welcome setting the scene… to understanding males welcome setting the scene… to understanding...
TRANSCRIPT
WelcomeWelcomeSetting the Setting the Scene… Scene…
To To Understanding Understanding
Males Males for Women
Developed & Supported by
•Alpine Health•Ovens & King
Community Health Service
•Alpine Shire•Bright Medical
Centre
Thank You to our ALL Sponsors…
Presented by
Bernard Denner … Men’s Health EducatorCentre for Advancement of Men’s Health (CAMH)Mildura Vic. 0419 566 750 email [email protected]
Bernard Denner Health Educator / Men’s Health Advocate
Live In Mildura Vic
This is my 14th year developing Men’s Health & Early Intervention programs
across Australia
•Presented in Washington DC/Canada/Nevada
•Published Papers in Health Journals in
Aust / USA/ Europe
•Presented Paper & Worked in Canada in June 07
•Regular contributor on Regional ABC Radio
What’s A Men’s Health Talk
• The Facts on Men’s Health
• Prostate Cancer
• Heart Disease / Diabetes
• Depression/Male Menopause
• Relationships
• Where to from here
‘It’s a BOY’…
Goes up the CRY
To catch a FISH you need bait
But most of allYou need to Know the Fish
Same with BlokesWe NEED to KNOW Them
Promoting Men’s Health &Wellbeing…Promoting Men’s Health &Wellbeing…
Men’s health is FAMILY HEALTH
It’s ABOUT…
Engaging & Providing sessions that support and ENGAGE MEN…
To Change their…
•General Health to Reduce Risk•General Lifestyle to Reduce Risk•Wellbeing to Value Themselves
‘Blokes are Different’
“Most people assume that men, by virtue of their economic advantages in society, must be correspondingly healthy.”
Also
We Assume All Men are the Same.
WHO ARE MEN?
ARE MEN DIFFERENT?
…to women…to other men
Any Ideas on… DIFFERENCES/WHO ARE MEN?
'Men are Different’
'Men's Health comes in all shapes and sizes.
Men have different needs, at different times in their life. They experience different outcomes even for the same problems whether that is their physical health or general wellbeing.
As men we react differently to life issues such as separation, divorce, death, work pressure, unemployment, early retirement, sex, relationships with their partner and kids and as we know we don't all barrack for the same football team......... We Don’t all like blondes …so men are different
Sometimes we need to understand how different men really are and do things a bit different.
Australian Males
40-year-old men starting a 2nd or 3rd career, playing in professional sports or even being first-time fathers.
Recent studies have indicated that the number of men aged 35 to 54 who are fathering children is up 20% in the past 20 years.
Australian male population is ageing:
28% of men are over the age of 50
12% over the age of 65 years.
It is projected that by 2021, 4 million Australians will be over the age of 65, an increase of 1.7 million from today’s estimate.
Factors that can impact on men
Future / Unemployment
Divorce / Separation
Workplace Stress
Sense of Achievement
Sexuality / Intimacy
Parenting
Health Issues
Other Factors
Competitive Society… Expectations
Workplace Status
Income/Car you drive
Family Unit…Partner & Kid
The mortgage & SIZE of HOME
This is can also be the case
for Women in the Workplace
Life Expectancy of the average man
Male
FemaleAustralia 78.7 83.5ACT 79.9 84
Vic 79.3 83.7
NSW 78.5 83.3
Queensland 78.3 83.2
SA 78.3 83.2
WA 78.8 83.8
Tassie 77.2 82.4
NT 72.5
72.7 Indigenous 60 65
Source: Victorian Burden of Disease Report
Life Expectancy of the average man born in .… MalesFemalesVictoria 78.7 83.5
Loddon Mallee 77.5 82.3
Mildura 75.8 81.08
East Wimmera 76.5 82.2
Doncaster/Eltham 80 84.1
HUME District 78.5 83.7
Source: Victorian Burden of Disease Report
MALE CAUSES OF DEATHMALE CAUSES OF DEATH
ABS 2003 … Mortality Atlas Australia
Cause (1997-2000) Males Femalesdeaths per 100,000 persons (comparison)
Cancers 237.8 146.7
Heart Disease 190.0 119.9
Strokes 65.9 65.8
Lung Diseases 46.6 23.2
Accidents 35.6 17.7
Self Harm 21.9 5.5
Typical Community … Typical Community … MORTALITY MORTALITY RATESRATES
2005 FEMALES
1 Heart disease
2 Stroke
3 Dementia
4 Breast Cancer
5 Colon/Rectum Cancer
6 Lung/Pulmonary
7 Diabetes
8 Lung cancer
9 Stress (HBP)
10 Vascular disease
MALES
1 Heart disease
2 Lung cancer
3 Stroke
4 Lung/Pulmonary
5 Prostate Cancer
6 Colon/Rectum Cancer
7 Diabetes
8 Stress (HBP)
9 Dementia
10 Suicide
MORTALITY RATESMORTALITY RATES
Heart Disease Women
• 1 in 3 Women Die of Heart Disease
• 1 in 6 Women Die from Stroke
• 1 in 25 from Breast Cancer Source: Heart Foundation
Other Facts…Other Facts…
Health for MEN & WOMENHealth for MEN & WOMEN
That LIFESTYLE
Changes
Make a DIFFERENCE
HEART DISEASEHEART DISEASE
…. has no boundaries• It is not gender specific
• People can develop heart disease risk
factors Because of their LIFESTYLE
• Family history (Genetics) is a HUGE factor
• People are commonly unaware of their risk factors
•Men especially IGNORE the risk factors & symptoms
•Indigestion…
Recognize Heart AttackSymptoms• Central Chest Pains• Tightness• Radiation of pain to
arms and/or neck• Shortness of breath• Nausea or Vomiting
Signs• Collapse• Pulse ?• Breathing ?• Sweating/Clammy• Cyanosis (blue lips
and nail beds)
Facts…StrokeFacts…Stroke
48,000 cases a year
•50% Die (Rural 15% higher)
•25% Partial Recovery
•25% Full Recovery
STROKE STROKE
RECOGNIZE POSSIBLE STROKERECOGNIZE POSSIBLE STROKE Collapse /loss of consciousness
•Slurred speech• Sudden weakness or loss of
function of limbs•Sudden numbness of limbs• Drooping of one side of face•Sudden Loss of bowel or bladder control
Note… even very short term Note… even very short term symptoms need to be assessed.symptoms need to be assessed.
Blood Pressure
• Benchmark - < 130/85
• High normal –
• 130/85 to 140/90
• High - more than 140/90
CholesterolCauses - usually saturated fats in our diet,
cholesterol in foods, hereditary factors• TC - 5.5. mmol/L or less• HDL - 1.0 or above (.5 to .8)• LDL - 3.5 or less (5plus)• Triglycerides - 2.0 or less (5plus)
• Ratio - 4.5 or less over 6.5 BAD
Based on RESULTS…FAMILY HISTORY & AGE should be the Deciding factor for MEDICATION
DIABETESDIABETES
AM I AT RISK?AM I AT RISK?
Am I Inactive? Am I Over Weight? Am I Over 45 Years of Age? Am I Related to a Person with
DIABETES?
YESYES
Premature Death is Costly• Inspector Paul Carr…43 yrs Adventurer & Police
Special Operations Group
• Vin Waite…54 Carlton great
• John Scholes…54 Great Cricketer
• John Ritter … 54 Actor(8 Simple Rules)
• Robert Palmer…54 Singer
• John Spencer …57 Actor (West Wing)
• Richard Charlton…59 (60mins)
• BILLY THORPE
JOHN ILHAD…42 (CRAZY JOHN)
Family History
PROSTATE PROSTATE DISEASEDISEASE
•12,000 will be Diagnosed next 12 months
•3,000 will die
•Australia 3rd highest in world
The Engine Room for Blokes
PROSTATE DISEASEPROSTATE DISEASETwo versions
•Prostate Cancer…Symptoms hard to Recognise
DEADLY if not Diagnosed
•Enlarged Prostate…by 80yrs…80% men have one
•Wee is a Dribble/Slower Start/more trips to LOO at night
FEEL Generally ORDINARY
BOWEL CANCERBOWEL CANCER
It’s ‘shitty’ to have itIt’s ‘shitty’ to have it• Men most at risk
• Men don’t get TESTED
• Bowel scan is so SIMPLE• It’s TREATABLE...don’t get shitty
• ANY signs…see a GP
IMPOTENCEIMPOTENCE
SEXUAL SEXUAL DYSFUNCTIONDYSFUNCTION
‘‘It Doesn’t Work’It Doesn’t Work’
WARNING SIGNS
•High Cholesterol
•High Blood Pressure
•Diabetes
•Depression/Stress
•BIG GUT…’small dick’
•Fatty Diet/Too much alcohol
•Lack of ‘REAL EXERCISE’
•Smoking
# Partner's of affected men; Attitudes relating to erectile dysfunction. Prof. Doug Lording, et al., Australian Society of Impotence Medicine.
CAUSE OF SEXUAL DIFFICULTIESSome of these are:
•Ignorance•Unrealistic Expectations•Anxiety - Am I Normal?•Poor communication skills•Relationship difficulties•Focus on Intercourse
•Tiredness
•Workplace / General Stress
DEPRESSION?DEPRESSION?
Suicide Suicide Comparison 1999 – 2003 (24%drop)
2003 to 2005…6% drop
NationallyNationally MalesMales FemalesFemales
15-24 years of age
1999 398 71
2003 251 49
25-44 years of age
1999 934 220
2003 788 213
45-54 years of age
1999 312 97
2003 299 93
Suicide Suicide Comparison 1999 - 2003
VictoriaVictoria MalesMales FemalesFemales
15-25 years of age
1999 60 16
2003 50 14
25-44 years of age
1999 213 53
2003 172 55
45-54 years of age
1999 67 18
2003 79 30
We have to recognise that
DEPRESSION is Normal
But Prolonged & we can’t move on
•GRUMPY
•HOSTILE
•DETACHED from Family/Friends
•EXCESSIVE DRINKING/BEHAIOUR
need support to copeneed support to cope
Reducing Stress KINDNESS to Your Body &
Wellbeing
• Reduces Fat (Stress promotes ‘fatness’)
• Be more Alert
• Be less Grumpy
• More Energy
• Better Sex
Exercise REDUCES Stress
•Menopause (feeling NUTTY)Menopause (feeling NUTTY)
•Cervical cancer
•Breast cancer
•Depression
•Relationships/Family•Heart Disease & Stroke
•OLD AGE…you live longer
WOMENS HEALTH ISSUES
&
Defacto couples who marry have a 50% Higher divorce rate than those
who just marry
46% of Australian marriages break down46% of Australian marriages break downWomen initiate divorce 4 in 5 casesWomen initiate divorce 4 in 5 cases
Divorce TypesDivorce Types
Unhappy married women going back Unhappy married women going back into Workplace increases prospects by into Workplace increases prospects by
70%70%
RELATIONSHIP CENTRES…place to RELATIONSHIP CENTRES…place to startstart
•Lowers Blood Pressure
•Sex is GOOD for Women…Mood Enhancing
• Sniffles will Go Away with GOOD SEX
•TWICE a week for men…increases LIFE
…Reduces RISK of Prostate Cancer
•Makes you FEEL YOUNGER
• Reduces Weight…
•Simply… MAKES YOU Feel BETTER
Sample of answers…Workplace programSample of answers…Workplace programWhat makes you feel… depressed or ordinary?What makes you feel… depressed or ordinary?
Relationships…2004Relationships…2004Men Women
Ex Partner 19% 12%
Partner 14% 26%
Themselves 11% 23%
Workmates 11% NA
Children 7% 14%
Sample of answers…Workplace programSample of answers…Workplace programWhat makes you feel… depressed or ordinary?What makes you feel… depressed or ordinary?
SEX…2004SEX…2004Men Women
Lack of Sex 13% 9%
Lack of Good Sex 12% 21%
Intimacy/Love 13% 26%
Lack of Opportunity 15% 12%
Your inability to perform 2% 7%
Happy with Sex/Intimacy 44% 47%
25% men want sex Daily versus 8% women
TIPS FOR RELATIONSHIPSTIPS FOR RELATIONSHIPS
Make Love…Good sex regularlyKiss your partner with Passion Romance your partner X 2ayear Dinner with Family once a week Timeout from work for SELF & Family Ring Home…how’s the day FIVE year plans not just Retirement
YES…YES…means Relationships GROWmeans Relationships GROW
ENRICHING A RELATIONSHIP
• Kiss or touch when saying goodbye or returning.
•Bring surprise presents (and not just when you are in trouble).
• Ask about your partner’s day. Discuss what happened.
•Plan a night out in advance.• Compliment your partner on his
or her appearance.
•Cuddle and be affectionate without sex. Marguerite Lumsden
(Psychologist)
•Touch hands when talking or walking.
• Make your partner a cup of tea or drink.•Ask your partner for advice.• Look after your partner when they are unwell.•Engage in joking and teasing.• Do your fair share of the work around the
house…both.•Discuss personal feelings and problems.• Turn off the TV, Computer & talk.•Make time to do things together.
Marguerite Lumsden (Psychologist)
TONIGHT
ASK:
“How are We?”
Males Play an Important Role
Parenting ..... Is a PartnershipParenting ..... Is a Partnership
Don’t undermine each other
Set ... Rules...Standards
& Expectations Together
TIPS FOR PARENTINGTIPS FOR PARENTING Clear Rules Clear Standards Set Standards Set Attitudes Set Parenting Limits
Helps to make Parenting Helps to make Parenting Easier... even for Separated Easier... even for Separated
ParentsParents
Kids see Parenting Kids see Parenting as...LOVE (later in life…as...LOVE (later in life…
sucks now)sucks now)
Remember All Kids need Boundaries
PositiveDiscipline
Everyone has a …Everyone has a …
NANNY AT HOMENANNY AT HOME
The Fridge...The best place for
Rules & DealsSession at School…Yrs 9 & 10 students
No ONE could tell me the Rules at HOME
The GoodThe Good
The The BadBad
And... The The UglyUgly
TIPS FROM … Bindi IrwinTIPS FROM … Bindi Irwin
My Daddy was my hero He was Always there for me …When I needed him He Listened to me Taught me so many things But most of All…he was Fun Ring Home…just to tell your kids … how much you LOVE THEM & ask what’s fun for
YOU
YES…YES… Steve was a very Busy & Successful man Steve was a very Busy & Successful man but Never too busy to be a Good DAD & PARTNERbut Never too busy to be a Good DAD & PARTNER
ADOLESCENTSADOLESCENTS
Our FutureOur Future
Year 10 Boys and Girls Experiences
87%
69%
40%33%
19% 18%
87%80%
52%
31% 29%24%
0%
20%
40%
60%
80%
100%
% o
f Yes
resp
onse
sBoys
GirlsAcross Vic & Queensland
Reasons For Not Practicing Safe Sex
0%
10%
20%
30%
40%
50%
60%
70%
80%
Affected bydrink / drugs
Forgot acondom
Pressure not to Think it’s betterw ithout acondom
Other
% o
f Res
pons
esGirls
Boys
Men’s Health Concerns
Their Perspective
What the Bloke’s say ...
Executive SummaryBased on Responses from
CAMH
Men’s Health Nights
conducted between 2000 – 2007
Approximately 6,500 men have attended these nights
Response rate to SURVEY...68%
Report prepared by: Joanne Neill/Bernard Denner
Centre for Advancement of Men’s HealthAffiliate Men’s Awareness Network
PO Box CP1403 MILDURA VIC 3501Phone: 0419 566 750
Email:[email protected]
Attendees AGE Status
• 2.6 % 20-29 age • 10% 30-39 age
• 21% 40-49 age
• 33% 50-59 age
• 31.7% 60+ age
Marital Status…79% Married
Married
single
DeFacto /Partner
Separated
Widowed
Divorced
Top 10 Men’s Health Issues
Heart Disease
Cancer
Blood Pressure
Prostate Cancer
Cholesterol
Diabetes
Anxiety Stress
Depression
Men's Health issues
Urinary BladderProblemsRelationships
Bright & District Men…Issues like to
address
• General Health / Wellbeing
• Heart Disease / Diabetes
• Prostate Cancer
• Depression / Suicide
• Relationships/Family Issues
• Addictions…Alcohol / Drugs
Typical Men’s Health Night Response
After tonight …’Will You’• reduce weight / exercise• attend future sessions – Men’s
Health• eat less fat / cook better• work on Relationships/Family• relax more• come to Health Screening• change unhealthy habits• see a Doctor• reduce smoking• reduce alcohol / drinking• talk to someone if depressed• visit Health Service
For Blokes For Blokes
Tell a Bloke the Problem
Most Blokes want to
Fix Problems
Men’s health is about
…Knowing the problem
Value of Exercise
YOU DON’T have to be SICK to SEE a GP or Nurse
It’s easy as a Phone call
Speak Up & BE HONEST…
• ASK QUESTIONS
• MEDICARE HEALTH CHECK
The Message The Message --
Think about
Your HealthYour Health
How to Balance
Work & Work & FamilyFamily
Think about….Your HealthYour Health
How to Balance
Work & FamilyWork & Family
Talk to your familyLove your partner/kids
Be Good to YourselfSurvey…
Helps us to help men and family better.
Do It for you and him…
1.“How are We?”2.Health Checks?Avail at Bright Medical Centre….Phone call away(Full Blood Lipids/Blood Pressure)Good response…20 attended today
3.Happier & Healthier Men MAKE Better Partners & Fathers
The Message -The Message -Think about
Supporting YOUR Partner…to be
Healthier/Happier
ALSOLooking After
YOURHealth &
Wellbeing
