Mursa Ruth, McErlean Gemma, Patterson Christopher, Halcomb Elizabeth
School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Wollongong, New South Wales, Australia.
Health Innovations Research Centre, Faculty of Science, Medicine & Health, University of Wollongong, Wollongong, New South Wales, Australia.
J Adv Nurs. 2025 May;81(5):2418-2425. doi: 10.1111/jan.16425. Epub 2024 Sep 3.
To explore men's health status and lifestyle risk profile and understand how they engage with preventive health care.
A cross-sectional survey within a sequential mixed-methods project.
Four hundred thirty-one adult males, working or volunteering for the New South Wales Rural Fire Service (NSW RFS) completed the survey between September and November 2022. The survey captured demographic data, health status and lifestyle characteristics, as well as engagement with preventive health care.
Nearly three-quarters of respondents (n = 314; 72.8%) described themselves as being in good or very good health. Just 18.6% of respondents recorded a 'healthy' body mass index (BMI), despite only 29.9% having been told by a doctor that they were overweight/obese. Most (n = 344; 79.8%) respondents identified having a regular general practitioner (GP)/general practice. Nearly all respondents described having had blood pressure measurements (n = 403; 93.5%) and lipid profile (n = 346, 80.3%) in the last 2 years. Having a regular GP/general practice was significantly associated with engaging in all preventive and screening activities, except having a dental check.
Our findings demonstrate a significant opportunity to support men to reduce lifestyle risk, despite their current engagement with general practice. Strategies need to support men and health professionals to have conversations about risk and risk reduction to promote behaviour change. Nurses are well placed to provide preventive health care to men in general practice. The general practice nurse has a key role in communicating lifestyle risk, supporting patients in modifying their behaviours and reducing the impact of such factors on their health and well-being.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Communicating the importance of lifestyle risk factors is imperative in supporting men to achieve behavioural change in the reduction in lifestyle risk. Nurses are well-placed to take a leading role in this area.
The STROBE checklist guided reporting.
Survey development was undertaken in collaboration with members of the NSW RFS. Key contacts within the organisation were involved in reviewing the analysis and interpretation of findings.
探讨男性的健康状况和生活方式风险概况，并了解他们如何参与预防性医疗保健。
在一个序贯混合方法项目中进行的横断面调查。
2022年9月至11月期间，431名成年男性（为新南威尔士州农村消防局工作或志愿服务）完成了该调查。该调查收集了人口统计学数据、健康状况和生活方式特征，以及参与预防性医疗保健的情况。
近四分之三的受访者（n = 314；72.8%）称自己健康状况良好或非常好。尽管只有29.9%的受访者被医生告知超重/肥胖，但只有18.6%的受访者记录的身体质量指数（BMI）为“健康”。大多数（n = 344；79.8%）受访者表示有定期就诊的全科医生/诊所。几乎所有受访者都表示在过去两年中进行过血压测量（n = 403；93.5%）和血脂检查（n = 346，80.3%）。除了进行牙科检查外，有定期就诊的全科医生/诊所与参与所有预防性和筛查活动显著相关。
我们的研究结果表明，尽管男性目前参与了全科医疗，但仍有很大机会支持他们降低生活方式风险。需要采取策略支持男性和健康专业人员就风险和降低风险进行沟通，以促进行为改变。护士在全科医疗中为男性提供预防性医疗保健方面具有优势。全科医疗护士在传达生活方式风险、支持患者改变行为以及减少这些因素对其健康和幸福的影响方面发挥着关键作用。
对专业和/或患者护理的启示：传达生活方式风险因素的重要性对于支持男性在降低生活方式风险方面实现行为改变至关重要。护士在这一领域处于领先地位。
采用STROBE清单指导报告。
调查的开展是与新南威尔士州农村消防局的成员合作进行的。该组织的关键联系人参与了对研究结果的分析和解读的审查。
