A Perspective from. your Trans-Tasman Mates - The Freemasons Foundation Centre for Men s Health Experience

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1 A Perspective from. your Trans-Tasman Mates - The Freemasons Foundation Centre for Men s Health Experience Prof Gary Wittert Freemasons Foundation Centre for Men s Health Research, University of Adelaide South Australian Health and Medical Research Institute

2 Outline Why a dedicated men s health centre? Origins and evolution Structure and governance People Research and research translation Collaborative networks Funding

3 Men s health Encompasses all conditions or diseases that are either unique or more prevalent in men, with particular biological and psycho-social risk factors and for which different behavioural or medical interventions are required. Based on British Health Development Agency 2001

4 The male health disadvantage ABS 2016

5 Men have higher mortality rates cf woment 1400 Age Standardised Death Rate / 100, Metro males Rural remote Lower SES Aboriginal Female

6 Indirect Economic Consequences 6

7 Men and Health Service Use: False Facts (FF) FF 1 Men are neglectful of their health FF 2 Men don t go to the Doctor FF 3 Men don t talk to their Doctor FF 4. The problem is masculinity

8 Percent Men are not generally neglectful of their health Concerned about heath Motivated to improve health Florey Adelaide Male Ageing Study SA Men s Health Services Preferences Survey: FFCMH / SA Health 2012; 2109 men

9 Health Services - Less Satisfactory Outcomes for Men Shorter consults (~ 2 mins) than for females from 15+ years Patient Experiences in Australia: ABS, ; AIHW: Ch 14 Consultation time and GP satisfaction Attention to other health concerns GP visits less so for preventative health Other health concerns often not addressed

10 Men tend to self-monitor Taking action is based on Previous illness experience Knowledge, health literacy Perceived illness severity Perceived priorities Access to and nature of available service Smith & Wittert et al, 2008a; 2008b

11 Men will talk about their health In the right environment and if the conversation is appropriately facilitated Convey a sense of time available to talk Adopt a frank approach & ask directly Show competence, empathy Use humour thoughtfully Resolve health issues promptly Smith and Wittert, 2008a; 2008b

12 Young Men - poorer Health Literacy than young women Health literacy is about how people understand health information, use it to make informed decisions, and how they act upon these decisions to manage their health and well-being 41% of Australians aged had a level of health literacy that was adequate or above. Lower health literacy disadvantaged areas and areas outside Major cities poorer self-assessed health status AIHW, Australia's Health in 2012 ISSN Health Literacy, Australia, ABS 2006 % of people with adequate or better Health Literacy Men with Low health literacy Less likely to be diagnosed with OSA Li et al, Sleep 2013;37:

13 Some disorders present differently in men 59% of depression in men undiagnosed Despite men with depression symptoms being more frequent GP attenders than men without such symptoms (OR:3.2; 95%CI: )

14 Masculinity is a solution not a problem Concerns may relate more role efficacy As husband/partner As a father In the work place As a provider Maintenance of independence 14

15 Why a Centre for Men s Health Men behave differently, not badly. Health services need to respond accordingly Freemasons Foundation Centre for Men's Health

16 Strategies to optimise Health Care for men Design health services to accommodate needs and preferences of men. Communicate with men in a gender appropriate manner. Embrace masculinity Emphasise responsibility, problem-solving and self-management. Masculinise Physical environment, Facilitate anonymity Extended clinic hours Facilitate time off work for health checks Support the preference for self-monitoring and facilitate self management Improve health literacy Male-relevant health messaging E-health (evidence-based websites, APPs) 16

17 Establishment of the FFCMH

18 2006 No More Secrets Dr Greg Levenston NSW Freemasons

19 Freemasons Foundation Centre for Men s Health

20

21 Organisational Structure and Governance

22 Freemasons Foundation Centre for Men s Health Governance Staffing Executive Officer Special projects support Volunteers Research Streams ED DVCR Statistician

23 Multidisciplinary network of men s health researchers, clinicians, educators, students, volunteers and consumers Unique to Australia Internationally

24 Funding Return $8 per 1$ invested

25 Research Build transdisciplinary research program Platforms and capacity development Informed by consumers and other stakeholders Pathways to translation

26 Three Main Research Streams

27

28

29 2016 Sleep 2017 LUTS

30 Publications Oct 2008-Oct 2017

31 Collaborative Networks

32 People Build early to mid career research capacity Attract high quality researchers from interstate and overseas with salary top ups if already have funding Family friendly policies and aim for gender balance Support career development Support transition to independent funding Provide security

33 ECR/MCR support Research support packages Mentoring Conference travel funding Leverage funding for fellowship and grant awards Salary gap funding Research administration support Student supervision Community stakeholder engagement Profile development

34 ECR MCR

35 PhD and Honours PhD Honours

36 HDR Scholarships by year of award

37 Vacation Research Students/Scholarships Conversion to Honours or PhD 10 Return Students Publications 6

38 Community Engagement, Knowledge Transfer and Translation to Health Outcomes

39 Uro-Reproductive Health Prostate Cancer Health Services Chronic Disease & Risk

40 Community engagement

41

42 Activities to support engagement and translation Consumers invited to men s health research seminars E-Newsletter 6-8/year Public Research symposia/events 2-3/year Mens Health Week press release and other education activity Biennual Men s health business breakfast Guest men s health speakers for community, business, NGO, charity events Resources for community events Print media, radio, TV Social Media Podcasts

43 Advocacy Policy Guidelines Medical Education

44 Changing Practice Disease preventions and Health Promotion

45 Translational activities run across streams Get in Touch Reach Top Heath (GIRTH) SA Health Healthy Workers Healthy Futures Development of an undergraduate curriculum for training health service providers Participate in summits/clinical committees Practice guidelines

46 Acknowledgements Prof Michelle Lane Dr Nichole McPherson Freemasons Foundation Centre for Men s Health Sean Martin Andrew Vincent Evan Atlantis George Hatzinikolas Matthew Haren (UniSA) Peter 'O'Loughlin Leanne Owen NH&MRC Centre for Nutritional Physiology Kylie Lange Population Research Outcome Studies Centre Anne Taylor Janet Grant Sandy Pickering Zumin Shi Health Observatory Robert Adams Sarah Appleton Joule Li Adelaide Institute for Sleep Health. Andrew Vakulin New England Research Institutes MA John McKinlay Andre Araujo TQEH David Jesudason Jim Wang Jason Tan T4 DM Team Funding National Health and Medical Research Council Freemasons Foundation, Premiers Science Research Fund, South Australia Department of Health, Florey Foundation, Resmed, Northern Community Health Foundation. Bequest of Geoffrey Ernest Stolz

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