The Oakland Press

Men’s lifestyles more injurious to health than women’s

- By Dr. Jerry Johnson Dr. Jerry Johnson is a medical director at Blue Cross Blue Shield of Michigan. For more informatio­n on men’s health, visit ahealthier­michigan.org.

Men tend to be at higher risk for heart disease, Parkinson’s disease, severe mental health outcomes and other health conditions. In some cases, behavior leads to higher health risks for men. In general, men engage in behaviors that lead to higher rates of injury and disease, and they also eat less healthful diets on average. Men also tend to visit the doctor at lower rates and put off care longer, which means their health outcomes for certain conditions could be worse because they are being seen with more advanced cases of health conditions.

Health conditions that affect men differentl­y

There are several health conditions that men are at higher risk for. These are a few examples:

• Heart disease: At all ages, men tend to have higher rates of coronary heart disease and heart attacks than women. Heart disease is the leading cause of death for men. When women gain weight, it often lands on their hips and thighs. When men gain weight, it typically gravitates toward the abdomen. This type of body fat, known as abdominal visceral fat, is one risk factor that might elevate men’s risk for heart disease.

Hormonally, men do not have the protection of estrogen, which may keep women’s cholestero­l levels balanced, reducing a key risk factor of heart disease for younger women who haven’t gone through menopause. This could account for the fact that men are more likely than women to experience heart attack before age 55.

• Parkinson’s disease: Men’s risk for this degenerati­ve neurologic­al disease is 1.5 times higher than for women. Men are also at higher risk for head injuries and negative environmen­tal factors such as working with toxic chemicals, which are linked to a higher risk for Parkinson’s disease.

• Certain mental health conditions: When it comes to mental illness, men and women are affected differentl­y as well. Women are more likely to be diagnosed with depression or anxiety, while men tend more toward substance use and antisocial disorders. According to the American Psychologi­cal Associatio­n, men are more likely to internaliz­e emotions, which can result in aggressive, impulsive and coercive behavior. Men are less likely to seek mental health treatment and are also more likely to die by suicide.

Disproport­ionate outcomes by race

There are also health disparitie­s between men and women of different races. The causes of these disparitie­s date back decades. Due to factors such as a history of housing discrimina­tion and redlining, people of color have tended to live in areas with fewer resources that support good health. Rates of health coverage have also historical­ly been a factor. Although the gaps have narrowed in recent years, white Americans typically have health coverage at higher rates than minority population­s. This is largely due to education and employment opportunit­ies within minority communitie­s.

It’s important that everyone, regardless of gender or race, pays attention to their health. Scheduling an annual physical with your doctor is a great way to measure your health and work toward improving it.

 ?? PHOTO COURTESY OF TIMOTHY KRAUSE ?? Men generally engage in behaviors that lead to higher rates of injury and disease, and they also eat less healthful diets, on average.
PHOTO COURTESY OF TIMOTHY KRAUSE Men generally engage in behaviors that lead to higher rates of injury and disease, and they also eat less healthful diets, on average.

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