Table Of ContentTraditionally,men have been seen as reluctant to access health services,but getting
men to engage with their health isn’t an impossible task once you’re equipped with a
few tricks of the trade.
m
This concise,easy to read guide offers a no-nonsense,practical approach to the
e
development and implementation of men’s health programmes.Based on years of wide-
n
ranging experience,the book is designed for anyone who is involved in service delivery
men’s for men and boys,and demonstrates what can be achieved with adequate resources,a ’
s
health flexible approach and a sound understanding of men’s needs.
h
It is ideal for all healthcare professionals and managers,and medicine and nursing
students undertaking specialist men’s health and health promotion courses. It is also of e
HOW TO DO IT
great interest to teachers and youth leaders,including school nurses.Healthcare policy
a
makers and shapers will find it enlightening.
‘As an issue men’s health is plagued by myth,ignorance and inequality,but most of all l
by a lack of solid research based on evidence-based work with men themselves.The t
Bradford team didn’t just wonder about masculinity and scratch male pattern baldness,
h
they did something measurable about men’s health and ethnicity so other workers could
use their evidence base to actually change the dreadful health status quo.An excellent
and unique “Dirty Hands Manual”.’ H
Ian Banks,in the Foreword
O
Other Radcliffe books of related interest W
HAZARDOUS WAIST
tackling male weight problems
T
Edited by Alan White and Maggie Pettifer
O
COUNSELLING FOR EATING DISORDERS IN MEN
person-centred dialogues
Richard Bryant-Jefferies D men’s
SYMPTOM SORTER O
third edition health
Keith Hopcroft and Vincent Forte
I
TREATING COMMON DISEASES T
a concise guide to prescribing
Hugh McGavock and Dennis Johnston
DE
D
HOW DRUGS WORK AIT
second edition VED
basic pharmacology for healthcare professionals ID BY
Hugh McGavock C
O
WEIGHT MATTERS FOR YOUNG PEOPLE N HOW TO DO IT
a complete guide to weight,eating and fitness R
A
Rachel Pryke
D
DIFFICULT CONSULTATIONS WITH ADOLESCENTS A
Chris Donovan and Heather Suckling with Zoe Walker,Janet Bell, N
D
Tami Kramer and Sheila R Cross
A
NEW PERSPECTIVES IN PUBLIC HEALTH
L
second edition A
N EDITED BY
Edited by Siân Griffiths and David J Hunter
W
DAVID CONRAD AND ALAN WHITE
H
I
T
E
www.radcliffe-oxford.com
Electronic catalogue and FOREWORD BY IAN BANKS
worldwide online ordering facility.
MEN’S HEALTH – HOW TO DO IT
TThhiiss ppaaggee iinntteennttiioonnaallllyy lleefftt bbllaannkk
MEN’S HEALTH – HOW TO DO IT
Edited by
DAVID CONRAD
and
ALAN WHITE
Foreword by
IAN BANKS
Radcliffe Publishing
Oxford • New York
Cartoons © Jim Campbell
CRC Press
Taylor & Francis Group
6000 Broken Sound Parkway NW, Suite 300
Boca Raton, FL 33487-2742
© 2007 by David Conrad and Alan White
CRC Press is an imprint of Taylor & Francis Group, an Informa business
No claim to original U.S. Government works
Version Date: 20160525
International Standard Book Number-13: 978-1-138-03075-6 (eBook - PDF)
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knowledge of the patient’s medical history, relevant manufacturer’s instructions and the appropriate best practice guidelines.
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CONTENTS
Foreword vii
Preface viii
About the editors ix
About the contributors x
Acknowledgements xiv
List of abbreviations xv
PART ONE 1
1 Introduction 3
Nigel Hughes
2 Men’s health – what’s it all about? 9
Alan White
3 Introduction to health promotion 27
Ruth Cross
PART TWO 35
4 Health MOTs 37
Pete Westwood and Andrew Harrison
5 Sexual health outreach work 45
Nick Davy
6 Weight management in the workplace 59
Andrew Harrison
7 Smoking cessation 73
Pete Westwood
8 Erectile dysfunction and male incontinence clinics 85
Chris Bradley
9 Targeting ethnic minorities 103
Mehzar Iqbal and Andrew Harrison
10 Sex and relationships education in schools with boys 113
Dennis Jones
11 Anti-bullying work 125
Merv Pemberton
12 Health sessions in housing projects 137
Martin Samangaya
PART THREE 143
13 A brief history of HoM – a personal perspective 145
Dennis Jones
14 How to be a men’s health worker 151
David Conrad
15 ‘It’ll be alright on the night’ – the everyday pitfalls of delivering
men’s health services 159
Nick Davy, Chris Bradley, Andrew Harrison and Pete Westwood
16 Conclusion 165
Alan White and David Conrad
References 171
Index 177
Foreword
RHETORIC TO REALITY: DIRTY HANDS
There is a pecking order of activity in men’s health. Fine words are not in short
supply, particularly those addressing inequalities sentencing men to an early
death. Fine deeds are less easy to fi nd, rhetoric is always cheaper than action but
unfortunately many initiatives just ‘seemed like a good idea at the time’. As an
issue men’s health is plagued by myth, ignorance and inequality, but most of all
by a lack of solid research based on evidence-based work with men themselves.
Lofty academics pontifi cate endlessly on the meaning of ‘masculinity’ yet never
get their invariably white Caucasian, middle class hands dirty on what really
impacts on Y chromosome owners. In truth, men should not be expected to self-
destruct like some Mission Impossible tape. Yet a Glasgow man will live around
ten years less than a Dorset prostate comrade. Suicide amongst young men
with its huge predominance amongst low income groups is not just a tragedy,
it is national disgrace. Male late presentation with life-threatening conditions
is accepted throughout the medical profession despite a lack of fundamental
research to confi rm, let alone address, the problem. Meanwhile the health of
men, women and children suffer. If there is anything we have learned it is that
the health and wellbeing of both sexes is often inextricably linked. Perhaps the
Equality Act, in force April 2007, placing for the fi rst time emphasis on equitable
outcomes based on gender, might just bring minds to bear.
The Bradford team didn’t just wonder about masculinity and scratch male
pattern baldness, they did something measurable about men’s health and
ethnicity so other workers could use their evidence base to actually change the
dreadful health status quo.
Welcome to the Bradford Health of Men’s guide on how to do it. An excellent
and unique ‘Dirty Hands Manual’.
Ian Banks
President
Men’s Health Forum
February 2007
vii
Preface
Based on the award-winning work of the Bradford Health of Men (HoM) Services,
this book is for anyone who wants to fi nd out how to successfully set up and
deliver health services aimed at men and boys. Traditionally, men have been seen
as reluctant to access health services, but getting men to engage with their health
isn’t an impossible task once you’re equipped with a few tricks of the trade.
Part One gives an overview of the Bradford HoM project and essential
introductions to men’s health and health promotion, setting out why there’s a
need for this kind of work and what it broadly aims to achieve.
Part Two is comprised of nine practical chapters on establishing different
kinds of services to meet the health needs of men and boys. Each is based on
successful HoM projects and written by people who delivered those projects
on the ground. Throughout this section you’ll come across ‘Info’, ‘Handy Hint’
and ‘Warning’ boxes giving key information, practical tips and things to watch
out for. Although the sample of HoM services covered is quite broad, there are
common core principles which are emphasised throughout the book and which
you can easily apply to devise projects of your own.
Part Three includes a personal account of how HoM came into being, a dis-
cussion on what it takes to be a men’s health worker and refl ections from the
team on some of their less successful moments!
Although this is primarily intended to be a practical guide for practitioners,
much of the book will also be of interest to academics, policy makers and
managers charged with implementing the new Gender Duty, demonstrating
what can be achieved with adequate resources, a fl exible approach and a sound
understanding of men’s needs.
David Conrad and Alan White
February 2007
viii
About the editors
David Conrad MA, MSc
David has worked as a researcher at the Centre for Men’s Health since completing
an MSc in Public Health in 2005. As well as working on the study of men’s usage
of the HoM services, he has written papers on the sociology of the body, defi ning
social capital and art in health.
Professor Alan White
Alan was the world’s fi rst professor of Men’s Health. He has created a Centre for
Men’s Health at Leeds Metropolitan University, which is a focus for research
and education on the health of men. He is founder member of the Men’s Health
Forum (England and Wales) and the Chair of the Board of Trustees since 2000.
His research includes a Scoping Study on Men’s Health for the Department of
Health in 2001, a report on the State of Men’s Health across 17 European Countries
(for the European Men’s Health Forum) which was launched at the European
Parliament in 2003, and he has recently completed a study into the Patterns of
Mortality for Young Men and Women (aged 15–44 years) Across 44 Countries. Other on-
going research includes the study of men’s usage of the Bradford Health of Men
Services and the evaluation of Self Care for People and Self Care for Primary Health
Care Professionals as part of the National Working in Partnership Programme
of work. Alan’s work also includes a needs based analysis of men who received
brachytherapy or external beam therapy for prostate cancer.
ix
