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© March, 2002

© 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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© March, 2002

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  1. © March, 2002

  2. 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.

  3. Report Overview • The first national synthesis of men’s sexual, contraceptive, reproductive and parenting experiences • Focus on men aged 15-49

  4. 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

  5. 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

  6. 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)

  7. 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

  8. Most Men Begin Sexual Intercourse During Their Teenage Years Age

  9. Sexual Activity Is Increasingly Common After Adolescence (among those aged 15-49) % Had intercourse 20-29 30-39 40-49 15-19

  10. As Men Become Older, They Are More Likely to Be in a Relationship (among those age 20-49) %

  11. 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

  12. 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

  13. 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

  14. Men in Their 20s Account For Approximately Half of All Pregnancies

  15. Male Methods Account for High Proportions of Contraceptive Use at all Ages % 15-19 20-24 25-29 30-34 35-39

  16. 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

  17. 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

  18. Defining Needed Services • Information • Skills • Counseling • Preventive health care • Clinical diagnosis and treatment (Sources: American Medical Association, EngenderHealth, Urban Institute and others)

  19. 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

  20. Skills • Pregnancy and STD prevention and sexual health skills: • Risk assessment and avoidance • Resisting peer pressure • Communicating with partners • Using contraceptives properly • Fatherhood skills

  21. Counseling • Self-concept • Life events and decision-making • Values and motivation

  22. 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

  23. 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

  24. 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

  25. 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.

  26. 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.

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