Association Between Male Menopause Severity and Presenteeism: A Cross-sectional Study.

Objective: This study explored the association between symptoms of male menopause and presenteeism among middle-aged men in Japan.

Methods: We conducted a cross-sectional survey among 3,795 men aged 40 to 59 years who were in current employment in Japan. Male menopause symptoms were assessed using the Aging Male Symptoms (AMS) scale. Presenteeism was measured with the Work Functioning Impairment Scale (WFun). Poisson regression analysis was conducted.

Results: The prevalence of presenteeism increased with increasing total AMS scale score (p for trend <0.001). Severe AMS scale group showed prevalence ratio of 11.81 (95% confidence interval: 9.45-14.74) compared to no symptoms group. Each subscale demonstrated a dose-response relationship when evaluated independently.

Conclusions: We identified a strong association between male menopause symptoms and presenteeism. Addressing these symptoms, particularly the psychological and physical symptoms, in the workplace could reduce presenteeism.