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David R. Williams, PhD, MPH

The author is with the Institute for Social Research, University of Michigan, Ann Arbor.

Correspondence: Requests for reprints should be sent to David R. Williams, PhD, MPH, Institute for Social Research, University of Michigan, PO Box 1248, Ann Arbor, MI 48106-1248 (e-mail: wildavid{at}umich.edu).

ABSTRACT

I have summarized in this article data on the magnitude of health challenges faced by men in the United States.

Across a broad range of indicators, men report poorer health than women. Although men in all socioeconomic groups are doing poorly in terms of health, some especially high-risk groups include men of low socioeconomic status (SES) of all racial/ethnic backgrounds, low-SES minority men, and middle-class Black men. Multiple factors contribute to the elevated health risks of men. These include economic marginality, adverse working conditions, and gendered coping responses to stress, each of which can lead to high levels of substance use, other health-damaging behaviors, and an aversion to health-protective behaviors.

The forces that adversely affect men’s health are interrelated, unfold over the life course, and are amenable to change.

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