Awareness

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Awareness Early CVD detectionHealthy
Communities CollaborativeBlackpool 2008

• Ian Banks
• President European Mens Health Forum (thanks to
  Alan White Mike Kirby)

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EDM 661

• SCREENING FOR ABDOMINAL AORTIC ANEURYSMS
• 09.01.2008
• Stoate, Howard
• That this House welcomes the announcement of a
  national screening programme for abdominal aortic
  aneurysms notes the Men's Health Forum's
  campaign on this issue, supported by the
  All-Party Parliamentary Group on Men's Health and
  hon. Members of all parties further notes both
  that in spring 2007 the National Screening
  Committee recommended screening for older men and
  that a successful screening programme has run for
  many years in Gloucestershire and calls on the
  Government to announce a firm timetable for the
  programme's introduction without further delay.

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Life expectancy for men and women2001, by country
Source of dataStatistics in Focus Theme 3 17/2002
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Percentage of deaths inthe 15-44 age bracket
ascompared to total deathsfor men and women
forthe 44 countries
Source Patterns of EU Male Mortality, Prof.
Alan White, centre for Mens Health, Leeds
Metropolitan University
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Death rates for Homicide, for men and women, EU
countries
White Holmes (2006) Calculated from WHOSIS 2005
Mortality database
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Suicide rates Men Women
White Holmes (2006) Calculated from WHOSIS 2005
Mortality database
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Death rates for Accidents Adverse Effects, for
men and women, EU countries
White Holmes (2006) Calculated from WHOSIS 2005
Mortality database
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Death rates for Cardio Vascular Disease, for men
and women, EU countries
White Holmes (2006) Calculated from WHOSIS 2005
Mortality database
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Men tend to delay diagnosis and treatmentThe
example of Melanoma (all ages)
Incidence Rates
Death Rates
Source of data Health for All database 2003
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Calculated from Mortality statistics cause.
Review of the Registrar General on deaths by
cause, sex and age, in England and Wales, 2004
Series DH2 no.31
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Calculated from Mortality statistics cause.
Review of the Registrar General on deaths by
cause, sex and age, in England and Wales, 2004
Series DH2 no.31
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Difference () in 5 year relative cancer
survival between men and women
Recent cancer survival in Europe a 200002
period analysis of EUROCARE-4 data
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Mens usage of the health service
Consultations with GP
In-patient use
Source General Household Survey, Office for
National Statistics, 1988,1989
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Journal of Public Health Advance Access published
November 2, 2007

• Knud Juel
• Senior Researcher National Institute of Public
  Health, University of Southern Denmark, Øster
  Farimagsgade 5A, DK-1399 Copenhagen, Denmark
• Kaare Christensen
• Professor Epidemiology, Institute of Public
  Health, University of Southern Denmark, Odense,
  Denmark

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Hospital admissions and contacts to general
practitioners. Sex ratio (female/male rate) by
age group, Denmark 2005.
Juel Christensen (2007)
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Knud Juel Kaare Christensen

• The analysis is based on a total of 35.8 million
  contacts to general practitioners, and 1.2
  million hospitalizations in 2005. The figure
  shows that at all ages women have higher rates of
  contacts to general practitioners than men with a
  peak between ages 15 and 35.
• The difference in hospitalization rates for ages
  15 - 49 is strongly influenced by womens
  hospitalization in connection with childbirth.
  Excluding these together with all
  sex-specific conditions makes the sex difference
  disappear. For age 50 and older, men have higher
  rates of hospitalization.

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Knud Juel Kaare Christensen

• Our data, which are without any selection bias
  due to the Danish health care system and to the
  nationwide registers, show a male pattern with a
  lower contact rate to the general practitioner,
  but higher hospitalization and mortality rates.
• This is compatible with a scenario in which men
  react later to severe symptoms than women
  so that they are more likely to be
  hospitalized for or die from these conditions

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Knud Juel Kaare Christensen

• The reason why men are reluctant to seek medical
  advice is probably rooted in biological and
  psychological factors as well as social
  traditions.
• New generations and new initiatives like Mens
  Health Week might help to change the male
  reluctance toward using the health care system.

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ROYAL COLLEGE OF GENERAL PRACTITIONERS CURRICULUM
STATEMENT 2006 One in a series of Curriculum
Statements produced by the Royal College of
General Practitioners Being a General
Practitioner The General Practice
Consultation Personal and Professional
responsibilities Clinical Governance Patient
Safety Ethics and Values Based Medicine
Promoting equality and valuing diversity
Evidence Based Health Care Research and Academic
Activity Teaching, Mentoring and Clinical
Supervision Management in Primary Care
Management in Primary Care Information
Management and Technology Healthy People
promoting health and preventing disease Care of
Acutely Ill People Care of Children and Young
People Care of Older Adults Gender-specific
Health Issues Womens health Mens health
Sexual Health Care of People with Cancer
Palliative Care Care of People with Mental
Health Problems Care of people with Learning
Disabilities Clinical Management 14.1 Cardiovascu
lar problems 14.2 Digestive problems 14.3 Drug
Usering Adults 14.4 ENT and facial problems
14.5 Eye problems 14.6 Metabolic
Problems 14.7 Neurological problems
14.8 Respiratory problems 14.9 Rheumatology and
conditions of the musculoskeletal system
(including trauma) 14.10 Skin problems Royal
College of General Practitioners14 Princes Gate
Hyde Park London SW7 1PUPhone 020 7581
3232 Fax [phone]
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Why set up a well man clinic?

• Quality of care
• Healthier patients
• Patient demand
• Health of the Nation Targets
• Proven clinical effectiveness
• Team building

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AUDIT 1998-1999 First 100 patients average age
54 yrs (47-61)

• 28 smokers
• 87 take regular alcohol
• BMI 26.4 (range 17.6-43.8)
• 40 overweight
• 20 obese
• 6 underweight

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AUDIT 1998-1999

• 43 had current medical problems
• 10 CVD
• 3 diabetes
• osteoporosis
• asthma
• epilepsy
• benign/malignant prostate disease
• smokers 4x more likely to have arterial disease

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AUDIT 1998-1999

• 33 required follow up
• 25 BP related
• 25 prostate related
• 15 high cholesterol
• osteoporosis
• diabetes
• obesity

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Men and Chlamydia Project  
Notes from discussion groups conducted during
December 2003, with students at Birmingham
University UK soldiers.
David Wilkins Robbie Porter Mens Health
Forum February 2004
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Patients shy about their condition flock to the
web and avoid their GP

• Daily Mail Mon, 14 Jan 2008
• Patients with embarrassing medical problems are
  turning to the internet rather than visit their
  doctor. A poll of more than 2,000 adults has
  revealed that embarrassment about a condition -
  or the GP's examination to diagnose it - keeps
  them away from the surgery.

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• Cant Read?
• Then ring this number now
• 0870 556677

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Newly Identified Country
ELAM Pop 235 million