Many health researchers have reported higher mortality and morbidity rates for men than for women. Various writers have argued that such differences reflect men's delay in seeking help when required and that reluctance to seek help reflects prevailing constructions of hegemonic masculinity. The authors report findings from an interview study of 12 older men's understandings of health and ill health. In describing health, participants constructed identities consistent with prevailing notions of hegemonic masculinity. When discussing ill health, they aligned themselves with less powerful identities that were inconsistent with the “ideal” hegemonic masculinity. Participants used a “time will tell” discursive formulation to negotiate transitions between hegemonic and subordinate identities. Delay in seeking help, accordingly, can be viewed as reflecting transitions in identity rather than hegemonic masculinity itself. These constructions are consistent with those found in other contexts and act to disadvantage men both in health terms and in identity terms.
Baker, P. (1996, December/1997, January). Men only: Is there a role for the well man clinic?Healthlines, pp. 17-19.
2.
Barton, A. (2000). Men's health: a cause for concern. Nursing Standard, 15(10), 47-52.
3.
Billig, M., Condor, S., Edwards, D., Gane, M., Middleton, D., & Radley, A. (1988). Ideological dilemmas: A social psychology of everyday thinking. London: Sage.
4.
Blane, D. (1998). Inequalities among men in standardised years of potential life lost. British Medical Journal, 317, 255-260.
5.
Cheek, J. (2004). At the margins? Discourse analysis and qualitative research. Qualitative Health Research, 14, 1140-1150.
6.
Connell, R. (1987). Gender and power. Cambridge, UK: Polity.
7.
Connell, R. (1995). Masculinities. Cambridge, UK: Polity.
8.
Courtenay, W. (1998). College men's health: An overview and a call to action. Journal of American College Health, 46, 279-290.
9.
Davison, J. (Producer), & Verhoeven, P. (Director). (1987). Robocop [Motion picture]. New York: Orion Pictures.
10.
Edley, N., & Wetherell, M. (1995). Men in perspective: Practice, power and identity. London: Harvester Wheatsheaf.
11.
Edley, N., & Wetherell, M. (1997). Jockeying for position: The construction of masculine identities. Discourse and Society, 8, 203-217.
12.
Gilbert, G. N., & Mulkay, M. J. (1984). Opening Pandora's box: A sociological analysis of scientists' discourse. Cambridge, UK: Cambridge University Press.
13.
Griffiths, S. (1996). Men's health: Unhealthy lifestyles and an unwillingness to seek medical help. British Medical Journal, 312, 69-70.
14.
Haan, M. N., Selby, J. V., Quesenberry, C. P., Schmittdiel, J. A., Fireman, B. H., & Rice, D. P. (1997). The impact of aging and chronic disease on use of hospital and outpatient services in a large HMO: 1971-1991. Journal of the American Geriatrics Society, 45, 667-674.
15.
Hobbs, A. (1995). Shattering the myths of masculinity. Healthlines, 51(5), 14-16.
16.
Hodgetts, D., & Chamberlain, K. (2002). “The problem with men”: Working-class men making sense of men's health on television. Journal of Health Psychology, 7, 269-283.
17.
Holroyd, G. (1997). Men's health in perspective. In L. Jones & M. Sidell (Eds.), The challenge of promoting health: Exploration and action (pp. 209-218). Buckingham, UK: Open University Press.
18.
Hurd, G.A. (Writer/Producer), & Cameron, J. (Writer/Director). (1984). The Terminator [Motion picture]. New York: Orion Pictures.
19.
Hutchby, I., & Wooffitt, R. (1998). Conversation analysis. Cambridge, UK: Polity.
20.
Jefferson, G. (1991). List construction as a task and resource. In G. Psathas & R. Frankel (Eds.), Interactional competence (pp. 63-92). Hillsdale, NJ: Lawrence Erlbaum.
21.
Johnson, J., Stewart, W., Hall, E., Fredlund, P., & Theorell, T. (1996). Long-term psychosocial work environment and cardiovascular mortality among Swedish men. American Journal of Public Health, 86, 324-330.
22.
Lorber, J. (1997). Gender and the social construction of illness. London: Sage.
23.
McVittie, C., Cavers, D., & Hepworth, J. (2005). Femininity, mental weakness, and difference: Male students account for anorexia nervosa in men. Sex Roles: A Journal of Research, 53, 413-418.
24.
Patten, J., Watt, I., Lewin, R. J. P., & Standford, N. (2002). Decision making process in people with symptoms of acute myocardial infarction: Qualitative study. British Medical Journal, 332, 1006-1017.
25.
Piper, S. (1997). The limitations of well men clinics for health education. Nursing Standard, 11(30), 47-49.
26.
Pleck, J. H. (1993). Are “family-supportive” employer policies relevant to men? In J. C. Hood (Ed.), Men, work, and family (pp. 217-237). Newbury Park, CA: Sage.
27.
Potter, J. (2004). Discourse analysis as a way of analysing naturally occurring talk. In D. Silverman (Ed.), Qualitative research: Theory, method and practice (pp. 200-221). London: Sage.
28.
Potter, J., & Wetherell, M. (1987). Discourse and social psychology: Beyond attitudes and behaviour. London: Sage.
29.
Robertson, S. (1995). Men's health promotion in the UK: A hidden problem. British Journal of Nursing, 4, 382, 399-401.
30.
Robertson, S., & Williams, R. (1998). Working with men: A theoretical base for meeting their needs. Community Practitioner, 71, 286-288.
31.
Sabo, D., & Gordon, D. F. (Eds.). (1995). Men's health and illness: Gender, power and the body. London: Sage.
32.
Seymour-Smith, S., Wetherell, M., & Phoenix, A. (2002). “My wife ordered me to come!”: A discursive analysis of doctors' and nurses' accounts of men's use of general practitioners. Journal of Health Psychology, 7, 253-267.
33.
Waddell, C., & Floate, P. (1986). Gender and the utilisation of health care service in Perth, Australia. Sociology of Health and Illness, 8, 170-177.
34.
Wetherell, M. (1996). Life histories/social histories. In M. Wetherell (Ed.), Identities, groups and social issues(pp. 299-342). London: Sage/The Open University.
35.
Wetherell, M., & Edley, N. (1999). Negotiating hegemonic masculinity: Imaginary positions and psychodiscursive practices. Feminism & Psychology, 9, 335-356.
36.
Whitehead, M. (1988). Inequalities in health: The Black report and the health divide.London: Penguin.
37.
Wilkinson, R. (1996). Unhealthy societies: The afflictions of inequality. London: Routledge.
38.
Willott, S., & Griffin, C. (1997). “Wham bam, am I a man”: Unemployed men talk about masculinities. Feminism and Psychology, 7, 107-128.
39.
Woolgar, S. (1980). Discovery, logic and sequence in a text. In K. D. Knorr, R. Krohn, & R. Whitley (Eds.), The social process of scientific investigation (pp. 239-268). Dordrecht: Reidel.
