Hall Robert H
Monash University School of Rural Health, Latrobe Regional Hospital, Victoria.
Aust Fam Physician. 2003 Jun;32(6):401-7.
In the past men have declined to follow health authority recommendations to go to their general practitioner for preventive health checks. The BEACH report on male consultations in general practice in Australia 1999-2000 reveals low GP utilisation by men, high smoking rates and high at risk alcohol consumption. Although attendance rates increase in men over 45 years of age, problems managed at that stage are frequently chronic in nature, and rates of obesity are high.
This article discusses men's health needs and approaches to preventive health in men, drawing from the experience of nine Victorian projects on Rural Men's Health Promotion.
At different times in their lives men have differing health experiences and needs, and different degrees of interest in improving their health. Strategies are required at a community level to educate and encourage men to attend GPs and engage in health prevention. At a practice level we need to be employing strategies to encourage men to attend, including appropriate appointment times and going to where men are in workplaces and sporting clubs. Within the consultation when men do present, we need to address the presenting problem but also encourage further health discussion relating to risk factors, and improving resilience.
过去，男性一直拒绝听从卫生当局的建议，前往全科医生处进行预防性健康检查。1999 - 2000年澳大利亚全科医疗中男性咨询情况的BEACH报告显示，男性看全科医生的利用率较低，吸烟率高，且存在高风险饮酒现象。尽管45岁以上男性的就诊率有所上升，但在该阶段所处理的问题往往具有慢性性质，且肥胖率较高。
本文借鉴维多利亚州九个农村男性健康促进项目的经验，探讨男性的健康需求以及男性预防性健康的方法。
在人生的不同阶段，男性有着不同的健康经历和需求，对改善健康的兴趣程度也不同。需要在社区层面采取策略，对男性进行教育并鼓励他们去看全科医生并参与健康预防。在医疗机构层面，我们需要采用一些策略来鼓励男性就诊，包括安排合适的预约时间，以及主动到男性所在的工作场所和体育俱乐部。在咨询过程中，当男性前来就诊时，我们既要解决当前呈现的问题，也要鼓励就风险因素以及提高恢复力等方面进行进一步的健康讨论。
