© Centre For Advancement Of Men’s Health Overview Understanding & Engaging Males Understanding & Engaging Males For better health Outcomes by Bernard

© Centre For Advancement Of Men’s Health

OverviewOverview Understanding & Engaging Males Understanding & Engaging Males

For better health OutcomesFor better health Outcomes

by

Bernard Denner MACAMen’s Health Educator/Advocate

Centre for Advancement of Men’s Health (CAMH)

Mildura Vic.

www.mannet.com.au

[email protected]


mannet.com.aumannet.com.auwebsite of CAMH/Men’s Health

Averages monthly;

Up to 80,000 hits & 11,250+ sessions

Rated 2001 top 15% of 1.7m www domains

‘Mannet’ ranked No 2 …All Web…2004

““Who said men weren’t interestedWho said men weren’t interested

in their health”in their health”


Because 'Men are Different’...• Men's Health comes in all shapes and sizes.

• Men have different needs, at different times in their lives.

• They experience different outcomes even for the same problems whether that is their physical health or general wellbeing.

• Men react differently to life issues such as separation, divorce, death, work pressure, unemployment, early retirement, sex, relationships with theirpartner and kids

•


Because 'Men are Different’...• Men don't all barrack for the same football team

• We even like our women different,. not all men like blonds or big breasts.........

so men are different.

Sometimes we need to understand how… different men really are

and do things a bit different.


'Men are Different’

'Men's Health comes in all shapes and sizes.

• Men have different needs, at different times in their life. They experience different outcomes even for the same problems whether that is their physical health or general wellbeing.

• As men we react differently to life issues such as separation, divorce, death, work pressure, unemployment, early retirement, sex, relationships with their partner and

kids and as we know we don't all barrack for the same football team.........

…so men are different

• Sometimes we need to understand how different men really are and do things a bit

different.


Other Factors

Competitive Society…with Expectations

Workplace Status

Income/Car you drive

Family Unit…Partner & Kids

Your mortgage & SIZE of HOME

This is can also be the case for Women in Workplace


We need to UNDERSTAND…

WHO ARE MEN?


Skilled / Unskilled / Seasonal

Partner / Husband

Separated / Divorced / Single

Son / Brother / Father /Grandpa

Gay/Bi

World War II Veteran

Vietnam / Iraq/ Gulf Veteran

Actor/Model


Professional / Business Man

Doctor/Nurse/Health Worker

Unemployed / Retired

Student

Indigenous

Farmer / Grower


Men’s Health…What is the ISSUE?Men’s Health…What is the ISSUE?• It’s NOT JUST about Disease• It’s NOT JUST about Injury• It’s NOT so much about WHO Men AREIt’s ABOUT…Early Intervention to reduce• Premature Death & Morbidity• Depression for Whatever• His ‘Inability’ to Cope with LOSS

•The LOSS of a Good Bloke for No APPARENT reason


Most people assume that men, by virtue of their economic

advantages in society, must be correspondingly healthy.

Those who look at the health statistics of western cultures know that being male can be a risk factor for premature

mortality from infancy through to old age.

Despite the efforts of the health care industry to raise

men’s awareness and participation in attending to

their own health needs, men continue to be very poor

consumers of health care services.1

Dr David Bowering…BC Canada 2001


Understanding Men’s Health

We need to UNDERSTAND

WHY MEN GET INTO TROUBLE

It’s not just as Simple…

as Being Male

Men’s Health CAN BE… Time Bomb



Life Expectancy of the average man

Male

FemaleAustralia 78.5 (CA 75.7) 83.3 (82.41)

ACT 79.9 84

Vic 79 83.6

NSW 78.5 83.3

Queensland 78.3 83.2

SA 78.3 83.2

WA 78.8 83.8

Tassie 77.2 82.4

NT 72.5 72.7

Indigenous 60 65

Source: Victorian Burden of Disease Report


MALE CAUSES OF DEATHMALE CAUSES OF DEATH

ABS 2002 … Mortality Atlas Australia

Cause (1997-2000) Males Femalesdeaths per 100,000 persons (comparison)

Cancers 237.8 146.7

Heart Disease 190.0 119.9

Strokes 65.9 65.8

Lung Diseases 46.6 23.2

Accidents 35.6 17.7

Self Harm 21.9 5.5


AUSTRALIAN MORTALITY RATESAUSTRALIAN MORTALITY RATES Northern Territory – 2003

15-24 years

Cause of Death Males Females

Cancer 0 0

Drugs 0 0

Suicide 13 0

Transport Accident N/A N/A

Source: ABS Causes of Death 3303.0 2003

N/A – Statistics not available for publication



25-44 years


Cancer 10 6

Drugs N/A 0

Suicide 19 0

Transport Accident 19 N/A





45-54 years


Cancer 21 16

Ischaemic Heart Disease 14 N/A

Suicide 3 N/A

Transport Accident N/A 0





55-64 years


Cancer 25 15

Ischaemic Heart Disease 16 3

Stomach Cancer 12 3

Lung Cancer 6 N/A




LIFE EXPECTANCY

Northern Territory

Males Females

Darwin 76 81

Northern Territory- Boulder 68 73


Typical Community … Typical Community … MORTALITY MORTALITY RATESRATES

2005 FEMALES

1 Heart disease

2 Stroke

3 Dementia

4 Breast Cancer

5 Colon/Rectum Cancer

6 Lung/Pulmonary

7 Diabetes

8 Lung cancer

9 Stress (HBP)

10 Vascular disease

MALES

1 Heart disease

2 Lung cancer

3 Stroke

4 Lung/Pulmonary

5 Prostate Cancer

6 Colon/Rectum Cancer

7 Diabetes

8 Stress (HBP)

9 Dementia

10 Suicide


MALE CAUSES OF DEATHMALE CAUSES OF DEATH

ABS 2003 … Mortality Atlas Australia

Cause (1997-2000) Males Femalesdeaths per 100,000 persons (comparison)

Cancers 237.8 146.7

Heart Disease 190.0 119.9

Strokes 65.9 65.8

Lung Diseases 46.6 23.2

Accidents 35.6 17.7

Self Harm 21.9 5.5


ABORIGINAL / TORRES STRAIT ISLANDERS

HEALTH STATISTICS… Life Expectancy

Indigenous Males FemalesSouth Australia 61.0 64.6

Western Australia 57.3 63.7

Northern Territory 56.7 61.1

Other

Australia 78.5 83.3

Indigenous Australia 60.0 65.0

Source: Anderson et al. 1996 & ABS2003


ABORIGINAL / TORRES STRAIT ISLANDERS HEALTH STATISTICS

Death Rates are higher for Indigenous people… Top 5

•Circulatory Diseases – includes heart disease

•Respiratory Diseases – includes pneumonia

•Injuries – includes road traffic accidents

•CVD diseases – includes diabetes

•Suicide

Source: Australia’s Health 1998


ABORIGINAL / TORRES STRAIT ISLANDERS HEALTH STATISTICS

RISK FACTORS

Overweight and obesity

Indigenous people are more likely than other Australians to be classified as obese based on their body mass index (BMI).

Cigarette Smoking

Indigenous adults are about Twice as likely to smoke

AlcoholIndigenous people are more likely to drink at unsafe levels.

Source: Australia’s Health 1998


Considering the whole population in the Rural WA, the major causes of death and illness include:

• Heart Disease

• Stroke, • Chronic obstructive lungs • Depression • Lung cancer


Health determinants of impact • Harmful alcohol consumption• Smoking • Overweight and obesity• Poor nutrition • Physical inactivity • Risk and protective factors for mental

health….EG.STRESS

Comparison to urban populations, rural and remote populations in SA will have greater death and illness due to

injury


EARLY MORTALITY RATESEARLY MORTALITY RATES

FROM

Preventable Diseases

Through Early Intervention

Screening & Education

= Preventable Outcomes


OTHER ISSUES THAT IMPACT ON OTHER ISSUES THAT IMPACT ON

MEN’S HEALTH/WELLBEINGMEN’S HEALTH/WELLBEING

• Depression/Sense of ‘Despair’

• Uncertainty …’Who am I’…MID-LIFE

• Impact of Work…range of issues

• Professional Support

• Future…retirement /kids/self

• Work/Family/Relationships/Health


Other Facts…Other Facts…

Male Health…Male Health…

…is it that SIMPLE


PROSTATE DISEASEPROSTATE DISEASE•12,000 will be Diagnosed next 12mths

•3,000 will die

•Australia 3rd highest in world


The Engine Room for Blokes


DIAGNOSEDIAGNOSE

1. Digital Rectum Examination(DRE)

2. Prostate Specific Antigen(PSA)

3. Explore under General

Wait and see…if you dieWait and see…if you die


TREATMENTTREATMENT

1. Wait and see

2. Surgery

3. Radiotherapy

4. Hormones

Prevention…

Latest research…

Masturbation or Plenty of Sex

2.


Accepted LevelsAccepted LevelsInternational Prostate Symptom Score International Prostate Symptom Score

(IPSS)(IPSS)

1. Mild… 0 - 7

2. Moderate…8 -19

3. Severe … 20 - 35

After 20 do you want to WAIT & SEEAfter 20 do you want to WAIT & SEE


RECOGNIZE TESTICULAR CancerRECOGNIZE TESTICULAR Cancer

• Abnormal swellings • Self assessment in the shower• GP Appointment• Partner examination, best outcome.

• THREE Lumps is ONE too many!


The… PAP SMEAR vs. Digital• Pap Smear For Women…a MUST

• So WHY is it so HARD for BLOKES

• Cancer KILLS…Early Intervention…Reduces the RISK

Get Over It!!…Get it DONE.. ‘BE a MAN’


IMPOTENCEIMPOTENCE

SEXUAL DYSFUNCTIONSEXUAL DYSFUNCTION

‘‘It Doesn’t Work’It Doesn’t Work’

Grumpy OLD Man Problem


IMPOTENCE/SEXUAL DYSFUNCTIONIMPOTENCE/SEXUAL DYSFUNCTION

• A recent survey found that 39% of men have problems with erections.*

• Impotence affects one in 10 men over the age of 21 and can lead to embarrassment and frustration for sufferers.

•Contributing factors to impotence may be;

anxiety or depression.

* Australian men aged 18-91, Aust. Study Chew K.K., et.al Int. J. Impotence Res. 1997; (supp 1) Abstract


Some conditions that maybe Some conditions that maybe associated with impotence are…associated with impotence are…

•heart disease or diabetes,

•circulatory problems,

•prostate cancer.

& WORK & STRESS

•Lifelong Partner Syndrome

# Partner's of affected men; Attitudes relating to erectile dysfunction. Prof. Doug Lording, et al., Australian Society of Impotence Medicine.


•Percentage of Australian men who have mild erectile dysfunction … 19%

•Percentage of US men who have mild erectile dysfunction … 31%

•Percentage of German men who suffer from premature ejaculation … 12.5%

•Percentage of American men who suffer from premature ejaculation … 28% Source: Sex and Relationships,

www.menshealth.com


.• 50% of men think about

sex at work but are too tired to Perform after work…60% say work is more demanding

Don’t Complain…go home lunchtime

Or have a drink of water before going to bed!!


WHAT’S WHAT’S DEPRESSION?DEPRESSION?


Factors that can impact on men

Future / Unemployment

Divorce / Separation

Workplace Stress

Sense of Achievement

Sexuality / Intimacy

Parenting


CAUSES OF DEATH - 1999CAUSES OF DEATH - 1999 SuicideSuicide

NationallyNationally MalesMales FemalesFemales % % differencedifference

25-44 years of age

934 220 424

45-54 years of age 312 97 321

VictoriaVictoria25-44 years of age

213 53 401

45-54 years of age 67 18 372


DEPRESSIONDEPRESSION

In my opinion…In my opinion…

What Really Kills Men:What Really Kills Men:

• Divorce/Separation

• Unemployment/Loss of Income

• “Mortgage”

•Sense of Loss…SelfSense of Loss…Self

•Loss of Purpose in Life...Loss of Purpose in Life...


Message to Blokes‘Shit happens‘Shit happens

• Talk to someone• Don’t self diagnose• Seek ‘help’• It’s NOT Weakness to be Sick or Vulnerable• Seek Financial Support if ‘things are rough’• Solutions & its going to be Better…

Is just Around the Corner

…be there to Enjoy It



Sample of answersSample of answersWhat makes you feel ….. depressed or ordinary?What makes you feel ….. depressed or ordinary?

WORKWORK Men Women

Uncertainty of Employment 30% 15%

Retirement 7% 7%

Uncertainty of Future 15% 15%

Stress / Tension 38% 30%

Isolation 7% 5%

Management 23% 10%

I’m happy with my work/income 30% 40%


Pressures at work can causePressures at work can causeplenty of stressplenty of stress

• Make sure you take a lunch break - every working day

• Learn to be less than perfect

•Take a walk each day - this is a great ‘de-stress’

• Put things into perspective - will it really matter in five years, or even next

week

• Keep a sense of humour

• Take a ‘Refresher’ break

•Talk to Peers about Other THINGS

•Learn to REFER clients on


HINTS TO AVOID STRESSHINTS TO AVOID STRESS

• Identify events that leave you mentallyIdentify events that leave you mentallydraineddrained

• Don’t always commit yourself to otherpeople’s expectations

• Don’t react to imagined insultsDon’t react to imagined insults

• Don’t dwell on past mistakes

• Don’t bottle up anger and frustrationDon’t bottle up anger and frustration

• Set aside part of each day for recreation

• Don’t be an aggressive car driverDon’t be an aggressive car driver

• Don’t let people rush you


FORFOR

RELATIONSHIPSRELATIONSHIPS

PARENTING PARENTING

& HEALTH& HEALTH



Simple solutions for Males

…because sometimes WE Forget that the simplest

things can work.



RELATIONSHIPSRELATIONSHIPSWhat’s ImportantWhat’s Important• Communication• Connection• Understanding the other person• Real feelings• Mateship• Friendship• Supportive But not always Fixing• Consideration• Affection• Above all….. that they know your LOVEAbove all….. that they know your LOVE


TIPS FOR LONG TIPS FOR LONG RELATIONSHIPRELATIONSHIP

GOALS - Short Term:GOALS - Short Term:

WeekendsWeekends

Movies Once a MonthMovies Once a Month

KidsKids

Work FutureWork Future

RenovationsRenovations


TIPS FOR LONG RELATIONSHIP (cont.)TIPS FOR LONG RELATIONSHIP (cont.)

GOALS - Medium Term:GOALS - Medium Term:

Trips AwayTrips Away

Romantic WeekendsRomantic Weekends

Buy Something For ThemBuy Something For Them

Investments TogetherInvestments Together

House/WhereHouse/Where

Plan 5 Years Ahead For General StuffPlan 5 Years Ahead For General Stuff


TIPS FOR LONG RELATIONSHIP (cont.)TIPS FOR LONG RELATIONSHIP (cont.)

GOALS - Long Term:GOALS - Long Term:

Semi RetirementSemi Retirement

RetreatRetreat

Overseas TripOverseas Trip

Trip Around AustraliaTrip Around Australia

GrandchildrenGrandchildren


TIPS…Affection & MORE TIPS…Affection & MORE SEXSEX

Use Mobile…ET Phone HomeUse Mobile…ET Phone Home

DinnersDinners

SurprisesSurprises

Flowers

Date

Plan Little Things

Attend Kids Sport/FunctionsAttend Kids Sport/Functions

Stuff Around The House Stuff Around The House

eg: Vacuum, Ironingeg: Vacuum, Ironing


Romance;Romance;

It’s the Thought that counts

(EVEN …without an occasion)

-flowers

- phone call/text/email- touch/stroke

-wordsfor Men and Women


TIPS FOR Partner SurvivalTIPS FOR Partner Survival

Make Love…Good sex regularlyKiss your partner with Passion Romance your partner X 2ayear Dinner with Family once a week Timeout from work for SELF & Family Be NICE…most of the time

YES…YES…means Relationships GROWmeans Relationships GROW


Males Play an Important Role


Parenting ..... Is a PartnershipParenting ..... Is a Partnership

Don’t undermine each other

Set ... Rules...Standards

& Expectations Together


ROLE MODELLING AT ROLE MODELLING AT HOMEHOME

We are responsible for changing

and modifying unacceptable

behaviour.

We are responsible for developing

good social behavioural

outcomes.


TIPS FOR PARENTINGTIPS FOR PARENTING Clear Rules Clear Standards Set Standards Set Attitudes Set Parenting Limits

Helps to make Parenting Easier... Helps to make Parenting Easier... even for Separated Parentseven for Separated Parents

Kids see Parenting as...LOVE Kids see Parenting as...LOVE (later in life…sucks now)(later in life…sucks now)

Remember All Kids need Boundaries

PositiveDiscipline


Divorced Parenting Divorced Parenting

Don’t undermine the other parent

Set ... Rules…Standards

Plan stuff/holidays/their space

Keep to the rules

Have fun with the kids

Understand their CONFUSION

Remember…it will be hard


Everyone has a …NANNY AT Everyone has a …NANNY AT

HOMEHOME

The Fridge...The best place for

Rules & Deals


The GoodThe Good

The The BadBad

And... The The UglyUgly

Great activity to Understand our relationship with our kids (or partner)…no

Debating just Reflection


A HUNDRED YEARS FROM NOWIT WILL NOT MATTER WHAT…

MY BANK ACCOUNT WAS,THE SORT OF HOUSE I LIVED INOR THE KIND OF CAR I DROVE.

BUT THE WORLD MAY BE BETTERBECAUSE I WAS IMPORTANT

IN THE LIFE OF A CHILD.Forest Witcraft

“Within my Power”Scouting Magazine

October 1950


Men’s Health:

MAN MODEL Health PromotionMAN MODEL Health Promotion

Developed & Founded by Bernard Denner

Centre for Advancement of Men’s Health (CAMH)affiliates

Centre for Rural & Regional Health Education (CRRHE)

Men’s Awareness Network(MAN)mannet.com.au

12th year

commencing with our programMAN….Being a Father


The Centre for Advancementof Men’s Health (CAMH)

is committed to a best practice model of health

promotion in furthering opportunities for men

and adolescents in their local environment to

take responsibility for their own

health, wellbeing and welfare


…is a model of Early Intervention and Health Education that seeks to improve

and create pathways for men (and adolescents) to better access the Health

Care System…earlier

The MAN Model of Health Promotion


The MAN model has developed a pathway

for the education and empowerment of men to

deal with their health needs preventively

rather than reactively.

Pathways to Men


The MAN Model develops opportunities for men…

• to discuss their health concerns

•to understand male health/wellbeing

in a Male setting or as Aussies say …

’Bloke friendly’ at:Pubs/Hotels

Sporting Clubs

Workplaces

or in the Paddock


MAN Model.MAN Model. Men’s Health Sessions…examplesMen’s Health Sessions…examples

to date over 25,500+ men across Australia/Canadato date over 25,500+ men across Australia/Canada Attended % Male

Population Daylesford 180 Regional…

20% Ouyen 330Remote/rural… 75% Central Q/land 685 Remote… 50% Nth Territory 112 Very remote…

80% Bendigo 330 Regional…

15% Kalgoorlie 110 Remote…

10% Melbourne 400 Suburb…

5% Kangaroo Valley 105 Boutique Town 15% Canada BC 750 Regional Canada

Blair Athol Coal…Wimmera Water…Walpeup Research Canadian Fire Fighters…Police & Teachers…Council Workers…Remote Doctors…Kalgoorlie

Miners


We need to Break Down BARRIERS

We need to make sure that men, who are not necessarily "at risk" or

require urgent attention, find their appointment worthwhile.

Practitioners sometimes find it difficult to engage men who are not at

risk or presenting with signs of symptoms or illness

You don’t have to be sick to see a Practitioner


Counseling Men

• Men need tips

• Directions…as they won’t ask

• Guide posts or pointers

Don’t assume men will know the answer to their problem


Tell a Bloke the Problem

Most Blokes want to

Fix Problems

Men’s health is about

…Knowing the problem


STEPS TO BETTER STEPS TO BETTER

HEALTH & WELLBEINGHEALTH & WELLBEING

•Regular medical check upsRegular medical check ups•Counselling EARLYCounselling EARLY

•Value of ‘Sharing Issues’Value of ‘Sharing Issues’•Group workGroup work

•Acknowledging there are Issues Acknowledging there are Issues


STEPS TO BETTERHEALTH STEPS TO BETTERHEALTH

Healthy Living Healthy Living

...Can Prevent:...Can Prevent:

Heart Problems/Stroke/Cancers

Stress/Depression/Anxiety

...And Promotes : Living Longer and ...And Promotes : Living Longer and HappierHappier


HEALTHY LIFE STYLEHEALTHY LIFE STYLE Healthy DietHealthy Diet Exercise Feed your Well-beingFeed your Well-being Control of Addictive Habits

Alcohol/Drugs/Cigarettes/Sex/Work? Balance Family /Self/WorkBalance Family /Self/Work

Be addicted to life/love/valuing yourselfBe addicted to life/love/valuing yourself


Don’t letDon’t let

Embarrassment Embarrassment

or or

‘‘I’m Too Busy’I’m Too Busy’

OrOrDepression/StressDepression/Stress

Put Your HEALTH at Put Your HEALTH at …Risk…Risk


1.A substantial decrease in general sex drive.2.Lack of energy.

3.Decrease in strength and endurance.4.A significantly decreased enjoyment in life.

5.Sadness, irritability.6.Erections less strong & lasting.

7.Deterioration in sporting & leisure activities ability.8.Falling asleep after dinner.

9.Decreased work performance.10.Loss of weight too quick

Motor Bike/MG/Younger Woman & New Look

Male Menopause…10 signs


Recognize Your RisksRecognize Your Risks

• General health

•Family history

• Well-being


10 Tips to General Good Health1.Wake up Happy

2.Exercise is good…with a partner 3.Start the day off with a healthy breakfast

4.Make sure you have a good lunch 5.During the day Smile a bit/lighten up

6.When did you have a health check up?7.Healthy diet/exercise/social drinking

8.Time out for yourself and your family9.Think about your health & wellbeing

10. Go to bed happy and you will sleep well


Counselling For MenNeeds to be…

•Relevant

•Constructive

•Meet IMMEDIATE need

•Provide pathways through Issues

Success breeds ConfidenceMen will then journey Hidden

Issues.


Message to BlokesMid-Life Crisis

It’s OK

Better Healthy & Happy

With the

MG or Motor Bike or Mustang

Boat & Fishing

Time Out

ThanOld & Grumpy

Unhealthy & Grumpy

Really OLD & GRUMPY


The Message The Message --

Think about

Your HealthYour Health&&

How to Balance

Work & Work & FamilyFamily


www.mannet.com.au

http://www.mannet.com.au/

Documents

© Centre For Advancement Of Men’s Health Overview Understanding & Engaging Males Understanding & Engaging Males For better health Outcomes by Bernard