Better access to medicines Sydney Ian Banks President European Men s Health Forum (with thanks to Alan White)

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1 Mens use of health services; Better access to medicines Sydney 2010 Ian Banks President European Men s Health Forum (with thanks to Alan White)

2 Life expectancy for men and women 2001, by country Men Women Years Swede den Switzerlan and Italy Norwa way United Kingdom Netherland nds Spa pain Franc nce Austr stria Greec ece Luxembou urg Finlan and German any Belgiu ium Denma ark Portug gal Irelan and Source of data:statistics in Focus Theme 3 17/2002 2

3 UK life expectancy

4 Expected length of life at birth, by sex, Australia, to

5 Life expectancy at birth, by sex and state/territory, t

6 Men in Glasgow's east end have life expectancy of 54 years WHO Daily Record, 29 August

7 Suicide, men and women Rate per 100, Male 15 to to to 44 Lithuania 02 Estonia 02 Latvia 02 Hungary 02 Finland 02 Belgium 97 Slovenia 02 New Zealand (00) Poland 02 Australia (01) Austria 02 France 00 Japan 02 Chile Canada 00 Romania 02 Norw ay (01) Slovakia 00 Czech Rep Denmark 99 USA 00 Thailand (00) Germany 01 Sw eden 01 Hong Kong 00 UK 02 Argentina (01) Portugal (02) Netherlands 03 Israel 99 Spain 01 Italy 01 Brazil (00) Greece 01 Armenia (02) Egypt 00 7 Rate pe er 100, Belgium 97 Female Finland 02 Lithuania 02 Japan 02 Hong Kong 00 Hungary 02 Latvia 02 France 00 Norw ay (01) Australia (01) Slovenia 02 New Zealand (00) Austria Canada 00 Estonia 02 Sw eden 01 Denmark 99 Thailand (00) Czech Rep 02 Chile (01) Ireland 01 Netherlands 03 USA 00 Germany 01 Argentina (01) Poland 02 Slovakia 00 Romania 02 UK 02 Portugal 02 Spain 01 Italy 01 Brazil (00) Israel 99 Greece to to to 44 Armenia (02) Egypt 00 Adapted from White & Holmes (2006)

8 Gender and social class 8

9 Men s symptom awareness 9

10 Melanoma incidence rate Men Women Gree eece Norw rway Swed eden Denma mark The Netherlan ands Switzerla land Aust stria Irela land Finla land Fran ance Germa many United Kingdo dom Belgiu gium Luxembou bourg Italy Spain Portug tugal 10

11 Mortality Melanoma mortality rate Men Women Norway Swe weden Denm nmark Austria AuFin inland The Netherl rland Switzer erland United King gdo Germ rmany Luxemb bourg Italy Ire reland France BelgSp elgium Spain Port rtugal Greece 11

12 Men s usage of the health service Consultations with GP In-patient use All ages All ages Men Women Source: General Household Survey, Office for National Statistics, 1988,

13 Consultations with doctor Proportion of rates per 10,000 person years at risk by minor category of severity, by sex Male Female All l d diseases and conditio tions Infectious and parasitic diseas ases Mental disorde ders Nervous system and sense orga gans Circulatory syste tem Respiratory syste tem Digestive syste tem Genitourinary syste tem Skin and subcut tiss M/S syste tem and connective tiss ssue Sympto toms, signs and ill-defin fined Injury and poisoning 13 Percentage e (%)

14 Consultations with doctor Proportion of rates per 10,000 person years at risk by serious category of severity, by sex Male Female Percentage (%) All dise seases and conditions Neoplasms Endocrine, nut & met dis and imm dis Blood and blood-forming organs Mental disorders Nervous syste tem and sense organs Circulatory system Respiratory system Digestive system Genitourinary system M/S system m and connective tissue Congenital anomalies Perinatal period Injury and poisoning 14

15 15

16 16

17 Cost of late diagnosis 17

18 Diabetes 2.35 million people in the UK have diabetes (source: UK, DH) Expected to grow to more than 2.5 million in 2010 (in part due to rising obesity) What does this cost the UK health economy? Answer: ~5% of total t NHS spending per year (~10% of hospital in-patient spending) (source: UK DH) total NHS spending is ~ 110 Billion (source: HM Treasury) What happens to costs if there are health complications from diabetes? Answer: costs continue to rise in the United States complications from undiagnosed diabetes alone are estimated to cost ~ $18 Billion (source: Zhang et al 2009). 18

19 Can t Read? Phone this number:

20 20

21 21

22 22

23 Main points Men present late for diagnosis? There eeae are multiple utpefactors actos The cost is unknown but is considerable Poor access will drive men to the web 23

24 24

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