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© March, 2002. Why Worry About Men?. Addressing men’s sexual and reproductive health will help make men become healthier individuals, partners and fathers; improve information, counseling and clinical services for both men and women; and

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Presentation Transcript
why worry about men
Why Worry About Men?
  • Addressing men’s sexual and reproductive health will help
    • make men become healthier individuals, partners and fathers;
    • improve information, counseling and clinical services for both men and women; and
    • address social concerns such as sexually transmitted diseases and unwanted pregnancy.
report overview
Report Overview
  • The first national synthesis of men’s sexual, contraceptive, reproductive and parenting experiences
  • Focus on men aged 15-49
information sources
Information Sources
  • National Surveys
    • Current Population Survey
    • National Survey of Families and Households
    • National Survey of Adolescent Males
    • National Survey of Men
    • Other key national surveys
  • Centers for Disease Control and Prevention
    • National Center for Health Statistics
  • Bureau of the Census
men s sexual and reproductive behavior and health needs
Men’s Sexual and Reproductive Behavior and Health Needs
  • Vary according to life stage (15-19, 20-29, 30-49)
  • Are influenced by
    • Relationship status
    • Poverty
    • Race and ethnicity
    • School/work status
state variations
State Variations
  • 46% of men 20-49 are not currently married
    • 36% (UT) - 54% (MA)
  • 23% of men 15-49 are uninsured
    • 13% (MN) - 32% (AZ)
  • 95 per 100,000 males 10 and older had reported chlamydia
    • 24 per 100,000 (VT) - 161 per 100,000 (LA)
sexual and reproductive milestones
Sexual and Reproductive Milestones

Intend no more children

First intercourse

First marriage

First birth

Spermarche

MEN

33.2

26.7

14.0

28.5

16.9

AGE

10 15 20 25 30 35

12.6

26.0

17.4

25.1

30.9

WOMEN

First birth

Menarche

First marriage

First intercourse

Intend No More children

sexual activity is increasingly common after adolescence among those aged 15 49
Sexual Activity Is Increasingly Common After Adolescence (among those aged 15-49)

%

Had intercourse

20-29

30-39

40-49

15-19

as men become older they are more likely to be in a relationship among those age 20 49
As Men Become Older, They Are More Likely to Be in a Relationship (among those age 20-49)

%

slide11

Most Men Have Had One Sexual Partner In the Past YearMultiple Partners are More Common Among Men in Their Teens and 20s Than Among Men of Other Ages(among those aged 15-49 )

%

No. of partners in past year

15-19

20-29

30-39

40-49

men in their teens and 20s are the most likely to contract chlamydia and gonorrhea
Men in Their Teens and 20s Are the Most Likely to Contract Chlamydia and Gonorrhea

New infections per 100,000 men per year

15-19

20-24

25-29

30-34

35-39

40-44

45-54

both men and women are more likely to have children in their 20s and early 30s than at other ages
Both Men and Women Are More Likely to Have Children in Their 20s and Early 30s Than at Other Ages

Births per 1,000, 1998

male methods account for high proportions of contraceptive use at all ages
Male Methods Account for High Proportions of Contraceptive Use at all Ages

%

15-19

20-24

25-29

30-34

35-39

few men make sexual and reproductive health visits
Few Men Make Sexual and Reproductive Health Visits

Annual visits per 100 men

15-19

20-24

30-34

35-39

40-44

45-54

25-29

men in their 20s are more likely to be uninsured than are men of other ages
Men in Their 20s Are More Likely to Be Uninsured Than Are Men of Other Ages

%

15-19

20-24

25-29

30-39

40-49

defining needed services
Defining Needed Services
  • Information
  • Skills
  • Counseling
  • Preventive health care
  • Clinical diagnosis and treatment

(Sources: American Medical Association, EngenderHealth, Urban Institute and others)

information
Information
  • Basic sexuality and reproductive health education
  • Genital health and hygiene
  • Healthy relationships
  • Pregnancy prevention
  • Sexually transmitted diseases, including HIV
  • Fatherhood
  • Where and how to obtain other services
skills
Skills
  • Pregnancy and STD prevention and sexual health skills:
    • Risk assessment and avoidance
    • Resisting peer pressure
    • Communicating with partners
    • Using contraceptives properly
  • Fatherhood skills
counseling
Counseling
  • Self-concept
  • Life events and decision-making
  • Values and motivation
preventive health care
Preventive Health Care
  • Sexual and reproductive health history
  • Cancer evaluation screening
  • Substance abuse screening
  • Mental health assessment
  • Routine physical
  • Premarital blood test
  • Links to additional services or referral, if needed
clinical diagnosis and treatment
Clinical Diagnosis and Treatment
  • STD, including HIV, diagnosis, treatment and counseling, and partner follow-up
  • Sexual dysfunction diagnosis and treatment
  • Fertility evaluation
  • Contraceptive services, including vasectomy
  • Urologic disease, including vasectomy reversal
obstacles to addressing men s needs
Obstacles to Addressing Men’s Needs
  • No consensus on standards for male sexual and reproductive health care
  • Provider reluctance to offer services for men
    • Services focused on women and medical needs
    • Lack of information about men’s needs
    • Inadequate medical training
    • Gaps in financing
benefits of addressing men s sexual and reproductive health needs in their own right
Benefits of Addressing Men’s Sexual and Reproductive Health Needs In Their Own Right:
  • Societal awareness of men’s needs will improve.
  • Men will receive the information and services they need to protect their health.
benefits of addressing men s sexual and reproductive health needs in their own right26
Benefits of Addressing Men’s Sexual and Reproductive Health Needs In Their Own Right:
  • The scope of services available for men and women will expand.
  • Unintended pregnancies and sexually transmitted diseases will be reduced, and healthier pregnancies and better parenting will be promoted.