men health in sarawak · tong et al. bmc family practice 2011, 12:29 . ... laporan tahunan 2014,...

MEN HEALTH IN SARAWAKKAMARUDIN KANA

UNIMAS

26/10/17

10/30/2017 1

Content

1. Definition of men’s health

2. Mortality rate and causes of death in Malaysia & Sarawak men

3. Cardiovascular risk factors

4. Cancer

5. Road Accident

6. Communicable diseases

7. Psychological health

8. How can we improved men’s health in Sarawak

Definition of men’s health

Men’s Health Definition

• The definition has reference to the WHO concept of “health” andincludes dimensions of health and disease, risk and protective factorsthat require special prevention and care services for all phases of life.

• Bardehle D et al. What is Men's Health? A definition. Gesundheitswesen 2016 Jul;78(7):e30-9. doi: 10.1055/s-0035-1564077. Epub 2015 Oct 22.

• Men's health refers to a state of complete physical, mental, and socialwell-being, as experienced by men, and not merely the absence ofdisease or infirmity.

• https://en.wikipedia.org/wiki/Men%27s_health#cite_note-1

Malaysian primary care doctors’ views on men’shealth: an unresolved jigsaw puzzle.

Tong et al. BMC Family Practice 2011, 12:29 http://www.biomedcentral.com/1471-2296/12/29

MEN’S HEALTH MAGAZINE• HEALTH ; Men's Health shows you how to get fit

and stay in your top shape with help for healthissues such as allergies and asthma, stressmanagement, sexual health, wellness information,and more.

• FITNESS ;Men's Health has the fitness tips,workout plans, exercises, and muscle buildingtechniques you need to get the body you want.

• NUTRITION ; You need the right nutrition to lookand feel your best. Get all the nutritioninformation and right facts from Men's Health.

• SEX & RELATIONSHIPS ; Understand her mind andbody. We offer you sex and relationship advice onhow to be a better partner and make her happy.

• STYLE ; From fashion to grooming, we have all thetricks to help you look the part for every occasion.

•

LELAKI MAGAZINE

• Modern. Stylish. Cultured

• This is the only Malay-language guidefor the modern man about town thatshowcases the latest trends in fashionand grooming, pop culture andcurrent affairs from a stylishly maleperspective.

• It moves and informs in a masculine,strongly-visual manner which appealsto the confident, urbane, intellectualand discerning readership.

• Gaya Lebih Anggun Mewah

• Maskulin touches on topicsrevolving around fashion,grooming, health, fitness andautomotive that is written in alaid back manner yet jam packedwith information that are all inaccordance with the tastes andneeds of the urban andcontemporary man.

Mortality rate and causes of death in Malaysia & Sarawak men

SARAWAK : 2.77 million

Population of Sarawak :(Male 1.44 million & Female 1.32 million)

1.44

1.32

2017

Male

Female

Department of Statistics, 2017

72

73

74

75

76

77

78

79

2013 2014 2015 2016 2017

Life Expectancy 2013 - 2017

Male

Female

Mortality rate and causes of death in Malaysian

Department of Statistics, 05 Dec 2016

Ten principal causes of death, Malaysia, 2014

Mortality rate and causes of death in Malaysian men

Department of Statistics, 05 Dec 2016

Five principal causes of men’s death , Malaysia, 2013 and 2014

CARDIOVASCULAR RISK FACTORS

Cardiovascular risk factors

NO. DISEASES MALAYSIA % SARAWAK % MALE % FEMALE %

1. Diabetes Mellitus 17.5 14.8 16.7 18.3

2. Hypertension 30.3 37.3 30.8 30.8

3. Hyperlipidaemia 47.7 12.6 52.2 43.5

4. Obesity 33.4 31.0 35.8 30.9

5. Abdominal Obesity 48.6 23.0 38.2 60.2

6. Smoker 22.8 25.4 43.0 1.4

7. Drinker 8.4 12.1 4.3

8. Physically Active 66.5 59.2 71.1 61.7

NATIONAL HEALTH AND MORBIDITY SURVEY 2015

Burden of NCD in Malaysia

Cardiovascular risk factors

• C. T. Chang, P. Y. Lee, and W. L. Cheah, “The prevalence of cardiovascular risk factors in the young and middle-aged rural population in Sarawak, Malaysia,” Malaysian Journal of Medical Sciences,vol.19, no.2, pp.27–34,2012”

Smoker in Malaysia

43.9% of men, 1.0% of women, and 23.1% overall (4.7 million adults) currently smoked

tobacco. Global Adult Tobacco Survey (GATS) 2011

Smoker in Sarawak

• It was found that there was gender significance associated withsmoking which were being male (27%) and the remainder 17% wasfemale.

• Rahman MM et al. Factors associated with tobacco use among the adult population in Sarawak, Malaysia: A cross sectional study. Epidemiology Biostatistics and Public Health - 2015, Volume 12, Number 1

• The prevalence of smoking among secondary school students inSarawak is 32.8% although the majority (96.9%) did not smoke on adaily basis.

• O Juslina et al. Prevalence of Smoking Among Secondary School Students in Sarawak. Malaysian Family Physician 2011; Volume 6, Number 2&3

CANCER IN MALAYSIA & SARAWAK

Cancer in Malaysia & Sarawak

World Health Organization - Cancer Country Profiles, 2014.

Cancer Among Malaysian Men


Malaysian National Cancer Registry Report 2007 - 2011

Colorectal Cancer


Trachea, Bronchus, Lung Cancer


Nasopharynx Cancer


Nasopharyngeal Cancer in Sarawak

Beena C.R.Devi et al. High Incidence of Nasopharyngeal Carcinoma in Native

People of Sarawak, Borneo Island. Cancer Epidemiol Biomarkers Prev 2004;13(3). March 2004.

Prostate Cancer


ADULT RISK FACTORS FOR CANCERS


ROAD ACCIDENTS

Injuries Total Road Accidents by States, Malaysia, 2007 - 2016

Total Road Accidents by States, Malaysia, 2016

Transport Statistics Malaysia Ministry of Transport, 2016

Deaths Caused by Road Accidents by States, Malaysia, 2016

Transport Statistics Malaysia Ministry of Transport, 2016 Reported road traffic fatalities (2013) 6 915b (85% M, 15% F)Malaysian Institute on Road Safety Research (MIROS).

COMMUNICABLE DISEASE IN SARAWAK

Communicable Disease in Sarawak

Laporan Tahunan 2014, Jabatan Kesihatan Negeri Sarawak

Dengue in Sarawak


Malaria in Sarawak


Tuberculosis in Sarawak


HIV in Sarawak


Gonorrhea in Sarawak


Syphilis in Sarawak


MENTAL HEALTH

Burden of Mental Disorders

MENTAL HEALTHNO. DISEASE MALAYSIA % SARAWAK % MALE % FEMALE %

1. Mental Disorders 29.2 35.8 30.8 27.6

National Health Morbidity Survey 2015

Comparing schizophrenia symptoms in the Iban of Sarawak with other populations to elucidate clinical heterogeneity

Duncan McLean et al. Asia Pac Psychiatry 2015 March; &(1):36 – 44.

HOW CAN WE IMPROVED MEN’S HEALTH IN SARAWAK

HOW CAN WE IMPROVED MEN’S HEALTH IN SARAWAK

1. Increase Public Awareness

- Men’s Health Day on 19 Nov

2. Men’s Health topics in undergraduate and postgraduate curriculum

3. Formulation of a State and National Men’s Health Policy andAction Plan

4. Extension of work scope for Quit Smoking Clinic to include Men’sHealth in Klinik Kesihatan

5. Form research cluster related to Men’s Health and collaborationwith local and international institution / NGO e.g University ofMalaya Men’s Health Research and The Malaysian Society ofAndrology and the Study of the Aging Male.

INTERNATIONAL MEN’S DAY

The objectives of celebrating an International Men's Day include ;

i) focusing on men’s and boys’ health

ii) improving gender relations,

iii) promoting gender equality and

iv) highlighting male role models

International Men's Day Global Website : http://internationalmensday.co/

http://internationalmensday.co/

Knowledge on male sexual and reproductive health: a comparisonbetween final year medical students in Universiti Sains Malaysia (USM)and Monash University (MU), Melbourne, Australia

Shaiful Bahari I et al. Education in Medicine Journal. Volume 4 Issue 2 2012

Formulation of National Men’s Health Policy and Action Plan

Six priority areas for action :

1 Optimal health outcomes for males

2 Health equity between population groups of males

3 Health equity between males at different life stages

4 A focus on preventive health for males

5 Building a strong evidence base on male health

6 Access to health care for males

National Male Health Policy 2010, Australia

1. Optimal health outcomes for males –

• Promote recognition of the valuable roles males play in family and community life, develop policies that specifically consider male health, and modify health programs to improve the health and wellbeing of males and particularly those with the poorest health outcomes.

2. Health equity between population groups of males –

• Give policy priority to males who experience the highest health disadvantage, promote health messages in a way that males can relate to, and encourage health services for Aboriginal and Torres Strait Islander males to have a positive, family-oriented approach.

3. Improved health for males at different life stages –

• Promote the role of males as fathers, recognise the roles of Aboriginal and Torres Strait Islander men in traditional practices and parenting, encourage a focus on transition points in male lives (for example. Leaving school, relationship breakdown), develop practical health promotion materials, and promote male adolescent health through schools and other avenues.

4. A focus on preventive health for males –

• Encourage employers to deliver health checks and programs for males, fund health promotion materials, encourage health promotion activities to have a specific focus on males, raise awareness on chronic diseases among males, deliver evidence-based health promotion messages to males, and monitor workplace hazards and environmental toxins.

5. Building a strong evidence base on male health –

• Fund a National Longitudinal Study on Male Health, commission regular statistical bulletins on male health, give priority to research focusing on male health, routinely collect and report data on male health, explore the potential for surveys on male health, and monitor scientific developments relating to male health.

6. Improved access to health care for males –

• Encourage health services to be responsive to male needs and aware of health barriers they face, encourage culturally appropriate services for Aboriginal and Torres Strait Islander males and encourage GPs to take up government incentives to engage Australians in prevention of chronic disease.

Primary Prevention

World Health Organization - Cancer Country Profiles, 2014

CANCER SCREENING AND EARLY DETECTION

World Health Organization - Cancer Country Profiles, 2014

Extension of men’s Health in Quit Smoking Clinic

58

THANK YOU

men health in sarawak · tong et al. bmc family practice 2011, 12:29 . ... laporan tahunan 2014,...

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