Masculine norms and mental health of African men: what can psychology do?

Ezeugwu, Chika Remigious; Ojedokun, Oluyinka

doi:10.1016/j.heliyon.2020.e05650

Cited by 28 publications

(20 citation statements)

References 54 publications

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“…These findings are supported by those of Ezeugwu and Ojedokun (2020) who found that mental health was mainly sidelined in support of adverse effects of communicable and infectious diseases such as malaria. In the health system, mental health was placed at the lower ranks of the health hierarchy.…”

Section: One Of the Key Informants Indicated;supporting

confidence: 74%

“…In Africa, mental health issues have received limited attention from policymakers and governments. Ezeugwu and Ojedokun (2020) assert that Africa's focus on the adverse effects of communicable and infectious diseases, malnutrition and low incomes has sidelined the focus on mental health. As a result, mental health is placed at the lower ranks of the health hierarchy.…”

Section: Introductionmentioning

confidence: 99%

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The effect of the county legal framework on the implementation of mental health programmes in Nakuru County, Kenya

Gichuki

Gichuhi

Mwaura

2022

IJRBS

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Mental health is an important developmental aspect of any society. This study sought to assess the effect of the county legal framework on the implementation of mental health programmes in Nakuru County. The study was guided by the General Systems Theory. A descriptive survey design was used which involved a mixed-methods approach. The target population was the 80 respondents who are directly associated with the implementation of mental health programmes in Nakuru County. Due to the small population, a census procedure was utilized. Primary data was collected through the use of a questionnaire and interview guide. Quantitative data was analyzed through the SPSS software (v25). Descriptive statistics were analyzed through the use of frequencies and percentages while inferential statistics were analyzed through the Pearson Correlation and linear regression analysis and the findings were presented in form of tables. The qualitative data were analyzed thematically and presented through narratives. The study found that the county legal framework had a positive relationship with the implementation of mental health programmes in Nakuru County, Kenya (r=0.428; p=0.000). The county legal framework positively and significantly affected the implementation of mental health programmes in Nakuru County, Kenya. Also, improving the county's legal framework would have a positive impact on the implementation of mental health programmes in Nakuru County, Kenya. This study recommends that a study should be conducted on the implementation of mental health programmes focusing on the service-users of mental health services and programmes in county governments in Kenya. It is hoped that the findings of this study will increase awareness of mental health services in the county as well as help policymakers formulate effective policies and strategies on mental health programmes, services and public service delivery in Nakuru County.

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Section: One Of the Key Informants Indicated;supporting

confidence: 74%

Section: Introductionmentioning

confidence: 99%

The effect of the county legal framework on the implementation of mental health programmes in Nakuru County, Kenya

Gichuki

Gichuhi

Mwaura

2022

IJRBS

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“…The majority of our study population were young males in their third and fourth decades of life, which contrasts with several other studies where more female donors were encountered with a mean age of over 50 years [ 16 , 17 ]. This is likely due to the fact that most Africans believe that men are stronger than their female counterparts, and hence able to withstand the rigors of surgery [ 18 ]. In our center, DNs were performed 2.5 times more on the left than on the right side; this finding is similar to reports in several other international studies [ 4 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

Donor Nephrectomy Through Mini-Flank Incision: A Single-Centre Experience Among Nigerian Patients

Igbokwe¹,

Olatise²,

Asaolu³

et al. 2022

Cureus

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Background and objective The field of kidney transplantation in sub-Saharan Africa is still in the rudimentary stages. The majority of patients with chronic kidney disease have no access to renal replacement therapy, leading to very high mortality rates. Donor nephrectomy (DN) is an important aspect of kidney transplantation. Over the last two decades, open DN (ODN) has given way to minimally invasive techniques like laparoscopic DN (LDN) and robotic-assisted DN. In this study, we aimed to describe our experience with mini-flank incision donor nephrectomy (MIDN) at a Nigerian renal transplant center. Materials and methods We conducted a retrospective review of all DN cases performed at a single Nigerian kidney transplantation center over a three-year period. Information obtained from these patients was classified into pre-, intra-, and postoperative. The data included sociodemographic characteristics, preoperative preparation, details of intraoperative techniques, and postoperative findings. These were entered into a proforma and analyzed using SPSS Statistics version 21 (IBM Corp., Armonk, NY). Results A total of 230 patients underwent ODN during the study period. The majority of the donors were males (92.8%) with a mean age of 30.83 ±8.43 years. The body mass index (BMI) of most (76.1%) of the donors was within the normal range (18.5-24.9 kg/m 2 ). The duration of DNs ranged from 72 to 154 minutes with a mean duration of 130 ±28 minutes. The length of flank incisions ranged from 7.8 to 12 cm with a mean incision length of 10.8 ±1.0 cm. Donors who had MIDN attained satisfactory postoperative pain control with about 90% of them having a BMI of <30 kg/m 2 . Oral intake and ambulation were commenced on the first postoperative day, and the cosmetic outcomes were deemed acceptable in over 90% of kidney donors. Conclusion Mini-incision for DN through the flank approach is a suitable alternative to LDN in the developing world where facilities and skills for LDN or robotic nephrectomies are largely unavailable. It offers a short recovery time, early ambulation, and excellent allograft outcomes.

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“…When fathers express distress over the increasing cost of goods and food insecurity, they are also aware of government policies and environmental stressors that trigger and/or exarcebate these situations. In the Ghanaian setting, where providing material resources for one’s family ( Coe, 2011 ; Ezeugwu & Ojedokun, 2020 ) is synonymous with being a “good” husband and provider, these exacerbating factors may leave men feeling powerless and out of control in their roles as fathers; prompting behavioral or emotional exhaustion, and decreasing their psychological wellbeing ( Amarachi et al, 2020 ; Kaya et al, 2019 ).Within the qualitative accounts, psychological stress was prevalent and is consistent with emerging data suggesting fatherhood can negatively impact paternal mental health. A 2010 U.K.-based study concluded that 21% of fathers experienced depression by the time their children were 12 years old ( Davé et al, 2010 ).…”

Section: Discussionmentioning

confidence: 99%

“…In a study by Fast et al examining masculine idealogies in Tanzania and Kenya, the authors reported increased rates of depression and suicidality among men who were unable to fulfill their expected roles and responsibilities as “financial providers” ( Fast et al, 2020 ). These men, the authors posit, experienced prolonged periods of depression, anxiety, and stress, which had been entrenched and deepened by economic, political, and social uncertainty; before succumbing to taking their own lives to avoid the shame of being “too poor to provide for their families.” Even though there are changes in the fatherhood role in the new African dual-earner families, an adult male is still considered a husband (e.g., with one wife or more), a father (with or without children), an uncle (with responsibilities to others within the extended families), an employee or a manager (fulfilling their job role to the organization), and can also occupy a city or village chieftaincy position within their age grade ( Ezeugwu & Ojedokun, 2020 ; Kelly, 2018 ). The pressures placed on African men can seem insurmountable and yet an overarching theme that emerged from our study was the sense of pride and joy that fatherhood brings to these men, counter-balancing the stress-related findings.…”

Section: Discussionmentioning

confidence: 99%

“At Least Somebody Sees You as a Hero”: Fatherhood Stress and Well-Being in Ghana

Bowen

Chen

Kodam³

et al. 2022

Am J Mens Health

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Fathers’ mental health and behaviors influence child development and partner well-being, yet paternal stress and well-being are frequently overlooked; especially in non-Western settings. The aim of this mixed-methods study was to quantitatively assess the impact of parenting stress on fathers’ overall well-being in Ghana, West Africa; while qualitatively delving into their lived experiences as fathers. We used a qual/quant mixed-methods approach in this study. The study was conducted in three distinct locations in Ghana (a) Ada, a rural community on the Southeastern coast; (b) Kumasi, an urban setting in upper Southern Ghana; and (c) Sunyani, a peri-urban setting in West-central Ghana. Paternal stress was measured with the Aggravation in Parenting Scale (APS) and well-being was assessed using the Secure Flourishing Index (SFI). Textual data from focus group interviews were sorted using inductive coding and aggregated into overarching themes. Thirty-eight Ghanaian fathers ages 21 to 74 years participated in the study, average age 43 (±12.12 SD), median 39.5. Correlation analyses showed a strong, negative association between paternal stress and well-being ( R = −0.63; p < .0001), which was supported in linear regression models (β = −1.04; 95% CI: −1.62, −0.45; p<.0001). Emergent themes of fatherhood stress included financial (employment, food, education, and health care), social (norms and expectations), and psychological (mental work, discipline, relationships, and coping strategies) stressors. A fourth overarching theme of pride and joy in parenting permeated the interviews. Ghanaian fathers with higher parenting stress experience lower overall well-being. Identified stressors could guide interventions that bolster the well-being of fathers and their families.

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Masculine norms and mental health of African men: what can psychology do?

Cited by 28 publications

References 54 publications

The effect of the county legal framework on the implementation of mental health programmes in Nakuru County, Kenya

The effect of the county legal framework on the implementation of mental health programmes in Nakuru County, Kenya

Donor Nephrectomy Through Mini-Flank Incision: A Single-Centre Experience Among Nigerian Patients

“At Least Somebody Sees You as a Hero”: Fatherhood Stress and Well-Being in Ghana

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