4/28/2017
Men protect and provide for others but often don’t care or show concern for themselves. Whether it is they don’t have enough time or literal distrust doctors, men, in general, are not good keepers of their health. They have to be on the brink of death before they go see the doctor.
I conducted a very informal survey of men of various ages who were of African American and Hispanic descent to try to understand why men have such opposition to going to the doctor. In my research, I was shocked to find that some men were getting the message about going to the doctor and it wasn’t just because the women in their lives were begging and demanding that they do so. Many admitted that they go get their basic annual check-ups but confessed that their sudden change in habit was due to a major life change or a health scare that could have evolved into something more serious.
In his early thirties, Demez White was not a guy that always went to the doctor. But in 2016 when his heart gave him a scare, he changed his tuned. His worries could have been alleviated if he had just gone to the doctor sooner. But he was under the impression that he could “shake it off.” Calling it a “man thing,” Demez said if he was feeling bad or sick he would jus shake it off. Shaking it off is no longer working. “At 34, my body is getting to a point where I can no longer simply shake things off. Doctors can be a hassle - the expenses, co-pays, waiting, potentially bad news, etc. But when I weighed that against what could happen, it became an easy choice. ” Demez took a long look at his priorities and made his healthcare priority #1.
That “I am too tough for a doctor” attitude is what Brian Barefield believed in for a while too. Brian was under the impression that being sick meant that you were weak and you’re weakest when you need to see the doctor. Since men are taught to be strong, Brian didn’t want to appear weak, so no doctor. Besides, he figured since he was a man he could handle whatever sickness came his way. Because that is what men do. He knows better now and sees the doctor regularly. Plus, he has taken on the task to be his brother’s keeper by advocating for other men to get regular check-ups.
In the same age bracket is William Ealy who brings another reason to light for not going to the doctor. William was raised old school under the belief that anything he had grandma had a remedy that could fix. Call it Country Boy Medicine. “Growing up in Arkansas, the doctor was the last option,” said William. Today, he stills only goes to the doctor if something is wrong. William, grandma can’t fix everything. Go to the doctor.
Another gentleman who wished to remain anonymous admitted that living life just got in the way of him going to the doctor. “Honestly, its been hard maintaining regular doctor visits over the past few years with major life changes like getting married, having kids, losing jobs and finding jobs in this cut throat corporate America.” He continued, “We know that it’s important but doctor visits always end up getting put on hold.” Keeping him somewhat in line are the women in his life, that he is grateful for, that constantly stay on him to get check ups. Also weighing on this man’s mind was a lack of trust of doctors. He suggests the need for more doctors that are minorities that look like him and can know and understand.
Now that we know some of the whys men are not going to the doctor, let us take a look at the reasons why men do go to the doctor. We already know the influence of woman goes a long way into pushing a man to the doctor but there are other factors. Research indicates that old age and major life changes as proponents for men to take a more active role in their healthcare.
Dr. Jonathan Chism, husband, and father of a young son, agrees. His family is his life and he doesn’t want to miss a moment with them. “Diabetes, high blood pressure, and other illnesses are in my family history. Although I try to eat healthy, I know it is important to detect any potential problems early as possible and not wait to the last second. Life is too valuable and precious,” said Dr. Chism. He regularly gets checkups, eats healthy, and exercises. “We must prioritize our health especially as we grow older.”
I once heard a comedian say, “Black people get emergency care, not preventative care.” That way of thinking has to change or we will continue to lose our men at ages far too young. I am glad to see that some men are taking initiative to go to the doctor on their own for preventative care and encouraging other males to follow suit. After years of begging and pleading, it seems the message is getting through. Men are learning that the “man thing” to do is to go to the doctor as it is just another way of providing for their family to ensure that you will be there for many days to come. Thank you, men, for finally listening and getting the message to go to the doctor.
Health Checks for Men at Every Age Men Age 18-39
Blood Pressure
Have your blood pressure checked every 3 to 5 years unless the top number (systolic number) is between 120 and 139 or the bottom number (diastolic number) is between 80 and 89 mm Hg or higher. Then have it checked every year. If the top number is greater than 140, or the bottom number is greater than 90, schedule an appointment with your provider.
Cholesterol Screening and Heart Disease Prevention
Men over age 35 and older should be checked every 5 years.
Diabetes Screening
If your blood pressure is above 135/80 mm Hg, your provider may test your blood sugar level for diabetes. If you have a body mass index (BMI) greater than 25 and have other risk factors for diabetes, you should be screened. Having a BMI over 25 means that you are overweight. Asian Americans should be screened if their BMI is greater than 23.
Dental Exam
Go to the dentist once or twice every year for an exam and cleaning. Your dentist will evaluate if you have a need for more frequent visits.
Eye Exam
If you have vision problems, have an eye exam every 2 years, or more often if recommended by your provider.
Immunizations
After age 19, you should have a tetanus-diphtheria and acellular pertussis (Tdap) vaccine once as part of your tetanus-diphtheria vaccines. You should have a tetanus-diphtheria booster every 10 years. You should get a flu shot each year. You should get the human papilloma virus (HPV) vaccine series if you have not already had it.
Infectious Disease Screening
Depending on your lifestyle and medical history, you may need to be screened for infections such as syphilis, Chlamydia, and HIV, as well as other infections.
Physical Exam
Your blood pressure should be checked at least every 3 to 5 years. Your height, weight, and BMI should be checked at every exam.
Testicular Exam
The US Preventive Services Task Force now recommends against performing testicular self-exam. Doing testicular exams has been shown to have little to no benefit.
Men Age 40-64
All of the above plus:
Colon Cancer Screening
If you are under age 50, you should be screened if you have a strong family history of colon cancer or polyps. Screening may also be considered if you have risk factors such as a history of inflammatory bowel disease or polyps. If you are between ages 50 to 75, you should be screened for colorectal cancer.
Osteoporosis Screening
If you are between ages 50 to 70 and have risk factors for osteoporosis, you should discuss screening with your provider. Risk factors can include long-term steroid use, low body weight, smoking, heavy alcohol use, having a fracture after age 50, or a family history of osteoporosis.
Prostate Cancer Screening
Most men age 50 or older should discuss screening for prostate cancer with their provider. African American men and those with a family history of prostate cancer in a first degree relative younger than age 65 should discuss screening at age 45.
Lung Cancer Screening
The USPSTF recommends annual screening for lung cancer with low-dose computed tomography (LDCT) in adults ages 55 to 80 years who: have a 30 pack-year smoking history AND currently smoke or have quit within the past 15 years.
Men Aged 65 and Older
All of the above plus:
Abdominal Aortic Aneurysm Screening
If you are between ages 65 and 75 and have smoked, you should have an ultrasound to screen for abdominal aortic aneurysms.
Hearing Test
Have your hearing tested if you have symptoms of hearing loss.