For gender we can look at how African American man who are diagnosis with type 2 diabetes don’t seek treatment and if they do it would be at a later time. According to the book,” African American men bear the largest share of these health inequalities; their lives are shortened primarily by cardiovascular and/or chronic disease, and secondarily by higher rates of violence,” (324). These man don’t seek treatment or health care because it may feel as if they would lose all sense of life if they begin to eat health and not partake in social events like smoking and drinking. They rather don’t seek treatment also because in the African American culture, social construct like masculinity hinder them from accepting what is reality. It state that,”