Dissertations / Theses: 'Men's health'

1

Pope, Kellie Alicia. "Righting men's health : men's rights as a men's health issue /." Title page, abstract and contents only, 2002. http://web4.library.adelaide.edu.au/theses/09AR/09arp8259.pdf.

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De, Viggiani Nicholas P. A. "(Un)healthy prison masculinities : theorising men's health in prison." Thesis, University of Bristol, 2003. http://hdl.handle.net/1983/2f35babf-d5d5-407b-bfb7-c02a50cae8e8.

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This thesis explores the interconnections between masculinity, health and prison. It contests reductionist, individualist and biomedical approaches to health care management in prisons and challenges gender-blindness within criminology and social science where masculinities have been overlooked as key factors of prison culture and organisation. The research set out to explore how masculinities manifest at institutional, social and cultural levels in prison as key determinants of health. The study was conducted in an enhanced wing of an adult male training prison in Southern England. A reflexive ethnographic approach was used, comprising sustained (non-participant)observation, focus group interviewing, and in-depth, semi-structured interviews with thirty-five inmates and four prison officers. The research revealed how prison masculinities were produced and performed by inmates and prison staff, and through the discourses and practices of the prison regime. They were manifested at social and organisational levels as key determinants of health as 'deprivations' associated with imprisonment and as 'importation factors' reflecting inmates pre-prison health status. Values of the institution and those of inmates and staff combined to create a pervasively 'masculine' atmosphere and culture, which adversely affected the physical and mental health of many prisoners. This thesis recommends that health policy for prisons is developed and organised with consideration to issues of gender and power. The masculine ideology that underpinned the organisational and social fabric of the prison in this study was evident in the attitudes and behaviours of inmates and staff and in the 'progressive regime' advocated by the Prison Service. This research shows that a broad, holistic and 'gendered' view of prison health can provide alternative insight into men's health in prisons, and therefore offer a positive and productive way forward for future prison health policy, in line with the World Health Organisation's Healthy Prisons philosophy.

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McCance-Price, Maris. "Making sense of Men's Health: an investigation into the meanings men and women make of Men's Health." Thesis, Rhodes University, 2006. http://hdl.handle.net/10962/d1002919.

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This study investigates the popular pleasures produced by readers of men's magazines, focusing primarily on the publication, Men's Health, which represents a new type of magazine catering for men. Using qualitative research methods such as textual analysis and reception analysis, the study explores the pleasures produced by both men and women from the consumption of such texts. The theoretical perspective of cultural studies informs this project, an approach that focuses on the generation and circulation of meanings in society. Focusing on the notion of the active audience and Hall's encoding/decoding model, this study examines readers' interpretations of the Men's Health text, focusing on the moment of consumption in the circuit of culture. Reception theory proposes the existence of "clustered readings" produced by interpretive communities that are socially rather than individually constructed. As a critical ethnography, the study interrogates these meanings with particular reference to questions of gender relations and power in society. Access to different discourses is structured by the social position of readers within relations of power and this study takes gender as a structuring principle. Therefore, this study also explores the particular discursive practices through which masculine and feminine imagery is produced by the Men's Health text and by its readers. The research findings support the more limited notion of the active audience espoused by theorists such as Hall (1980) offering further evidence to suggest that readers produce readings other than those preferred by the text and that therein lies the pleasure of the text for male and female readers. The research concludes that the popularity of Men's Health derives from the capacity of its readers to make multiple meanings of the text.

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O'Brien, Rosaleen. "Men's health and illness : the relationship between masculinities and health." Thesis, University of Glasgow, 2006. http://theses.gla.ac.uk/2817/.

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This thesis presents men’s discussions and experiences of health and illness and its relation to, and implications for, the practices of masculinity amongst a diversity of men. Fifty five men participated in fourteen semi-structured focus group interviews. Diversity in men’s experiences of health and illness and in their constructions of masculinity was sought within the sample by age (range 15-72 years), occupational status, socio-economic background and current health status. Groups of men were recruited who had had ‘everyday’ or unremarkable experiences of masculinity and health and groups of men with health experiences that could have prompted reflection on masculinity and health. This included groups with men who had prostate cancer, coronary heart disease, mental health problems, and Myalgic Encephalomyelitis (ME). All of the men that participated in the study lived in central Scotland (Glasgow, Edinburgh, Dundee, Lanarkshire and Perthshire) and just one group was conducted with men of Asian origin, which reflects the limited ethnic diversity in this part of Britain. The first data chapter examines participants’ descriptions of their masculinity and their health-related beliefs and behaviours. The data capture both the experiences of men who felt pressured to engage in behaviours that may be harmful to their health in order to appear masculine and the accounts of those who regarded themselves as freer to embrace salutogenic health practices as they perceived there to be fewer consequences for their masculinities. These considerations are then followed by an examination of how participants re-negotiated male identity in the light of illness. The final data chapter presents participants’ discussions and experiences of help seeking and its relation to the practice of masculinity. The data suggests a widespread endorsement of a ‘hegemonic’ view that men ‘should’ be reluctant to seek help, particularly amongst younger men.

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Brown, Sally Rachael. "Men's health beliefs and behaviour in relation to heart attacks." Thesis, University of Hull, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.342972.

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Sloan, Claire Elizabeth. "Masculinity and its Relationship to Men's Health Practices." Thesis, University of Leeds, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.503266.

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Richardson, Noel. "Men's health practices and the construction of masculinities." Thesis, University of the West of England, Bristol, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.441816.

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Robertson, Steve. "Lay men's and health professionals' beliefs about masculinity and preventative health care." Thesis, Lancaster University, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.414954.

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Stamp, Michelle Amina. "Young men's sexual health decision making : a qualitative study." Thesis, Northumbria University, 2015. http://nrl.northumbria.ac.uk/27300/.

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The National Chlamydia screening programme in England screens only half the number of men compared with women, and the places men are being screened for chlamydia differ from that of women (NCSP, 2012). There is a wealth of data which shows that men are being screened in non-clinical settings, such as educational establishments, or that they are choosing to self-request screening via the internet as opposed to seeking alternative health service provision. However, we are unsure of the reasons for their choice. Furthermore, it is unclear what the impact of a positive or negative diagnosis for chlamydia has on subsequent sexual behaviour. By adopting a situational, qualitative methodology, this study aimed to understand the complex factors involved in men’s sexual health decision making following a request for a home testing kit for chlamydia. The focus for this study was young men aged 20 to 24 years who have a high rate of chlamydia infection, and who have been screened through the National Chlamydia screening programme in the North East of England. Data was collected through ten in-depth interviews, and seven follow up interviews after 12 months. Follow up interviews were primarily used to gauge any long term behaviour change. Patients’ sexual health records provided additional data which was used for triangulation. Data was analysed with the use of framework analysis. Findings from the research were presented to a focus group of professionals and the outcomes from that discussion have been implemented in sexual health provision locally. This research has also fed into a national working group which reviewed chlamydia testing guidelines for positive patients. Findings show that the decisions the young men made about sexual partners and sexual practice are based on a number of factors: pre-influencing factors, which were based on the men’s perceptions and beliefs about women, categorising them as “risky” with a sexually transmitted infection or “clean” with no infections, alcohol use and contraception vs STI prevention . Situational factors including sexual gratification and sexual arousal and post rationalisation factors such as peer pressure and masculinity. Factors influencing decisions to seek testing were triggered by unprotected sex with casual partners, strengthened by catalytic influences including media campaigns. The findings suggest a negative chlamydia test result gives respondents a clean bill of health allowing them to engage in further unprotected sex. A positive diagnosis resulted in the intention to change behaviour and modify sexual practice. After follow up interviews, intention did not lead to actual behaviour change and many became re-infected within 6 months. A conceptual model based on the study findings has been developed for use in professional practice. This model identifies the variables which influence the men’s decision making at different stages in the decision making process. This study has shown that the factors that influence young men’s sexual decision making and the impact of diagnosis on subsequent sexual behaviour have major implications for public health in terms of reinfection and further transmission.

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Binch, Joanna. "Medication adherence in urban men's shelters: An ethnographic study." Thesis, University of Ottawa (Canada), 2005. http://hdl.handle.net/10393/26853.

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The purposes of the study were to investigate homeless men's experiences of taking medications while living in a homeless shelter and the factors that affect medication adherence; and to describe medication adherence, as it pertains to homeless men residing in a shelter, from the perspective of the shelter staff. This is a manuscript-based thesis. The first manuscript provides a description of a proposed ecological model, based on clinical experience of the author and from the literature. The second paper is a summary of the findings of the qualitative research on medication adherence and homeless men's shelters. The third manuscript, directed at pharmacists, offers recommendations and strategies based on results of the qualitative study, to improve medication adherence. This thesis suggests that when health professionals view adherence to medications as an individual, cognitive choice, it does not take into account the challenges imposed by a homeless individual's environmental context.

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Griffiths, John Edward. "Masculinities, social capital and men's experiences of chronic ill health." Thesis, Manchester Metropolitan University, 2015. http://e-space.mmu.ac.uk/615949/.

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This thesis draws on theoretical and empirical research on men and masculinities, and on social capital to inform understanding of the experiences of chronically ill men. Levels of chronic illness are increasing in the Western Global North, and this phenomenon has been linked with health-related behaviour (Crossley, 2000a). A growing literature has explored the ways that people experience chronic illness and the implications of that for their health and wellbeing (e.g. Williams, 2000; Bray et al, 2014). There is a need however for further research that seeks a gendered understanding of men’s experiences of chronic illness within a context of social relatedness. Connell’s (e.g. 1995) theoretical description of hegemonic masculinities set within the ‘gender order’ has stimulated much research that moves beyond a simplistic understanding of gender that often characterises work in Health Psychology. Similarly social capital has become widely used to conceptualise aspects of social connectedness and it’s links with health and illness (e.g. Hu et al, 2014). A qualitative, narrative approach has been employed here to explore the experiences of chronically ill men. Semi-structured interviews were conducted with twenty five men to investigate the processes linking social capital, masculinities and experiences of chronic illness. A multi-level narrative analysis (e.g. Murray, 2000) was conducted on the resulting interview transcripts, and both case study and cross-case studies are presented in the thesis. The thesis demonstrates the value of a multi-level analysis (Murray, 2000) that incorporates the examination of personal, interpersonal, positional and ideological facets of men’s illness narratives. Key findings concerned the contestation of meanings of illness in men’s social networks, the gendered context to family conflicts related to illness, and the complexities of reciprocal care and support amongst families over time. Issues around employment and the workplace such as stress, and the negotiation of accommodations in masculinist workplace contexts are also explored. These findings point to the complexity and importance of interdependence and masculine identities, and their links with chronic illness experience. The association of social capital with entirely positive or negative outcomes or experiences amongst chronically ill men oversimplifies the diverse and context specific processes involved. A gender-sensitive approach to family systems and broader social connectedness with community and work contexts however can aid in understanding how the experiences of chronically ill men are shaped. The importance of theories and interventions that do not rest on models of unconstrained individual choice is particularly highlighted. Such work may be useful to health practitioners and in contributing to public discourse around chronically ill men.

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Gracie, Neil. "Men's perceptions of health: Implications for the delivery of health education programs in Victoria." Thesis, University of Ballarat, 2009. http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/40055.

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The key issue of concern behind this study was that there have been recent concerns about the gender-based discrepancies in morbidity and mortality rates amongst men and the scant attention generally held by Australian men towards their own health and well-being ... the models of education that have emerged from this research as being appropriate for health delivery advice to urban, rural and disenfranchised men, suggest effective ways to reach out to Australian males.
Doctor of Education

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13

Pearson, Stephen. "Young men's sexual behaviour and use of contraception." Thesis, University of Southampton, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.312894.

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Knight, Rodney Eric. "Masculinity, heteronormativity and young men's sexual health in British Columbia, Canada." Thesis, University of British Columbia, 2011. http://hdl.handle.net/2429/33844.

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Background: Young men account for a substantial proportion of reported sexually transmitted infection (STI) and HIV cases in Canada. However, STI/HIV testing rates remain low among young men. While men’s health-related behaviour have been linked to masculine expectations that demand stoicism, independence and denial of illness, little is known about how dominant masculine and/or heteronormative expectations may affect men’s sexual health-related practices that can put them at both an elevated risk of acquiring an STI(s)/HIV and/or affect their ability to access STI/HIV testing services. The objectives of this thesis are to: (1) explore how heteronormative and heterosexist discourses function within clinical settings where young men access STI testing services to better understand the extent to which dominant masculine ideals are (re)produced or resisted in these clinical contexts; (2) identify the social and contextual conditions which facilitate or create barriers to effective sexual health communication amongst men, paying special attention to how idealised masculinities influence these interactions; (3) develop recommendations for sexual health services and future research to improve the sexual health of young men in BC. Results: The findings drawn from this research highlight how idealized masculinity influences young men’s sexual health, including their sexual health-seeking behaviour, sexual practices and the ways in which they talk about sexual health. Specifically revealed are instances in which dominant heternormative expectations ‘hurt’ all men in clinical encounters (e.g., by stereotyping gay men as ‘risky’, thereby alleviating STI/HIV concern for straight men by virtue of their sexual identity). Men’s conversations about sexual health focused primarily around their sexual encounters (e.g., using ironic/teasing humour to embody masculine identities that neither dismiss nor actively express concerns about sexual health), amid processes of ‘manning up’ to break with dominant masculinity (e.g., stoicism) to permit talk about sexual health with peers or sex partners. Discussion: By examining situations in which men (and clinicians) align with or socially reconfigure idealized notions of masculinity related to sexual health, theorists and interventions will better understand how more equitable gender relations can be produced, thereby improving the sexual health of men (and women).

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15

Boyer, Duane, and mikewood@deakin edu au. "Defining moments in men's lives: A study of personal narratives." Deakin University, 2004. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20050727.123714.

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This study explores the defining moments in six mens lives. The empirical dimension of the research is built around the personal narratives these men tell of their lives across a series of four interviews. The central research theme is the notion of the defining moment as a key element in the processes of establishing how men understand and interpret the events and incidents that have shaped their lives. In the context of this study, the defining moment is seen as the moment or period in time when an individual gives definition to a specific event or experience, as a transition point with (potentially) life-altering consequences. Some of the thematic structures presented include relationships with significant adults (parents, teachers), masculinity, self-harm, schooling, mental illness, isolation, loneliness, stress and relationships with peers. In my pursuit of a methodology that could accommodate the aims of this study, I explored the process of meaning through the qualitative paradigm. Drawing on the principles of qualitative research, as applied through narrative inquiry, I deployed a semi-structured interview format to collect the lived experiences of participants. By privileging the stories that individuals tell of their experiences, the narrative method recognises that data are inexorably located in the contextual and contingent. The experiences and narratives that are presented in this thesis are built around the authentic voices of participants. The study presents a warrant for working with mens defining moments to disrupt, alter and redefine their attitudes and behaviours in order to improve their lives. Based on the insights gleaned through this study, I argue that there are defining times/points in peoples lives where their experiences can be life altering. When these experiences involve uncertainty, anxiety, stress and other pernicious effects, their longer-term consequences can be devastating. The study confirms existing research, that men are reluctant to seek help or reveal their insecurities during such times, therefore making them particularly vulnerable to defining moments. The conclusion of this thesis establishes some broad recommendations pertaining to working effectively with men and their defining moments. I focus particular attention on the place of schooling and education in helping individuals recognise and respond to the early symptoms of what is potentially a life-altering experience. Schools and, by association, teachers need to be actively and strategically involved in this process. To this end, I argue the need for targeted interventions that are both sensitive and timely. In their engagements with young males, parents, teachers, coaches and mentors need to be particularly attuned to their silent screams for help.

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Beam, Nancy K. "Women and men's preferences for delivery services in rural Ethiopia." Thesis, University of California, San Francisco, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10133409.

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Women and men’s preferences for delivery services in rural Ethiopia Nancy Beam Aims: This study aims to determine the combination of facility-based delivery care attributes preferred by women and men; if gender differences exist in attribute preferences; and key demographic factors associated with attribute preferences.

Background: Despite programs to promote facility-based delivery, which has been shown to decrease maternal and neonatal mortality, 80% of women in rural Ethiopia deliver at home without a skilled birth attendant.

A review of the Ethiopian literature on factors associated with delivery location revealed several weaknesses in research methods that need to be addressed. First, research participants were almost exclusively women, although male partners often make decisions about delivery location. Second, most quantitative study designs are similar in content to the Ethiopian Demographic Health Survey, limiting the generation of new knowledge. Third, cultural practices identified in qualitative studies as barriers to facility-based delivery have not been included in quantitative studies. This study addressed these weaknesses by using discrete choice experiment methodology to elicit preferences for delivery service attributes, including support persons in the delivery room, staff training and attitude, cost, distance and transportation availability.

Methods: A cross-sectional, discrete choice experiment was conducted in 109 randomly selected households in rural Ethiopia in September-October 2015. Women, who were pregnant or who had a child < 2 years old, and their male partners were interviewed. After completing a demographic questionnaire, male and female respondents were asked separately to choose between facility-based scenarios that reflected various attributes for delivering their next baby. Data were analyzed using a multilevel mixed-effects logistic regression model.

Results: Both women and men preferred health facilities where medications and supplies were available, a support person was allowed in the delivery room, cost was low, and doctors performed the delivery. Women also valued free ambulance service, while men favored nearby facilities with friendly providers. Men are disproportionately involved in making household decisions, including decisions about whether their wives seek health care. Yet, men are often unaware of their partners’ prenatal care attendance.

Implications: The Ethiopian government and health facilities could increase facility births in rural areas by responding to families’ delivery service preferences.

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Spirlandeli, Batista Juliana [UNESP]. "GQ e Men's Health: os estilos de vida do ator masculino contemporâneo." Universidade Estadual Paulista (UNESP), 2013. http://hdl.handle.net/11449/106085.

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Made available in DSpace on 2014-06-11T19:35:14Z (GMT). No. of bitstreams: 0 Previous issue date: 2013-06-03Bitstream added on 2014-06-13T19:45:16Z : No. of bitstreams: 1 spirlandelibatista_j_dr_arafcl.pdf: 5458626 bytes, checksum: 93653e473de18a6448e2952b9c04769d (MD5)
Esta pesquisa teve como proposta examinar e descrever os estilos de vida do homem contemporâneo depreendidos dos periódicos Gentlemen’s Quarterly e Men’s Health, bem como investigar os modos pelos quais os programas narrativos, nelas desenvolvidos, demonstram os diferentes estilos de vida desse novo homem. Para isso, o trabalho se alicerça na Sociossemiótica, principalmente nas postulações de Eric Landowski. Além do mais, foi também possível identificar como se deu a interação entre enunciador, por meio de sua projeção no texto, e enunciatário, que se fez presente pelas marcas deixadas no enunciado. O trabalho também se fundamenta na teoria semiótica de origem francesa, desenvolvida por Algirdas Julien Greimas, e tem como núcleo de suas preocupações o modo de significar, mais precisamente nos encontros entre sujeitos e objetos de valor, de onde a comunicação faz suscitar inúmeras significações. Esses encontros entre o sujeito e o objeto que abarcam suas conjunções e disjunções, fusões e separações produzem efeitos de sentido distintos e variados que perpassam as análises por meio das quais o sentido vai sendo construído e manifestado, de tal modo que ele surge orientado pela imanência dos textos que o colocam à mostra. O corpus de análise foi selecionado tendo como base o amplo cenário oferecido para tratar do universo do homem contemporâneo na mídia. Dessa forma, em razão da diversidade de produtos midiáticos oferecidos ao homem, selecionaram-se os dois periódicos já mencionados, no período de abril de 2011 a abril de 2012. Ao estabelecer as diferenças entre os periódicos na representação do masculino, teceu-se a seguinte hipótese: seria possível encontrar e reconhecer a configuração dos mesmos estilos de vida em ambos os periódicos? Com base nas análises foi possível perceber as diferenças que distanciam os dois periódicos...
This research aimed at examining and describing the lifestyles of the contemporary men gathered from the magazines Gentlemen’s Quarterly and Men’s Health as well as investigating the way in which the narrative programmes developed demonstrate the different lifestyles of the new men. For this, the ivestigation places its foundations on the sociossemiotics, mainly on the assumptions made by Eric Landowski. Furthermore, it was also possible to identify how the interaction between the enunciator, through its text projection, and the enunciatee, present by the signs left in the text, occurred. The research is also based on the French semiotics theory, developed by Algirdas Julien Greimas and one of its main worries is the way to signify, especially when the subjects and the value objects meet and where the communication raises significance. These encounters between the subject and the object which comprise its conjunctions and disjunctions, fusions and separations produce distinct and varied sense effects that pass by the analysis in which the sense is being built and displayed. Thus, the sense comes up oriented by the immanence of the texts which show it up. The corpus was selected based on the extensive scenario offered to deal with the universe of the contemporary men on the media. On account of the diversity of the mediatic products offered to the men, the two mentioned magazines were selected, from April 2011 to April 2012. By establishing the differences between the magazines to represent the masculine, it was possible to orientate the following hypothesis: was it possible to recognize the configuration of the same lifestyles in both magazines? Based on the analysis, it possible to notice the differences which distantiate the two magazines, taking into account that in GQ, it was possible to identify that the lifestyles of the men represent... (Complete abstract click electronic access below)

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18

周古筠 and Ku-kwan Clara Chau. "The association of smoking and erectile dysfunction in the men's health survey." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2002. http://hub.hku.hk/bib/B31970412.

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Chau, Ku-kwan Clara. "The association of smoking and erectile dysfunction in the men's health survey." Hong Kong : University of Hong Kong, 2002. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25100671.

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Spirlandeli, Batista Juliana. "GQ e Men's Health : os estilos de vida do ator masculino contemporâneo /." Araraquara, 2013. http://hdl.handle.net/11449/106085.

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Orientador: Edna Maria Fernandes dos Santos Nascimento
Banca: Jean Cristtus Portela
Banca: Naiá Sadi Câmara
Banca: Renata Maria Facuri Coelho Marchezan
Banca: Vera Lúcia Rodella Abriata
Resumo: Esta pesquisa teve como proposta examinar e descrever os estilos de vida do homem contemporâneo depreendidos dos periódicos Gentlemen's Quarterly e Men's Health, bem como investigar os modos pelos quais os programas narrativos, nelas desenvolvidos, demonstram os diferentes estilos de vida desse novo homem. Para isso, o trabalho se alicerça na Sociossemiótica, principalmente nas postulações de Eric Landowski. Além do mais, foi também possível identificar como se deu a interação entre enunciador, por meio de sua projeção no texto, e enunciatário, que se fez presente pelas marcas deixadas no enunciado. O trabalho também se fundamenta na teoria semiótica de origem francesa, desenvolvida por Algirdas Julien Greimas, e tem como núcleo de suas preocupações o modo de significar, mais precisamente nos encontros entre sujeitos e objetos de valor, de onde a comunicação faz suscitar inúmeras significações. Esses encontros entre o sujeito e o objeto que abarcam suas conjunções e disjunções, fusões e separações produzem efeitos de sentido distintos e variados que perpassam as análises por meio das quais o sentido vai sendo construído e manifestado, de tal modo que ele surge orientado pela imanência dos textos que o colocam à mostra. O corpus de análise foi selecionado tendo como base o amplo cenário oferecido para tratar do universo do homem contemporâneo na mídia. Dessa forma, em razão da diversidade de produtos midiáticos oferecidos ao homem, selecionaram-se os dois periódicos já mencionados, no período de abril de 2011 a abril de 2012. Ao estabelecer as diferenças entre os periódicos na representação do masculino, teceu-se a seguinte hipótese: seria possível encontrar e reconhecer a configuração dos mesmos estilos de vida em ambos os periódicos? Com base nas análises foi possível perceber as diferenças que distanciam os dois periódicos... (Resumo completo, clicar acesso eletrônico abaixo)
Abstract: This research aimed at examining and describing the lifestyles of the contemporary men gathered from the magazines Gentlemen's Quarterly and Men's Health as well as investigating the way in which the narrative programmes developed demonstrate the different lifestyles of the new men. For this, the ivestigation places its foundations on the sociossemiotics, mainly on the assumptions made by Eric Landowski. Furthermore, it was also possible to identify how the interaction between the enunciator, through its text projection, and the enunciatee, present by the signs left in the text, occurred. The research is also based on the French semiotics theory, developed by Algirdas Julien Greimas and one of its main worries is the way to signify, especially when the subjects and the value objects meet and where the communication raises significance. These encounters between the subject and the object which comprise its conjunctions and disjunctions, fusions and separations produce distinct and varied sense effects that pass by the analysis in which the sense is being built and displayed. Thus, the sense comes up oriented by the immanence of the texts which show it up. The corpus was selected based on the extensive scenario offered to deal with the universe of the contemporary men on the media. On account of the diversity of the mediatic products offered to the men, the two mentioned magazines were selected, from April 2011 to April 2012. By establishing the differences between the magazines to represent the masculine, it was possible to orientate the following hypothesis: was it possible to recognize the configuration of the same lifestyles in both magazines? Based on the analysis, it possible to notice the differences which distantiate the two magazines, taking into account that in GQ, it was possible to identify that the lifestyles of the men represent... (Complete abstract click electronic access below)
Doutor

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21

McGraw, Jacquie Cherie. "Men's help-seeking behaviours in preventative health: The role of masculine identities." Thesis, Queensland University of Technology, 2018. https://eprints.qut.edu.au/122916/2/Jacquie_McGraw_Thesis.pdf.

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22

Downes, Heath. "Single Men's Experiences of Coping with Financial Stress." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5322.

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Experiencing financial hardship is stressful and can lead to the development of psychological symptoms, including depression and anxiety. Although researchers have examined the broad categories of coping strategies that people employ when faced with financial hardship, little is known about the experiences of single men who were able to navigate stressful times without developing anxiety or anxiety-like symptoms. The purpose of this phenomenological study was to explore the successful coping experiences of single men with financial hardship (e.g., loss of job, home, finances). Bonanno's theory of resilience provided the framework for the study. Data were collected from interviews with 12 single men ages 18 to 65 who identified as middle or lower SES and had experienced financial hardship within the past 8 years. Data were analyzed using Van Kaam's method, producing 10 thematic categories: definitions of stressors, personal financial stressors, worries, challenges, how stressors were experienced, supports, coping strategies, definitions of resilience, experience of resilience, and added information. Sports and sharing with others were common coping skills; this contributed to an improved understanding of how single men may respond when faced with negative financial events. Findings may be helpful to those who provide counseling services for clients in this category and may be used in training programs to teach strategies for managing financial stress.

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Mmbando, Zebadia Paul. "Factors influencing men's involvement in reproductive health in Arusha and Arumeru districts, Tanzania." Thesis, University of the Western Cape, 2010. http://hdl.handle.net/11394/2557.

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Magister Public Health - MPH
The study findings were thematically grouped into three themes including the coordination and partnerships, culture and implementation challenges. Poor coordination and failure of systems in place appeared to characterise the many challenges. Gender inequalities and masculine dominated cultural practices like polygamy and widow inheritance are associated with consequences of ill health among women; including high HIV/AIDS prevalence, early marriage, high teenage pregnancies and high maternal mortality. Although these practices are in favor of men, they hardly protect them from the wrath of poor RH like STDS, HIV/AIDS, stressful big families and vast poverty. Hence, Tanzanian men are also victims of their own behavior.
South Africa

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Curran, Kathryn Michelle. "Understanding the barriers to, and impact of, men's engagement in physical activity and health related behaviours : an examination of an English Premier League football in the community men's health programme." Thesis, Liverpool John Moores University, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.604324.

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This thesis outlines research undertaken by formal collaboration between Everton Football Club's Football in the Community (FitC) scheme; Everton in the Community (FitC) and Liverpool John Moores University, School of Sport and Exercise Sciences. In recent years, there has been recognition of the influence that English Premier league (EPL) football clubs can have in attracting men to physical activity and health engagement programmes. Despite attempts to align FitC programmes with suitable evaluation procedures, there still remains limited evaluative empirical evidence. '. Study 1 adopted ethnographic principles to explore the effectiveness of, and identify the barriers to, promoting positive health behaviours and messages to male football fans at an EPL football stadium on match days. Results showed that in general, men did not wish to engage in health related behaviours on match days however approaches that did not impose on, nor contaminate, the men's match day experience were more successful. Study 2 adopted a multi-method approach to explore the distinct barriers that hard-to-reach (HTR) male populations encounter when attempting to commit to regular participation in physical activity and health behaviours and to examine the impact of engaging in a 12 week FitC intervention. Economic, environmental and social barriers to engagement in regular physical activity and positive health behaviours are highlighted and specific biopsychosocial effects of engaging in the FitC programme are identified. Study 3 utilised informal semi structured interviews with programme participants to explore the contextual, environmental and psychosocial barriers experienced by men from HTR populations. Psychosocial motivations for programme uptake and the impact of regular engagement in the FitC men's health programme are discussed. It is recommended that commissioning agencies should endorse and fund men's health initiatives delivered in and by professional sports clubs. To maintain participant engagement and maximise improvements to men's health and wellbeing, alterations to current practice and research are discussed.

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Hussain, Shazia. "Men's experiences of engaging in psychological therapy in a forensic mental health setting." Thesis, University of Birmingham, 2018. http://etheses.bham.ac.uk//id/eprint/8523/.

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Background: The Multifactor Offender Readiness Model (MORM) acknowledges the importance of gender-sensitive interventions in enhancing engagement in the rehabilitation of offenders. However, to date, little attention has been paid to the role of gender identity in psychological therapy. Even though men in forensic settings are likely to endorse hypermasculine attitudes, such as promoting aggression and restricting emotional expression, which run counter to therapeutic ideals. Methodology: Nine men residing in medium-secure forensic mental health hospitals were interviewed. Interpretative Phenomenological Analysis (IPA) was used to obtain first-person accounts of the men’s lived experiences to gain an insight into the subjective meanings they attached to their experiences of psychological therapy. Results: An analysis of the individual transcripts highlighted the men’s journey over the course of therapy, marked by an internal struggle against the external pressures. Three superordinate themes were identified: ‘shifting self’, ‘relationship with other’ and ‘therapeutic journey’, alongside their subsequent sub-themes. Discussion: A gradual, non-linear process of change was evident in the men’s narratives, who at the various phases of psychological therapy were faced with the challenge of questioning and redefining their identity. This involved lowering their guard, learning to become comfortable with vulnerability and face their past in the presence of a supportive ‘other’, in order to move towards building a new or better future for themselves.

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Grove, Patrick. "A discourse analysis of men's perspectives on seeking help from mental health services." Thesis, University of East London, 2005. http://roar.uel.ac.uk/3763/.

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Recent research has indicated that men do not tend to seek help from mental health services when experiencing emotional distress. In the Introduction, I outline the men's help-seeking literature, before describing a social constructionist approach to masculinity and the possibilities of this framework for investigating the problem of men's help-seeking. I then examine literature to argue that Western conceptions of mental health and masculinity draw upon similar discourses and I suggest that men's help-seeking for emotional distress involves behaving in a way contrary to the construction of Western masculinity. This discussion leads to the present research: a discourse analysis of men's perspectives on seeking help from mental health services. The research aim was to identify which discourses and identities were available to men when they talked about help-seeking from services, and therefore to identify which individual actions and social practices seemed reasonable. I interviewed eight men, four of whom had sought help, and four who had not. In the Analysis, I examine the men's use of language and the effects that this had when accomplishing them as masculine. Similar discourses were drawn upon by both groups however these were deployed in different ways, constructing male help-seekers as masculine or not so. The analysis also demonstrates the extent of the rhetorical work that help-seekers had to employ to construct help-seeking as masculine. In the Discussion, I summarise the analysis and examine the implications for individual action and broader social practice and policy. I outline the implications for the help-seeking literature and for social constructionist understandings of masculinity. I then examine the application of my findings to individual psychological therapy and broader mental health promotion for men. I reflexively examine the research with regards to my own identity and positioning, and the validity of my reading of the transcripts.

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Araújo, Júnior Natanael Pereira. "Discursos da saúde nas revistas Men's Health : uma simbiose entre saúde e beleza /." Rio Claro, 2016. http://hdl.handle.net/11449/144310.

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Orientador: Marcia Reami Pechula
Banca: Elizabeth Moraes Gonçalves
Banca: Belarmino Cesar Guimarães da Costa
Resumo: Este estudo nasceu a partir da percepção do grande espaço que, atualmente, as mídias dedicam ao tema da saúde e de como, muitas vezes, a beleza parece ser um pré-requisito para que qualquer indivíduo seja reconhecido como saudável. Visto que, em grande parte, a imagem de um corpo saudável disseminada pelos meios de comunicação é constituída por corpos belos, objetiva-se, a partir desse quadro, investigar como o discurso da saúde utilizado pela edição brasileira da revista Men's Health é construído, pois, em um primeiro momento, parece-nos que seu objetivo é o de retratar temas relacionados e pertencentes ao gênero do discurso da beleza masculina, como é possível verificar pelo conteúdo anunciado em suas capas. Para isto, primeiramente, estudamos o conceito de saúde, tomando por base a ideia de que um corpo saudável é um corpo sem doenças e, em seguida, a partir de Charaudeau, buscamos compreender como a mídia constrói seu discurso. Só então, utilizando o conceito de gênero do discurso de Bakhtin, foram analisados os discursos com os quais a revista trabalha, dando ênfase aos que estão presentes em suas capas. Concluímos que os discursos da Men's Health fazem parte do gênero do discurso da saúde. Entretanto, a revista faz uso de um imaginário de saúde no qual a beleza é um elemento indispensável deste discurso. Isto é, há uma simbiose entre os discursos da saúde e da beleza. Porém, neste caso, a beleza é um valor simbólico voltado para a sedução e erotização do corpo saudável .... (Resumo completo, clicar acesso eletrônico abaixo)
Abstract: This study was born from the perception of a large space that currently the media dedicate to the topic of health and how often beauty seems to be a prerequisite for any individual to be recognized as healthy. This is due to, in large part, the image of a healthy body disseminated by the media consisting of beautiful bodies. Within this framework, the aim of this study was to investigate whether, as indicated by its name, the Brazilian edition of Men's Health magazine belongs to the branch of publications pertaining to the health discourse genre. Conversely, at first, it might seem its goal was to portray issues belonging to the male beauty discourse genre, as can be verified by the content on their covers. For this analysis, we first studied the concept of health, based on the idea that a healthy body is a body without disease. Secondly, from Charaudeau's framework, we seek to understand how the media construct its discourse. Only then, using the concept of Bakhtin's discourse genre, the discourses of the magazine were analyzed, with an emphasis on those present in its covers. We conclude that Men's Health's discourses are part of the health genre. Nevertheless, the magazine makes use of a health imaginary in which beauty is an essential element of this discourse. That is, there is a symbiosis between the discourses of health and beauty. However, in this case, beauty is a symbolic value related to the seduction and erotization of the healthy body. Therefore, the image has a great importance to this imaginary and a relevant participation in the discourse conveyed by this publication. The analysis also showed that this imaginary is not accessible to everyone. Consequently, it meets a market logic in which health is the result of a lifestyle permeated by product and behavior consumption which give the magazine's target audience not only the image of healthy people ... (Complet abstract click electronic access below)
Mestre

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Miller, Josiah James. "Victories of the Heart| An Evaluation of a Transformative Men's Retreat." Thesis, The Chicago School of Professional Psychology, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10159295.

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Participatory Action Research (PAR) was utilized as the primary research methodology in conducting a program evaluation and development of a mythopoetic men’s retreat. Over the course of a two-year exploratory process, a variety of qualitative and quantitative measures were used to plan, conduct, and respond to research studying Victories of the Heart’s Breakthrough Weekend retreats. This research sought to understand the weekend’s effect on the levels of gender role conflict, perceived social support and psychological wellbeing in men who attended the retreat. Changes in these variables were measured using the Gender Role Conflict Scale – Short Form, Multidimensional Scale of Perceived Social Support, and the Flourishing Scale through use of an independent measures pretest posttest design. Qualitative interviews were conducted in order to better understand the research and programmatic needs of Victories of the Heart as an organization, the lived experiences of the men who attended these retreats as well as future directions for research and program development. Although no statistically significant changes were found in the quantitative data, the Breakthrough Weekend participants described their retreat experiences as “life changing” during qualitative interviews.

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Arnell, Melinda Gean. "The Role of Masculinity, Masculine Capital, and Spousal Social Control on Men's Health Behaviors." DigitalCommons@USU, 2014. https://digitalcommons.usu.edu/etd/3293.

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The study of men’s health behaviors has received a great deal of attention worldwide. Studies have been conducted to identify determinates related to men’s health care usage. Masculinity and spousal control are well accepted determinates of men’s health care seeking. However, the concept of masculine capital and how it factors into men’s health care seeking has been a relatively new topic of research. The researchers do not believe there has been a study to date that examines the social control wives place on their husbands, and how that social control may influence their spouses’ health, how masculinity plays into men’s health behaviors, and how men maintain masculine capital in the face of social control, if at all. Therefore, this study sought to examine how masculinity and the social control wives placed on their husbands intersected. The purpose of this study was twofold. First, the study sought to gain a greater understanding of how wives exert social control over spousal health behaviors. Second, the study sought to examine how men maintain masculinity, specifically masculine capital in the face of social control that their wives placed on their health behaviors. Focus groups were conducted with married male participants in Cache County, Utah. Umberson’s 1987 model of social control was modified to analyze the data. The constructs of masculinity and masculine capital were added to Umberson’s original constructs of family relationships, social control, health behaviors, and physical health/mortality. In addition, the construct of social control was substituted for spousal social control. At the conclusion of the research study, the research team changed the unidirectional arrows leading from the concept of masculinity and masculine capital to bidirectional arrows to reflect the idea that masculinity and masculine capital not only affect the concept of family relationships, spousal social control, and health behaviors, but those elements in turn affect masculinity and masculine capital. The researchers found the updated proposed model to be accurate in that masculinity and masculine capital influence many realms of a man’s life and that spousal social control can have a great influence on a man’s health-related behaviors and physical health.

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Reid, Garth D. "The development, implementation and assessment of a questionnaire to evaluate a men's health intervention." Thesis, Available from the University of Aberdeen Library and Historic Collections Digital Resources. Restricted: no access until Sept. 10, 2010, 2008. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?application=DIGITOOL-3&owner=resourcediscovery&custom_att_2=simple_viewer&pid=26080.

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31

Gieck, Donald J. "Development of a brief motivational intervention that targets heterosexual men's preventive sexual health behavior." Laramie, Wyo. : University of Wyoming, 2007. http://proquest.umi.com/pqdweb?did=1481671711&sid=1&Fmt=2&clientId=18949&RQT=309&VName=PQD.

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32

Cohen, Tina S. "Death and the pub : a discourse analysis of men's talk about mental health, mental illness and mental health sevices." Thesis, University of Surrey, 2012. http://epubs.surrey.ac.uk/804776/.

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Despite the prediction that religion would wane in the 21st century, evidence suggests otherwise. It is important therefore for mental health professionals to understand the role of religion in the lives of their clients and to appreciate its impact on mental health. Research suggests a moderate inverse relationship between religion and depression and anxiety with some cross-cultural support. The relationship is however complex and context needs to be taken into account. The effect of culture and the importance of intrinsic religiosity are discussed. Much research is conducted in the US in the field of psychiatry, suggesting a gap in the British psychological literature. Some implications for clinical practice are discussed. The interplay between religion, culture and wellbeing is discussed

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Abrahams, Naeemah. "Men's use of violence against intimate partners : a study of working men in Cape Town." Doctoral thesis, University of Cape Town, 2002. http://hdl.handle.net/11427/9380.

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Bibliography: leaves 188-210.
Violence against women is a universal problem and is widely recognised as a fundamental barrier to women's health and gender equality. Working with men to change their behaviour is increasingly acknowledged as a critical part of the solution to the problem. Data on risk factors that explain men's use of violence have been limited. Such data is required before interventions can be developed. The aims of this study was to describe the prevalence of different types of violence men use against their partners, as well as the risk factors for men's use of such violence. The study was based among men working at three municipalities in Cape Town. A random sample of 1800 names was chosen, from among which 1414 interviews were held. Prevalence estimates and risk factor analyses for use of violence against an intimate partner were done.

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Spyrou, Spyroula. "Exploring men's experiences and understanding of binge eating disorder : an interpretative phenomenological analysis." Thesis, London Metropolitan University, 2014. http://repository.londonmet.ac.uk/1100/.

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Binge Eating Disorder (BED) appears to have a fairly equal prevalence in men and women. However, men with BED have been overlooked in research as studies have mainly focused on women. As a result, there appears to be a limited understanding of men’s experiences and treatment needs of BED, including from a Counselling Psychology perspective. A qualitative study was undertaken to explore men’s experiences and understanding of BED including their experiences in seeking, accessing and receiving treatment. Semi-structured interviews were carried out with six men who had a diagnosis of BED. Data was analysed using Interpretative Phenomenological Analysis resulting in four super-ordinate themes: the experience of BED; the process of understanding; the stigmatised male self and the experience of treatment. The experience of BED was described as a divergent experience of negative and positive facets, characterised by a futile struggle to control their eating. The men described living a constrained life with BED similar to living in an inescapable trap. In trying to make sense of their BED, the men discussed the function of BED in their lives and they compared BED to an addiction. The experience of BED in men encompassed feelings of isolation and stigma due to having what they perceived as a female and/or homosexual disorder. These men discussed their strong adherence to male stereotypes of masculinity and having BED was perceived as unacceptable and emasculating. The participants’ struggles with treatment were emphasised as they sought to find unavailable support and received what they felt to be inadequate treatment care. The applicability of these findings for professional practice and Counselling Psychology practice are discussed and include exploring men’s recommendations towards tailoring treatment to meet their needs, for example all-male group therapy and addressing masculinity and stigma.

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Robinson, Kitt Lisa. "Breaking the silence : insights into the impact of being a firefighter on men's mental health." Thesis, University of British Columbia, 2009. http://hdl.handle.net/2429/15226.

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The purpose of this investigation was to explore the impact being a firefighter has on men's mental health. Using narrative methodology, six participants were interviewed using an in-depth, open-ended, semi-structured approach. Through a holistic-content analysis (Lieblich, 1998), two major themes — mental health impact of doing the work; and mental health impact of working in the fire department culture — and numerous sub-themes were reflected by the participants as being significant in regards to how their mental health has been impacted. Contributions of this study include: (a) providing insights into how firefighters experience their work, both in terms of the job requirements as well as the occupational culture in which they work, (b) offering personal descriptions and thus a deeper understanding of trauma symptoms related to fire fighting, (c) providing a window into a largely closed culture and how the overt and tacit norms in the fire department impact the firefighters mental health, and finally, (d) by speaking, the participants have started the process of breaking the silence that seems to plague the fire service related to disclosing mental health symptoms. Acknowledgement comes before acceptance which precedes treatment and healing. The overarching goal of this research was to fill many of the gaps in the research literature and to enhance our clinical understanding of first responder mental health. This study not only adds to the development of the empirical literature and the construction of theory in the area of trauma, masculinity and health, and occupational culture, it also provides practitioners with empirically-based information on how clients who are detrimentally impacted from being a first responder can best be served.

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Mitchell, Martin. "Gay men's relationship and household patterns : implications for the provision of health and social care." Thesis, London South Bank University, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.434430.

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There is a growing recognition today among health and social service providers that traditional patterns of care and support will not be available in all households. This research investigates the care and support needs arising from patterns of intimate relationships, households and commitments among gay and bisexual men, and how individuals, society, and health and social services have responded to such needs. Using a material-reflexive and standpoint epistemological approach to interview accounts, the research examines personal reflexivity in patterns of household formation within the context of material opportunities, influences and constraints. Thirty in-depth interviews are used to examine the consequences of patterns of relationships and household formation for care and support among same sex male couples and among independent ('one-person') households. At the level of informal care, commitments are explored between partners, family members, and the wider community. Implications of patterns of care and support needs for the provision of care are also explored in terms of the response of government, policy makers and health and social service providers, and the extent to which gay and bisexual men, and health and social care professionals, have exercised material-reflexivity in relation to the emerging concerns. In this context I argue that that there is a prioritisation of individualised couple and private care that will not be available or appropriate to all. At the same time, unprejudiced care and support from health and social care professionals remains unpredictable and uneven. In this context, I argue that the accounts of my interviewees imply the need to support and facilitate new forms of 'chosen' commitments beyond partners and family, and to do so in ways that give greater social recognition to them and protect them from social exclusion and discrimination.

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Claridge, Dannielle. "Constructions of masculinity and men's experiences of barriers to help-seeking from mental health services." Thesis, University of Hull, 2017. http://hydra.hull.ac.uk/resources/hull:16485.

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This portfolio thesis is divided into three parts: a systematic literature review, an empirical study and a set of appendices. Part one is a systematic literature review, exploring the existing literature relating to the barriers men report when accessing mental health services. A total of 8 studies were critically reviewed, evaluated and assessed for quality. The results from these were then explored to consider the themes that men described in the barriers they experienced. The findings from this review are discussed regarding the clinical implications of barriers to care. Part two is an empirical paper exploring the constructions of masculinity in the language Army veterans use around accessing mental health services. The study utilised a combination of grounded theory and Foucauldian discourse analysis to explore the discourses used by the five veterans. Results looked at the different positions the men took in their discourse and the different actions this allowed them, as well as how they negotiated their masculinity when accessing support. The findings are considered and discussed in relation to their clinical implications. Part three contains a comprehensive set of appendices from parts one and two; this also contains epistemological and reflective statements to add context to the research that was undertaken.

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Carter, Mary Frances. "Beliefs, Costs, and Policies Influencing African American Men's Decisions on PSA Screening." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4605.

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Despite the growing concerns about routine prostate-specific antigen (PSA) screening in men, little is known about the societal and economic impact of screening among the African American population. The purpose of this qualitative case study was to explore beliefs among African American men about PSA screening, funding for screening, and the role of the United States Preventive Service Task Force in addressing the problem. Guided by rational choice theory, data collection consisted of completion of a health beliefs survey, face-to-face interviews, field notes taken during interview, and interview audio recording. The population for the study included African American men residing in a large metropolitan Midwestern city, who are between the ages of 45 and 65, and who have not been diagnosed with prostate cancer disease. Data were analyzed using NVivo10-© to identify themes and patterns. Results from the study show that the decision to participate in prostate screening for African American men is hindered due to concerns about access, cost, and affordability. These three factors should be further evaluated in a larger setting for a greater understanding of their roles in more effective screening programs and policies. Insights gained from this study may positively impact future policy by providing a deeper understanding of the beliefs held by African American men on the issue of prostate cancer screening that may eventually lead to developing and successfully implementing policies that can be cost effective.

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Khalid, Sarah Jane. "An exploration of men's subjective experiences of vitiligo : a qualitative study." Thesis, London Metropolitan University, 2014. http://repository.londonmet.ac.uk/709/.

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Vitiligo is a chronic skin disorder, which de-pigments parts or all of the skin. This disfiguring condition presents individual sufferers with many challenges. Studies have shown an adverse psychological impact of living with such a skin condition. However, no studies to date have explored the experience of vitiligo from a purely male perspective. This study sought to provide some preliminary understanding of and insight into men’s experience of vitiligo. A qualitative design was employed and the study was conducted using semi-structured interviews with six participants from a white British background who were all members of the Vitiligo Society UK. Three arching themes were found: processing the vitiligo diagnosis, focus on self and managing relationships. These findings are relevant to the theoretical understanding of the psychological impact that skin disorders can have on men. The applicability of these findings for Counselling Psychology practice in the management of vitiligo is discussed and future areas for research are suggested.

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Stenson, Kristina. "Men's Violence against Women – a Challenge in Antenatal Care." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4140.

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Valdez, Luis A., and Luis A. Valdez. "Exploring the Intersected Influences of Sociocultural Norms and the Social Context on Alcohol and Substance Abuse in Hispanic Men." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/625578.

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BACKGROUND: Maladaptive patterns of alcohol consumption can lead to clinically significant impairment or distress and have been established as a partial cause of a wide variety of health conditions, including neuropsychiatric disorders, cardiovascular diseases, hepatic inflammations, certain cancers, and infectious diseases. In the United States, Hispanic and non-Hispanic white (NHW) men have comparable rates of moderate alcohol consumption, however, Hispanic men are more likely to consume higher volumes of alcohol and with more frequency and experience disproportionate levels of adverse health and social consequences of alcohol abuse when compared to NHW men. Further, Hispanic men face greater barriers than NHW men in accessing, engaging, and completing alcohol abuse treatment services despite the contrasting burden of alcohol-related consequences they face. OBJECTIVES: This dissertation is composed from three studies addressing the following aims to: 1) synthesize the culturally- and gender-responsive components of alcohol and substance abuse and dependence treatment programs designed for Hispanic males in the United States; 2) explore Hispanic male perspectives and opinions regarding alcohol use and abuse patterns that may lead to disparate rates of alcohol abuse in Hispanic males in the United States; and 3) examine U.S. Hispanic male perspectives regarding the barriers to alcohol abuse treatment-seeking related behaviors that lead to disparate treatment engagement and completion rates. METHODS: A systematic literature search was conducted for Aim 1 in which articles reporting on culturally- and/or gender-adapted alcohol and/or substance abuse interventions designed exclusively for Hispanic males were identified. Aim 2 and Aim 3 used semi-structured interviews to elicit Hispanic male perspectives of alcohol abuse and alcohol abuse treatment seeking behaviors. Separate thematic analyses were conducted as per the objectives of Aims 2 and 3. Data analysis was based on a deductive process including a preliminary codebook that was supplemented with inductive codes that surfaced during iterative thematic analyses. RESULTS: Regarding Aim 1, literature searches yielded 2685 titles, resulting in 12 articles that fit the parameters of the review. The most scientifically rigorous findings suggest that cultural adaptations may outperform standard treatment for Hispanic men (n=6). Nevertheless, a fraction of the included interventions (n=4) did not improve outcomes compared to standard treatment. Considering the scarce number of publications, it is difficult to discern how much findings reflect ineffective interventions or methodological limitations. Findings for Aim 2 indicate that there are intersected effects of machismo, a culture of normalized overconsumption, social context stressors, and poor coping strategies that may influence maladaptive relationships with alcohol use. Findings for Aim 3 suggest that treatment seeking behaviors are highly influenced by; a) structural factors related to treatment accessibility, and linguistic and cultural-responsiveness of available treatment, b) sociocultural factors related to difficulties problematizing alcohol abuse due to lack of knowledge and cultural normalization of consumption, and societal stigmatization of alcohol abuse treatment, and c) individual factors related to machismo-bound pride as well as lack of knowledge. CONCLUSIONS: Given the rapid expansion of the Hispanic population in the United States, and the parallel growth of alcohol abuse implications in this population, it is imperative that we learn where these problems may be rooted to better understand how to diminish the existing gaps. Collectively, these findings point to the need for treatment providers to disseminate accurate information about treatment availability and eligibility, and the treatment process. This work also illustrates the need to for consciousness building efforts targeting the Hispanic male community regarding the detrimental effects of alcohol-related problems and treatment, in order to diminish the stigma. Increased or redistributed funding for linguistically and culturally responsive programs is also needed in communities with large Hispanic populations in order to meet the growing demand, particularly for the uninsured. Further research is needed to identify other potential barriers and recovery resources for this population and other Hispanic subgroups in other parts of the United States.

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Layton, Beverly. "Effects of a Web-Based Decision Aid on African American Men's Prostate Screening Knowledge and Behavior." ScholarWorks, 2011. https://scholarworks.waldenu.edu/dissertations/997.

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African American men have the highest prostate cancer occurrence and deaths of any population, yet many are unaware of screening opportunities or prognoses if diagnosed with the disease. The focus of this study was to learn whether a web-based prostate health education decision aid would increase prostate cancer knowledge, declared intention to be screened, and the likelihood of scheduling a prostate-specific antigen (PSA) test. The transtheoretical model of behavior change served as the theoretical framework for the study to assess readiness to adopt new behaviors. A total of 128 African American men between the ages of 40--65 without a history of prostate cancer participated in the study and were divided into 2 nonequivalent groups. The control group had 48 participants, and the intervention group had 80. After reviewing the web-based intervention, participants completed a demographic questionnaire, The Prostate Knowledge Questionnaire, and an Intent-to-Screen Tool. Mean differences in knowledge change were compared while adjusting for covariates using least squares regression. There was no significant improvement in the Prostate Knowledge Change score between the experimental and control groups. Therefore, the alternate hypothesis cannot be accepted. The social change implications suggest that the web-based decision aid studied in this project may not be the best tool to increase knowledge about prostate cancer screening. Therefore, more research is needed regarding ways to reach and inform African American men about the pros and cons of prostate cancer screening to foster informed decision making.

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Louis, Jhonii Price II. "Examining constructs of the Health Belief Model as predictors of Haitian men's intention regarding prostate cancer screening." Thesis, Barry University, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10153750.

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Background: The most recent report of Global Burden of Cancer (GLOBOCAN) indicated the incidence rate of prostate cancer in Haiti as 38.6 and the mortality rate as 32.3 per 100,000. The literature supports a high correlation between early prostate cancer screening and low mortality rate from the disease. Yet, the participation of Haitian men in prostate cancer screening remains low (Kleier, 2010). The literature has a lack of research on this matter, which presented the gap to be examined.

Purpose: The purpose of this study was to determine which of these selected constructs of the Health Belief Model (perceived susceptibility, perceived benefits, and perceived barriers) are predictors to the intention of Haitian men regarding prostate cancer screening. Other modifying variables were also considered as predictors to the outcome variable.

Theoretical Framework: The Health Belief Model (HBM) was utilized as the primary guide for the study; the Purnell Model for Cultural Competence served a complementary lens to account for any cultural gap studying this population.

Method: A correlational, predictive cross-section design was used to obtain a convenience sample in Haiti (N = 200). The Champion HBM scale was adapted and modified for prostate cancer; it was administered in Haitian Creole and French. Data were analyzed through descriptive, correlation, logistic regression, and the nonparametric Kruskal-Wallis (H) analysis of variance (ANOVA) to determine predictive correlation among the variables.

Results: Seven hypotheses were tested; all but one was supported. Perceived benefits were found to have a predictive relationship to Haitian men’s intent to screen for prostate cancer [χ² (3) = 14.47, p = .00]. Further, the nonsignificant Hosmer and Lemeshow statistic, χ² (8) = 4.33, p = .83 supports that the data was a good fit for the model. No other variable was found to be significant.

Conclusion: The findings from this study can be utilized by nurses and other healthcare professionals to generate and implement culturally appropriate interventions; consequently, these interventions will decrease the morbidity and mortality rates of prostate cancer among Haitian men in Haiti and abroad.

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Brown, David A. "A History of the Men's Intramural Program at Brigham Young University." Diss., CLICK HERE for online access, 1988. http://patriot.lib.byu.edu/u?/MTAF,15582.

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Ritchie, Donna Michelle. "Men's self-perceptions of masculinity in response to acquired illness or injury and subsequent changes in occupational roles." Thesis, University of Canterbury. Health Science, 2014. http://hdl.handle.net/10092/10200.

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Hegemonic Masculinity informs every aspect of a man’s life regardless of whether they conform to the standards or reject them. Although masculinity informs occupational roles, it can also be seen as an occupation in its own right. Illnesses and injuries can challenge masculine status and result in loss of identity, as well as changing men’s abilities, transforming their occupational roles and providing a challenge to their self-perception of masculinity. There are significant gaps in the literature; particularly regarding the impact health status has on masculine perceptions within a New Zealand context and the idea of masculinity as an occupation. This study goes someway to address these gaps. A qualitative descriptive methodology was employed to understand and describe the stories of 12 men living with the ongoing effects of illness or injury. A general inductive approach to content analysis was undertaken to identify the key themes. The study’s findings show illness and injury and the subsequent changes in occupational roles had a significant impact on participants’ masculine perceptions. Study participants experienced loss in many areas of their lives and described being occupied in recreating and renegotiating their masculinity in varying areas such as work, personal relationships and social activities. Further research, conducted within a New Zealand context, will be invaluable in validating the current findings in this area. The application of this knowledge is an area requiring extensive exploration and research. There is significant scope for healthcare professionals to gain understanding of men’s relationship to, and their self-perceptions of, masculinity and to utilise and incorporate these findings into therapeutic settings, therefore gaining more valuable outcomes for their clients.

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McDowell, Michelle Elizabeth. "The Weight of History: Does Family History Influence Men's Perceptions of Risk and Prostate Cancer Screening Decisions." Thesis, Griffith University, 2011. http://hdl.handle.net/10072/366074.

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The benefits of early detection screening for prostate cancer are still unclear and current screening guidelines recommend that men make an informed, personal decision based on an understanding of the risks, benefits, and uncertainties associated with screening. Men with a first-degree family history of prostate cancer are at more than double the risk of being diagnosed with prostate cancer than are men without a family history. However, contrary to predictions put forward in previous research, although men with a family history of prostate cancer report greater risk perceptions and prostate cancer screening behaviour, increased risk perceptions do not predict screening. Previous research on how men with a family history of prostate cancer integrate heightened familial risk information into what is already a complex health decision has neglected to examine how men understand, combine, and weigh information about prostate cancer risk and the uncertainties of early detection screening to reach their decisions. The aim of the current thesis was to address these issues by applying three major theoretical models of judgement and decision-making to examine prostate cancer screening decisions for men with a family history and comparing their decisional process with that of men without a family history.
Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Psychology
Griffith Health
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Sullivan, Luke. "Men, masculinity and male gender role socialisation : implications for men's mental health and psychological help seeking behaviour." Thesis, Canterbury Christ Church University, 2011. http://create.canterbury.ac.uk/10199/.

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The work comprises of three sections, Section A: Literature review This section reviews men's underutilisation of professional health care services and brings together the extant literature on men's help seeking for psychological difficulties. This is discussed specifically in relation to theories of male gender role socialisation and male development. Section B: Empirical Paper. Introduction: Men’s reluctance to access health care services has been under researched even though it has been identified as a potentially important predictor of poorer health outcomes among men. Male gender role socialisation and male development may be important in accounting for men’s underutilisation of mental health service in the UK. Method: A cross-sectional online survey was used to administer standardised self-report measures that were subject to regression analysis. Five hundred and eighty-one men from the UK general population completed the survey and 434 participants formed the final regression model sample. Results: Men who score higher on measures of traditional masculine ideology, normative alexithymia and fear of intimacy reported more negative attitudes towards seeking professional psychological help. Normative alexithymia accounted for the variance in help seeking previously observed by fear of intimacy during regression modelling. Sexuality and ethnicity also significantly accounted for a proportion of unique variance in men’s help seeking attitudes. People who had received previous support from a mental health professional showed more positive attitudes towards seeking psychological help. Conclusions: Men’s attitudes towards seeking psychological help were closely related to traditional masculine ideology and normative alexithymia. A degree of content or construct overlap may exist between normative alexithymia and fear of intimacy in men. Limitations of this study and implications for future research are discussed. Section C: Critical Review. This section provides critical appraisal and reflection on the study and research process. Personal learning is discussed alongside clinical implications and ideas for further research.

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Cant, Robert Alexander. "Exploring gay men's narratives, social networks and experiences of health services targeted at them : a London study." Thesis, London South Bank University, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.410702.

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Madzima, Rutendo. "Factors affecting men's movement through the HIV cascade in the public health services in Cape Town: Perspectives and experiences of health care providers." Master's thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/25353.

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The Human Immunodeficiency (HIV) epidemic in South Africa is disproportionately distributed by gender. Although women lead in the number of infections they are at an advantage when it comes to seeking and receiving care. Men's poor health seeking behaviour finds them seeking care late, testing at lower rates, defaulting from treatment and eventually having worse health outcomes. More men than women fail to enter and stay in the HIV cascade of care. The HIV cascade is a metaphor used to describe the steps that include HIV testing, initiation of antiretroviral therapy (ART), adherence, viral suppression and good health outcomes. As health care providers (HCPs) are the ones who interact directly with men in the health system their view of the factors that hinder men's movement through the HIV cascade are valuable to better understanding how men interact with the care system. In this research semi-structured interviews were held with eleven HCPs working with HIV positive patients (6 women, 5 men) across 2 health facilities and 1 non-governmental organisation (NGO) within the Klipfontein sub-district. Health care workers were found to share some of the more commonly held notions regarding the barriers men face in HIV care. However, their experiences offer some challenging ideas and the health systems appears to be realising the need to tailor HIV services to the needs of men. The experiences and perspectives of HCPs should be further explored and the findings used to influence health policies and clinical practice.

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Dovel, Kathryn. "Shifting focus from individuals to institutions| The role of gendered health institutions on men's use of HIV services." Thesis, University of Colorado at Denver, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10112647.

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Men in sub-Saharan Africa are less likely than women to use HIV services and, thus, are more likely to die from AIDS. While much of the literature argues that men’s views of masculinity keep them from services, I use the theory of gendered organizations to provide another perspective. In this dissertation, I use a mixed methods approach to examine the gendered organization of facility-based HIV testing services in southern Malawi and how the organization of services creates additional barriers to men’s use of care.

I combine four types of data: (1) survey data with facility clients to assess if quality of care differs by sex of client; (2) in-depth interviews with healthcare providers and policy makers to examine perceptions of men as clients; (3) participant observation in health facilities to understand how institutional protocols are enacted at the local level; and (4) international and national policy documents to situate local health institutions within broader global constructs of gender and HIV priorities.

I find that heterosexual men have become an invisible category within both international and national HIV policy. When they are included, they are described as the problem, not part of the solution to HIV epidemics. On the ground, the organization of HIV testing services has followed suit.

Health institutions, like other organizations, are not gender-neutral. Men in southern Malawi were not recruited for health services, were less likely than women to receive health education when they did attend a facility, and were less likely to have access to HIV testing because services were, at times, only offered during hours for antenatal services. Furthermore, HIV testing was often located near antenatal services, again contributing to the perception that testing was designed for women – because it was. Based on these findings, I argue that HIV testing is gendered across three levels of the health institution: (1) the organizational HIV policies; (2) the physical environment in which testing occurs; and (3) interactions within facilities that require clients to enact qualities typically viewed as feminine in order to successfully receive care (e.g., waiting long hours, being compliant, and being a caregiver).

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Dissertations / Theses on the topic 'Men's health'

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