School of Public Health and Social Work, Queensland University of Technology, Brisbane, QLD, Australia.
Med J Aust. 2013 Jan 21;198(1):33-8. doi: 10.5694/mja12.10490.
To better understand help-seeking behaviours and reproductive health disorders among Aboriginal and Torres Strait Islander men.
DESIGN, SETTING AND PARTICIPANTS: A cross-sectional mixed-methods study conducted from 1 May 2004 to 30 April 2005 of 293 Aboriginal and Torres Strait Islander men aged 18 years and over from urban, rural and remote communities in the Northern Territory and Queensland.
Subscale of the International Index of Erectile Function, self-reported help-seeking behaviours for erectile dysfunction (ED) and prostate disease, thematic analysis of semi-structured interviews and focus groups.
The prevalence of moderate-to-severe ED increased across age groups, from about 10% in younger men (under 35 years) to 28% in men aged 55-74 years. Moderate-to-severe ED was strongly associated with reporting a chronic condition (odds ratio [OR], 3.67) and residing in a remote area (OR, 2.94). Aboriginal and Torres Strait Islander men aged 40-59 years showed similar low levels of help-seeking behaviours compared with non-Indigenous men from a comparable population-based study. About half of the men with ED saw a doctor or received treatment for ED in each population. While prostate cancer rates were low in both studies, testing for prostate problems was less frequent in Aboriginal and Torres Strait Islander men (11.4%) than in non-Indigenous men (34.1%, P < 0.001), despite similar levels of concern about prostate cancer. Barriers to help-seeking included shame, culturally inappropriate services and lack of awareness.
This study, the first to investigate reproductive health of Aboriginal and Torres Strait Islander men, found low levels of help-seeking behaviours for reproductive health disorders, with implications for missing a predictor of chronic disease and late diagnosis of prostate disease.
更好地了解原住民和托雷斯海峡岛民男性的求助行为和生殖健康障碍。
设计、设置和参与者：2004 年 5 月 1 日至 2005 年 4 月 30 日期间，在北领地和昆士兰州的城市、农村和偏远社区，对 293 名年龄在 18 岁及以上的原住民和托雷斯海峡岛民男性进行了横断面混合方法研究。
国际勃起功能指数亚量表、自我报告的勃起功能障碍（ED）和前列腺疾病的求助行为、半结构式访谈和焦点小组的主题分析。
随着年龄组的增加，从中度到重度 ED 的患病率也在增加，从年轻男性（35 岁以下）的约 10%增加到 55-74 岁男性的 28%。中度到重度 ED 与报告慢性疾病（优势比[OR]，3.67）和居住在偏远地区（OR，2.94）密切相关。与来自类似人群的基础研究中的非原住民男性相比，40-59 岁的原住民和托雷斯海峡岛民男性的求助行为也类似较低。在每个群体中，约有一半的 ED 男性会去看医生或接受 ED 治疗。尽管对前列腺癌的担忧程度相似，但在这两项研究中，前列腺癌的发病率都较低，而原住民和托雷斯海峡岛民男性接受前列腺问题检测（11.4%）的频率低于非原住民男性（34.1%，P<0.001）。寻求帮助的障碍包括羞耻感、服务文化不适和缺乏意识。
这项研究是第一项调查原住民和托雷斯海峡岛民男性生殖健康的研究，发现生殖健康障碍的求助行为水平较低，这可能导致慢性疾病预测因素缺失和前列腺疾病的晚期诊断。
