American Journal of Men's Health current issue

Men's Health: Building the Science

Porche, D. J. — 2009-05-14

Fathers' Experience of Social Support After the Death of a Child

Aho, A. L., Tarkka, M.-T., Astedt-Kurki, P., Kaunonen, M. — 2009-05-14

The aims of this study were to describe fathers' social networks and their experience of social support after the death of a child. The sample consisted of 8 fathers who had lost a child under the age of 3. The data were collected with open-ended questions and interviews. Data analysis used qualitative content analysis. The fathers' social support networks varied over time and between fathers. The support networks included either just the spouse or the spouse and other people. Social relationships broke down and new relationships formed in their place. The fathers experienced social isolation but also deliberately isolated themselves from human relationships. The support the fathers received was felt to be both positive and negative. Peer support was only positive. Support from professionals was reported to be important but was also criticized. In particular better family care, informal support, and systematic support after leaving the hospital were expected.

Age at First Birth and Fathers' Subsequent Health: Evidence From Sibling and Twin Models

Pudrovska, T., Carr, D. — 2009-05-14

Using a sample of 540 siblings and twins from the National Survey of Midlife Development in the United States, this study examines the relationship between the age at which men become biological fathers and their subsequent health. The analysis includes both between-family models that treat brothers as independent observations and within-family models that account for unobserved genetic and early-life environmental endowments shared by brothers within families. Findings indicate that age at first birth has a positive, linear effect on men's health, and this relationship is not explained by the confounding influences of unobserved early-life characteristics. However, the effect of age at first birth on fathers' health is explained by men's socioeconomic and family statuses. Whereas most research linking birth timing to specific diseases focuses narrowly on biological mechanisms among mothers, this study demonstrates the importance of reproductive decisions for men's health and well-being.

"Maybe It Could Be a Heart Attack . . . But I'm Only 31": Young Men's Lived Experience of Myocardial Infarction--An Exploratory Study

Allison, M., Campbell, C. — 2009-05-14

This study examines the lived experience of myocardial infarction (MI) in younger men. Seven men, aged between 32 and 58, all of whom had suffered MI within the previous 12 months, were interviewed. Thematic analysis of the interview transcripts revealed four main themes. The themes were "disillusionment with life," "tension and stress," "keeping up appearances," and "invincibility." Collectively the four themes reflected the complexities, subtleties, and consensus of the experiences of these younger men who have survived MI. This study reveals that the individuals within the authors' sample appear to allude to the ideal or hegemonic form of masculine identity. Utilization of a qualitative approach with this younger male sample has enabled the authors to elicit the defining features of their experience as identified by themselves. Implications for these findings are discussed.

Experiences of Living in a Disrupted Situation as Partner to a Man With Testicular Cancer

Sanden, I., Soderhamn, O. — 2009-05-14

New knowledge has been gained about how close relatives reorient themselves and handle their life situation when facing close relatives' illness. The aim of this study was to describe and elucidate narrated experiences of living in a disrupted situation as partner to a patient with testicular cancer. A qualitative single-case design with a conversational interview using a semistructured guide with open-ended questions was implemented. A young woman whose partner had testicular cancer with metastases was interviewed. Narrative analysis of the data with focus on corporeality, spatiality, temporality, and communality revealed three themes that reflected the woman's concerns in different existential dimensions: the limitless self-care, the restricted space, and the shortness of time. The findings may facilitate caregivers' awareness of actual and potential self-care demands of both patients and significant others and can be used in developing structured strategies in helping close relatives to cope and manage as caregivers.

A Dilemma in Male Engagement in Preventive Services: Adolescent Males' Knowledge and Attitudes Toward Testicular Cancer and Testicular Self-Exam

Cronholm, P. F., Mao, J. J., Nguyen, G. T., Paris, R. T. — 2009-05-14

The objective of this study was to determine the knowledge and attitudes toward testicular cancer (TC) and testicular self-exam (TSE) among adolescent males. To assess adolescent male perspectives, a cross-sectional study was conducted in a convenience sample of 203 male high school students. Among the study participants, 139 (68.5%) correctly identified the age group when TC most commonly occurs, and 74 (36.5%) believed that TSE should be performed monthly. In a logistic regression model, students who have never heard of TSE were more likely to report intention to delay health care seeking with symptoms of testicular cancer (odds ratio, 2.83; 95% confidence interval, 1.33-6.05; p = .007). The participants demonstrated significant awareness of TC. Given the tension between current recommendations against screening for TC and the potential benefits of engaging men in preventive health care utilization, it remains unclear how awareness of TC and TSE will affect the health-seeking and preventive care of men.

Hepatitis Vaccination and Infection Among Gay, Bisexual, and Other Men Who Have Sex with Men who Attend Gyms in New York City

Siconolfi, D. E., Halkitis, P. N., Rogers, M. E. — 2009-05-14

The authors examined hepatitis A virus (HAV) and hepatitis B virus (HBV) vaccination rates, hepatitis infection, and health care access in a gym-attending sample of 311 gay, bisexual, and other men who have sex with men (MSM) in New York City. Overall, 69% reported having been vaccinated for HAV and 70% reported having been vaccinated for HBV. Multivariate models were used to identify predictors of HAV and HBV vaccination, and younger men, HIV-positive men, and men who had access to a doctor or clinic were more likely to be vaccinated than older men, HIVnegative men, and men without access to a doctor or clinic. Men with health insurance coverage were more likely to have received HBV vaccination than men without coverage. Findings indicate that there is still a significant proportion of unvaccinated men in our sample.

"HIV Is Still Real": Perceptions of HIV Testing and HIV Prevention Among Black Men Who Have Sex With Men in New York City

Nanin, J., Osubu, T., Walker, J., Powell, B., Powell, D., Parsons, J. — 2009-05-14

Rising HIV infection rates have been recently occurring among Black men who have sex with men (BMSM) in the United States. As a result, promoting HIV testing among members of this population is now considered a priority among local and federal health officials. A study was conducted to explore concerns about HIV testing among BMSM in New York City. In early 2006, data were gathered from focus groups with 29 BMSM. Discussions revealed factors affecting HIV testing, including stigma, sexuality, religion, race, and class, emphasizing responsibility, testing concerns, and media influences, among others. Recommendations were submitted to New York City health officials to inform HIV testing and prevention efforts.

Traditional Masculinity and African American Men's Health-Related Attitudes and Behaviors

Wade, J. C. — 2009-05-14

This study investigates aspects of masculinity that may relate to African American men's health-related attitudes and behaviors. Two hundred and eight men completed measures of traditional masculinity ideology and health-related attitudes and behaviors. Results indicated that after accounting for participants' age, education, income, and employment status, traditional masculinity norms of self-reliance and aggression were associated with behaviors conducive to personal wellness and certain health-related psychological tendencies. Restrictive emotionality was associated with anxiety about one's health and the belief that one's health status is outside of one's personal control. Implications of the findings for the health-related attitudes and behaviors of African American men are discussed.

Success with Men's Educational Group Appointments (MEGA): Subjective Improvements in Patient Education

Campbell, B. B., Shah, S., Gosselin, D. — 2009-05-14

Men have a higher age-adjusted death rate from many of the leading causes of death, compared with women. Avoidance of health care and unhealthy behavior contribute to premature death among men. The Lahey Clinic recently initiated a program, the Men's Educational Group Appointment (MEGA), which capitalizes on the potential benefits of group dynamics in an effort to educate men about preventative health. We hypothesized that putting men into a group setting for the educational portion of the visit would improve information exchange and patient learning. During 12 months, 261 men between the ages of 22 and 67 were evaluated. A survey designed to address both patient satisfaction and patients' perceptions regarding how much they learned was administered to all patients following the MEGA session. We identified high patient satisfaction with the MEGA model. This study illustrates the potential utility of the group model for improving patient education regarding health maintenance among men.