aging men. The paper by Maierhofer and Ratzenböck provides a theoretical outlook on this intersection from the humanities perspective, followed by empirical applications from the social sciences. Next, Armengol uses contemporary American literature to challenge the traditional stereotype of decline in sexuality and masculinity. The paper by Ni Leime & O’Neill examines stereotypes of aging masculinities, but this time from the perspective of older men as the audience who react to their portrayal in visual culture. Finally, Ayalon and Gweyrtz-Meydan present ethical dilemmas faced by physicians who treat older men’s sexuality in light of active marketing campaigns of the pharmaceutical industry, which advocate for a model of successful aging and ongoing sexual intercourse. The discussant, Kimmel, will conceptualize the four papers by stressing the different types of information that can be obtained via different methods of inquiry. The complementary information provided by the different papers and the integration of methods and findings from the humanities with the social sciences will be discussed.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Bartłomiej Paleczny ◽  
Rafał Seredyński ◽  
Małgorzata Wyciszkiewicz ◽  
Adrianna Nowicka-Czudak ◽  
Wojciech Łopusiewicz ◽  
...  

AbstractThe aim of this study was to test the utility of haemodynamic and autonomic variables (e.g. peripheral chemoreflex sensitivity [PCheS], blood pressure variability [BPV]) for the prediction of individual performance (marathon time and VO2max) in older men. The post-competition vasodilation and sympathetic vasomotor tone predict the marathon performance in younger men, but their prognostic relevance in older men remains unknown. The peripheral chemoreflex restrains exercise-induced vasodilation via sympathetically-mediated mechanism, what makes it a plausible candidate for the individual performance marker. 23 men aged ≥ 50 year competing in the Wroclaw Marathon underwent an evaluation of: resting haemodynamic parameters, PCheS with two methods: transient hypoxia and breath-holding test (BHT), cardiac barosensitivity, heart rate variability (HRV) and BPV, plasma renin and aldosterone, VO2max in a cardiopulmonary exercise test (CPET). All tests were conducted twice: before and after the race, except for transient hypoxia and CPET which were performed once, before the race. Fast marathon performance and high VO2max were correlated with: low ventilatory responsiveness to hypoxia (r =  − 0.53, r = 0.67, respectively) and pre-race BHT (r =  − 0.47, r = 0.51, respectively), (1) greater SD of beat-to-beat SBP (all p < 0.05). Fast performance was related with an enhanced pre-race vascular response to BHT (r =  − 0.59, p = 0.005). The variables found by other studies to predict the marathon performance in younger men: post-competition vasodilation, sympathetic vasomotor tone (LF-BPV) and HRV were not associated with the individual performance in our population. The results suggest that PCheS (ventilatory response) predicts individual performance (marathon time and VO2max) in men aged ≥ 50 yeat. Although cause-effect relationship including the role of peripheral chemoreceptors in restraining the post-competition vasodilation via the sympathetic vasoconstrictor outflow may be hypothesized to underline these findings, the lack of correlation between individual performance and both, the post-competition vasodilation and the sympathetic vasomotor tone argues against such explanation. Vascular responsiveness to breath-holding appears to be of certain value for predicting individual performance in this population, however.


2017 ◽  
Vol 8 (2) ◽  
pp. 157-173 ◽  
Author(s):  
Ester Carolina Apesoa-Varano ◽  
Judith C. Barker ◽  
Ladson Hinton

Rates of suicide are far higher for older men than for any other age or gender group. However, we know relatively little about how depressed older men think about suicide. This study addresses this gap by exploring how Latino and white non-Hispanic elderly men discuss why they would or would not contemplate suicide. Men, aged 60 and older, were screened and assessed using standard instruments for clinical depression. Those meeting criteria were invited to participate in a 1.5 to 2.5-hour in-depth interview, in either English or Spanish. Interview data come from 77 men and included men with treated and untreated depression. Men linked depression to losing their economic role, sense of productivity, and familial respect. Their narratives of suicide highlighted central tenets of hegemonic masculinity. Men from both ethnic groups asserted that “being a man” involved strength and independent choice. For some men, suicide exemplifies these ideals; for most men suicide violates them. The majority of men who felt that suicide further violated their already fragile manhood either reclaimed a decisive masculine self or embraced a caring self, especially in relation to children and family. The latter pattern raises a theoretical question regarding the symbolic boundaries of hegemonic masculinity.


2003 ◽  
Vol 90 (3) ◽  
pp. 643-649 ◽  
Author(s):  
Margriet S. Westerterp-Plantenga ◽  
Annelies H. C. Goris ◽  
Erwin P. Meijer ◽  
Klaas R. Westerterp

Habitual meal frequency was assessed as a possible function of components of energy expenditure (EE) in human subjects. Fifty-six subjects participated (four categories differing in body composition): ten older women (fat-free mass (FFM) 42·0 (sd 6·3) kg, aged 59 (sd 2) years, BMI 27·5 (sd 6·9) kg/m2), fifteen younger women (FFM 45·5 (sd 5·2) kg, aged 34 (sd 10) years, BMI 21·9 (sd 2·3) kg/m2), twelve older men (FFM 56·8 (sd 5·9) kg, aged 62 (sd 4) years, BMI 25·7 (sd 3·3) kg/m2) and nineteen younger men (FFM 63·9 (sd 7·5) kg, aged 23·1 (sd 3·9) years, BMI 22·9 (sd 1·8) kg/m2). Measurements consisted of habitual meal frequency by validated food-intake diaries, physical activity by tri-axial accelerometers and resting EE by a ventilated hood system. Habitual meal frequency was expressed as a function of resting EE (including resting EE as a function of FFM), and of activity-induced EE, using regression analysis. FFM differed according to gender and age categories (P < 0·01). Physical activity level was higher in the younger men than in the other categories (P < 0·05). No relationship of meal frequency with the variables assessed was observed in subjects with a low FFM (the women). In the subjects with a medium FFM (the older men), meal frequency was positively related to resting EE (r2 0·4, P < 0·05), but not to the residuals of resting EE as a function of FFM, and inversely related to activity-induced EE (r2 0·3, P < 0·05). Resting EE explained 40% of the variation in meal frequency; adding activity-induced EE increased this to 60%. In the subjects with a high FFM (the younger men), meal frequency was inversely related to resting EE (r2 0·8, P < 0·0001) and to the residuals of resting EE as a function of FFM (P = 0·03), and positively related to activity-induced EE (r2 0·6, P < 0·0001). Resting EE explained 85% of the variation in meal frequency; adding activity-induced EE increased this to 89%. Habitual meal frequency was a function of components of EE, namely resting EE and activity-induced EE, only in subjects with a medium to high FFM (men). FFM-related differences in these relationships suggest a role of physical activity.


2021 ◽  
Vol 39 (6_suppl) ◽  
pp. 82-82
Author(s):  
Daniel E Lage ◽  
M Dror Michaelson ◽  
Richard J. Lee ◽  
Joseph A. Greer ◽  
Jennifer S. Temel ◽  
...  

82 Background: Most men who die of prostate cancer are older than 70 years, and the impact of therapy in this population is poorly defined. The ChemoHormonal Therapy Versus Androgen Ablation Randomized Trial for Extensive Disease in Prostate Cancer (CHAARTED) randomized men of all ages with metastatic hormone-sensitive prostate cancer (mHSPC) to receive androgen deprivation therapy (ADT) with or without docetaxel. Methods: The results of CHAARTED showed an overall survival (OS) benefit for the addition of docetaxel to ADT in men with mHSPC. In a secondary analysis of this trial, we assessed patient characteristics and OS in patients ≥70 years (“older men”) versus <70 years (“younger men”) with Cox proportional hazards models. Additionally, we compared adverse events, therapy completion rate, and subsequent treatment patterns between these two groups using Chi-squared tests. Results: Of the 790 patients enrolled, 177 (22.4%) were ≥70 years. A greater proportion of older men had an impaired performance status (Eastern Cooperative Oncology Group 1-2: 36.7% vs. 28.6%, p=0.038) and prior local therapy (31.7% vs. 25.9%, p<0.001) compared to younger men. Docetaxel + ADT resulted in improved OS in both older and younger men (Hazard Ratio [HR] 0.45, 95%CI: 0.25-0.80 for older men; HR 0.71, 95%CI: 0.53-0.95 for younger men). This treatment benefit was seen for subgroups of older men with high volume disease (HR 0.43, 95%CI 0.23-0.79) and de novo metastatic disease (HR 0.36, 95%CI 0.19-0.69). A similar proportion of older and younger men completed all six cycles of docetaxel (82.6% vs. 87.1%, p=0.28). Rates of grade 3-5 adverse events were similar between older and younger men (36.8% of older men vs. 26.8% of younger men, p=0.69). The rate of any Grade 4-5 adverse events did not differ significantly between older and younger men (14.9% vs. 11.9%, respectively, p=0.46). In the control arm, a smaller proportion of older men received subsequent cancer treatments (34.4% vs. 51.5%, p=0.017) or subsequent docetaxel (25.6% vs. 37.6%, p=0.035) compared to younger men. Conclusions: In summary, older men with mHSPC who were eligible to participate in a clinical trial had similar OS benefit and clinical outcomes compared to younger men when receiving docetaxel chemotherapy + ADT. Oncologists should consider docetaxel chemotherapy as a favorable treatment option for older men with mHSPC who are fit for chemotherapy. Clinical trial information: NCT00309985.


Author(s):  
Judy Kutulas
Keyword(s):  

Youth becomes the defining force in fashion starting in the 1960s. This chapter looks at younger and older men’s adoption of a traditional womanly attitude toward fashion where clothing becomes a signifier or who one is. Stylish older men followed the British peacock look in the late 1960s. Younger men resisted fashion until the idea of hip consumerism emerged, enabling what they regarded as a holistic and authentic approach to style.


Epididymo-orchitis is inflammation of the epididymis +/– testes, usually caused by sexually transmitted pathogens in younger men (<35) and urinary pathogens in older men. Symptoms include testicular pain and swelling, often in combination with symptoms of urethritis (e.g. discharge, dysuria) or urinary tract infection (e.g. dysuria, frequency). Complications can include chronic epididymitis, abscess, hydrocele. and infertility. Common sexually transmitted pathogens include chlamydia, gonorrhoea, and Mycoplasma genitalium, while non-sexually acquired organisms include coliforms such as Escherichia coli. This chapter details diagnosis, and differential diagnosis of testicular pain and swelling, as well as investigations, and management of epididymo-orchitis, including partner notification and follow up.


Sexual Health ◽  
2015 ◽  
Vol 12 (5) ◽  
pp. 460
Author(s):  
Carole Khaw ◽  
Bin Li ◽  
Russell Waddell

Background With society ageing, sexually transmissible infections (STIs) in the older population are of interest from an economic, health-related and social burden perspective. Few studies on STIs in men older than 60 years of age exist. Methods: A retrospective study was performed looking at characteristics of, and STIs in, 29 106 men (of which 689 were older than 60 years of age), at first presentation, visiting the only South Australian public sexually transmitted diseases (STD) clinic over a 13-year period. Results: Older men [men who have sex with men (MSM) and men who have sex with women (MSW)] were less likely than younger men to have been tested for HIV. Conclusion: There is a need for increased HIV testing in older men.


2005 ◽  
Vol 288 (5) ◽  
pp. E922-E929 ◽  
Author(s):  
M. Sheffield-Moore ◽  
D. Paddon-Jones ◽  
A. P. Sanford ◽  
J. I. Rosenblatt ◽  
A. G. Matlock ◽  
...  

We sought to determine whether exercise-induced muscle protein turnover alters the subsequent production of hepatically derived acute-phase plasma proteins, and whether age affects how these proteins are regulated. We measured arteriovenous (a-v) balance and the synthesis of mixed muscle protein, albumin (A) and fibrinogen (F) before exercise (REST) and from the beginning of exercise to 10, 60, and 180 min following a single bout of moderate-intensity leg extension exercise (POST-EX) in postabsorptive untrained older ( n = 6) and younger ( n = 6) men using l-[ ring-2H5]phenylalanine (Phe). Subjects performed 6 sets of 8 repetitions of leg extension at 80% of their 1-RM (one-repetition maximum). All data are presented as the difference from REST (Δ from REST at 10, 60, and 180 min POST-EX). Mixed muscle fractional synthesis rate (FSR-M) increased significantly from the beginning of exercise until 10 min POST-EX in the older men (ΔFSR-M: 0.044%/h), whereas FSR-M in the younger men was not elevated until 180 min POST-EX (ΔFSR-M: 0.030%/h). FSR-A and FSR-F increased at all POST-EX periods in the older men (ΔFSR-A = 10 min: 1.90%/day; 60 min: 2.72%/day; 180 min: 2.78%/day; ΔFSR-F = 10 min: 1.00%/day; 60 min: 3.01%/day; 180 min: 3.73%/day). No change occurred in FSR-A in the younger men, but FSR-F was elevated from the beginning of exercise until 10 and 180 min POST-EX (10 min: 3.07%/day and 180 min: 3.96%/day). Net balance of Phe was positive in the older men in the immediate POST-EX period. Our data indicate that mixed muscle and hepatic derived protein synthesis is differentially regulated in younger and older men in response to a single bout of moderate-intensity leg extension exercise. Moreover, our data suggest that with age may come a greater need to salvage or make available amino acids from exercise-induced muscle protein breakdown to mount an acute-phase response.


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