MEN AND LONG TERM CONDITIONSMartin Tod, CEO, Men’s Health Forum

WHY MEN’S HEALTH?

39.1%

Male deaths – under 75

25.0%

Female deaths – under 75

Source: ONS 2014

WHY MEN’S HEALTH?

19.6%

Male deaths – under 65

12.0%

Female deaths – under 65

Source: ONS 2014

1-4 years 5-19 years 20-34 years 35-49 years 50-65 years 65-79 years 80+ years -

20,000

40,000

60,000

80,000

100,000

120,000

140,000

160,000

180,000

273 884 3,458 10,284

30,990

81,066

111,553

203 509 1,690 6,561

21,550

61,533

165,737

Number of male and female deaths by age

Men Women

WHY MEN’S HEALTH?

Source: 2012 Mortality Statistics. ONS 2013

ALTHOUGH GAP IS CLOSING…

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

64.0

66.0

68.0

70.0

72.0

74.0

76.0

78.0

80.0

82.0

84.0

Life Expectancy at Birth – 1980-2012

Male Female

Male

Female

AND THERE ARE MAJOR INEQUALITIES

England Blackpool / Manchester East Dorset / Purbeck 65.0

70.0

75.0

80.0

85.0

90.0

79.1

74.0

82.9 83.0

79.5

86.6

Life Expectancy at birth – 2010-12

Men Women

Source: ONS

IMPROVEMENT IN THE BIGGEST KILLERS

Circulatory diseases

Cancer Respiratory diseases

0

500

1,000

1,500

2,000

2,500

3,000

3,500

3,130

2,335

981

1,746

2,004

804

Male

2002 2012

Circulat

ory dise

ases

Cance

r

Respira

tory

dise

ases

0

500

1,000

1,500

2,000

2,500

3,000

3,500

1,9451,635

675

1,118

1,471

581

Female

2002 2012

Source: ONS Age-standardised mortality rates (ASMRs) per million population

CANCER MORTALITY

Bladd

er

Bowel

Brain

and

CNS

Kidn

ey

Leuk

aem

iaLive

r

Lung

Mal

igna

nt m

elan

oma

Mye

lom

a

Non-H

odgk

in ly

mph

oma

Oesop

hagu

s

Panc

reas

Stom

ach

-

0.50

1.00

1.50

2.00

2.50

3.00

3.50 2.89

1.65 1.58 2.01

1.70 1.92 1.53 1.62 1.42 1.54

2.89

1.27

2.21

Male to female cancer mortality ratio (all ages)

Source: CRUK, Mortality rate ratios are European age-standardised, of male to female cancer mortality (excluding NMSC), UK, 2010.

SUICIDE

10 14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90-94 95+ -

50

100

150

200

250

300

350

400

5

78

213 224

252

285

367 372

311

250

169

126

81 65 59

43

15 6

Male Female

Source: 2012 Mortality Statistics. ONS 2013

LONG-TERM CONDITIONS

Now let’s talk about your long-term

condition…

SELF-REPORTED LTCs INCREASE WITH AGE

18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 to 84 85 or over0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

28%32%

41%

54%

69%

82%

90% 92%

30% 31%

39%

50%

66%

79%

89%93%

Do you have a long-standing health condition?

Male Female

Source: GP Patient Survey, July 2014

LTCs – MAJOR MALE WORKFORCE ISSUE

Source: GP Patient Survey, July 2014

SELF-REPORTED LTCs – % OF MEN REPORTING

Alzheimer's disease or dementiaBlindness or severe visual impairment

EpilepsyKidney or liver disease

Learning difficultyLong-term neurological problem

I would prefer not to sayCancer in the last 5 years

Deafness or severe hearing impairmentLong-term mental health problem

Angina or long-term heart problemDiabetes

Long-term back problemAsthma or long-term chest problemArthritis or long-term joint problem

Another long-term conditionHigh blood pressure

[Combined LTCs]

0% 10% 20% 30% 40% 50% 60%0%1%1%2%2%2%2%

3%4%5%

6%9%

10%10%10%

12%19%

54%

Source: GP Patient Survey, July 2014

MAIN DIFFERENCES IN SELF-REPORTED LTCs – DIABETES AND ARTHRITIS

Sour

ce: G

P Pa

tient

Sur

vey,

July

201

4

Medical condition MaleFemale

Men

more than women

Diabetes 9% 6%Angina or long-term heart problem 6% 4%High blood pressure 19% 18%Learning difficulty 2% 1%Deafness or severe hearing impairment 4% 4%Kidney or liver disease 2% 1%Epilepsy 1% 1%I would prefer not to say 2% 2%Cancer in the last 5 years 3% 3%

Same Long-term neurological problem 2% 2%

Women

more than men

Alzheimer's disease or dementia 0% 1%Blindness or severe visual impairment 1% 1%Long-term mental health problem 5% 5%Long-term back problem 10% 10%None of these conditions 42% 43%Another long-term condition 12% 13%Asthma or long-term chest problem 10% 12%Arthritis or long-term joint problem 10% 16%

AND WHAT ABOUT MND?Text ICED55 £5 to 70070

MOTOR NEURONE DISEASE– EARLIER & HIGHER MALE MORTALITY

15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90-94 95+ -

50

100

150

200

250

Mortality from Motor Neurone Disease

Male Female

Source: ONS: Deaths registered in England and Wales, 2012

SIGNIFICANTLY HIGHER INCIDENCE• Between 1990-2005, The rate of MND in men was 54% higher than in women

• The lifetime risk of MND, adjusting for competing causes of death, was 1 in 472 (2.1 per 1000) in women and 1 in 350 (2.9 per 1000) in men. 

Alonso, A., Logroscino, G., Jick, S. S. and Hernán, M. A. (2009), Incidence and lifetime risk of motor neuron disease in the United Kingdom: a population-based study. European Journal of Neurology, 16: 745–751. doi: 10.1111/j.1468-1331.2009.02586.x

WHAT HAPPENS IF YOU REMOVE THE BARRIERS?

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Wang Y et al. BMJ Open 2013;3:e003320©2013 by British Medical Journal Publishing Group

MEN ARE LESS LIKELY TO CONSULT GPs THAN WOMEN

ALTHOUGH WITH LTCs THE GAP CLOSES

LTC No LTC0%

10%

20%

30%

40%

50%

60%

70%

80%

61%

32%

68%

51%

Visited GP in the last 3 months

Male Female

Source: GP Patient Survey, July 2014

LTCs – ALSO NHS RESOURCE ISSUE

LTC54%

DK3%

% men overall

LTC69%

DK2%

% men visiting GP in last 3 months

Source: GP Patient Survey, July 2014

IS IT JUST ABOUT RESOURCES?

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nd C

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" by

Will

iam

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er C

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ND

2.0

POOR MANAGEMENT OF LTCs CAN WRECK LIVES

Amputation of leg Amputation of foot

-

500

1,000

1,500

2,000

2,500

3,000

3,500

4,000

3,521

1,020

1,743

307

Male Female

• 49% of amputations diabetes related

• 80% preceded by a (preventable) foot ulcer

• White men living in poorer areas are the group with the highest risk of diabetes-related amputation

Source: Hospital Episode Statistics for England’s Inpatient statistics 2012-13 via Diabetes UK