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Dw men's health handouts
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1. Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only. 16/09/2012 Understanding Male Health Understanding male health What do we know about male health? Why is men’s health poorer than it need be? Two examples (obesity and mental health) What works? What needs to be done at the policy level? Understanding Understanding Male Health Male Health What do we know about the health of men?What do we know about • Male life expectancy is lower than female life expectancy male health? • Men are more likely at all ages to develop most of the more serious forms of ill health • For most serious conditions, onset in men tends to occur earlier in the lifespan Understanding Male Health Is the gender gap in life expectancy inevitable? Life expectancy at birth U.K. 2012 (Office for national statistics) Male 78.2 years Female 82.3 years EC data in White A., The State of Men’s Health in Europe. Luxemborg: European Commiss ion; 2011. 1
Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only. 16/09/2012 Understanding Male Health Life expectancy at birth U.K. 2009 (Office for National Statistics) Male Female U.K 77.9 years 82.3 years Kensington & Chelsea 84.4 years 89.0 years Glasgow City 71.1 years 75.5 yearsRate ratio male/female deaths. England & Wales, 2008. ONS data in White A., The State of Men’s Health in Europe.Luxemborg: European Commiss ion; 2011. Understanding Understanding Male Health Male HealthWhat do we believe about the health of men?• Men are less well informed about health than Why is men’s health poorer women• than it need be? Men tend to seek medical help at a later stage than women after the development of symptoms.• Men are less likely to follow advice in relation to the prevention of illness and more likely actively to engage in “risky” behaviour Understanding Understanding Male Health Male Health What do we believe about the health of men? There are only two possible explanations • Men are less well informed about health than 1. Men are less good at taking care of their own women health • Men tend to seek medical help at a later stage 2. Services are less effective in delivering than women after the development of symptoms. advice, support, treatment and care to men • Men are less likely to follow advice in relation to the prevention of illness and more likely actively to engage in “risky” behaviour 2
Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only. 16/09/2012 Understanding Male Health Recall of potential cancer warning signs by sex 100 80 % mentioning Percentages of men and women exhibiting 2/3 or 3/3 risk behaviours, by social class (smoking, harmful levels of alcohol 60 consumption, poor diet) 40 20 0 Women Men Source: Cancer Research UK. Cancer Awareness Measure 2010Rate ratio of male to female cancer incidence 2006 Men may be more likely to delay seeking help for symptoms: International comparison of melanoma rates Greece Greece Portugal Portugal Spain Spain Incidence Rates Death Rates Italy Belgium France Luxembourg Belgium Ireland United Kingdom Italy Luxembourg Germany France Germany Finland Kingdom United Switzerland Ireland The Netherlands Austria Men Finland Switzerland Women Austria The Netherlands Rate per 100,000 DenmarkDenmark Sweden Sweden Norway Norway 20 15 10 5 0 0 5 10 15 20 Source: Health for All database 2003Source: National Cancer Intelligence Network: The excess burden of cancer in men, 2009 Understanding Understanding Male Health Male Health Use of helplines by men Cancerbackup 23% of callers are men Example 1: obesity Roy Castle Lung Cancer Foundation 35% of callers are men Asthma UK 21% of callers are men Most men wear their belts low here, there being so many outstanding bellies, some big enough to have names of their own BUPA Healthline 35% of callers are men and be formally introduced. Those men dont suck them in or * hide them in loose shirts; they let them hang free, they pat them, they stroke them as they stand around and talk. Breast Cancer Care 4% of callers are men Garrison Keillor: Lake Woebegon Days Prostate Cancer UK 26% of callers are women 3
Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only. 16/09/2012 Understanding 66% of men are obese or overweight compared Male Health with 57% of women Obesity increases the risk of: • Men know less about diet and nutrition • Type 2 diabetes • Men are less likely to eat a healthy diet • Heart disease • Men are more likely to drink to • Stroke excess (27% exceed 21 units weekly) • Hypertension Almost all of these conditions • Men are less concerned about • Several cancers are more common in men being overweight • Back pain • Men are more likely to fail to notice that they have become • Joint problems overweight • Sleep apnoea • Men are more likely to deny • Dementia that they have a weight problem • Death in road traffic accidents • Poor sperm quality Understanding Understanding Male Health Male Health 69% of women routinely weighed in primary care, compared with 57% of men Example 1: mental heath 70% female medical records have BMI recorded, compared with 58% of men I climbed to the crest, Like that wound of mine And, fog-festooned, Of which none knew, Far fewer participants in primary care weight loss The sun lay west For Id given no sign programmes are male (10% - 30%) Like a crimson wound That it pierced me through. Thomas Hardy: The WoundAudit of the medical rec ords of 120,000 patients. Counterweight Projec t Team, 2004.Hazardous Waist: tac kling male weight problems. Radc liffe Publishing, 2007. Understanding Almost three quarters of people who kill themselves are men. Male Health 73% of adults who “go missing” from home are men. 90% of rough sleepers are men. Men are three times more likely than women to be alcohol dependent (6% of men are alcohol dependent compared to 2% of women). Men are more than twice as likely to use Class A drugs At any one time, around 20% of women are (4.8% compared to 2% of women) diagnosed with a mental health problem 79% of drug-related deaths occur in men. compared to 14% of men . . . . Men make up 94% of the prison population (72% of male prisoners suffer from two or more mental disorders). Men commit 87% of violent crime (and are twice as likely to be victims). Twice as many male inpatients are detained and treated compulsorily. Men have measurably lower social support from friends and relatives. Boys are performing less well than girls at all levels of education. Over 80% of children permanently excluded from school are boys. 4
Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only. 16/09/2012 Understanding Male Health “ . . . . men often have mental health needs that are distinct from those of women and which are particularly associated with the lived experience of being male. Some of these needs are not being met as effectively as they might. ” Understanding Male Health What works? Men are less Men are motivated motivated about their about their personal personal health healthService providers have Men are less likely to Service providers Men will use health little enthusiasm for use health services or recognise the need and services effectively andmeeting men’s specific take part in public feel positive about the will take part in public needs health programmes challenge health programmes Men seem a Men are responsive dispiriting, expensive and rewarding arget and time-consuming group target group 5
Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only. 16/09/2012 Understanding Male Health What do we know about designing “male-friendly” services? Men will use health services and take part in public health • Taking services out of clinical settings, especially into programmes . . . . workplaces • More flexible opening hours • Making services more streamlined and less bureaucratic . . . . provided they are • Encouragement from spouse, partner, and other relatives effectively designed and friends • Issuing invitations and appointments • “Male-friendly” communications and “marketing”. Understanding Understanding Male Health Male HealthMy wife said I’ve arranged for you to see the doctor . . . . I said, “I haven’tgot time Elsie” . . . . but to cut a long story short, I went – to please her. What needs to be doneWithout my wife I wouldn’t be here. She saved my life. She made me go.And without that visit . . . . . . at the policy level?Sir Bobby Robson on Desert Island Discs, describing his cancer diagnosis 6
Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only. 16/09/2012 2003 – 04 2004 – 05 2005 – 06 2006 – 07 2007 – 08 2008 - 09 National Chlamydia Screening Programme Annual Report 2010 Understanding Understanding Male Health Male Health2010 – 20111,733,271 young people screened36.6% were male(compared with 12.5% in 2004 -05)Positivity rates = 4.6% male, 5.6% femaleIn 2009 8% of all men and 24% of all women in the target population were screened. firstname.lastname@example.org 7