Document Detail


Male reproductive health disorders among Aboriginal and Torres Strait Islander men: a hidden problem?
MedLine Citation:
PMID:  23330768     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Objective: To better understand help-seeking behaviours and reproductive health disorders among Aboriginal and Torres Strait Islander men.Design, setting and participants: A cross-sectional mixed-methods study conducted from 1 May 2004 to 30 April 2005 of 293 Aboriginal and Torres Strait Islander men aged 18 2013s and over from urban, rural and remote communities in the Northern Territory and Queensland.Main outcome measures: Subscale of the International Index of Erectile Function, self-reported help-seeking behaviours for erectile dysfunction (ED) and prostate disease, thematic analysis of semi-structured interviews and focus groups.Results: The prevalence of moderate-to-severe ED increased across age groups, from about 10% in younger men (under 35 2013s) to 28% in men aged 55-74 2013s. Moderate-to-severe ED was strongly associated with reporting a chronic condition (odds ratio [OR], 3.67) and residing in a remote area (OR, 2.94). Aboriginal and Torres Strait Islander men aged 40-59 2013s showed similar low levels of help-seeking behaviours compared with non-Indigenous men from a comparable population-based study. About half of the men with ED saw a doctor or received treatment for ED in each population. While prostate cancer rates were low in both studies, testing for prostate problems was less frequent in Aboriginal and Torres Strait Islander men (11.4%) than in non-Indigenous men (34.1%, P < 0.001), despite similar levels of concern about prostate cancer. Barriers to help-seeking included shame, culturally inappropriate services and lack of awareness. Conclusion: This study, the first to investigate reproductive health of Aboriginal and Torres Strait Islander men, found low levels of help-seeking behaviours for reproductive health disorders, with implications for missing a predictor of chronic disease and late diagnosis of prostate disease.
Authors:
Michael J Adams; Veronica R Collins; Michael P Dunne; David M de Kretser; Carol A Holden
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Medical journal of Australia     Volume:  198     ISSN:  1326-5377     ISO Abbreviation:  Med. J. Aust.     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-01-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400714     Medline TA:  Med J Aust     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  33-8     Citation Subset:  IM    
Affiliation:
School of Public Health and Social Work, Queensland University of Technology, Brisbane, QLD, Australia. carol.holden@monash.edu.
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