Its mostly stress and no checkups. People be talking about how if a man isn't making x amount of dollars hes a loser so you have dudes working 12-16hr days, multiple jobs.
No time to sit with a counselor so he just drinks some beer until he has a bit of a buzz and his mood lifts or else he tunes into church for an hour or two on Sunday.
No time for sleep so he just drinks a coffee with a couple shots of espresso.
Can't go to sleep so he drinks some hard liquor and washes it down with a sleeping pill.
Back is hurting? No time to go to the doctor. Just take some pain killers and slap an icy hot patch on it and keep going.
Culture admires men who live like this and women romanticize these men because of what this sacrifice can do for them financially. Its like the old saying goes 'men fall in love with the person, women fall in love with the lifestyle' a man will drop dead working himself to the bone so his wife won't have to and then she's old and alone and them kids are probably spoiled or don't have time to visit their mother because the cycle has been passed down to them. They are now working so hard they can barely see their own mother.