388 Chapter 10
Taken collectively, different
explanations are more and less relevant to
men and women. A few health behaviors
explain a good portion of men’s higher
mortality rates compared to women. These
health behaviors can be construed in terms
of a larger framework reflecting men’s risk-
taking behavior. Women’s higher morbidity
rates are more likely to reflect women’s
social roles than their health behaviors.
explanation for this sex difference is that
women have fewer fixed role obligations than
men, and fewer role obligations are associated
with a greater willingness to respond to health
problems. Women use health services more
frequently than men, but the sex difference
is limited to minor symptoms. In the case
of serious illness, there is less evidence that
either women or men are more likely to seek
the attention of a health care professional.
- How do sex and race influence the
leading causes of death? - Under what conditions do you be-
lieve physicians are more or less
likely to make a similar diagnosis in a
male and a female who present with
the same symptoms of heart disease? - Which health behaviors pose greater
risks to women’s health, and which
health behaviors pose greater risk to
men’s health? - What are the reasons that women
are less successful than men in
quitting smoking? - Discuss how sex differences in
smoking, drinking alcohol, and drug
usage have changed over time.
6. Given our culture’s increasing
health consciousness, in particular,
the emphasis on diet and exercise,
why do you think rates of obesity
have increased?
7. What are some of the reasons that
women report more pain than men?
8. Why are nurturant roles hazardous
to health?
9. How could you test the fixed role
obligations hypothesis today? - Discuss how to determine if men
and women actually perceive
symptoms differently. - In what ways are men’s and wom-
en’s responses to illness similar and
different?
Discussion Questions
Addis, M. E., & Mahalik, J. R. (2003).
Men, masculinity, and the contexts of
help seeking.American Psychologist, 58,
5–14.
Addis, S., Davies, M, Greene, G.,
MacBride-Stewart, S., & Shepherd, M.
(2009). The health, social care, and
housing needs of lesbian, gay, bisexual
and transgender older people: A review
of the literature.Health and Social Care in
the Community, 17, 647–658.
Courtenay, W. H. (2000a). Constructions
of masculinity and their influence on
men’s well-being. A theory of gender and
health.Social Science and Medicine, 50,
1385–1401.
Suggested Reading
M10_HELG0185_04_SE_C10.indd 388 6/21/11 8:54 AM