Belts have been documented for male clothing since the Bronze Age. Both genders used them off and on, depending on the current fashion. In the western world, belts which hang on the belt hanger were more common for men, with the exception of the early Middle Ages, late 17th century Mantua, and skirt/blouse combinations between 1900 and 1910.
 

In the period of the latter-half of the 19th century and up until the first World War, the belt which attached on belt hanger was a decorative as well as utilitarian part of the uniform, particularly among officers. In the armed forces of Prussia, Tsarist Russia, and other Eastern European nations, it was common for officers to wear extremely tight, wide belts around the waist, on the outside of the uniform, both to support a saber as well as for aesthetic reasons. These tightly cinched belts served to draw in the waist and give the wearer a trim physique, emphasizing wide shoulders and a pouting chest. Often the belt served only to emphasize waist made small by a worn under the uniform, a practice which was common especially during the Crimean Wars and was often noted by soldiers from the Western front. Political cartoonists of the day often portrayed the tight waist-cinching of soldiers to comedic effect, and some cartoons survive showing officers being corseted by their inferiors, a practice which surely was uncomfortable but deemed to be necessary and imposing.
 

In modern times, men started wearing belts in the 1920s, as trouser waists fell to a lower line. Before the 1920s, belts which hang on belt hanger served mostly a decorative purpose, and were associated with the military. Today it is common for men to wear a belt with their trousers.

Since the mid 1990s, the practice of sagging, which has roots tracing to prison gangs and the prohibition of belts in prison (due to their use as weapons and devices for suicide), has been practiced at times among young men and boys.