Traditional Masculinity and Health Literacy: A Study of Young Adult Men Attending a Primary Healthcare Setting in the Western Cape, South Africa

Authors

DOI:

https://doi.org/10.25159/2412-8457/18979

Keywords:

health literacy, Male Role Norms Inventory-Short Form (MRNI-SF), South Africa, traditional masculinity, young adult men

Abstract

This study examined the endorsement of traditional masculinity ideology (TMI), health literacy (HL), and the relationship between TMI and HL among young adult men attending a peri-urban primary healthcare clinic in the Western Cape, South Africa. Using a quantitative cross-sectional design, 407 cisgender young men (aged 18–25 years, M = 21.8, SD = 1.5) completed the Male Role Norms Inventory–Short Form, Health Literacy Questionnaire, and a socio-demographic questionnaire. Descriptive analyses revealed the highest endorsement of traditional masculinity norms related to self-reliance and toughness, with dominance being endorsed the least. Some socio-demographic differences in TMI endorsement were observed. Participants who self-identified as Coloured and those who were of Indian descent endorsed TMI more strongly than participants who identified as Black and White. Heterosexual participants also endorsed TMI much more significantly than participants who were sexual minorities. HL ranged from average to above average, with the lowest levels on feeling understood and supported by healthcare providers and the highest endorsement on understanding health information. Significant negative correlations were found between TMI, the ability to find health information, and understanding health information. These results suggest that TMI may influence health literacy, particularly in relation to seeking and applying health information.

Author Biographies

Jarred H. Martin, University of Pretoria

Jarred H. Martin                                                    

https://orcid.org/0000-0001-7406-147X                   

Department of Psychology

University of Pretoria                                                

South Africa                                                               

jarred.martin@up.ac.za

Sonja N. Mostert , University of Pretoria

Sonja N. Mostert      

https://orcid.org/0000-0002-6762-6994

Senior Lecturer

Department of Psychology                                     

University of Pretoria

South Africa

 

H. Ruby Arrenbrecht

Ruby Arrenbrecht

Independent Researcher

Western Cape, South Africa

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Published

2026-05-28

How to Cite

Martin, Jarred H., Sonja N. Mostert, and H. Ruby Arrenbrecht. 2026. “Traditional Masculinity and Health Literacy: A Study of Young Adult Men Attending a Primary Healthcare Setting in the Western Cape, South Africa”. Gender Questions 14 (1):21 pages . https://doi.org/10.25159/2412-8457/18979.

Issue

Section

Articles
Received 2025-02-20
Accepted 2026-04-23
Published 2026-05-28