Page 14 - Bophelo - Edition Two | March 2025

Socio-Economic Pressures and Access to The Social Stigma Around Men’s Health
Healthcare
Societal standards in South Africa often expect men to
In South Africa, access to healthcare is deeply embody strength, resilience, and self-sufficiency. This
inequitable, with a considerable gap between private societal expectation contributes to the notions around
and public healthcare systems. For men from lower- men’s health issues, especially chronic illnesses like
income households or under-resourced areas, diabetes diabetes. Admitting to having a disease that requires
management can be a challenge. Access to medication, ongoing care and lifestyle changes can be perceived as
monitoring equipment, and regular medical consultations a sign of weakness. As a result, many men delay seeking
is limited, leading to poorer outcomes. help, downplaying symptoms, or ignoring the need
for medical intervention altogether. This reluctance
Moreover, the economic implications of diabetes are to prioritise health is partly cultural, but it is also
substantial, both at the individual and societal levels. fuelled by fear of judgment and a lack of awareness
Men with diabetes may experience reduced productivity about diabetes and its long-term implications.
due to fatigue and other symptoms, leading to income
loss. This impacts not only their livelihoods but also that The stigma around men’s health can also lead to isolation.
of their dependents, contributing to a cycle of poverty. Diabetic men who experience complications like erectile
The financial strain of managing diabetes can create dysfunction or other physical limitations often avoid
further stress, which in turn exacerbates health conditions, discussing these issues due to shame or embarrassment.
especially given that stress is a known factor in worsening This isolation can lead to depression and a sense of
diabetes symptoms. helplessness, creating a vicious cycle that impacts both
mental and physical health. Encouraging a shift in cultural
norms, where health is seen as a priority rather than a
vulnerability, is essential in changing the narrative for men
with diabetes.
12 THE SOUTH AFRICAN MEDICAL RESEARCH COUNCIL
The Importance of Education, Awareness, reducing the feeling of shame and ensuring that men from
all walks of life have access to the care they need.
and Physical Activity
Regular physical activity, at least 30 minutes of moderate-
Education is key in managing and preventing diabetes intensity exercise five times a week, is a cornerstone of
among South African men. For many, a lack of knowledge diabetes prevention and management. Exercise helps to
about the causes, symptoms, and management of regulate blood sugar levels, improve insulin sensitivity, and
diabetes leads to late diagnosis and inadequate control. maintain a healthy weight and a healthy image. Exercise
Raising awareness about the importance of regular also helps to reduce stress, anxiety, and depression, which
medical check-ups, healthy eating, and physical activity are common among men dealing with chronic illnesses
can be transformative in preventing the onset of diabetes like diabetes. Community-based exercise programs and
or managing its effects. support groups can also provide a sense of camaraderie
and motivation, encouraging men to stay active and
Educational programs targeting men should also focus prioritise their health.
on breaking down stereotypes and encouraging open
discussions about health. Men’s health initiatives can A Path Forward:
be introduced at workplaces, community centres,
and through social media campaigns, emphasising Creating spaces where men feel empowered to talk openly
that seeking help and prioritising health are about their health, seek medical advice, and make informed
strengths and not weaknesses. Peer support groups lifestyle changes is essential. This shift not only benefits
and mentorship programs can also provide men with individual men but also has positive impacts on families
the resources and community support they need to and communities, creating a ripple effect that can transform
tackle diabetes without fear of judgment. society. South African men face numerous challenges, but
with a stronger support system, better healthcare access,
Community-based interventions, such as mobile health and a focus on education, the fight against diabetes can be
clinics and culturally relevant health education programs, won.
can reach men who might not otherwise engage with the
healthcare system. By integrating diabetes management In reimagining men’s health, South Africa has an opportunity
with other community services, these programs can to address the silent yet pervasive threat of diabetes,
provide men with a comprehensive support network, ultimately building a healthier, more resilient nation.
THE COMMUNITY ISSUE 13