Freemasons Foundation Centre for Men's Health, Adelaide Medical School, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, 5005.
School of Psychology, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, 5005.
BMC Public Health. 2018 Aug 30;18(1):1078. doi: 10.1186/s12889-018-5992-6.
Redesigning primary health services may enhance timely and effective uptake by men. The primary aim of this study was to assess the likelihood of Australian men attending a dedicated men's health service (DMHS). The further aims were to better understand the reasons for their preferences and determine how health behaviours influence likelihood.
A survey on health service use and preferences, health help-seeking behaviours, and the likelihood of attending a DMHS was administered by telephone to 1506 randomly selected men (median age 56 years, range 19-95). Likelihood of attending a DMHS was rated using a single item Likert scale where 0 was not at all likely and 10 highly likely. Respondents were classified by age (< or > = 65 years) and health status. Principal component analyses were used to define health behaviours, specifically help-seeking and delay/avoidance regarding visiting a doctor. Multivariable linear and logistic regression analyses were used to examine predictors of likelihood of attending a DMHS.
The mean likelihood of attending a DMHS was 5.8 (SD 3.3, median 6, moderate likelihood) and 21%, 26% and 23% of men rated likelihood as moderate, high and very high respectively. Being happy with their existing doctor was the most common reason (52%) for being less likely to attend a DMHS. In unadjusted analyses, younger men reported being more likely to attend a DMHS (p < 0.001) with older-sick men reporting being least likely (p < 0.001). Younger men were more likely than older men to score higher on delay/avoidance and were more likely to self-monitor. In the full model, men with current health concerns (p ≤ 0.01), who scored higher on delay/avoidance (p ≤ 0.0006), who were more likely to be information-seekers (p < 0.0001) and/or were motivated to change their health (p ≤ 0.0001) reported a higher likelihood of attending a DMHS irrespective of age and health status.
Seventy percent of men reported a moderate or higher likelihood of attending a DMHS. As young healthy men are more likely than older men to display health behaviours that are associated with a higher likelihood of attending a DHMS, such as delay/avoidance, marketing a DMHS to such men may be of value.
重新设计初级卫生服务可能会提高男性及时、有效地接受服务的可能性。本研究的主要目的是评估澳大利亚男性参加专门的男性健康服务（DMHS）的可能性。进一步的目的是更好地了解他们偏好的原因，并确定健康行为如何影响可能性。
通过电话向 1506 名随机选择的男性（中位数年龄 56 岁，范围 19-95 岁）进行了关于卫生服务使用和偏好、卫生求助行为以及参加 DMHS 的可能性的调查。使用单一的李克特量表对参加 DMHS 的可能性进行评分，0 表示完全不可能，10 表示极有可能。根据年龄（<或≥65 岁）和健康状况对受访者进行分类。使用主成分分析来定义健康行为，特别是寻求帮助和就医时的延迟/回避行为。使用多变量线性和逻辑回归分析来检验参加 DMHS 的可能性的预测因素。
参加 DMHS 的平均可能性为 5.8（SD 3.3，中位数 6，中等可能性），21%、26%和 23%的男性分别将可能性评为中等、高和非常高。对现有医生感到满意是不太可能参加 DMHS 的最常见原因（52%）。在未调整的分析中，年轻男性报告更有可能参加 DMHS（p<0.001），而年龄较大、身体较差的男性报告最不可能参加 DMHS（p<0.001）。与老年男性相比，年轻男性更有可能延迟/回避就医，并且更有可能自我监测。在全模型中，有当前健康问题的男性（p≤0.01）、延迟/回避得分较高的男性（p≤0.0006）、更有可能寻求信息的男性（p<0.0001）和/或有动机改变健康的男性（p≤0.0001），无论年龄和健康状况如何，都报告了更高的参加 DMHS 的可能性。
70%的男性报告说，他们有中等或更高的可能性参加 DMHS。由于年轻健康的男性比老年男性更有可能表现出与更高的参加 DMHS 的可能性相关的健康行为，例如延迟/回避，向这些男性营销 DMHS 可能会有价值。
