MEN HEALTH IN SARAWAK

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MEN HEALTH IN SARAWAK KAMARUDIN KANA UNIMAS 26/10/17 10/30/2017 1

Content 1. Definition of men s health 2. Mortality rate and causes of death in Malaysia & Sarawak men 3. Cardiovascular risk factors 4. Cancer 5. Road Accident 6. Communicable diseases 7. Psychological health 8. How can we improved men s health in Sarawak

Definition of men s health

Men s Health Definition The definition has reference to the WHO concept of health and includes dimensions of health and disease, risk and protective factors that require special prevention and care services for all phases of life. Bardehle D et al. What is Men's Health? A definition. Gesundheitswesen 2016 Jul;78(7):e30-9. doi: 10.1055/s-0035-1564077. Epub 2015 Oct 22. Men's health refers to a state of complete physical, mental, and social well-being, as experienced by men, and not merely the absence of disease or infirmity. https://en.wikipedia.org/wiki/men%27s_health#cite_note-1

Malaysian primary care doctors views on men s health: an unresolved jigsaw puzzle. Tong et al. BMC Family Practice 2011, 12:29 http://www.biomedcentral.com/1471-2296/12/29

MEN S HEALTH MAGAZINE HEALTH ; Men's Health shows you how to get fit and stay in your top shape with help for health issues such as allergies and asthma, stress management, sexual health, wellness information, and more. FITNESS ;Men's Health has the fitness tips, workout plans, exercises, and muscle building techniques you need to get the body you want. NUTRITION ; You need the right nutrition to look and feel your best. Get all the nutrition information and right facts from Men's Health. SEX & RELATIONSHIPS ; Understand her mind and body. We offer you sex and relationship advice on how to be a better partner and make her happy. STYLE ; From fashion to grooming, we have all the tricks to help you look the part for every occasion.

LELAKI MAGAZINE Modern. Stylish. Cultured This is the only Malay-language guide for the modern man about town that showcases the latest trends in fashion and grooming, pop culture and current affairs from a stylishly male perspective. It moves and informs in a masculine, strongly-visual manner which appeals to the confident, urbane, intellectual and discerning readership. Gaya Lebih Anggun Mewah

Maskulin touches on topics revolving around fashion, grooming, health, fitness and automotive that is written in a laid back manner yet jam packed with information that are all in accordance with the tastes and needs of the urban and contemporary man.

Mortality rate and causes of death in Malaysia & Sarawak men

SARAWAK : 2.77 million

Population of Sarawak : (Male 1.44 million & Female 1.32 million) 2017 79 Life Expectancy 2013-2017 78 1.32 1.44 Male Female 77 76 75 Male Female 74 73 Department of Statistics, 2017 72 2013 2014 2015 2016 2017

Mortality rate and causes of death in Malaysian Ten principal causes of death, Malaysia, 2014 Department of Statistics, 05 Dec 2016

Mortality rate and causes of death in Malaysian men Five principal causes of men s death, Malaysia, 2013 and 2014 Department of Statistics, 05 Dec 2016

CARDIOVASCULAR RISK FACTORS

Cardiovascular risk factors NO. DISEASES MALAYSIA % SARAWAK % MALE % FEMALE % 1. Diabetes Mellitus 17.5 14.8 16.7 18.3 2. Hypertension 30.3 37.3 30.8 30.8 3. Hyperlipidaemia 47.7 12.6 52.2 43.5 4. Obesity 33.4 31.0 35.8 30.9 5. Abdominal Obesity 48.6 23.0 38.2 60.2 6. Smoker 22.8 25.4 43.0 1.4 7. Drinker 8.4 12.1 4.3 8. Physically Active 66.5 59.2 71.1 61.7 NATIONAL HEALTH AND MORBIDITY SURVEY 2015

Burden of NCD in Malaysia

Cardiovascular risk factors C. T. Chang, P. Y. Lee, and W. L. Cheah, The prevalence of cardiovascular risk factors in the young and middle-aged rural population in Sarawak, Malaysia, Malaysian Journal of Medical Sciences,vol.19, no.2, pp.27 34,2012

Smoker in Malaysia 43.9% of men, 1.0% of women, and 23.1% overall (4.7 million adults) currently smoked tobacco. Global Adult Tobacco Survey (GATS) 2011

Smoker in Sarawak It was found that there was gender significance associated with smoking which were being male (27%) and the remainder 17% was female. Rahman MM et al. Factors associated with tobacco use among the adult population in Sarawak, Malaysia: A cross sectional study. Epidemiology Biostatistics and Public Health - 2015, Volume 12, Number 1 The prevalence of smoking among secondary school students in Sarawak is 32.8% although the majority (96.9%) did not smoke on a daily basis. O Juslina et al. Prevalence of Smoking Among Secondary School Students in Sarawak. Malaysian Family Physician 2011; Volume 6, Number 2&3

CANCER IN MALAYSIA & SARAWAK

Cancer in Malaysia & Sarawak World Health Organization - Cancer Country Profiles, 2014.

Cancer Among Malaysian Men World Health Organization - Cancer Country Profiles, 2014.

Malaysian National Cancer Registry Report 2007-2011

Malaysian National Cancer Registry Report 2007-2011

Colorectal Cancer Malaysian National Cancer Registry Report 2007-2011

Trachea, Bronchus, Lung Cancer Malaysian National Cancer Registry Report 2007-2011

Nasopharynx Cancer Malaysian National Cancer Registry Report 2007-2011

Nasopharyngeal Cancer in Sarawak Beena C.R.Devi et al. High Incidence of Nasopharyngeal Carcinoma in Native People of Sarawak, Borneo Island. Cancer Epidemiol Biomarkers Prev 2004;13(3).

Prostate Cancer Malaysian National Cancer Registry Report 2007-2011

ADULT RISK FACTORS FOR CANCERS World Health Organization - Cancer Country Profiles, 2014.

ROAD ACCIDENTS

Injuries Total Road Accidents by States, Malaysia, 2007-2016

Total Road Accidents by States, Malaysia, 2016 Transport Statistics Malaysia Ministry of Transport, 2016

Deaths Caused by Road Accidents by States, Malaysia, 2016 Transport Statistics Malaysia Ministry of Transport, 2016 Reported road traffic fatalities (2013) 6 915b (85% M, 15% F) Malaysian Institute on Road Safety Research (MIROS).

COMMUNICABLE DISEASE IN SARAWAK

Communicable Disease in Sarawak Laporan Tahunan 2014, Jabatan Kesihatan Negeri Sarawak

Dengue in Sarawak Laporan Tahunan 2014, Jabatan Kesihatan Negeri Sarawak

Malaria in Sarawak Laporan Tahunan 2014, Jabatan Kesihatan Negeri Sarawak

Tuberculosis in Sarawak Laporan Tahunan 2014, Jabatan Kesihatan Negeri Sarawak

HIV in Sarawak Laporan Tahunan 2014, Jabatan Kesihatan Negeri Sarawak

Gonorrhea in Sarawak Laporan Tahunan 2014, Jabatan Kesihatan Negeri Sarawak

Syphilis in Sarawak Laporan Tahunan 2014, Jabatan Kesihatan Negeri Sarawak

MENTAL HEALTH

Burden of Mental Disorders

MENTAL HEALTH NO. DISEASE MALAYSIA % SARAWAK % MALE % FEMALE % 1. Mental Disorders 29.2 35.8 30.8 27.6 National Health Morbidity Survey 2015

Comparing schizophrenia symptoms in the Iban of Sarawak with other populations to elucidate clinical heterogeneity Duncan McLean et al. Asia Pac Psychiatry 2015 March; &(1):36 44.

HOW CAN WE IMPROVED MEN S HEALTH IN SARAWAK

HOW CAN WE IMPROVED MEN S HEALTH IN SARAWAK 1. Increase Public Awareness - Men s Health Day on 19 Nov 2. Men s Health topics in undergraduate and postgraduate curriculum 3. Formulation of a State and National Men s Health Policy and Action Plan 4. Extension of work scope for Quit Smoking Clinic to include Men s Health in Klinik Kesihatan 5. Form research cluster related to Men s Health and collaboration with local and international institution / NGO e.g University of Malaya Men s Health Research and The Malaysian Society of Andrology and the Study of the Aging Male.

INTERNATIONAL MEN S DAY The objectives of celebrating an International Men's Day include ; i) focusing on men s and boys health ii) improving gender relations, iii) promoting gender equality and iv) highlighting male role models International Men's Day Global Website : http://internationalmensday.co/

Knowledge on male sexual and reproductive health: a comparison between final year medical students in Universiti Sains Malaysia (USM) and Monash University (MU), Melbourne, Australia Shaiful Bahari I et al. Education in Medicine Journal. Volume 4 Issue 2 2012

Formulation of National Men s Health Policy and Action Plan Six priority areas for action : 1 Optimal health outcomes for males 2 Health equity between population groups of males 3 Health equity between males at different life stages 4 A focus on preventive health for males 5 Building a strong evidence base on male health 6 Access to health care for males

National Male Health Policy 2010, Australia 1. Optimal health outcomes for males Promote recognition of the valuable roles males play in family and community life, develop policies that specifically consider male health, and modify health programs to improve the health and wellbeing of males and particularly those with the poorest health outcomes. 2. Health equity between population groups of males Give policy priority to males who experience the highest health disadvantage, promote health messages in a way that males can relate to, and encourage health services for Aboriginal and Torres Strait Islander males to have a positive, family-oriented approach.

3. Improved health for males at different life stages Promote the role of males as fathers, recognise the roles of Aboriginal and Torres Strait Islander men in traditional practices and parenting, encourage a focus on transition points in male lives (for example. Leaving school, relationship breakdown), develop practical health promotion materials, and promote male adolescent health through schools and other avenues. 4. A focus on preventive health for males Encourage employers to deliver health checks and programs for males, fund health promotion materials, encourage health promotion activities to have a specific focus on males, raise awareness on chronic diseases among males, deliver evidence-based health promotion messages to males, and monitor workplace hazards and environmental toxins.

5. Building a strong evidence base on male health Fund a National Longitudinal Study on Male Health, commission regular statistical bulletins on male health, give priority to research focusing on male health, routinely collect and report data on male health, explore the potential for surveys on male health, and monitor scientific developments relating to male health. 6. Improved access to health care for males Encourage health services to be responsive to male needs and aware of health barriers they face, encourage culturally appropriate services for Aboriginal and Torres Strait Islander males and encourage GPs to take up government incentives to engage Australians in prevention of chronic disease.

Primary Prevention World Health Organization - Cancer Country Profiles, 2014

CANCER SCREENING AND EARLY DETECTION World Health Organization - Cancer Country Profiles, 2014

Extension of men s Health in Quit Smoking Clinic 58

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