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19 November 2021 | Story Nontombi Velelo | Photo Supplied
Nontombi Velelo is a PhD candidate and Lecturer in the Department of Sociology at the University of the Free State (UFS).

Current reports related to gender reflect and emphasise the negative impact of gender on society — especially the negative impact of men and masculinity in society. Studies are conducted to understand the root(s) and triggers of men’s social conduct/misconduct. Without a doubt, men are often guilty of causing some of the social ills. However, we often do not acknowledge and recognise the pressures and challenges that society presents to men. In most instances, the focus in reporting is on their conduct/misconduct. Less attention is given to interrogating and reflecting on how masculine notions are formed and subsequently practised, and the influence of social settings on these processes. 

It is worth pointing out that masculinity is not a static entity – it is flexible, evolving, and adapts to different contexts. However, there is a struggle between upholding the traditional practices of masculinity and the desire for modern and liberal practices of masculinity. The concept of ‘traditional’ masculinity is frequently used when investigating the construction and practices of masculinity. This concept is often understood as the opposite of the modern representation of masculinity. Yet, it refers to what is considered to make a man a ‘real’ man – attributes such as independence, self-sufficiency, heterosexuality, physical toughness, and emotional restrictedness. These attributes highlight the ideas of masculinity embedded in traditional ideology, rules, and norms. We often expect men to possess these attributes, particularly independence, self-sufficiency, and emotional restrictedness. Without a doubt, these expectations present challenges for men. Men are less likely to express their feelings – they are also not expected to express their emotions. Besides, men are not as expressive as women and the signs of mental illness are not the same as those in women. Though we expect men to man-up and demonstrate strength when confronted with challenges, we are not aware of the damage this may cause to their mental and emotional well-being. According to the World Health Organisation (2021), South African men are more than four times more likely to commit suicide than women. Of more than 6 000 cases of suicide, 5 138 were men, which translates to 21,8 per 100 000. This indicates the need to unlearn the damaging expectations of gender. 

Men’s socio-economic and socio-political positions influence how they view and practise their masculinity. Though Statistics South Africa (2021) reported that 32,4% of men are unemployed (compared to 36,8% of unemployed women), South African men living in poverty find themselves in a stressful climate, as they are unable to live up to their and others’ ideas of ‘successful masculinity’. To a large extent, men are still expected to assume the role of financial provider. Failure to adhere to these expectations may result in one’s masculine traits not being recognised or acknowledged. In some cases, men are considered ‘less of a man’ since they cannot fulfil the expectation of financial provision. This, subsequently, affects their interaction and relationships with other men, women, and children. 

Apart from the societal expectations, we need to pay attention to the socialisation process within the family. A family is a training ground where members are trained and taught about desirable and undesirable behaviour and expectations of others. Within the family structure, men and women are socialised to internalise and accept toxic gender roles – one being the use of violence. Violent behaviour is often associated with normal ‘boyish’ behaviour; therefore, it is perceived to be expected of a boy child to resort to violence. It is expected of a boy child to retaliate/fight back when facing conflict. Consequently, violence is viewed as a measure to correct behaviour associated with disobedience or challenging masculine authority. The Mail & Guardian reported in 2020 that one in five women in South Africa experienced violence at a partner’s hands. South Africa has witnessed an increase in gang rapes, most of the first-time rape offenders being teenage boys (SafeSpace, 2021). Teenage boys are not only members of society but also members of the family. This does not imply that parents are responsible for the acts of their children. However, it demonstrates the need to interrogate and challenge the socialisation process as far as gender roles and expectations are concerned. Regardless of the mentioned challenges associated with masculinity, there are individual men in society who have invested efforts to transform the masculine scripts and to cultivate positive male attributes. These are men who strive to be good citizens, husbands, fathers, brothers, and uncles. Unfortunately, the efforts invested by these individual men tend to be disregarded in society, since the focus is always on unpacking and reflecting the toxic actions and attributes of men. 

Commemoration of International Men’s Day

International Men’s Day commemorates the positive contribution of men to their world, families, and communities. The day aims to create awareness around the well-being of men. As we celebrate this day, it is important to recognise and acknowledge male pain. Society often disregards male pain and focuses on male privilege.

Furthermore, recognising ways in which men are hurt by rigid gender roles and expectations and social settings where these roles and expectations are practised, does not imply disregard for the struggle and oppression of women. With the 2021 slogan being ‘Better relations between men and women’, I am reminded of the third wave of feminist scholars who pointed out that society is experiencing a crisis embedded in patriarchal masculinity rather than masculinity itself. There is a need to sensitise men and women to the dangers of patriarchy, particularly for men. It is also important to encourage men to construct their own identities that are different from those prescribed by patriarchy. Although most men might not be oppressed by sexism in ways similar to women, we need to pay much closer attention to how men suffer the consequences of sexism. It is worth recognising that men do not derive the common benefits from sexist oppression, since they do not hold a common social position. It is important to acknowledge the role of individual men in changing the masculine narrative. May we recognise such individuals in our homes, workplaces, and communities. There is a need to unlearn the damaging patriarchal expectations of gender.

News Archive

Higher than expected prevalence of dementia in South African urban black population
2010-09-22

 Prof. Malan Heyns and Mr Rikus van der Poel

Pilot research done by University of the Free State (UFS) indicates that the prevalence of dementia, of which Alzheimer’s disease is only one of the causes, is considerably higher than initially estimated. Clinical tests are now underway to confirm these preliminary findings.

To date it has been incorrectly assumed that dementia is less prevalent among urban black communities. This assumption is strongly disputed by the findings of the current study, which indicates a preliminary prevalence rate of approximately 6% for adults aged 65 years and older in this population group. Previous estimates for Southern Africa have been set at around 2,1%.

The research by the Unit for Professional Training and Services in the Behavioural Sciences (UNIBS) at the UFS and Alzheimer’s South Africa is part of the International 10/66 Dementia Research Group’s (10/66 DRG) initiative to establish the prevalence of dementia worldwide.

Mr Rikus van der Poel, coordinator of the local study, and Prof. Malan Heyns, Principal Investigator, say worldwide 66% of people with dementia live in low and middle income countries. It is expected that it will rise to more than 70% by 2040, and the socio-economic impact of dementia will increase accordingly within this period. 21 September marks World Alzheimer’s Day, and this year the focus is on the global economic impact of dementia. Currently, the world wide cost of dementia exceeds 1% of the total global GDP. If the global cost associated with dementia care was a company, it would be larger than Exxon-Mobil or Wal-Mart.

The researchers also say that of great concern is the fact that South Africa’s public healthcare system is essentially geared toward addressing primary healthcare needs, such as HIV/Aids and tuberculosis. The adult prevalence rate of HIV was 18,1% in 2007. According to UNAIDS figures more than 5,7 million people in South Africa are living with HIV/Aids, with an estimated annual mortality of 300 000. In many instances the deceased are young parents, with the result that the burden of childcare falls back on the elderly, and in many cases elderly grandparents suffering from dementia are left without children to take care of them. “These are but a few reasons that highlight the need for advocacy and awareness regarding dementia and care giving in a growing and increasingly urbanized population,” they say.

Low and middle income countries often lack epidemiological data to provide representative estimates of the regional prevalence of dementia. In general, epidemiological studies are challenging and expensive, especially in multi-cultural environments where the application of research protocols relies heavily on accurate language translations and successfully negotiated community access. Despite these challenges, the local researchers are keen to support advocacy and have joined the international effort to establish the prevalence of dementia through the 10/66 DRG.

The 10/66 DRG is a collective of researchers carrying out population-based research into dementia, non-communicable diseases and ageing in low and middle income countries. 10/66 refers to the two-thirds (66%) of people with dementia living in low and middle income countries, and the 10% or less of population-based research that has been carried out in those regions.

Since its inception in 1998, the 10/66 DRG has conducted population based surveys in 14 catchment areas in ten low and middle income countries, with a specific focus on the prevalence and impact of dementia. South Africa is one of seven LAMICs (low and medium income countries) where new studies have been conducted recently, the others being Puerto Rico, Peru, Mexico, Argentina, China and India.

Mr Van der Poel says participating researchers endeavour to conduct cross-sectional, comprehensive, one-phase surveys of all residents aged 65 and older within a geographically defined area. All centres share the same core minimum dataset with cross-culturally validated assessments (dementia diagnosis and subtypes, mental disorders, physical health, anthropometry, demographics, extensive non-communicable risk factor questionnaires, disability/functioning, health service utilization and caregiver strain).

The local pilot study, funded by Alzheimer’s South Africa, was rolled out through an existing community partnership, the Mangaung University of the Free State Community Partnership Programme (MUCPP).

According to Mr Van der Poel and Prof. Heyns, valuable insights have been gained into the myriad factors at play in establishing an epidemiological research project. The local community has responded positively and the pilot phase in and of itself has managed to promote awareness of the condition. The study has also managed to identify traditional and culture-specific views of dementia and dementia care. In addition, existing community-based networks are being strengthened, since part of the protocol will include the training and development of family caregivers within the local community in Mangaung.

“Like most developing economies, the South African population will experience continued urbanization during the next two decades, along with increased life expectancy. Community-based and residential care facilities for dementia are few and far between and government spending will in all probability continue to address the high demands associated with primary healthcare needs. These are only some of the reasons why epidemiological and related research is an important tool for assisting lobbyists, advocates and policymakers in promoting better care for those affected by dementia.”

Media Release
Issued by: Mangaliso Radebe
Assistant Director: Media Liaison
Tel: 051 401 2828
Cell: 078 460 3320
E-mail: radebemt@ufs.ac.za  
21 September 2010

 

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