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March 29, 2026Sexuality Gender & Policy0 citationsOpen Access

Deconstructing Masculinity: A Mixed‐Methods Exploration of Health Access and Legal Implications Among Middle‐Aged Men in Yaoundé, Cameroon

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IIIkekhwa Albert IkhileCMCarlos Joel Tchawouo Mbiada

Key Points

  • This study aims to uncover how masculinity and legal aspects affect healthcare access for middle-aged men in Cameroon.
  • Conducted quantitative surveys on health-seeking behaviors and perceptions of masculinity among 60 men.
  • Performed qualitative interviews to gather insights into lived experiences and barriers.
  • Analyzed data to identify systemic constraints affecting healthcare access.
  • 49.9% of men rarely or never seek medical care despite symptoms due to feelings of weakness.
  • 50% report financial constraints as a barrier to healthcare access.
  • 30% express mistrust in healthcare providers.
  • 58.3% lack knowledge of their legal healthcare rights, complicating navigation of the system.
  • 23.3% face restrictive spousal consent requirements for certain medical procedures.

Abstract

ABSTRACT Masculinity significantly influences men's health‐seeking behaviors, yet its intersection with legal frameworks and healthcare access in Sub‐Saharan Africa remains underexplored. This mixed‐methods study investigates how gender norms and structural barriers influence healthcare experiences among 60 middle‐aged men (aged 30–60 years) in Yaoundé, Cameroon. Quantitative surveys assessed symptom‐related health‐seeking behaviors, perceptions of masculinity, and legal knowledge, whereas qualitative interviews provided in‐depth insights into lived experiences and systemic constraints. Findings indicate that hegemonic masculinity norms discourage healthcare utilization, with 49.9% of participants rarely or never seeking medical care despite experiencing symptoms, due to perceptions of weakness and expectations of self‐reliance. Financial constraints (50%), mistrust in healthcare providers (30%), and bureaucratic hurdles (36.7%) were the primary factors further impeding access. Additionally, 58.3% of participants lacked awareness of their legal healthcare rights, limiting their ability to navigate the system effectively. Discriminatory policies, including spousal consent requirements for specific medical procedures (23.3%), further restricted access and reinforced systemic gender biases. These findings underscore the need for gender‐sensitive and legally informed healthcare reforms that address both cultural norms and structural limitations. Key recommendations include expanding male‐friendly health services, improving legal literacy, and streamlining bureaucratic processes. Integrating masculinity‐informed approaches into healthcare policy may foster more inclusive systems, encourage timely healthcare engagement among men, and reduce gender‐based health disparities in Cameroon and similar contexts.

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Cite This Study

Ikhile et al. (2026) studied this question.

synapsesocial.com/papers/69c8c22cde0f0f753b39c5e2https://doi.org/10.1002/sgp2.70053
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