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Men’s Health and Fatherhood in the Urban Midwestern United States 美国中西部城市男性健康与父亲身份
Pub Date : 2010-09-01 DOI: 10.3149/JMH.0903.161
C. Garfield, Anthony Isacco, W. D. Bartlo
A sample of U.S. urban fathers was studied using in-depth qualitative interviews to better understand how having children might influence the fathers’ health and health behaviors. Over three-quarters of the men reported positive changes to their health behaviors since becoming fathers. The specific examples cited as positive changes by fathers included; positive changes in diet, increased frequency of exercise and physical activity, taking better care of themselves in general, decreased alcohol use, and less risk-taking behavior. A key shift is also identified in men’s perspectives around the transition to fatherhood. Recommendations are provided to clinicians who seek to design interventions that reengage men in the health care system and caring for their health.
为了更好地了解生养孩子如何影响父亲的健康和健康行为,研究人员对美国城市父亲的样本进行了深入的定性访谈。超过四分之三的男性报告说,自从成为父亲以来,他们的健康行为发生了积极的变化。列举的父亲积极改变的具体例子包括:积极改变饮食,增加锻炼和身体活动的频率,更好地照顾自己,减少饮酒,减少冒险行为。在向父亲转变的过程中,男性的观点也发生了关键的转变。向临床医生提供建议,以寻求设计干预措施,使男性重新参与卫生保健系统并照顾他们的健康。
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引用次数: 51
Understanding the Link Between Gender Role Conflict, Resilience, and Propensity for Suicide in Adolescent and Emerging Adult Males 性别角色冲突、心理韧性和青少年及初成年男性自杀倾向之间的联系
Pub Date : 2010-09-01 DOI: 10.3149/JMH.0903.201
Stephanie Bates Galligan, R. Barnett, M. Brennan, G. Israel
This study examined the relationship between gender role conflict and propensity for suicidality in adolescent and emerging adult males using a resilience perspective. Multiple regression modeling revealed a complex relationship, namely that competition and motivation for success in males served as protective against suicidality while associating emotional disclosure with anxiety or negativity served as a risk factor. Identifying risk through assessment of the loss of protective factors in male youth can help to identify threats to positive youth development before the onset of suicidal ideation. This may be useful in studying the earlier processes in the development of suicidality.
本研究从心理弹性的角度探讨了性别角色冲突与青少年和初成年男性自杀倾向之间的关系。多元回归模型揭示了一种复杂的关系,即竞争和成功动机对男性自杀具有保护作用,而将情绪表露与焦虑或消极联系起来则是风险因素。通过评估男性青年中保护性因素的丧失来确定风险,有助于在出现自杀意念之前确定对青年积极发展的威胁。这可能有助于研究自杀倾向发展的早期过程。
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引用次数: 24
Stages of Change for Fruit and Vegetable Intake Among New Zealand Men: Readiness to Eat Five Servings a Day and Impact of Contextual Factors 新西兰男性水果和蔬菜摄入量的变化阶段:准备每天吃五份和环境因素的影响
Pub Date : 2010-09-01 DOI: 10.3149/JMH.0903.184
Angela Jury, R. Flett
Successful behavior change according to the transtheoretical model involves progressing through a series of stages of change. This paper examines the proportion of men in each stage of change for fruit and vegetable intake, compares stage classification with intentions and behavior, and the impact of contextual factors on stage membership. Men randomly selected from the New Zealand electoral roll completed a postal questionnaire (n = 518; 45% response rate). One-third (32%) of respondents were not intending to eat five or more servings of fruit and vegetables a day (precontemplation stage), 10% were contemplating change (contemplation stage), 7% preparing to change (preparation stage), and 51% were already doing so in the combined action/maintenance stage. Intentions increased on average across stages, and fruit and vegetable intake was at least two servings higher in action/maintenance. Dietary guideline knowledge, older age, higher income, education and food security increased the likelihood of being in action/maintenance. Simple health promotion messages should be directed toward men, promoting conventional and affordable produce, and dietary guidelines. Community and policy approaches that increase food skills and knowledge, fruit and vegetable access and affordability would support behavior change.
根据跨理论模型,成功的行为改变需要经历一系列的变化阶段。本文考察了男性在水果和蔬菜摄入量变化的每个阶段的比例,比较了阶段分类与意图和行为,以及背景因素对阶段成员的影响。从新西兰选民名册中随机选出的男性完成了一份邮寄问卷(n = 518;45%的回应率)。三分之一(32%)的受访者不打算每天吃五份或五份以上的水果和蔬菜(预考虑阶段),10%正在考虑改变(考虑阶段),7%准备改变(准备阶段),51%在综合行动/维持阶段已经这样做了。在各个阶段,人们的意愿平均增加了,在行动/维持阶段,水果和蔬菜的摄入量至少增加了两份。饮食指南知识、年龄较大、收入较高、教育程度和粮食安全增加了采取行动/维持的可能性。简单的健康促进信息应该针对男性,推广传统的和负担得起的农产品,以及饮食指南。提高食物技能和知识、水果和蔬菜的获取和可负担性的社区和政策方法将支持行为改变。
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引用次数: 3
Swedish young men's lived experiences of a girlfriend's early induced abortion 瑞典年轻男子的生活经历,女友的早期人工流产
Pub Date : 2010-07-01 DOI: 10.3149/JMH.0902.126
B. Halldén, K. Christensson
Abortion rates worldwide suggest that a large number of young men are in fact exposed to the experience of an abortion. This phenomenological hermeneutic study illuminates ten young men’s experiences of the abortion process including the abortion itself. In view of their different cultural backgrounds and their stable or merely casual relationship with the girlfriend, their experiences are illuminated in four main themes as; having interrupted a life-giving process, having wished to relieve the girlfriend’s pain, having struggled with feelings of helplessness, and standing up for made decisions. The interpreted whole is expressed as; a wish to compensate the girlfriend for her suffering and share with her the responsibility for the abortion. With a view to promoting gender equality in reproductive health the results are discussed in the light of relational ethics and contribute to reflections on current praxis in health-care settings.
世界范围内的堕胎率表明,实际上有大量年轻男子经历过堕胎。这一现象学解释学研究阐明了十名年轻男子在堕胎过程中的经历,包括堕胎本身。鉴于他们不同的文化背景,以及他们与女友稳定或随意的关系,他们的经历在四个主要主题中得到阐述:曾经打断过一个生命的过程,曾经希望减轻女友的痛苦,曾经在无助的感觉中挣扎,曾经坚持自己的决定。被解释的整体表示为:一个希望补偿女友的痛苦,并与她共同承担堕胎的责任。为了促进生殖健康方面的两性平等,根据相关伦理讨论了这些结果,并有助于对保健环境中目前的做法进行反思。
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引用次数: 5
Perceptions of Male Ideals: The Power of Presentation 男性理想的感知:表现的力量
Pub Date : 2010-06-22 DOI: 10.3149/JMH.0902.144
L. Wasylkiw, Michael Currie, R. Meuse, Rachel Pardoe
Two studies examined the perceptions that men have of images of male ideals as a function of whether appearance or performance was emphasized. In Study 1 (N = 54 men) male ideals that stressed appearance were rated as more muscular, more masculine and more attractive than male ideals that stressed performance. In Study 2 (N = 62 men) differences in the presentation of male ideals contributed not only to differences in perceptions of physical attributes but also to judgments of personality and behavioural tendencies of male ideals. In addition to discussing the implications and limitations of the current investigation, avenues for future research are outlined.
两项研究调查了男性对理想男性形象的看法,即是否重视外表或表现。在研究1中(N = 54名男性),强调外表的男性理想被认为比强调表现的男性理想更强壮、更有男子气概、更有吸引力。在研究2中(N = 62名男性),男性理想表现的差异不仅导致了对身体特征的感知差异,还导致了对男性理想性格和行为倾向的判断差异。除了讨论当前研究的意义和局限性外,还概述了未来研究的途径。
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引用次数: 8
The Effectiveness of Gender Role Re-Evaluation and Non-Gender-Focused Group Psychotherapy in the Treatment of Recently Separated Men 性别角色重估与非性别焦点群体心理治疗对新近分居男性的治疗效果
Pub Date : 2010-06-22 DOI: 10.3149/JMH.0902.102
D. Nahon, Nedra R. Lander
This article explores the viability of Gender Role Re-Evaluation (GRE) and Non Gender-Focused (NGF) group psychotherapy with recently separated men. Sixtyone participants were randomly distributed into three GRE or three NGF groups. Eleven psychometric measures were administered at pre-pre-group, pre-group, post-group and six-week follow-up. Results of a repeated-measures MANOVA revealed significant changes in Emotional Expression, Self and Other Orientation, and Psychological Well-Being, maintained at six-week follow-up. As the first randomized empirical investigation of men’s consciousness-raising groups and gender role re-evaluation psychotherapy groups for men, these results provide a more positive re-framing of men’s accessible potential for positive therapeutic change in groups, and a more hopeful perspective of the therapeutic potential of group psychotherapy with men undergoing a major psychosocial crisis.
本文探讨了性别角色重新评估(GRE)和非性别关注(NGF)团体心理治疗对新近分居男性的可行性。61名参与者被随机分为三个GRE组或三个NGF组。在组前、组前、组后和6周随访期间进行11项心理测量。重复测量的方差分析结果显示情绪表达、自我和他者取向以及心理健康在六周的随访中保持显著变化。作为对男性意识提升小组和男性性别角色重新评估心理治疗小组的首次随机实证调查,这些结果为男性在群体中获得积极治疗变化的可能性提供了更积极的重新框架,并为经历重大心理社会危机的男性群体心理治疗的治疗潜力提供了更有希望的视角。
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引用次数: 9
Depression and risk behaviors among males attending family planning clinics. 参加计划生育诊所的男性的抑郁和危险行为。
Pub Date : 2010-06-22 DOI: 10.3149/JMH.0902.91
R. Buzi, M. Weinman, Peggy B. Smith
This study examined differences in socio-demographics, risk factors and interest in health care topics between males who reported depression compared to those who did not. The sample consisted of 1294 African-American and Hispanic males attending family planning clinics. The results indicated major differences between depressed and non-depressed males. Depressed males were more likely than nondepressed males to be Hispanic and to engage in risk behaviors such as cigarette smoking and drug and alcohol use. Differences were also found in regard to interest in health topics, with depressed males requiring more services related to relationships and feelings than non-depressed males. The findings indicate that young males who attend family planning clinics exhibit signs of depression and profile differently from those who do not exhibit these symptoms and may need additional assessments and referral services.
这项研究调查了报告抑郁症的男性与没有报告抑郁症的男性在社会人口统计学、风险因素和对医疗保健主题的兴趣方面的差异。样本包括1294名参加计划生育诊所的非裔美国人和西班牙裔男性。结果表明,抑郁男性和非抑郁男性之间存在重大差异。抑郁男性比非抑郁男性更有可能是西班牙裔,更有可能从事吸烟、吸毒和酗酒等危险行为。在对健康话题的兴趣方面也存在差异,抑郁症男性比非抑郁症男性需要更多与关系和感受相关的服务。研究结果表明,参加计划生育诊所的年轻男性表现出抑郁的迹象和特征,与那些没有表现出这些症状的男性不同,可能需要额外的评估和转诊服务。
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引用次数: 4
The Language of Emasculation: Implications for Cancer Patients 阉割的语言:对癌症患者的影响
Pub Date : 2010-04-01 DOI: 10.3149/JMH.0901.3
M. A. Cushman, J. L. Phillips, R. Wassersug
Language can be used both literally and metaphorically. In this article, we explore the metaphorical use of terms including impotence, castration and neutered, to better understand how these words are interpreted by both the public at large, and by the approximately half a million men in North America who, at one time or another, take chemically castrating drugs to control prostate cancer. Specifically, we examine contemporary, publicly accessible sources for keywords related to emasculation; i.e., the Internet, jokes, films and printed news reports. We find that these terms are almost always employed negatively. We conclude that the language of emasculation often faults the subject and implies general dysfunction and powerlessness—socially, politically, and sexually—adding to the shame and “othering” felt by cancer patients who are castrated out of medical necessity. In addition, we show that recent efforts to refer to sexual impotence more narrowly as erectile dysfunction fail to separate the metaphorical from the physical meaning of impotence, and do not solve the problem of the shame associated with medical castration. Society’s failure to recognize that castration is still common adds to the stigma of those who are emasculated for medical reasons.
语言可以从字面上和隐喻上使用。在这篇文章中,我们探讨了包括阳痿、阉割和阉割在内的术语的隐喻用法,以更好地理解这些词是如何被广大公众以及北美大约50万曾经服用化学阉割药物来控制前列腺癌的男性所理解的。具体地说,我们检查当代,公开访问的关键词与阉割;即互联网、笑话、电影和印刷新闻报道。我们发现这些术语几乎总是消极地使用。我们的结论是,“阉割”的语言往往会误导主题,并暗示出一般的功能障碍和无能为力——在社会上、政治上和性方面——增加了出于医疗需要而被阉割的癌症患者的羞耻和“他者”感。此外,我们表明,最近将阳痿更狭义地称为勃起功能障碍的努力未能将阳痿的隐喻意义与生理意义分开,并且不能解决与医学阉割相关的羞耻感问题。社会未能认识到阉割仍然很常见,这增加了那些因医学原因被阉割的人的耻辱。
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引用次数: 37
Gender Role Conflict as a Mediator between Social Sensitivity and Depression in a Sample of Gay Men 性别角色冲突在男同性恋者社会敏感性与抑郁之间的中介作用
Pub Date : 2010-04-01 DOI: 10.3149/JMH.0901.26
Aaron J. Blashill, J. V. Wal
The current study examined the mediational impact of gender role conflict on the relationship between social sensitivity and depression in a sample of gay men. Participants were 162 self-identified gay men who responded to a collection of online questionnaires. Findings revealed that the combined effect of the subscales from the Gender Role Conflict Scale mediated the relationship between social sensitivity and depression. Specifically, the subscales of Restrictive Emotionality and Conflict Between Work and Family Relations were found to uniquely mediate this relationship. Results suggest that concerns gay men have in maintaining a masculine image may play an important role through which social sensitivity acts on the prediction of depression.
目前的研究考察了性别角色冲突对男同性恋者社会敏感性和抑郁之间关系的中介影响。参与者是162名自认为是同性恋的男性,他们回答了一系列在线问卷。研究发现,性别角色冲突量表各分量表的综合效应在社会敏感性与抑郁之间起中介作用。具体而言,限制性情绪和工作与家庭关系冲突的子量表对这种关系具有独特的中介作用。研究结果表明,男同性恋者对保持男性形象的关注可能在社会敏感性对抑郁症的预测中起着重要作用。
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引用次数: 13
Factors related to suicide via firearms and hanging and leaving of suicide notes. 与枪械、上吊和留下遗书自杀有关的因素。
Pub Date : 2010-03-22 DOI: 10.3149/JMH.0901.40
R. Tewksbury, G. Suresh, R. M. Holmes
One of the common causes of unnatural death for men is suicide. The intent of the current research is to add to the understanding of men’s suicides involving the two most common methods of suicide the use of firearm and hanging. As the results of this study show, identification of predictors of whether men kill themselves via fire arm or hanging suggest that younger men are more likely to use firearms and older men use hanging with prior consumption of drugs and alcohol. The only statistically significant difference between men who do and do not leave suicide notes is that those who do are likely to be older and less likely to use a gun.
当前研究的目的是增加对男性自杀的理解,包括两种最常见的自杀方法:使用枪支和上吊。正如这项研究的结果所显示的那样,对男性是通过枪械还是上吊自杀的预测表明,年轻男性更有可能使用枪支,而年龄较大的男性更有可能使用上吊自杀,之前有过吸毒和酗酒的经历。留下遗书和不留下遗书的男性之间唯一显著的统计差异是,留下遗书的男性年龄更大,使用枪支的可能性更小。
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引用次数: 13
期刊
International journal of men's health
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