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Maximino JA, Mayer A, Lourenço A, Soares RO, Pojo M. Skin cancer screening: the experience in South Portugal. Int J Dermatol 2024; 63:1056-1063. [PMID: 38323503 DOI: 10.1111/ijd.17065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Revised: 01/16/2024] [Accepted: 01/16/2024] [Indexed: 02/08/2024]
Abstract
BACKGROUND The number of skin cancer cases and related deaths continues to increase worldwide, including in Portugal. The lack of efficient health care leaves the southern Portuguese population at risk of presenting skin lesions at later stages. An initiative for skin cancer screening and medical care follow-up was created by the nonprofit organization Liga Portuguesa Contra o Cancro - Núcleo Regional do Sul (LPCC-NRS). METHODS Information was gathered from 4,398 participants in several Southern Portugal regions, from January 2021 to July 2022. Descriptive and lesion risk statistical analyses were applied. RESULTS Participants' characteristics were described, and risk assessment was performed differentially between premalignant (n = 577) and malignant lesions (n = 176). The main risk factor for both was male gender. From the described suspicious malignant lesions, 31.8% were confirmed (n = 56), among which there were 43 basal cell carcinomas (BCC), 9 cutaneous melanomas (CM), and 4 squamous cell carcinomas (SCC). CONCLUSIONS Data analysis pointed to a need for improved participant recruitment, especially of male participants, and health literacy assessment in future screenings.
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Affiliation(s)
- José A Maximino
- Liga Portuguesa Contra o Cancro - Núcleo Regional do Sul, Lisbon, Portugal
| | - Alexandra Mayer
- Registo Oncológico Nacional (RON), Instituto Português de Oncologia de Lisboa Francisco Gentil, EPE, Rua Professor Lima Basto, Lisbon, Portugal
| | - António Lourenço
- Registo Oncológico Nacional (RON), Instituto Português de Oncologia de Lisboa Francisco Gentil, EPE, Rua Professor Lima Basto, Lisbon, Portugal
| | - Rui O Soares
- Liga Portuguesa Contra o Cancro - Núcleo Regional do Sul, Lisbon, Portugal
| | - Marta Pojo
- Liga Portuguesa Contra o Cancro - Núcleo Regional do Sul, Lisbon, Portugal
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Rowland B, Swami N, Prattley J, Duffy J, Macdonald JA, Perales F, Mansour KA, Quinn B. Depressive symptoms and social support among Australian men: A 7-year longitudinal study. Aust N Z J Psychiatry 2023; 57:1243-1252. [PMID: 36717775 DOI: 10.1177/00048674221151000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
BACKGROUND Mental health disorders are ranked globally as the single largest contributor to non-fatal ill-health. Social support can be a means of reducing and managing depression. However, depression can also impact on a person's level of social support. OBJECTIVE As men typically have fewer sources of social support than females, this study investigated the bi-directional associations between depressive symptoms and perceived levels of social support among Australian males, aged 18-63. METHODS Three waves of panel data from Ten to Men: The Australian Longitudinal Study on Male Health collected over 7 years (2013-2020) were used. A random intercept cross-lagged panel analysis with 5112 participants was undertaken. Mediating effects and indirect and total effects for lagged and cross-lagged pathways were also examined. RESULTS Over time, greater social support was found to be associated with lower depression levels, and simultaneously greater levels of depression was found to be associated with lower levels of social support. Standardised cross-lagged effects between waves were mostly similar (β = 0.10). However, mediation analyses identified that only the total effect size of the association for depression at wave 1 predicting social support at wave 3 (β = -0.29) was significant. Mediated effects of social support at wave 1 predicting depression at wave 3 were not significant. LIMITATIONS These include the number of years between each wave, and data were collected during the COVID pandemic. CONCLUSION The study provides robust longitudinal evidence supporting the notion that social support and depression are both a cause and consequence of the other. However, the long-term effects of depression reducing social support were longer lasting than the effects of social support reducing depression.
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Affiliation(s)
- Bosco Rowland
- Australian Institute of Family Studies, Melbourne, VIC, Australia
- Faculty of Medicine, Eastern Health Clinical School, Monash Addiction Research Centre, Monash University, Melbourne, VIC, Australia
- Faculty of Health, Centre for Social, Early, Emotional Development, Deakin University, Geelong, VIC, Australia
| | - Neha Swami
- Australian Institute of Family Studies, Melbourne, VIC, Australia
| | | | - Jacob Duffy
- Australian Institute of Family Studies, Melbourne, VIC, Australia
| | - Jacqui A Macdonald
- Faculty of Health, Centre for Social, Early, Emotional Development, Deakin University, Geelong, VIC, Australia
- Centre for Adolescent Health, Murdoch Children's Research Institute, Parkville, VIC, Australia
- Faculty of Medicine, Dentistry & Health Sciences, Department of Paediatrics, University of Melbourne, Melbourne, VIC, Australia
| | - Francisco Perales
- Faculty of Humanities and Social Sciences, School of Social Science, The University of Queensland, QLD, Australia
| | - Kayla A Mansour
- Faculty of Health, Centre for Social, Early, Emotional Development, Deakin University, Geelong, VIC, Australia
| | - Brendan Quinn
- Australian Institute of Family Studies, Melbourne, VIC, Australia
- Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC, Australia
- Behaviours and Health Risks Program, Burnet Institute, Melbourne VIC, Australia
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Zielke J, Batram-Zantvoort S, Razum O, Miani C. Operationalising masculinities in theories and practices of gender-transformative health interventions: a scoping review. Int J Equity Health 2023; 22:139. [PMID: 37501204 PMCID: PMC10375736 DOI: 10.1186/s12939-023-01955-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2023] [Accepted: 07/10/2023] [Indexed: 07/29/2023] Open
Abstract
Gender-transformative health interventions that involve men and boys are gaining global reach, adaptability to specific geographical, population and epidemiological contexts, public endorsement, and conceptual sophistication. However, the ways in which masculinities are conceptualised and operationalised in theory and practice across these interventions remains unclear. The purpose of this scoping review is to map intervention studies that conceptually grapple with masculinities and analyse: a) how the concept of masculinities is adapted and operationalised in gender-transformative interventions, with respect to intervention population and context, b) what the relationship between the concept of masculinities and its wider theoretical embedding is, and c) on which levels transformation can be observed when working with 'masculinities'.We conducted a search in APA Psych Articles, APA PsycINFO, and CINAHL via EBSCO, MedLine, PubMed, and Web of Sciences (December 2021) looking for peer-reviewed studies on gender-transformative health interventions which engaged with masculinities conceptually. There were no restrictions regarding language, publication date, or geography. Forty-two articles were included in this review. Our abductive analysis finds that 'hegemonic masculinities' is a central concept in almost all included studies. This shows how the concept is adaptable to a range of different intervention contexts. The review further identifies five theoretical approaches, that help operationalise masculinities on an analytical level: feminist framework, affect theory, critical pedagogy, theories of social change, and ecological approaches. Lastly, this review draws out six levels on which transformation can be observed in the intervention outcomes: relational level, symbolic level, material level, affective level, cognitive-behavioural level, and community-structural level. The discussion underlines that processes and practices of (gender) transformation also require engagement with theories of transformation more widely and advocates for theoretical pluralism. Lastly, implications for practice, including preventative, ecological and community-based care models, are drawn out.
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Affiliation(s)
- Julia Zielke
- Department of Epidemiology and International Public Health, School of Public Health, Bielefeld University, Universitätsstr. 25, 33615, Bielefeld, Germany.
| | - Stephanie Batram-Zantvoort
- Department of Epidemiology and International Public Health, School of Public Health, Bielefeld University, Universitätsstr. 25, 33615, Bielefeld, Germany
| | - Oliver Razum
- Department of Epidemiology and International Public Health, School of Public Health, Bielefeld University, Universitätsstr. 25, 33615, Bielefeld, Germany
| | - Céline Miani
- Department of Epidemiology and International Public Health, School of Public Health, Bielefeld University, Universitätsstr. 25, 33615, Bielefeld, Germany
- Sexual and Reproductive Health and Rights Research Unit, Institut National d'Études Démographiques (INED), 9 Cr Des Humanités, 93300, Aubervilliers, France
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Kwon M, Lawn S, Kaine C. Understanding Men's Engagement and Disengagement When Seeking Support for Mental Health. Am J Mens Health 2023; 17:15579883231157971. [PMID: 36880329 PMCID: PMC9996733 DOI: 10.1177/15579883231157971] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/08/2023] Open
Abstract
Men are less likely to utilize health care services compared with women. When it comes to mental health, men have been reported to hold more reluctant attitudes toward engaging with mental health services. Current studies have predominantly been quantitative and focused on understanding effective strategies to promote men's engagement and why men may avoid help-seeking or may not seek help early; few studies exist of men's disengagement from services. Much of this research has been undertaken from the services' perspective. The study reported here attempts to gain better insight into the reasons men give for their disengagement from mental health services and what men say will reengage them back into the system. This research was a secondary analysis of data collected by a national survey conducted by Lived Experience Australia (LEA). Responses of 73 male consumers were gathered and analyzed. Analysis of the responses was split into two themes with associated subthemes: (1) Why men disengage: (1.1) Autonomy; (1.2) Professionalism; (1.3) Authenticity; and (1.4) Systemic Barriers; and (2) What will help men reengage: (2.1) Clinician-driven reconciliation, (2.2) Community and Peer Workers; and (2.3) Ease of reentry. Findings highlight strategies to prevent disengagement such as creating open and honest therapeutic environments and improving men's mental health literacy while providing care. Evidence-based approaches to reengage male consumers are suggested along with an emphasis on men's strong preferences for community-based mental health services and peer workers.
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Affiliation(s)
- Minjoo Kwon
- College of Medicine and Public Health, Flinders University, Bedford Park, South Australia, Australia
| | - Sharon Lawn
- College of Medicine and Public Health, Flinders University, Bedford Park, South Australia, Australia.,Lived Experience Australia, Adelaide, South Australia, Australia
| | - Christine Kaine
- Lived Experience Australia, Adelaide, South Australia, Australia
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McGrath A, Murphy N, Richardson N. ‘Sheds for Life’: delivering a gender-transformative approach to health promotion in Men’s Sheds. Health Promot Int 2022; 37:6775362. [DOI: 10.1093/heapro/daac150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Summary
Research has highlighted the importance of gendered approaches to engage men with health. Sheds for Life (SFL) is a health and wellbeing initiative that utilizes evidence-based and gender-specific approaches to engage hard to reach men with health promotion directly in the Men’s Sheds (Sheds) setting. To understand the impact of SFL and how participants (Shedders) experienced SFL in practice, this qualitative study applied a framework of constructivism and aimed to explore how gendered approaches impacted engagement with SFL through Shedder’s own accounts of their attitudes, opinions and experiences. Qualitative methods incorporating ethnographical observations, focus groups (n = 8) and short semi-structured interviews (n = 19) were conducted with SFL participants in the Shed setting. Reflexive thematic analysis was used to analyse the data to faithfully capture Shedders’ experiences while acknowledging the reflexive influence of the researcher. Findings led to three key themes: Creating the ‘right environment’; Normalizing meaningful conversations; a legacy for ‘talking health’ with subthemes of creating safety and trust and strengthening of bonds; and transforming perceptions of how men ‘do health’ with subthemes of reaping the benefits of engaging with health and reframing attitudes towards health. This is first study to capture Shedders’ experiences of a structured health promotion initiative in the Shed setting. Findings highlight the value in utilizing the Shed setting to engage men with health and the importance of gender-specific strategies which encourage a gender-transformative approach to men’s health promotion.
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Affiliation(s)
- Aisling McGrath
- Department of Sport and Exercise Science, School of Health Sciences, South East Technological University , Waterford , Ireland
| | - Niamh Murphy
- Department of Sport and Exercise Science, School of Health Sciences, South East Technological University , Waterford , Ireland
| | - Noel Richardson
- National Centre for Men’s Health, South East Technological University , Carlow , Ireland
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McGrath A, Richardson N, Murphy N. Strategies for effective implementation and scale-up of a multi-level co-designed men's health initiative "Sheds for Life" in Irish Men's Sheds. FRONTIERS IN HEALTH SERVICES 2022; 2:940031. [PMID: 36925798 PMCID: PMC10012692 DOI: 10.3389/frhs.2022.940031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Accepted: 10/19/2022] [Indexed: 11/06/2022]
Abstract
Sheds for Life is a gender-specific tailored men's health initiative engaging "hard-to-reach" men in the Men's Shed setting in Ireland. It is implemented by multiple stakeholders at individual, provider, organization and systems level and thus multiple contextual factors influence its scalability. This research used established implementation science frameworks to guide participatory research approaches that captured the process and identified facilitators of and barriers to implementation and scale-up. Active recruitment, co-design processes, leadership and stakeholder engagement emerged as key facilitators of implementation. Prominent barriers were institutional capacity and funding. Acceptability, adoption and appropriateness of the initiative were high among stakeholders with sustainability largely contingent on funding and staff resources. Findings make a valuable contribution to knowledge by capturing the process involved in the implementation of a complex multi-level men's health intervention. It provides a "how to" guide of strategies to engage hard-to-reach men with health promotion, the operationalization and application of implementation frameworks in community-based health promotion, and the implementation of health promotion in Men's Sheds. Documented barriers and facilitators that impact implementation of a community-based men's health program are rare and provide a valuable blueprint for practitioners, researchers and policy makers in the field.
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Affiliation(s)
- Aisling McGrath
- School of Health Sciences, South East Technological University, Waterford, Ireland
| | - Noel Richardson
- National Centre for Men's Health, South East Technological University, Carlow, Ireland
| | - Niamh Murphy
- School of Health Sciences, South East Technological University, Waterford, Ireland
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Jbilou J, Levesque N, Sonier RP, Tully PJ, Pinette-Drapeau I, Sonier V, Charbonneau A, Greenman PS, Grenier J, Chomienne MH. Canadian French Translation and Preliminary Validation of the Conformity to Masculine Norms Inventory: A Pilot Study. Am J Mens Health 2021; 15:15579883211057391. [PMID: 34836484 PMCID: PMC8646202 DOI: 10.1177/15579883211057391] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Conformity to masculine norms has been linked to poor mental and physical health outcomes. Its valid assessment among subgroups of the population is therefore a crucial step in the investigation of intercultural variability in the enactment of masculinity, as well as its causes, costs, and benefits. The present pilot study aimed to adapt and conduct a preliminary validation of a French version of the Conformity to Masculine Norms Inventory (CMNI-22), a self-report questionnaire designed to assess overall conformity to male gender standards. The French adaptation of the CMNI-22 (CanFr-CMNI-22) was developed using a forward-backward translation process. The data from a sample of 57 Canadian French men (23-81 years old), collected at two time points 2 weeks apart, were then analyzed to investigate the psychometric properties and factor structure of the CanFr-CMNI-22. Findings indicated adequate internal reliability of the global scores and highly satisfactory test-retest reliability. Correlations with the Male Role Norms Inventory-Short Form (MRNI-SF) at both time points also showed strong convergent validity. Overall, the CanFr-CMNI-22 appears to be a reliable and valid instrument to assess conformity to traditional masculine gender norms in French-speaking men from the general population. This study is a key step in a research process aiming to validate the Canadian French version of the CMNI and contributes to enhance inclusive research and clinical care to foster men's health.
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Affiliation(s)
- Jalila Jbilou
- Centre de Formation Médicale du Nouveau-Brunswick, Pavillon J.-Raymond-Frenette, Moncton (NB), Canada.,Université de Moncton, École de Psychologie, Moncton (NB), Canada
| | - Natasha Levesque
- Université de Moncton, École de Psychologie, Moncton (NB), Canada
| | | | - Phillip J Tully
- University of Adelaide, Health and Medical Sciences, Australia.,Freemasons Centre for Male Health and Wellbeing, South Australian Health & Medical Research Institute, North Terrace, Adelaide, SA, Australia
| | | | - Véronique Sonier
- Université de Moncton, École de Psychologie, Moncton (NB), Canada
| | | | - Paul S Greenman
- Université du Québec en Outaouais, Département de Psychoéducation et de Psychologie, Alexandre-Taché, Gatineau, QC, Canada
| | - Jean Grenier
- Institut du Savoir Montfort, Hôpital Montfort, Ottawa (ON), Canada
| | - Marie-Hélène Chomienne
- Family Medicine Department and School of Epidemiology and Public Health, University of Ottawa, Ottawa (ON), Canada
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