ArticleThis review discusses the research on men and their healthrelated behaviors or health practices with special attention given to the influence of the hegemonic masculinity framework on men generally and aging men particularly. Of specific interest is consideration of whether men's health-related behaviors adjust as they age. How do biological, social, psychological, and behavioral factors interact and does that interaction affect men's health practices (Courtenay, 2002)? Is it possible for aging men to adapt concepts of masculinity and related masculine gender scripts to better meet their changing health needs in later life and still fit within their personalized construct of masculinity? If so, what influences these actions? In her landmark discussion of gender and health, Verbrugge (1985) suggests three broad categories as possibly influential-biological risks related to illness and disease, acquired risks associated with work and play activities, and psychosocial factors that include gender-influenced responses to these risk categories as well as overarching constructs such as hegemonic masculinity. We conclude with a discussion of a selection of interventions that focus on improvement of men's health education and health-related behaviors as well as suggestions for areas of future research.
IntroductionCompared with women, men appear to be at higher risk at younger ages of morbidity and mortality, and it seems that men with the strongest masculinity beliefs are at the highest risk and least likely to engage in preventive health care behaviors (Bird & Rieker, 2008;Garfield, Isacco, & Rogers, 2008;Rieker & Bird, 2005;Springer & Mouzon, 2011). Well-entrenched beliefs about the way men should behave may stand in the way of more effective health-related actions and appropriate care. Indeed, it seems that "men are less likely than women to perceive themselves as being at risk for most health problems, even for problems that they are more likely than women to experience" (Courtenay, 2002, p. 2). Masculinity-derived beliefs either encourage men to engage in potentially harmful activities or to refrain from healthprotective behaviors (Williams, 2003). These masculinity beliefs do not simply reflect the biological risks that men have higher mortality rates than women for just about every illness that affects both genders except Alzheimer's disease, they also reflect that men seem to be attracted to risky behaviors more than women (Courtenay, 2000;Creighton & Oliffe, 2010;Lohan, 2007). Men smoke and drink more than women, are more prone to violence, are more likely to engage in sports with high injury rates, and are less likely to wear protective gear (e.g., helmets, seat belts, condoms; Addis, 2011;Giovanni, 2013). In fact, ". . . men are more likely than women to engage in over 30 health risk behaviors that increase the risk of disease, injury, and death . . ." (Mahalik & Burns, 2011, p. 1; see also, Courtenay, 2000). Another potentially risky health behavior common among some men is to ignore routine health sc...