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hvledger
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women live longer than
men
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health care use is greater among
women
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death rates are higher for ____ in the major causes of death
men
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who remain disadvantaged despite advances in technology
men
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MORTALITY rates are higher among
men
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MORBIDITY rates are higher among
women
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gender differences in longevity are associated with?
higher risk?
physiological and behavioral factors
men
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behavioral factors & reluctancy to seek preventative and health services
men
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rates of longevity for men and women are
increasing
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people can live how many years longer than their forefathers at turn of 19th century
20 years
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Infants born in U.S. '96 can expect to live
77 years
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infants born in 1900 (death rates highest) lived
average of 47.3 years
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Life expectancy for women and men have
increased
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2007-2008 men and women gained ____ because _____
0.2 years of longevity
advantages in treatment of heart disease and cancer
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factors that influence in-congruencies between males and females are
- race
- ethnic origin
- socioeconomic status
- education
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less advantaged, minoirites in U.S. live
significantly fewer years
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Black men live ____ years less than white men
6 years
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Hispanics and whites have
comparable life expectancy
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top 5 causes of death in ALL MALES
- 1. heart disease
- 2. cancer
- 3. unintentional injuries
- 4. chronic lower respiratory diseases
- 5. stroke
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U.S. lags behind several countries in
premature mortality rates for males
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2011-only 6 countries had higher premature rates for males than U.S. `
- russian federation
- mexico
- hungary
- estonia
- poland
- slovak republic
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In U.S., males lead females in
mortality rates in each leading cause of death
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since 1990s, cancer related deaths in women have declined at a slower rate than
men
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lifetime risk for lung cancer is estimated to be
9.8-males
3.8-females
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death rate for chronic lower disease among females from '80-'08
increased from 14.9 per 100k - 39.1
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death rate for chronic lower disease among males from '80-'08
increased from 49.9-51.4
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males 15-64 are 2-3x more likely to die from
unintentional injuries than females of same age
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men are more likely to commit suicide than women by
3-4x
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males >85 when compared to women are more likely to
commit suicide (11x)
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black men 45-64 more likely to die from ___ than white men
HIV (8x likely)
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black males 15-24 more likely to die of ____ than white men
vehicle accidents
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black men are ___ more likely to _____ than white men
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hispanic men are twice as likely as white men to
die from homicide
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men perceive their health
better than women do
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NHIS suvey 2010 men rated their health
excellent or very good
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gender differences in morbidity rates reflect
- incidence of acute illness
- prevalence of medical conditions
- use of medical care
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men are at greater risk for
death
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women are more likely to be
ill (complainers)
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chronic condition
persists for AT LEAST 3 MO. or belongs to a group of conditions classified as chronic regardless on onset (TB, neoplasm, arthritis)
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more likely to have a higher prevalence of chronic disease that cause disability and limitation of activities but do not lead to death
WOMEN
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higher morbidity and mortality rates for conditions that are leading cause of death
MEN
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medical care
use of ambulatory care, hospital care, preventative care, or other health services
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who seeks ambulatory care less often
men
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primary setting for ambulatory care for women and men
physician's office
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when do men seek a physician
only if they experience a SPECIFIC HEALTH-RELATED SYMPTOM
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men 18-24 are more likely to visit ____ than women of same age
ER for unintentional injuries
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delay treatment so they are sicker when they do seek care and require more intensive medical care
MEN!
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rates of discharge from short-stay hospitals are lower
in men
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longer length of stay in hospital
men
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>65 discharge rates are higher in
men than women
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most men do not have
routine checkups
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eligiblity for primary care is higher in
men
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men tend to have fewer
- dental exams
- health care provider visits
- colorectal testing and procedures
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there are more ____ births
male
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infant mortality rates are higher in
men
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greater risk of prematurity
RDS
infectious diseases
- males
- because of male hormones on the developing lungs
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sex chromosome-linked diseases, such as hemophilla and muscular dystrophy
more common in men
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biological advantages for females
estrogen-related mechanism protects against heart disease
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men have higher testosterone levels that cause
lower HDL cholesterol levels
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body fat distribution that contribute to metabolic syndrome
- abdomen-men
- women-thighs, butt
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Men have higher stored levels of what that increase risk for ischemic heart diseaes
iron
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brain cells die faster
men
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more often hospitalized for mental illness
men
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males have weaker
immune systems
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socialization aspect for men
emphasizes assertivness, restricted emotional display, concern for power, and reckless behavior
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plays an important role in the adherance to musculine norm
- peer pressure
- men passing emphasizing risking personal injury to son to demonstrate masculinity
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account for 92% of work related fatalities
men
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healthrisk for men
- higher exposure to carcinogens-mesthelioma, coal worker's pneumonoconiosis
- higher hostility, mistrust for others-ishemic heart disease
- drive faster, traffic violations
- greater vehicle mortality
- 5x more likely than women to drink heavy
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men are ___ in 4 out of 5 homicides
victims
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black male 5th leading cause of death
homicide
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homicide is NOT one of the top 10 for
WHITE MALES
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when does a man change health behaviors
suggested and supported by female family member they perceived concerned for their well-being
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illness orientation
ability to note symptoms and take appropriate action
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Men's health revealed
9 million men have not seen a provider in past 5 years
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men lack
somatic awareness and less likely to interpret symptoms as indicators of illness
-
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less likely to engage in surveys and report health problems
men
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men respond better to
DIRECT vs. open ended questions
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females have a higher prevalence for
nonfatal chronic conditions
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Gender-linked behavior
largest differences in mortality rates
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more encouraged and prevalent in men
- tobacco: lung cancer, bronchitis, emphysema, and asthma
- substance abuse: cirrhosis, accidents, homicide
- poor preventative health habits/stress: heart disease
- lack of other emotional channels: cirrhosis, suicide, homicide, accidents
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3 conditions that account for 2/3 of all deaths require greatest use of health care resources
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healthy lifestyles are not a matter of free choice but rather
result of opportunities that are not always equally available to people
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most significant approaches in future will be those that reach men where
- community
- schools
- workplace
- public settings
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what approaches should be considered
- political processes that set policy
- health marketing techniques
- advocacy
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cholesterol levels for men >53
yearly
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prostate exam
q year after 50
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black men prostate exam
q year after 40
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colorectal exam
q 3-5 years
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tobacco use and cessation info
q year
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men 65+ who have smoked need what exam
screening for abd. aortic aneurysm
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males should work in a
altered capacity rather than remaining away from work until injuries are completely healed
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seat belt use has increased by
20% from 1991 to 2007
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primary prevention for men
- provide health education/screening in workplace
- participate in interest groups and research
- encourage interest in physical fitness and lifestyle changes
- INCLUDE MALE PERCEPTION IN POLICY FORMATION
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legislation
biggest prevention!
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secondary prevention for men
- screening
- tailor health care clinics to men's needs
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tertiary prevention for men
- rehabilitation with sex role and lifestyle considerations
- KEEP TIME AWAY FROM WORK TO A MINIMUM
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males infants have a higher mortality rate from what
- infectious diseases
- prematurity
- RDS
- CERTAIN types of muscuoloskeletal disorders
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men are 3x less likely than women to do what
wear their seatbealts
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men are less likely to be seen by a community health nurse because
maternal and child care are the major focus on many health departments
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factors that impedes men's health
- financial ability
- gaps in preventative care
- infrequent use of health care
- risk-taking behaviors
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