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Men’s Health:

This article explores the state of men's health globally, the response of global health organizations, and why action is needed. It highlights the need to develop research, policies, and strategies on men's health and urges the implementation of measures to tackle men's health problems.

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Men’s Health:

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  1. Men’s Health: A Global Health Inequality Hiding In Plain Sight? Peter Baker Director Global Action on Men’s Health www.gamh.org

  2. Issues covered • Global Action on Men’s Health (GAMH) • The state of men’s health globally • The response of global health organisations • Why action is needed

  3. Acknowledgements • Canadian Men’s Health Foundation • Men’s Health Education Council • Men’s Health Network • Movember

  4. GAMH GLOBAL ACTION ON MEN’S HEALTH GAMH acts as a focal point for a new network of men’s health and other organisations and individuals around the world that will: • Encourage the World Health Organisation (WHO) and other international agencies involved in public health to develop research, policies and strategies on men’s health • Urge individual states and non-governmental organisations (NGOs) to implement measures to tackle men’s health problems • Provide guidance on how to take effective action on men’s health • Focus primarily on public health and the social determinants of health www.gamh.org

  5. GAMH GAMH fully supports initiatives to improve women’s health and does not believe that resources currently allocated to women’s health should be transferred to men’s health www.gamh.org

  6. Global life expectancy(years at birth) 1970 61 56 1990 68 63 2010 73 67 2030 85 78 Source: Global Burden of Disease Study

  7. Switzerland 81.3 Sierra Leone 49.3

  8. Years of life gained Years of life gained by male and females per year, 1980-2015 Mal 0.27 Fe 0.32 Source: Global Burden of Disease Study

  9. Death rates Fall in age-standardised death rates, 1990-2015 Male 26.2% Fem 32.1% Source: Global Burden of Disease Study

  10. Death rates Source: Global Burden of Disease Study

  11. Age-standardised death rates, male/female, 1990 and 2015 Source: Global Burden of Disease Study

  12. Top 10 causes of all deaths, global, 2010 Kent and Buse, Lancet 2013; 381: 1783–87

  13. Top 10 risk factors for DALYs, global 2010 Kent and Buse, Lancet 2013; 381: 1783–87

  14. Prevalence of tobacco use in young adolescents aged 12–15 years by WHO region and sex (2006-13) Xi, Bo et al. Lancet Global Health 4(11):e795-e805

  15. Use of services UK data Wang Y et al. BMJ Open 2013;3:e003320

  16. Policy responses “Global health policies and programmes focused on prevention of and care for the health needs of men are notably absent.” • Sarah Hawkes and Kent Buse Lancet 2013; 381: 1783–87

  17. Policy responses WHY HAVE MEN BEEN OVERLOOKED? • Women face multiple disadvantages • Seen as “the problem” rather than having problems or being part of the solution • The impact of gender roles on men not well understood • Men haven’t made the case for action • Fatalism: nothing can or will change when it comes to men

  18. Policy responses • Men’s health is improving globally without almost any male-targeted interventions • Progress can be made by non-sex-specific public health measures (e.g. tobacco control)

  19. Policy responses • Now widely shared view (by WHO and others) that health policies and practices should take account of sex and gender differences • Prof Sir Michael Marmot among those arguing that men’s health should be addressed through policy and practice • Marmot believes national governments in Europe should develop strategies that ‘respond to the different ways health and prevention and treatment services are experienced by men [and] women … and ensure that policies and interventions are responsive to gender’ • In UK, Marmot has called for greater policy focus on men’s health

  20. Policy responses • Specific policy on men’s health now called for by: • Men’s Health Forum (UK) • BMA Northern Ireland • European Men’s Health Forum • Danish Men’s Health Society • Men’s Health Caucus/APHA • Men’s health policies already introduced in: • Australia • Brazil • Iran • Ireland (2% of all countries)

  21. The case for action WHY ADDRESS MEN’S HEALTH? • It’s unnecessarily poor • Action is ethically right • It would be cost-effective • Good for women’s and children’s health • Help meet Sustainable Development Goals

  22. SDGs • Goal 3: Ensure healthy lives and promote well-being Goal 3: Ensure healthy lives and promote well-being for all at all ages • By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being • Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol • By 2020, halve the number of global deaths and injuries from road traffic accidents • l ages

  23. NCDs

  24. Tackling the problem WE KNOW HOW TO DO IT

  25. NEXT STEPS?

  26. THANK YOU! Peter Baker Global Action on Men’s Health www.gamh.org peter.baker@gamh.org

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