community 11
Chapter 32 Men’s Health
Men’s Health
Genetic factors
Brain cells die faster
Structural mitral valve difference
Heart rate slower
Weaker immune systems
React different to medications, therapies, diagnostics
Factors
Sociocultural and ethnic factors
Assertiveness
Preoccupation with achievement and success
Restricted emotionality and affectionate behavior
Concerns about power and control
Fear and bias related to homosexuality
Factors (cont.)
Environmental factors
Physical and occupational
Behavior factors
Diet
Tobacco
Alcohol
Drug use
Lack of physical exercise
Physical and sexual risk taking
Suicide and violence
Healthcare System Utilization
Ambulatory care
Hospital care
Preventive care
Specific Male Issues
Prostate cancer
Digital rectal exams beginning at age 40 or earlier
Symptoms
Difficulty or pain with urination
Painful ejaculation
Blood in urine or semen
Testicular cancer
High-risk characteristics
Caucasian, young age, high socioeconomic status, family history, or mother who took estrogen during pregnancy
Specific Male Issues
Erectile dysfunction
Treatment: eliminate or reduce drugs that may be causes
Psychotherapy and behavior modifications
Vacuum devices, oral drugs, drugs injected into urethra
Surgically implanted penile devices or vascular surgery
Cardiovascular disease
At-risk Populations
Men with human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS)
Homosexual men and their families
Community Health Nursing Roles
Patient advocate
Educator
Facilitator