Holden Carol A, Jolley Damien J, McLachlan Robert I, Pitts Marian, Cumming Robert, Wittert Gary, Handelsman David J, de Kretser David M
Andrology Australia, Monash University, Melbourne, VIC, Australia.
Med J Aust. 2006 Oct 16;185(8):418-22. doi: 10.5694/j.1326-5377.2006.tb00637.x.
To identify sociodemographic factors associated with help-seeking behaviour for reproductive health disorders in middle-aged and older Australian men.
A cross-sectional, population-based, computer-assisted telephone interview exploring sociodemographic factors and general and reproductive health.
Analysis of data from the Men in Australia Telephone Survey (MATeS) of 5990 Australian men aged 40 years and older interviewed between September and December 2003.
Self-reported diagnosis of prostate disease and erectile dysfunction (ED), help-seeking behaviour (including visiting a doctor, prostate-specific antigen testing, treatment of prostate disease, speaking to a health professional about ED and treatment of ED).
Age was a significant predictor of all help-seeking behaviour studied, other than treatment for ED. Controlling for all predictor variables, never-married status predicted a lower likelihood of visiting a doctor (odds ratio [OR], 0.68 [95% CI, 0.48-0.97]) or speaking to a health professional about ED (OR, 0.44 [95% CI, 0.21-0.93]), while divorced/separated status predicted lower likelihood of having a prostate-specific antigen test (OR, 0.63 [95% CI, 0.50-0.79]). Living in a regional or remote area or being from a non-English-speaking background predicted lower likelihood of receiving treatment for ED (ORs, 0.62 [95% CI, 0.42-0.92] and 0.41 [95% CI, 0.24-0.72], respectively), but did not influence screening for prostate disease.
Seeking advice or treatment for male reproductive health disorders is predicted by sociodemographic factors specific to different reproductive health problems. As middle-aged and older men do attend doctors, opportunities exist for health professionals to optimise their consultations by routinely discussing reproductive health with all men, to identify under-reported male reproductive health disorders.
确定与澳大利亚中老年男性生殖健康疾病求助行为相关的社会人口学因素。
一项基于人群的横断面计算机辅助电话访谈，探讨社会人口学因素以及一般健康和生殖健康状况。
对2003年9月至12月间接受访谈的5990名40岁及以上澳大利亚男性进行的澳大利亚男性电话调查（MATeS）数据进行分析。
自我报告的前列腺疾病和勃起功能障碍（ED）诊断、求助行为（包括就医、前列腺特异性抗原检测、前列腺疾病治疗、与健康专业人员谈论ED及ED治疗）。
除ED治疗外，年龄是所有研究的求助行为的重要预测因素。在控制所有预测变量后，从未结婚状态预示着就医（优势比[OR]，0.68[95%可信区间，0.48 - 0.97]）或与健康专业人员谈论ED的可能性较低（OR，0.44[95%可信区间，0.21 - 0.93]），而离婚/分居状态预示着进行前列腺特异性抗原检测的可能性较低（OR，0.63[95%可信区间，0.50 - 0.79]）。生活在地区或偏远地区或来自非英语背景预示着接受ED治疗的可能性较低（OR分别为0.62[95%可信区间，0.42 - 0.92]和0.41[95%可信区间，0.24 - 0.72]），但不影响前列腺疾病筛查。
不同生殖健康问题的特定社会人口学因素可预测男性生殖健康疾病的咨询或治疗行为。由于中老年男性确实会去看医生，健康专业人员有机会通过与所有男性定期讨论生殖健康来优化咨询，以识别报告不足的男性生殖健康疾病。
