MEN are, for the most part, seen as the physically stronger gender because they are usually bigger and have more muscle than women. This belief extends to health and oftentimes a man/boy may be thought of as weak or inadequate should he mention illness, and so is encouraged to cover up ‘minor aches and pains’ and keep it moving.

This among other attitudes and values has resulted in men having poor self-care, poorer health practices and ultimately presenting later or not at all for health issues which ultimately leads to poorer outcomes. Believe it or not, men are more likely to experience chronic medical conditions due to different lifestyle and social factors including smoking, alcohol, substance abuse, lack of exercise, stress, conflict resolution and an unhealthy diet.

Further, amidst the tropical beauty of this Caribbean haven, the pursuit of well-being takes centre stage. Join me on this journey as we delve briefly into the distinctive health landscape tailored for Jamaican men.

Prostate health

Now, let’s turn our focus to the prostate, a seemingly small gland that holds considerable influence over men’s health. Recently at a talk including both sexes in the audience on men’s health two questions were posed: When is Breast Cancer Awareness Month and when is Prostate Cancer Awareness Month? Everyone knew that breast cancer month was October but considerably less were even aware that there was a Prostate Cancer Awareness Month (which is September). Prostate cancer is the commonest cancer and cause of cancer-related deaths in Jamaica even more so than breast cancer. So I certainly applaud and endorse all the necessary attention and light that has been shed on breast health and cancer awareness and endorse that even more should be done; but prostate health is still woefully lacking and requires our attention to improve health outcomes. This prevalent concern prompts us to adopt a proactive stance through regular check-ups (an inexhaustible reminder that this is recommended starting at 40 years old). These examinations extend beyond mere screenings; they evolve into collaborative consultations. Conversations delve into individual risk factors, family medical history, and lifestyle intricacies. The goal is not just to detect potential problems but to cultivate a partnership, wherein patients actively contribute to their well-being journey. Embracing a healthy lifestyle becomes pivotal in nurturing optimal prostate health. Imagine it as creating a fertile ground for this vital gland to thrive — a balanced diet, replete with fruits and vegetables, coupled with a routine of regular exercise. This regimen isn’t just about maintaining physical health; it’s about offering the prostate a supportive environment for long-term well-being.

Sexual health

Transitioning to the realm of sexual health, we navigate through cultural nuances that sometimes obscure these essential discussions. Despite the intricacies, creating a safe space for open dialogue is imperative. Beyond the realm of treatments, our conversations span preventive measures and lifestyle choices that positively impact sexual health. Consider it as fostering an environment akin to a heart-to-heart chat, where destigmatising discussions empowers men to comfortably share concerns. The focus broadens beyond specific conditions like erectile function to encompass the entire spectrum of sexual well-being. By addressing these aspects, we pave the way for empowered conversations that contribute significantly to a man’s overall health.

Cardiovascular health

Now, let’s shift our focus to the heart of the matter — cardiovascular health. Beyond the realm of prescriptions, we embark on a journey towards a heart-healthy lifestyle. These discussions aren’t mere directives but a collaborative exploration of choices that transcend medication. Emphasis is placed on the significance of a balanced diet, steering away from saturated fats and sodium, while embracing heart-healthy foods such as fruits, vegetables, and whole grains. Regular exercise is not just a recommendation; it’s an integral part of the prescription for well-being. It’s about empowering individuals to take charge of their cardiovascular health for the long haul. Picture it as a daily commitment to shower your heart with care and affection, fostering a relationship with your cardiovascular health that extends beyond medical interventions.

Mental health

It’s wrong to assume that men don’t struggle simply because they are expected to be strong and silent. Media and television more often portray crying men as something to be scoffed at. Mocking this healthy, human emotional release only serves to discourage men in talking to others about their difficulties and seeking the necessary help. Recent suicide rates in Jamaica show that men are four times (and as high as nine times more in 2006) more likely to do so than women. This is no doubt related to less males seeking medical care and more so for psychiatric disorders because of cultural undertones and the expectation that a man should not show weakness. There is an amusing social media clip currently that says ‘man fi be a man and not no weak jelly back’. As much as I believe in the man being the protector and provider of the family, he shouldn’t have to feel that it is a sign of weakness to open up, display emotions and seek help for depression instead of keeping it in and engaging in unhealthy vices in some cases such as substance abuse.

Venturing into the often underestimated realm of mental health, we recognise the intricate connection between mental and urological well-being. Stress, anxiety, and psychological factors aren’t isolated concerns; they are threads intricately woven into the fabric of holistic health. In our discussions, we traverse beyond medications and treatments, diving deep into stress management techniques, coping strategies, and the pivotal role of seeking support when needed. Mental health is not a standalone entity but an integral part of a man’s overall well-being. Picture it as acknowledging the see-saw effect — when one side is off-balance, the other is inevitably affected. This holistic approach embraces the interconnected nature of mental and urological health, creating a symbiotic relationship that significantly contributes to overall well-being.

Cultural sensitivity

In Jamaica’s vibrant cultural tapestry, health care is not a one-size-fits-all solution; it’s a dance that resonates with the community. As a urologist, understanding and respecting this cultural richness is fundamental. Recommendations aren’t imposed but tailored to align seamlessly with the local ethos. Trust and connection become the cornerstones, ensuring that health advice transcends mere medical guidance to become a relatable and effective part of the community’s well-being journey. This dance between health care and culture is more than just acknowledging differences; it’s about celebrating diversity and fostering an environment where health recommendations feel not only relevant but deeply connected to the fabric of Jamaican life.

Collaborative efforts

Concluding our exploration, let’s shine a spotlight on the collaborative efforts essential in the realm of men’s health. It’s not a solitary pursuit but a communal endeavour that involves doctors, community leaders, and every individual. This collaboration is akin to orchestrating a health festival, where collective efforts spread the message of well-being far and wide. It’s about uniting to organise health events, disseminate crucial information, and create a ripple effect of awareness and care. In this collaborative tapestry, everyone plays a unique part, ensuring that health is not just a personal endeavour but a shared celebration of good health and well-being for all.

Conclusion

In this deep dive into men’s health in Jamaica, the narrative extends beyond the clinical to embrace a holistic approach that resonates with the unique spirit of the island. It’s not merely about treatments; it’s about fostering a culture of understanding, openness, and proactive care. Here’s to a healthier and happier future for the men of this beautiful island!

Dr Jeremy Thomas is a consultant urologist. He works privately in Montego Bay, Savanna-la-Mar and Kingston, and publicly at Cornwall Regional Hospital. He may be contacted on Facebook and Instagram: @jthomasurology or by e-mail: jthomasurology@gmail.com