Men's Health in Primary Care

312 Pages·2016·9.293 MB·English

by  Joel J. Heidelbaugh (eds.)

Current Clinical Practice
Series Editor: Neil S. Skolnik
Joel J. Heidelbaugh Editor
Men's
Health in
Primary
Care
Current Clinical Practice
Series editor
Neil S. Skolnik
More information about this series at h ttp://www.springer.com/series/7633

Joel J. Heidelbaugh
Editor
Men’s Health
in Primary Care
Editor
Joel J. Heidelbaugh , MD, FAAFP, FACG
Departments of Family Medicine and Urology
University of Michigan Medical School
Ann Arbor , NY , USA
Current Clinical Practice
ISBN 978-3-319-26089-1 ISBN 978-3-319-26091-4 (eBook)
DOI 10.1007/978-3-319-26091-4
Library of Congress Control Number: 2015960810
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Acknowledgments
For my patients, my students and residents, my mentors, and my colleagues
For the advancement of men’s health worldwide
With deepest gratitude to my coauthors for their inspiration and contributions
And to my family for their love and support
v

Pref ace
What is men’s health? “Guy problems. You know, prostate and genital problems.
They die of heart attacks and strokes mostly. Working out at the gym. Oh yeah,
some cancers too. And stupid, risky behaviors. Guys like to take chances, and don’t
always think about what might happen to them. We should know better. Yeah, that
should just about cover it…” [1].
W hile the above answer is quite superfi cial in its scope, it should be widely
acknowledged that men on the worldwide arena share the common factor that they
are at a higher risk of premature death from the majority of adverse health condi-
tions that we would expect to affect men and women equally. Ultimately, men’s
health as a subgenre of medicine needs to progress beyond a discussion simply
refl ecting morbidity and mortality statistics, urology, and sexual function concerns,
to focus on the circumstances that infl uence men to either seek or not seek preven-
tive and holistic medical care.
In the past decade, the fi eld of men’s health has begun to evolve and gain some
modest traction, not simply as an answer to “women’s health,” but more formally to
recognize, research, and address medical and social issues predicated upon inherent
disparities affecting the male gender. However, creating a distinct fi eld of “men’s
health” is still an admirable goal, one that should be multidisciplinary and should
focus on the unique biopsychosocial factors that impact the health of men across the
life cycle.
I n reviewing the currently available primary care and specialty-oriented men’s
health-affi liated journals and textbooks, I continue to see a growing need for pri-
mary care clinicians to have a multidisciplinary and evidence-based reference guide
to the diseases and disorders that affect male patients of all ages, with a comparative
epidemiologic focus. Although the majority of references for this target audience on
general pediatric and adult medical problems are considered to be comprehensive
and up to date, few are specifi cally targeted at those diseases and disorders that
unequally affect male patients. Hopefully, future provisions of men’s health will be
supported through such legislature as the Affordable Care Act, which should help to
improve many parameters of healthcare outcomes in men.
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viii Preface
The collection of authors assembled for this textbook represents a cohort of
nationally and recognized scholars, clinicians, and researchers, many of whom are
the leading experts on their respective topics. They have provided current evidence-
based reviews and practice recommendations on best practice strategies to approach
common clinical concerns and disorders in men’s health.
I would like to sincerely thank all of the authors who donated their extremely
valuable time and energy to believe and participate in this textbook project. A very
special thanks is given to Patrick Carr and his excellent staff at Springer for their
assistance in the production and timely publication of this textbook.
I t is my hope that this textbook spawns a broader interest in recognizing and
addressing disparities in men’s health and provides a practical reference for learners
and clinicians who care for common disorders in male patients across the globe.
Best wishes
Reference
1. Random male patient interview conducted by editor, when soliciting advice on what to include
in a textbook on men’s health, Ypsilanti Health Center, Ypsilanti, Michigan, June 11, 2004.
Appears in Heidelbaugh JJ (ed.) Clinical Men’s Health: Evidence in Practice . Philadelphia,
PA: Saunders/Elsevier, 2008
Ypsilanti, MI Joel J. Heidelbaugh
Ann Arbor, MI
Series Editor Introduction
A s a practicing primary care physician, I take care of many men who suffer from
chronic diseases including hypertension, high cholesterol, diabetes, heart disease,
COPD, and BPH. I also have noticed that many men fi rst present to the doctor at the
insistence of their spouses, an observation that is not mine alone. While I knew that
men have a shorter life expectancy than women, I had not given much thought to the
fact that from their fi rst year of life onward, despite many occupational and social
advantages when compared to women, men are more likely to die at any given age
than their female counterparts. I had not thought a lot about the possibility that this
increase in mortality may be partly attributable to behavioral choices and the conse-
quent chronic diseases that men suffer from. Like a boy who grows up in the forest
and never gives much thought that the trees may simultaneously form and obscure
the landscape, I had never thought much about social determinant of men’s health.
I had never given direct attention to the distinct interaction between male expecta-
tions, stresses, the behavioral choices that are often a by-product of these stresses
and expectations, as well as their relation to chronic disease and mortality.
I t is seldom, after 30 years in the practice of medicine, to be provoked to think
anew about a common problem that infl uences the health of the patients that I take
care of each and every day. This book provokes such thought and provides data and
the commentary which sheds new light on this common issue. For this, the authors
deserve our thanks and attention.
Neil Skolnik, MD
Professor of Family and Community Medicine
Temple University School of Medicine
Associate Director
Family Medicine Residency Program
Abington Memorial Hospital
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