International journal of men's health最新文献

Can Social Integration and Social Support Help to Explain Racial Disparities in Health Care Utilization Among Men with Diabetes? 社会融合和社会支持是否有助于解释糖尿病男性在医疗保健使用方面的种族差异？

International journal of men's health

Pub Date : 2017-01-01 Epub Date: 2017-07-09 DOI: 10.3149/jmh.1601.66

Jaclynn M Hawkins, Jamie Mitchell

Objective: Discovering the mechanisms through which racial and ethnic background influence health is critical to better understanding racial disparities in health among men with a diabetes diagnosis. The present study examines whether social support and social integration mediate or buffer the relationship between race and health care utilization among U.S. men.

Method: This study used a sub-sample from the 2001 National Health Interview Survey that included Latino, African American, non-Latino White men living with self-reported diabetes (n = 7,148).

Results: Findings revealed that African American men with high levels of social integration were less likely to forego care (OR = 0.234, [CI = 0.053,1.045]). Also, African American men who did not attend church had higher odds of foregoing care (OR = 0.222, [CI = 0.110,0.448]).

Conclusions: The effect of social networks operate differently for African American men with diabetes compared to non-Latino white men. Identifying racial differences in the influence of social networks on health will assist in developing interventions that may help to decrease gender and race gaps in health for men with diabetes.

目的：发现种族和民族背景影响健康的机制对于更好地了解糖尿病诊断男性健康方面的种族差异至关重要。本研究考察了社会支持和社会融合是否在美国男性中调节或缓冲种族和医疗保健利用之间的关系。方法：这项研究使用了2001年全国健康访谈调查的子样本，该调查包括患有自我报告糖尿病的拉丁裔、非裔美国人和非拉丁裔白人男性（n=7148）。结果：研究结果显示，社会融合程度高的非裔美国人男性不太可能放弃护理（OR=0.234，[CI=0.053，1.045]）。此外，没有去教堂的非裔美国男性接受上述护理的几率更高（OR=0.222，[CI=0.110,0.448]）。结论：与非拉丁裔白人男性相比，社交网络对患有糖尿病的非裔美国人男性的影响不同。识别社交网络对健康影响的种族差异将有助于制定干预措施，有助于减少糖尿病男性在健康方面的性别和种族差距。

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引用次数: 5

The intersection between masculinity and health among rural immigrant Latino men. 农村拉丁裔移民男性阳刚之气与健康的交集。

International journal of men's health

Pub Date : 2017-01-01 DOI: 10.3149/JMH.1601.84

Jason Daniel-Ulloa, Christina J. Sun, S. Rhodes

Latino men experience health disparities in STI/HIV, diabetes, hypertension, and cancer. Gender roles likely play a role in risk behaviors and outcomes; however, there has been little focus on masculinity in Latino men. We conducted 20 semi-structured interviews with Latino men living in North Carolina. The interviews, conducted by a trained bilingual/bicultural Latino male, prompted discussion around work, family, and stress. Four themes were identified: masculine roles of being a family provider and protector, sources of stress, family responsibility and interconnectedness to health, and coping mechanism. For Latino men, masculinity may have both positive and negative influences on health. For example, the role of family provider may contribute to coping and be a stressor simultaneously. Future research should examine masculinity as a positive and a negative health influence and the additional impacts of gender roles on mens' health.

拉丁裔男性在性传播感染/艾滋病毒、糖尿病、高血压和癌症方面存在健康差异。性别角色可能在风险行为和结果中发挥作用;然而，很少有人关注拉丁裔男性的阳刚之气。我们对居住在北卡罗来纳州的拉丁裔男性进行了20次半结构化访谈。访谈由一位训练有素的双语/双文化拉丁裔男性进行，引发了关于工作、家庭和压力的讨论。确定了四个主题:男性作为家庭提供者和保护者的作用、压力的来源、家庭责任和与健康的相互联系以及应对机制。对于拉丁裔男性来说，阳刚之气可能对健康既有积极的影响，也有消极的影响。例如，家庭提供者的角色可能有助于应对，同时也是一个压力源。未来的研究应考察男性气质对健康的积极和消极影响，以及性别角色对男性健康的额外影响。

引用次数: 17

The intersection between masculinity and health among rural immigrant Latino men. 拉丁裔农村移民男性的男子气概与健康之间的交集。

International journal of men's health

Pub Date : 2017-01-01

Jason Daniel-Ulloa, Christina Sun, Scott D Rhodes

Latino men experience health disparities in STI/HIV, diabetes, hypertension, and cancer. Gender roles likely play a role in risk behaviors and outcomes; however, there has been little focus on masculinity in Latino men. We conducted 20 semi-structured interviews with Latino men living in North Carolina. The interviews, conducted by a trained bilingual/bicultural Latino male, prompted discussion around work, family, and stress. Four themes were identified: masculine roles of being a family provider and protector, sources of stress, family responsibility and interconnectedness to health, and coping mechanism. For Latino men, masculinity may have both positive and negative influences on health. For example, the role of family provider may contribute to coping and be a stressor simultaneously. Future research should examine masculinity as a positive and a negative health influence and the additional impacts of gender roles on mens' health.

拉丁裔男性在性传播疾病/艾滋病毒、糖尿病、高血压和癌症方面存在健康差异。性别角色可能会对风险行为和结果产生影响；然而，人们很少关注拉丁裔男性的男子气概。我们对居住在北卡罗来纳州的拉丁裔男性进行了 20 次半结构化访谈。访谈由一名训练有素的双语/双文化拉丁裔男性主持，围绕工作、家庭和压力展开讨论。我们确定了四个主题：作为家庭供养者和保护者的男性角色、压力来源、家庭责任和与健康的相互联系以及应对机制。对拉丁裔男性而言，男性气质对健康既有积极影响，也有消极影响。例如，家庭供养者的角色可能有助于应对压力，同时也是一种压力源。未来的研究应探讨男性气质对健康的积极和消极影响，以及性别角色对男性健康的其他影响。

引用次数: 0

Conformity to Masculine Norms and the Mediating Role of Internalised Shame on Men's Depression: Findings from an Australian Community Sample 遵从男性规范和内化羞耻感对男性抑郁的中介作用:来自澳大利亚社区样本的调查结果

International journal of men's health

Pub Date : 2016-07-01 DOI: 10.3149/JMH.1502.157

S. Rice, H. Aucote, A. Möller-Leimkühler, A. Parker, Ryan A. Kaplan, Z. Seidler, H. Dhillon, G. Amminger

Conformity to masculine norms has been associated with elevated levels of depression in men. Men’s perceived failure to achieve internalised expected standards may in turn precipitate maladaptive self-conscious affect, including shame. The current study explored whether internalised shame mediated the relationship between men’s conformity to masculine norms and depression. Online self-report data was provided by a community sample of adult males (n = 545; mean age = 38.94 years). Direct and indirect effects were evaluated. A significant mediation effect was observed whereby higher masculinity significantly predicted depression symptoms, via higher shame proneness. This indirect effect was of medium magnitude. Findings are discussed within the framework of help seeking and suggestions are made for managing shame proneness in clinical settings.

遵从男性规范与男性抑郁程度升高有关。男性认为未能达到内在预期标准，可能反过来引发不适应的自我意识影响，包括羞耻感。目前的研究探讨了内化羞耻感是否介导了男性遵从男性规范与抑郁之间的关系。在线自我报告数据由社区成年男性样本提供(n = 545;平均年龄38.94岁)。评估了直接和间接影响。观察到一个显著的中介效应，即更高的男子气概显著预测抑郁症状，通过更高的羞耻倾向。这种间接影响是中等程度的。研究结果在寻求帮助的框架内进行了讨论，并提出了在临床环境中管理羞耻倾向的建议。

引用次数: 10

Men’s fertility knowledge and childbearing attitudes, desires and outcomes: findings from the Understanding fertility management in contemporary Australia survey 男性的生育知识和生育态度，欲望和结果:从当代澳大利亚调查了解生育管理的发现

International journal of men's health

Pub Date : 2016-01-01 DOI: 10.3149/JMH.1503.215

S. Holton, K. Hammarberg, Heather Rowe, M. Kirkman, Lynne Jordan, K. McNamee, C. Bayly, J. McBain, V. Sinnott, J. Fisher

引用次数: 5

Effects of an appearance-focussed versus a health-focussed intervention on men's attitudes towards UV exposure 以外表为重点与以健康为重点的干预对男性紫外线暴露态度的影响

International journal of men's health

Pub Date : 2016-01-01 DOI: 10.3149/JMH.1501.34

A. Owen, S. Grogan, D. Clark-Carter, E. Buckley

This study investigated men’s experiences of an appearance-focussed, facial-ageing, intervention designed to increase sun protection intentions, compared to a health literature intervention. Seventy men took part, with thirty-five in each condition. The men completed questionnaires at baseline, post-intervention and six months post-intervention. There was a significant improvement in sun benefit attitudes, sun risk attitudes and sun protection intentions in both groups, although there was no significant difference between the conditions. At six months followup, however, there was a significant difference in sun protection use, with those in the facial-ageing intervention condition using significantly more protection. It is suggested that in the future, interventions that incorporate both health and appearance factors are designed, in order to utilise the strengths of both interventions.

这项研究调查了男性在以外表为中心、面部老化、旨在增加防晒意图的干预方面的经历，并与健康文献干预进行了比较。70名男性参加了实验，每组35人。这些男性在基线、干预后和干预后6个月完成了问卷调查。尽管两组之间没有显著差异，但两组在阳光受益态度、阳光风险态度和防晒意图方面都有显著改善。然而，在六个月的随访中，防晒霜的使用有显著差异，面部衰老干预组的人使用的防晒霜明显更多。建议今后设计兼顾健康和外貌因素的干预措施，以便利用这两种干预措施的优势。

引用次数: 13

“Men Behaving Badly”: Patriarchy, Public Policy and Health Inequalities 《行为恶劣的男人》:父权制、公共政策和健康不平等

International journal of men's health

Pub Date : 2015-11-26 DOI: 10.3149/JMH.1403.250

A. Scott-Samuel, P. Crawshaw, A. Oakley

Gender is under-represented in the literature on health inequalities and social determinants of health; the latter are in turn under-represented in the literature on gender in general and on men and masculinities in particular. Furthermore, research and policy on gender and health frequently individualise issues of inequality, neglecting structural and systemic root causes of differential rates and experiences of morbidity and mortality. This article highlights the patriarchal social structures, attitudes and practices that, we argue, are common antecedents of these inequalities and suggests ways in which research and public policy can begin to address them. Patriarchy and hegemonic masculinity must be challenged as part of a wider set of social structural determinants of health.

在关于健康不平等和健康的社会决定因素的文献中，性别代表性不足;反过来，后者在关于一般性别，特别是男性和男性气质的文献中代表性不足。此外，关于性别与健康的研究和政策往往将不平等问题个体化，忽视了发病率和死亡率差异的结构性和系统性根源以及经验。本文强调了男权社会结构、态度和实践，我们认为，这些都是这些不平等的常见前兆，并提出了研究和公共政策可以开始解决这些问题的方法。父权制和男性霸权必须受到挑战，因为这是影响健康的一系列更广泛的社会结构决定因素的一部分。

引用次数: 12

Masculinity Ideology among Male Workers and Its Relationship to Self-Reported Health Behaviors 男性工人的男性意识形态及其与自述健康行为的关系

International journal of men's health

Pub Date : 2015-07-01 DOI: 10.3149/JMH.1402.163

J. Houle, S. Meunier, S. Coulombe, G. Tremblay, I. Gaboury, Francine deMontigny, L. Cloutier, N. Auger, B. Roy, H. Dion, François-Olivier Bernard, B. Lavoie

This study examines the association between masculinity ideology and health-promoting behaviors (HPB) among male workers. In total, 669 participants completed the Male Role Norms Inventory and the Health Promoting Lifestyle Profile II, which measures six HPBs (nutrition, physical activity, stress management, interpersonal relations, health responsibility, and spiritual growth). Results show that masculinity ideology was associated with HPBs, controlling for socioeconomic characteristics. Men who consider themselves poor and have low education endorsed masculinity norms more strongly and adopted fewer HPBs. Restrictive Emotionality was negatively associated with all HPBs, while Negativity Toward Sexual Minorities was negatively associated with physical activity and interpersonal relations. Avoidance of Femininity and Toughness were positively associated with physical activity. This study suggests that men’s endorsement of masculinity norms should be considered in health promotion programs.

本研究旨在探讨男性气质观念与男性员工健康促进行为的关系。总共有669名参与者完成了男性角色规范清单和促进健康生活方式概况II，其中测量了六个hpb(营养、身体活动、压力管理、人际关系、健康责任和精神成长)。结果表明，在控制社会经济特征的情况下，男性意识形态与HPBs存在关联。认为自己贫穷和受教育程度低的男性更强烈地支持男性气质规范，并较少采用HPBs。限制性情绪与所有hpb呈负相关，而对性少数的消极态度与身体活动和人际关系呈负相关。回避女性气质和韧性与体力活动呈正相关。本研究建议在健康促进计划中应考虑男性对男子气概规范的认可。

引用次数: 19

Rethinking Gender, Men and Masculinity: Representations of Men in the South Asian Reproductive and Sexual Health Literatures 重新思考性别、男性和男子气概:南亚生殖和性健康文献中男性的表现

International journal of men's health

Pub Date : 2015-07-01 DOI: 10.3149/JMH.1402.146

K. Hasan, P. Aggleton, A. Persson

In global public health and international development, there is a growing emphasis on engaging with and addressing men in relation to gender and health. In the reproductive and sexual health arena, however, relatively little research to date has focused on men in South Asian contexts. In this paper we explore this issue in the context of South Asia with the aim of moving beyond somewhat stereotypical and essentialist representations of men to suggest more productive modes of engagement— both in the sexual and reproductive health (SRH) literature and with respect to policy and programs within the region. To do this, we draw on the work of Raewyn Connell and Judith Butler among others to advance new understandings of men and masculinity in relation to SRH in South Asian contexts. We contrast these against recurrent patterns in representations of men in the existing literature and interrogate some of the assumptions underpinning such representations. We argue that there is a need to re-think men, gender and sexual health in South Asian contexts, and highlight some profitable ways of doing so, drawing on international experience to date.

在全球公共卫生和国际发展方面，越来越强调在性别与健康问题上与男子接触并与之打交道。然而，在生殖和性健康领域，迄今为止针对南亚男性的研究相对较少。在本文中，我们在南亚的背景下探讨了这一问题，目的是超越一些陈规定型和本质主义的男性代表，提出更富有成效的参与模式——无论是在性健康和生殖健康(SRH)文献中，还是在该地区的政策和方案方面。为了做到这一点，我们借鉴了Raewyn Connell和Judith Butler等人的工作，在南亚背景下推进对男性和男子气概与性生殖健康的新理解。我们将这些与现有文献中男性表征的反复出现的模式进行对比，并质疑支撑这种表征的一些假设。我们认为，有必要在南亚背景下重新思考男性、性别和性健康问题，并借鉴迄今为止的国际经验，强调这样做的一些有益方法。

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引用次数: 12

Men’s Accounts of Reactions to Two Sources of Information on Negative Effects of UV Exposure: Facial Morphing and a Health Promotion Fact Sheet 男性对紫外线照射负面影响的两个信息来源的反应:面部变形和健康促进情况说明书

International journal of men's health

Pub Date : 2015-07-01 DOI: 10.3149/JMH.1402.183

Emma Loosemore, S. Grogan

This study explored young men’s experiences of two sources of information designed to encourage UV protection and investigated which of these was perceived as having the most potential to impact on future UV protection/exposure. Eight men aged 18 to 35 years were shown an information sheet on health-related effects of UV exposure, and images of their own faces aged with and without UV exposure using ageing software. Participants were interviewed to explore reactions to these sources of information, and current and predicted sun protection and exposure. Men found both sources of information interesting and influential, and thematic analysis revealed three master themes: ‘gendered health and appearance attitudes’, ‘UV exposure as a risky health behaviour’, and ‘taking future preventative measures’. Implications for research and health care practice are discussed.

这项研究探讨了年轻人对两种旨在鼓励紫外线防护的信息来源的体验，并调查了其中哪一种被认为对未来的紫外线防护/暴露最有可能产生影响。研究人员向8名年龄在18岁至35岁之间的男性展示了一份有关紫外线照射对健康影响的信息表，以及他们自己在紫外线照射和没有紫外线照射下衰老的面部图像。参与者接受了采访，以探讨对这些信息来源的反应，以及当前和预测的防晒和暴露。男性认为这两种信息来源都很有趣且有影响力，专题分析揭示了三个主要主题:“性别健康和外表态度”、“紫外线照射是一种危险的健康行为”和“采取未来预防措施”。对研究和卫生保健实践的影响进行了讨论。

引用次数: 5