1 / 13

No Canadian men's health policy: Does it mean obscure pathways for research on masculinities and men's health?

Margareth Zanchetta, PhD, RN Ryerson University, Faculty of Community Services-Daphne Cockwell School of Nursing. No Canadian men's health policy: Does it mean obscure pathways for research on masculinities and men's health? . Profile of medical consultations . Critical period. 0. 50. 65+.

mandana
Download Presentation

No Canadian men's health policy: Does it mean obscure pathways for research on masculinities and men's health?

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Margareth Zanchetta, PhD, RN Ryerson University, Faculty of Community Services-Daphne Cockwell School of Nursing No Canadian men's health policy: Does it mean obscure pathways for research on masculinities and men's health?

  2. Profile of medical consultations Critical period 0 50 65+ 95 12 Regular medical visits initiated by mothers Medical long term goals: Nourish good relationships with HCPs Men’s behaviours: self-medication, alcohol/drugs, suicide (successful!) Medical short term goals: Evaluate the health condition of occasional clients • Colon cancer • High cholesterol • Diabetes • Hypertension • Eventual consultations: Private health insurance & check-up Increase of medical consultations due to chronic diseases

  3. Canadian situation... • Restricted access and less men’s health & social services (Galand, 2001) • Immigrant men present high risk for chronic diseases (Hyman, 2007) • Lack of conceptual models and frameworks to inspire health policy respecting the diversity of men’s population (Doyal, 2000) • Lack of men’s health policy = Use of Health Canada sex & gender based analysis policy as a conceptual framework to explore health variations, health and illness experiences, within social sub-groups to better understand life diversity, and its impact on men’s health • Future should observe issues of domination and marginalization among sub-groups of men (Spitzer, 2005) • British Columbia’s Expanded Chronic Care Model (BC-ECCM) has inspired the conception of provincial plans (prevention & self-management of chronic diseases) that may support the development of men’s health programs.

  4. Men health x health inequities in Canada= ? • complex social / economic inequities • vulnerabilities • barriers to access health care • cultural differences between immigrant population / host society • health disparities endured by Francophone men when living as linguistic minority • sexual orientation diversity • aboriginal men • Re-conceptualization of masculine gender as a social determinant of health (or as vulnerability) is needed

  5. Investigation team • Margareth Zanchetta, PhD, RN- Daphne Cockwell School of Nursing (DCSON)-Ryerson University • Christine Maheu, PhD, RN- School of Nursing, York University • SepaliGuruge, PhD, RN- DCSON • JalilaJbilou, PhD- University of Moncton • Roger Pilon, PhD cand, RN- Laurentian University Research Assistants: • Mohamed Mohamed, BScN, RN • Melissa Stevenson, BScN, RN-Anishnawbe Health Toronto • OlesyaKolinsyk, MN, RN- University Health Network- Toronto General Hospital & Centennial College • Terry Sizto, BScN student • Carole LinaSanJose, BScN • DianaKinslikh, MA, RPT- West Park Healthcare Centre

  6. Most common mental and physical chronic diseases • Cancers (prostate, lung, and colorectal) • Circulatory diseases (high blood pressure) • Respiratory diseases (chronic obstructive pulmonary disease and asthma) • Diabetes • Mental diseases & major depression episodes • Substance abuse & alcohol dependence • Source: Haydon, E. Roerecke, M., Giesbrecht, N., Rehm, J., & Kobus-Matthews, M. (2006). Chronic disease in Ontario and Canada: Determinants, risks factors and prevention priorities-Summary of Full Report. Available: http://www.ocdpa.on.ca/docs/CDP-SummaryReport-Mar06.pdf

  7. Major methodological threats • In several qualitative studies, findings reported were not differentiated between men and women. • Less methodological rigor to compose a minimal sample of 3 men participants to allow internal comparison among them

  8. Common themes on findings • Barriers imposed by social vulnerabilities and health inequities over personal intentions to adopt self-management strategies • The use of humour to speak of diseases was important to manage the impact of threats to their masculinity

  9. Gaps in findings • Many studies target different cultural and ethnic men, however, there is no concrete comparison of whether one group is more adaptive than another • Little is explored about the influence of social and health services using a men-friendly approach to seek health care, and engagement in primary health care initiatives

  10. Implications for Research • Research should aim to make explicit the issues men face within health care • Areas to be explored: • Preventative strategies • Comparison between cultural and ethnic groups • The influence of social and health services using a men-friendly approach to seek health care, and engagement in primary health care initiatives • Creation of a Canadian research group that includes Francophone and Anglophone researchers in the area of men’s health

  11. Implications for Practice • Men usually do not articulate what their communication needs are = Creation of innovative ways to communicate and respond to men’s interest in prompt action • It is not masculine to speak about emotions = Eliminate barriers that are formed through masculinity and gender shaped dialogue • Religion, culture, ethno-cultural background, SES, and sexual orientation diversity might affect perceived competence, safety and appropriateness of preventative and self-management behaviours= Cautions about gender overgeneralization • Create accessible and inclusive environments

  12. Pro-active approach X Reactive approach • Health Research: • Evaluate population based initiative to address social and biological risk factors • Compare effects of medical treatments • Appraise the determination of health behaviours according to concepts of masculinities • Include in studies the places of social interactions and masculine territories in health promotion campaigns • Expand partnerships with community groups to reach out to groups of men who are not exposed to ideas of health promotion and prevention • Investigate ways to mobilize men’s sensitivity and its effect in social relations

  13. Concluding remarks • Findings remain inconclusive regarding the following: • Health prevention strategies men find helpful to practice • Self-management barriers they face in their daily lives • The context men live in and how they manage their conditions • Needs of different men’s groups (e.g. age, culture, religion) are not addressed • Multicultural society  cultural, religious, cohort, gender identity, and socio-economic factors

More Related