Men & Health Promotion @ Work Difference can make a difference Steve Boorman & Ian Banks RSPH Academy 2013
Difference can make a Difference Mens health: State of mens health Use of services Role of the workplace Examples of practice Storms vs Super-Storms
DWP to blame for fitness-towork tests fiasco, MPs say Public accounts committee lambasts 38% overturn rate on decisions, resulting in 'considerable cost to taxpayer and claimant'
Cost of treatment of minor ailments in the UK (PAGB/IMS Health, 2008) Treatment of minor ailments within primary care in the NHS: 57m consultations or 20% of total GP workload out of these: 51.4m consultations or 18% of total GP workload addressed minor ailments alone at a cost of GBP 1,8bn 80% of the costs: GPs time Every GP found to be dealing with a minor ailment for over an hour a day on average.
Sw eden (01) Japan (02) Netherlands (03) Italy (01) UK (02) Bulgaria (02) Germany (01) Denmark (99) Norw ay (01) Greece (01) Czech Rep (02) Sw itzerland (00) Austria (02) Belgium (97) Finland (02) Spain (01) France (00) Israel (99) Hungary (02) Canada (00) China Hong Kong Ireland (01) Slovenia (02) Australia (01) Romania (02) New Zealand (00) Portugal (02) Slovakia (00) Poland (02) Armenia (02) USA (00) Argentina (01) Estonia (02) Latvia (02) Egypt (00) Lithuania (02) Singapore (01) Chile (01) Ukraine (02) Russian Fed (02) Philippines (98) Kazakhstan (02) Brazil (00) Thailand (00) 0.00 5.00 10.00 15.00 20.00 25.00 30.00 35.00 40.00 Percentage of deaths Females Males Percentage of deaths in the 15-44 age bracket as compared to total deaths for men and women for the 44 countries White & Holmes (2006) Calculated from WHOSIS 2005 Mortality database
Rate per 100,000 Rate per 100,000 Accidents, men and women 250 200 150 100 50 0 Male 15 to 24 25 to 34 35 to 44 Estonia 02 Latvia 02 Lithuania 02 Thailand (00) Greece 01 Romania 02 Brazil (00) Portugal (02) Poland 02 Slovakia 00 Chile USA 00 Hungary 02 Czech Rep Slovenia 02 Spain 01 Belgium 97 Finland 02 France 00 Argentina (01) New Zealand (00) Italy 01 Australia (01) Denmark 99 Austria 02 Canada 00 Armenia (02) Norw ay (01) Germany 01 Sw eden 01 Egypt 00 Israel 99 UK 02 Japan 02 Netherlands 03 Hong Kong 00 250 200 150 100 50 0 Latvia 02 Female Estonia 02 Lithuania 02 USA 00 Thailand (00) Romania 02 Greece 01 Czech Rep 02 Belgium 97 New Zealand (00) France 00 Hungary 02 Poland 02 Slovakia 00 Canada 00 Finland 02 Denmark 99 Argentina (01) Brazil (00) Australia (01) Portugal 02 Spain 01 Austria Ireland 01 Italy 01 Slovenia 02 Chile (01) Germany 01 Norw ay (01) Israel 99 Sw eden 01 UK 02 Armenia (02) Egypt 00 Japan 02 15 to 24 25 to 34 35 to 44 Netherlands 03 Hong Kong 00 Adapted from White & Holmes (2006)
% Difference (%) between men and women in cancer survival across Europe 18 16 14 12 10 8 6 4 2 0 Slovenia Malta Czech Republic The Netherlands Italy Poland Spain EUROCARE-4 mean Northern Ireland Germany Belgium England Scotland Switzerland Wales Finland Verdecchia et al (2007) Eurocare 4 Norway Iceland Ireland Austria Sweden
1975 1977 1979 1981 1983 1985 1987 1989 1991 1993 1995 1997 1999 2001 2003 2005 Rate per 100,000 population Age standardised incidence rates for oral cancer and cervix, GB 1975-2006 18.0 16.0 14.0 12.0 males females cervix 10.0 8.0 6.0 4.0 2.0 0.0 Year of diagnosis
Projected Population pyramid, UK, 2060 Source: Eurostat proj_08c2150p
As the population ages so the prevalence of visual impairment will rise.
Big Prostate: Big Problem BPH Incontinence & Men 14
The burden is set to increase UNITED KINGDOM 423 men per 1,000 aged >40 have BPH Projected prevalence increase of 1.4% per year Retirement age to increase by 1 year to 66 by 2020; and to 67 by 2050 Life Expectancy: 79 GERMANY 424 men per 1,000 aged >40 have BPH Projected prevalence increase of 1.1% per year Retirement age increasing from 65 to 67 between 2012 & 2029 Life Expectancy: 79 SPAIN 270 men per 1,000 aged >40 have BPH Projected prevalence increase of 1.3% per year Retirement age may increase by 2 years (65 67) Life Expectancy: 80 1.Decisions Resources BPH 2007, p. 37-40 2.http://www.guardian.co.uk/society/2011/mar/10/hutton-pensions-reform-unions 3.http://www.independent.co.uk/news/world/europe/sarkozy-follows-europe-in-raising-retirement-age-1983938.html 4.http://www.countryreports.org/people/lifeExpectancyatBirth.aspx?countryid=91&countryname= FRANCE 421 men per 1,000 aged >40 have BPH Projected prevalence increase of 1.6% per year Retirement age up by 2 years to 62 in 2010 Life Expectancy: 81 ITALY 433 men per 1,000 aged >40 have BPH Projected prevalence increase of 1.4% per year Retirement age increasing by 3 or 6 months Life Expectancy: 80 15
UK national media coverage Only 2 of the UK s 10 daily national newspapers included any mention of BPH 8 of the UK s 10 daily national newspapers included mention of endometriosis BPH has not been mentioned in a BBC online news article since 2006 In the past 12-months alone, endometriosis has appeared in 4 BBC online articles 16
Men tend to delay diagnosis and treatment? The example of Melanoma (all ages) Incidence Rates Greece Portugal Spain Italy Greece Portugal Spain Belgium Luxembourg France Belgium Ireland United Kingdom Italy Germany Luxembourg France Germany Finland United Kingdom IrelandSwitzerland Austria The Netherlands Switzerland Finland The Netherlands Austria Denmark Denmark Sweden Sweden Norway Norway Death Rates Men Women Rate per 100,000 20 15 10 5 0 0 5 10 15 20 18 Source of data: Health for All database 2003
Men s usage of the health service Consultations with GP In-patient use 75+ 75+ 65-74 55-64 45-54 35-44 25-34 16-24 25 20 15 10 5 0 0 5 10 15 20 25 All ages All ages Men Women Source: General Household Survey, Office for National Statistics, 1988,1989
NPA INTERIM REVIEW: MEN S UPTAKE OF PHARMACY SERVICES (NOV 2012) Men on average visit a pharmacy four times a year. Average for women may be closer to 18 times per year. Nearly half (47%) of people accessing the New Medicines Service a free advice service for people taking a new medicine for a long term condition are men.
Managing PCa in the workplace BT Cancer Cases and Medical Retirement - 2003-08 200 150 100 Stay at Work Medical Retirements 50 0 2003 2004 2005 2006 2007 2008
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Self-reported frequency of BPH symptoms Banks I et al. JMH 2010 (in press) 31