Conditions for motivating men: comprehensive and testable models for predicting behavior.
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Behavior↗
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Flexor profundus injuries treated with delayed two-staged tendon grafting.
Eleven patients with flexor profundus avulsions or severances recognized more than 6 weeks following injury were treated with delayed two-stage tendon grafting. Twelve profundus grafts were performed. All were young, well-motivated men. Total active motion improved from 166 to 244. Grip strength was significantly improved in eight patients. One graft ruptured requiring a secondary repair and two tenolyses were performed.
Adolescent↗
Vacuum devices for the impotent.
Vacuum constriction devices for the treatment of impotence achieve entrapment of blood in the penis following mechanically produced tumescence. Following application, blood flow is sustained, and the majority of users can achieve either an erection or an erection-like state that is satisfactory for intercourse. Properly motivated men can use these devices long-term without serious side effects. The devices are particularly effective in the management of partial impotence; they represent an attractive alternative to surgical procedures upon the penis, intracavernosal injection of vasoactive drugs, and sexual abstinence.
Erectile Dysfunction↗
Acceptability and consequences of screening for chlamydia trachomatis by home-based urine testing.
OBJECTIVE: The objective of this study was to study the acceptability and consequences of home-based chlamydia (CT) screening by Municipal Health Services (MHS) among 15- to 29-year-old participants. STUDY: This study consisted of a cross-section of 156 CT-positives and 600 random sampled CT-negatives after receiving the result of their CT test. RESULTS: Thirty-eight percent of the men and 59% of the women responded. The screening method was well-accepted. Seventy percent (52) of the CT-positives were surprised about their result. Infected women more often than men reported a feeling of being dirty and of anxiety about infertility. Curiosity for the CT result was decisive for participation in 68% and perception of personal risk was poor. The willingness to be tested regularly was determined by present chlamydial infection, young age, multiple lifetime partners, short relationship, and earlier test for chlamydia. CONCLUSIONS: Chlamydia screening organised by MHS is acceptable for future screening. Participants with an elevated risk are interested in screening as long as test kits are easily available. Counseling with focus on effects of CT, especially on women, is essential. Alternative approaches are needed to motivate men and non-Dutch high-risk groups.
Adolescent↗
Recruitment and baseline epidemiologic profile of participants in the first phase 3 HIV vaccine efficacy trial.
OBJECTIVE: To describe recruitment and baseline epidemiologic characteristics of volunteers in the first phase 3 placebo-controlled trial of a recombinant gp120 HIV vaccine (AIDSVAX B/B). METHODS: Volunteers were gay/bisexual men or women at risk for sexually transmitted HIV infection. Recruitment strategies, demographics, and risk factors were assessed. HIV status was determined by standard HIV-1 antibody assays. Seronegative/viremic HIV infection at enrollment was determined using the HIV-1 nucleic acid test. RESULTS: From June 1998 through October 1999, 5417 of 7185 volunteers screened were enrolled at 61 sites in the United States, Canada, and The Netherlands. Successful recruitment methods included distribution of study information at gay venues, advertising and media coverage, and referrals from volunteers. Most volunteers were altruistically motivated, men (98%), young (median, 36 years), white (83%), well educated (61% college education or more), and at high risk for HIV during the 6 months before enrollment. At baseline, 14 were HIV infected (12 were seronegative but viremic; 2 were seropositive and viremic). CONCLUSION: Men and women at high risk for sexually transmitted HIV infection were successfully recruited for the first phase 3 HIV vaccine efficacy trial. Knowledge of recruitment and baseline epidemiologic characteristics of participants in this trial will provide valuable guidance for designing and conducting future trials.
AIDS Vaccines↗
One-year study of the efficacy of a dentifrice containing zinc citrate and triclosan to maintain gingival health.
In a previous study we demonstrated that gingival health could be maintained in a group of highly motivated nurses using a dentifrice containing a zinc salt and triclosan. We have now investigated the effect of the experimental dentifrice on a group of less motivated men. One hundred and three male students were given oral hygiene instruction (OHI) and their teeth were professionally cleaned. For each individual, both the instruction and cleaning were completed in a single 15-min period. Two balanced groups were formed, based on the prestudy plaque levels and gingival bleeding. One group used the experimental dentifrice for 12 months, while the other used a control. Results were assessed after 6 months, and after 12 months. As a result of the OHI, plaque and gingival bleeding were reduced at the end of the prestudy period. This improvement was not maintained by the control group even for 6 months. In contrast, the test group exhibited significantly lower plaque levels and higher standard of gingival health throughout the 12 months. Reassessment of available participants 6 months after the study showed that gingival health in both groups had returned to its prestudy condition. The lower observed standard of gingival health in the test group after ceasing to use the experimental dentifrice further supports the conclusion that this dentifrice can contribute to an oral care program.
Adult↗
The decision to lose weight.
The purpose of this article is to describe the reasons people give for deciding to lose weight compared by weight history and gender. The sample consisted of 162 Caucasian community volunteers. Data were obtained from an extensive open-ended interview that was analyzed using content analysis. Respondents were categorized into five groups, according to their success at weight loss: Successful, Always Normal Weight, Underweight, Clinically Successful, and Always Obese. The Clinically Successful and Always Obese were included in the category Unsuccessful Dieter. Reasons given for entering a weight-loss regime included attractiveness or appearance, health, fear, self-esteem issues, age, and competition. For the Successful Dieter, attractiveness and health were the two major motivations. Men and women were similar in their reasons for entering a weight-loss program. The issue of what makes a decision of sufficient importance to maintain weight loss remains unexplained. "Centrality" is offered as a possible explanation.
Adult↗
Gender in medicine - an issue for women only? A survey of physician teachers' gender attitudes.
BACKGROUND: During the last decades research has disclosed gender differences and gender bias in different fields of academic and clinical medicine. Consequently, a gender perspective has been asked for in medical curricula and medical education. However, in reports about implementation attempts, difficulties and reluctance have been described. Since teachers are key persons when introducing new issues we surveyed physician teachers' attitudes towards the importance of gender in professional relations. We also analyzed if gender of the physician is related to these attitudes. METHOD: Questionnaires were sent to all 468 senior physicians (29 % women), at the clinical departments and in family medicine, engaged in educating medical students at a Swedish university. They were asked to rate, on five visual analogue scales, the importance of physician and patient gender in consultation, of physician and student gender in clinical tutoring, and of physician gender in other professional encounters. Differences between women and men were estimated by chi-2 tests and multivariate logistic regression analyses. RESULTS: The response rate was 65 %. The physicians rated gender more important in consultation than in clinical tutoring. There were significant differences between women and men in all investigated areas also when adjusting for speciality, age, academic degree and years in the profession. A higher proportion of women than men assessed gender as important in professional relationships. Those who assessed very low were all men while both men and women were represented among those with high ratings. CONCLUSIONS: To implement a gender perspective in medical education it is necessary that both male and female teachers participate and embrace gender aspects as important. To facilitate implementation and to convince those who are indifferent, this study indicates that special efforts are needed to motivate men. We suggest that men with an interest in gender issues should be involved in this work. Further research is needed to find out how such male-oriented endeavours should be outlined.
Journal Article↗
A review of sex differences in sexual jealousy, including self-report data, psychophysiological responses, interpersonal violence, and morbid jealousy.
The specific innate modular theory of jealousy hypothesizes that natural selection shaped sexual jealousy as a mechanism to prevent cuckoldry, and emotional jealousy as a mechanism to prevent resource loss. Therefore, men should be primarily jealous over a mate's sexual infidelity and women over a mate's emotional infidelity. Five lines of evidence have been offered as support: self-report responses, psychophysiological data, domestic violence (including spousal abuse and homicide), and morbid jealousy cases. This article reviews each line of evidence and finds only one hypothetical measure consistent with the hypothesis. This, however, is contradicted by a variety of other measures (including reported reactions to real infidelity). A meta-analysis of jealousy-inspired homicides, taking into account base rates for murder, found no evidence that jealousy disproportionately motivates men to kill. The findings are discussed from a social-cognitive theoretical perspective.
Affective Symptoms↗
Men's health initiative risk assessment study: effect of community pharmacy-based screening.
OBJECTIVES: To determine whether community pharmacists using a risk assessment tool could encourage men who were overdue for a physical examination to visit a physician and to calculate the return on investment from the pharmacy perspective for offering a complimentary risk assessment service. DESIGN: 12-week, prospective cohort study using convenience sampling among men who visited participating pharmacies. SETTING: Cross-section of community pharmacies. PATIENTS: 382 men aged 25-74 years with potential health risks that were untreated or uncontrolled, or who had not had a physical examination within the past year. INTERVENTION: Screening for specific health risks with or without telephone follow-up. MAIN OUTCOME MEASURE: Overall male patient response to pharmacist recommendations for follow-up medical care. RESULTS: Of 382 men identified by the Men's Health Risk Assessment Tool (MHRAT) as being at risk for 1,194 significant health conditions (mean, 3.1 conditions per patient), 69% had not received a physical examination from a physician for a period ranging from more than 1 year to 22.6 years. Of men who were recommended to make an appointment, 64% were seen by a physician or were waiting on a scheduled appointment at the end of the study. No differences were seen between the telephone intervention group and the control group in rates of obtaining a physician examination. CONCLUSION: A positive public health initiative involving community pharmacists was demonstrated in this study. Community pharmacists had a significant impact on motivating men to see a physician for follow-up care once a potential health risk was identified. The MHRAT and the pharmacist recommendation or patient education were the motivating factors and not follow-up telephone interventions by the pharmacist. Given community pharmacists' unique accessibility, an enormous opportunity exists for community pharmacists to raise awareness of men's health care and influence men's health behavior.
Adult↗
Effects of a 3-month endurance event on physical performance and body composition: the G2 trans-Greenland expedition.
OBJECTIVE: Prolonged physical exertion with inadequate time for recuperation may result in an overtraining phenomenon characterized by reduced physical strength and endurance capacity. We tested the hypothesis that highly motivated men pushed to the limits of their endurance capacity for 3 months would suffer physical breakdown characterized by loss of lean mass and reduced physical performance capacity. METHODS: Two well-trained men (VO2max > 60 mL/kg/min), aged 25 years, completed an unsupported, 2928-km, south-to-north ski trek across Greenland in 86 days. The trek involved ski marching, typically for 9 h/d, pulling sleds initially containing 150 kg and a high-fat (60%) energy-dense diet of 25.1 MJ/d. Body composition and physical performance data were collected 14 days before and 4 days after the trek. RESULTS: Energy expenditure based on doubly labeled water during three 2-week periods ranged from 28.3 and 34.6 MJ/d in rugged terrain to 14.6 and 16.1 MJ/d during travel on flat terrain for subjects 1 and 2, respectively. Both men lost weight, completing the trek with low-normal fat stores (approximately 13% body fat). The lighter man gained 0.6 kg lean mass, while the heavier man lost 1.4 kg lean mass and a larger amount of fat weight (7.0 kg). Most performance measures showed trivial changes within the errors of measurement and test reproducibility, indicating no loss of endurance capacity, but anaerobic tests (Wingate and vertical jump) were markedly reduced. Markers of metabolic status, including oral glucose tolerance tests, indicated no functional impairments. CONCLUSIONS: Although the number of subjects was limited, this observational study demonstrated that well-trained and experienced long-distance ski trekkers who eat an adequate high-calorie diet can perform endurance treks in severe cold, with little or no loss of lean mass and physical capability.
Adult↗
Practices and perceptions of physical activity in urban, employed, middle-class Indians.
The aim of this study was to describe the detailed physical activity profiles of educated, employed, urban Indians and to ascertain their knowledge about the benefits of exercise, their concept of 'ideal' exercise, and the constraints in achieving it. To this end, 401 subjects (193 males, 208 females) between the ages of 25 and 58 years were studied. Women were significantly more active than men (p < 0.05), largely due to enhanced household activity (p < 0.05), which was not offset by the higher leisure time-related exercise of males (p < 0.05). Over 50 percent of subjects were aware of the benefits of exercise in preventing heart disease. The subjects' perceptions of 'ideal' exercise, based on exercise programmes they had drawn up for themselves, were adequate in terms of frequency and duration, but inadequate in intensity, when compared with the current recommendations for exercise in primary prevention of coronary heart disease. Lack of time (men 53.4%, women 68.3%) and lack of motivation (men 26.4%, women 28.4%) were the most-often cited reasons for being unable to achieve 'ideal' exercise goals. The data provides an important framework for understanding physical activity profiles of urban, educated and employed Indians on the basis of which behavioural strategies can be formulated to enhance physical activity and reduce cardiovascular risk.
Adult↗
100 years of animal welfare regulation and of experiments with animals in Germany, effects and reasons.
The first regulations (1883) have been renewed twice (1933, 1972) and will soon be renewed once again (1986). They have always been influenced by two motivations: men's feeling of responsibility for animals on one hand and antiscientism or public suspicion against scientists on the other hand. The general rules concerning animal welfare (anaesthesia, reduction of number and harm, species selection etc.) have been constant for 100 years, but governmental control increases by the establishment of special licences (for each project, for the responsible scientist, for the location) by regular controls of the laboratories, by installing a permanent animal welfare officer in the institutions, by protocols, special taxes and increasing penalties. Out of different public ethical concepts about the use of animals, the law for the present agrees with those permitting to use animals for "reasonable purposes". But now the public opinion wants to change to "only for necessary" purposes; this especially concerns animal experiments causing severe pain. Philosophers and public have difficulties to find consentaneous reasons for the "necessity" of basic research. Each basic research in biology must be accepted as necessary because life is multifactorially organized and can be analyzed sufficiently only by random-like strategies to test not monocausally evidenthypotheses alone, but all reasonable possibilities.
Animal Welfare↗
Condom use by Dutch men with commercial heterosexual contacts: determinants and considerations.
We report responses from 559 clients of female prostitutes, with a view to determining to what extent previously identified factors play a part in condom use. To increase the response rate to advertisements in daily and weekly newspapers, interviews were held by phone. This procedure had the advantage of ensuring the anonymity many clients demanded. Of those clients having vaginal or anal contact (91%), 14% had not always used condoms in the previous year. Compared with consistent condom users, these men were less highly educated, had twice as many commercial contacts, and had more contacts with "steady" prostitutes. They were either more emotionally motivated to visit prostitutes than were consistent condom users or exhibited a stronger need for sexual variation. They showed a more compulsive attitude toward visiting prostitutes, had a more negative attitude toward prostitution in general, evaluated condoms more negatively, had a higher personal efficacy to achieve unsafe contacts, and had a higher general risk assessment, commensurate with their behavior. Men with only safe contacts had either an intrinsic or an extrinsic motivation for condom use. Among extrinsically motivated men, their behavior change was more recent and had not yet taken root: They still envisioned unsafe commercial sex to be possible in the future. Education aimed at the small group of men practicing unsafe contacts will not easily and directly lead to behavior change. But these educational activities may support prostitutes to persist in (consistent) condom use, regardless of clients' pressure to do otherwise.
Adult↗
Involving men, family planning's "other half".
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Behavior↗
Fertility and prospects of family planning in The Three Towns.
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Africa↗
Pilot programs increase men's involvement.
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Africa↗
Postvasectomy semen analysis: why patients don't follow-up.
Semen analysis following elective vasectomy is necessary to confirm that the procedure was successful. However, many patients fail to follow postoperative instructions to obtain semen analysis. One hundred forty-one patients who had undergone vasectomy at the Family Practice Center of the Medical College of Ohio were surveyed to assess reasons for a poor rate of follow-up after vasectomy. Only 26 percent of respondents had returned two or more semen samples following surgery. Forty-five percent had not returned any samples. The inconvenience and embarrassment of having to bring semen specimens to the laboratory were identified as factors that can affect patient adherence to instructions. Respondents who had not returned any semen specimens were more likely to answer that their spouse would not be very upset if the vasectomy failed and pregnancy resulted. Our survey results identify issues for improving patient care following vasectomy. These include patient education and postoperative protocols.
Aftercare↗