Why Men Die Young

Being a man, it turns out, is hazardous to your health.

Sure, they are the ones who fight our wars, and battle poses its share of dangers. Young males are also often risk-takers just for the thrill of it, and their predilection for highs has its lows, rendering them more likely to die than young women.

But subtract the excesses of youth and a stark fact remains: At every age and stage of life, men die sooner than women do. "Men die young, even when they're old," screamed the news bulletin that flashed across my computer screen.

Take one example. In 1998, the latest year for which such information is available, among persons over 65 years of age, 4,655 white men and 132 African-American males committed suicide. By contrast, 902 white women and 20 African-American women committed suicide that year.

OK, subtract suicide. Men in their 60s are still 1.68 times more likely to die as women, mainly due to disease.

The gender gap in deaths is not just an American thing. A new study across 20 countries reveals that men carry a disproportionate risk of premature death everywhere, in Ireland and Australia and Singapore and El Salvador. The gender gap, on the rise since the 1940s, has only grown bigger in recent years.

No one is sure why it exists in the first place. Is there something about the Y chromosome that makes men vulnerable? After all, men get an X and a Y while women get two Xs, and the second X provides just a lot more genetic duplication than can fit on a Y chromosome. Still, genetic explanations of complicated behaviors have been fashionable over the past decade, but seldom do they pan out.

However, tantalizing clues emerge from other studies, especially ones that include information about social support. Social support is known to reduce stress and improve mental and physical health. The effect of social support is so great that lack of a social network has been called at least as powerful as smoking as a cause of death.

Researchers who recently looked at suicidal thinking among seniors -- even among seniors who have endured lifelong social inequality -- find that those who have active or passive thoughts of suicide are less likely to have the support of a confidante. They are also less likely to get support from strong religious or spiritual beliefs.

The sexes differ dramatically in social support. Quite simply, men are more competitive, which limits support, and women are more cooperative.

The cost of competition between men could be their longevity.

Although men sometimes ridicule them for it, women tend to develop social networks and confiding relationships that they can call on in times of stress. These may literally be lifesaving.

It has long been thought that women's predilection for social support may be a necessary outgrowth of raising children. Nurturing by definition requires tending to the needs of another.

But it turns out that the human brain -- men's as well as women's -- is wired for cooperation.

Scientists at Emory University in Atlanta took brain scans of real people in situations where they could choose to cooperate or gain an advantage by betraying each other (not to worry: it was a game, called prisoner's dilemma). The scans show that people cooperate because it feels good to do so.

When they do, they activate nerve circuits that are basic parts of the brain's reward system. These are same circuits that get turned on in addictions to recreational drugs and such other pleasures as sex and eating and achieving important goals.

"Our study shows, for the first time, that social cooperation is intrinsically rewarding to the human brain, even in the face of pressures to the contrary," said research psychiatrist Gregory S. Berns, M.D., Ph.D. "It suggests that the altruistic drive to cooperate is biologically embedded -- either genetically programmed or acquired through socialization during childhood and adolescence."

In short, cooperation activates a reward circuit, and this activation may feel so good that it prompts people to override later temptations to take advantage of others.

Dr. Berns and his team are looking forward to further exploring the neural basis of social bonds. As one of them said, "It may help us define why wars are fought and loves are lost."

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