Life expectancy crisis for men in South Africa

GARDEN ROUTE | KAROO NEWS - The Men’s Foundation of South Africa has issued an urgent call to action to address toxic masculinity that continues to fuel stigma around men’s health issues in South Africa, including mental health and prostate cancer.

Garron Gsell, the foundation’s CEO, urges the public and policymakers to take swift action to address these life-threatening conditions.

“Toxic masculinity is one of the most pervasive issues affecting men in South Africa today.

“It’s a dangerous narrative that tells men to prioritise toughness, stoicism and dominance over their well-being. This has devastating consequences, particularly when it comes to seeking help for physical and mental health concerns. We need to dismantle these stereotypes that put pressure on men to suffer in silence,” says Gsell.

South African men face one of the worst life expectancies globally, ranking 167^th out of 193 countries.

Despite significant public health challenges, such as HIV/Aids, Gsell says men’s low life expectancy cannot solely be attributed to disease.

“We know Aids has severely affected life expectancy in South Africa, but what’s alarming is that even with Aids being twice as prevalent among women, men still fare far worse. This gap is the silent killer – a combination of stigma, neglect and a failure to seek help.”

Two alarming trends highlight this crisis – prostate cancer and mental health.

Prostate cancer, although treatable when detected early, continues to claim more lives than breast cancer in South Africa, says Gsell.

“Prostate cancer is more deadly than breast cancer, not because the disease is inherently more dangerous, but because men are less likely to take preventative action. The lack of screenings and the reluctance to talk about these issues are rooted in the stigmas around masculinity,” says Gsell.

Equally concerning is the mental health crisis. “Every day, 21 South Africans take their own lives – 17 of them are men. This isn’t just a South African issue; it’s global. But the reality is that men in our country are more likely to suffer in silence because of the stigma attached to seeking help.”

Mental health remains a gendered issue, and the reluctance of men to speak about their struggles is often driven by societal pressure to conform to masculine stereotypes.

“Men feel like they have to be the providers, martyrs and the strong ones. This perception keeps them from opening up about their struggles, fearing that vulnerability will be seen as weakness. The result? We’re seeing increasing numbers of suicides, untreated mental health issues and preventable deaths,” says Gsell.

One potential solution lies in creating informal safe spaces where men feel comfortable opening up about their challenges. Gsell says barbershops, gyms and bars could play a pivotal role in this regard.

“Barbershops and similar establishments have long been places where men gather and talk. By training barbers and other professionals with surface-level counselling skills, we can start dismantling the stigma surrounding men’s mental health. Barbers, personal trainers and barmen can serve as first-line confidants, encouraging men to seek professional help when necessary.”

This initiative could be a simple but impactful way to create a safe space for men to talk, helping to chip away at the social stigma that prevents so many from seeking the care they need.

“We cannot allow outdated, toxic stereotypes to continue robbing us of our fathers, brothers, husbands and sons. It’s time to rewrite the narrative of masculinity to one that allows men to take care of themselves and seek help when needed.”

For more information or to support the Men’s Foundation’s upcoming initiatives, visit Brovember.

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