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男性孕前健康:初级卫生保健视角

Men's Preconception Health: A Primary Health-Care Viewpoint.

作者信息

O'Brien Anthony Paul, Hurley John, Linsley Paul, McNeil Karen Anne, Fletcher Richard, Aitken John Robert

机构信息

1 Faculty Health and Medicine, School of Nursing and Midwifery, University of Newcastle, Callaghan, NSW, Australia.

2 School of Health and Human Sciences, Southern Cross University, Lismore, NSW, Australia.

出版信息

Am J Mens Health. 2018 Sep;12(5):1575-1581. doi: 10.1177/1557988318776513. Epub 2018 May 18.

Abstract

The purpose of this article is to theoretically explore men's preconception health as a mechanism to enhance fertility, as well as the health and well-being of the subject and his descendants. Premorbid risk factors and behaviors associated with stress, environmental toxins, excessive alcohol consumption, smoking, lack of exercise/obesity, and the use of illicit drugs are all known to affect fecundity. While there are many health clinics available to women, where advice in areas such as postnatal care of the newborn, family planning, and couples fertility is provided, there are few, if any, equivalent health clinics available to men. Additionally, getting men to attend primary health-care services has also been continuously problematic, even in the context of there being a clearly discernible need for treatment. It is argued in this article that an impetus is required to encourage men to focus on and improve their preconception health and to utilize primary health-care services to take action. An assertive men's preconception health outlook can positively influence the conjugal relationship, fathering, male self-esteem, and continued good health. Using the sometimes complex concept of preconception health as a motivating factor for healthy lifestyle adaptation has the potential to improve male fertility outcomes and general health and well-being, as well as the health of future generations.

摘要

本文旨在从理论上探讨男性孕前健康作为提高生育能力以及改善男性自身及其后代健康与幸福的一种机制。已知与压力、环境毒素、过度饮酒、吸烟、缺乏运动/肥胖以及使用非法药物相关的病前风险因素和行为都会影响生育能力。虽然有许多面向女性的健康诊所,提供诸如新生儿产后护理、计划生育和夫妻生育等方面的建议,但面向男性的同等健康诊所却寥寥无几,即便有也非常少。此外,即使在明显有治疗需求的情况下,让男性去接受初级医疗服务也一直存在问题。本文认为,需要有一种推动力来鼓励男性关注并改善他们的孕前健康,并利用初级医疗服务采取行动。积极主动的男性孕前健康观念能够对婚姻关系、为人父的角色、男性自尊以及持续的健康状况产生积极影响。将有时较为复杂的孕前健康概念用作适应健康生活方式的激励因素,有可能改善男性生育结果以及总体健康与幸福状况,同时也有利于后代的健康。

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