Boyer, Duane, email@example.com
This study explores the defining moments in six mens lives. The empirical dimension of the research is built around the personal narratives these men tell of their lives across a series of four interviews. The central research theme is the notion of the defining moment as a key element in the processes of establishing how men understand and interpret the events and incidents that have shaped their lives. In the context of this study, the defining moment is seen as the moment or period in time when an individual gives definition to a specific event or experience, as a transition point with (potentially) life-altering consequences. Some of the thematic structures presented include relationships with significant adults (parents, teachers), masculinity, self-harm, schooling, mental illness, isolation, loneliness, stress and relationships with peers. In my pursuit of a methodology that could accommodate the aims of this study, I explored the process of meaning through the qualitative paradigm. Drawing on the principles of qualitative research, as applied through narrative inquiry, I deployed a semi-structured interview format to collect the lived experiences of participants. By privileging the stories that individuals tell of their experiences, the narrative method recognises that data are inexorably located in the contextual and contingent. The experiences and narratives that are presented in this thesis are built around the authentic voices of participants. The study presents a warrant for working with mens defining moments to disrupt, alter and redefine their attitudes and behaviours in order to improve their lives. Based on the insights gleaned through this study, I argue that there are defining times/points in peoples lives where their experiences can be life altering. When these experiences involve uncertainty, anxiety, stress and other pernicious effects, their longer-term consequences can be devastating. The study confirms existing research, that men are reluctant to seek help or reveal their insecurities during such times, therefore making them particularly vulnerable to defining moments. The conclusion of this thesis establishes some broad recommendations pertaining to working effectively with men and their defining moments. I focus particular attention on the place of schooling and education in helping individuals recognise and respond to the early symptoms of what is potentially a life-altering experience. Schools and, by association, teachers need to be actively and strategically involved in this process. To this end, I argue the need for targeted interventions that are both sensitive and timely. In their engagements with young males, parents, teachers, coaches and mentors need to be particularly attuned to their silent screams for help.
Men's self-perceptions of masculinity in response to acquired illness or injury and subsequent changes in occupational roles.Ritchie, Donna Michelle January 2014 (has links)
Hegemonic Masculinity informs every aspect of a man’s life regardless of whether they conform to the standards or reject them. Although masculinity informs occupational roles, it can also be seen as an occupation in its own right. Illnesses and injuries can challenge masculine status and result in loss of identity, as well as changing men’s abilities, transforming their occupational roles and providing a challenge to their self-perception of masculinity. There are significant gaps in the literature; particularly regarding the impact health status has on masculine perceptions within a New Zealand context and the idea of masculinity as an occupation. This study goes someway to address these gaps. A qualitative descriptive methodology was employed to understand and describe the stories of 12 men living with the ongoing effects of illness or injury. A general inductive approach to content analysis was undertaken to identify the key themes. The study’s findings show illness and injury and the subsequent changes in occupational roles had a significant impact on participants’ masculine perceptions. Study participants experienced loss in many areas of their lives and described being occupied in recreating and renegotiating their masculinity in varying areas such as work, personal relationships and social activities. Further research, conducted within a New Zealand context, will be invaluable in validating the current findings in this area. The application of this knowledge is an area requiring extensive exploration and research. There is significant scope for healthcare professionals to gain understanding of men’s relationship to, and their self-perceptions of, masculinity and to utilise and incorporate these findings into therapeutic settings, therefore gaining more valuable outcomes for their clients.
The Gay Men's Health Project : an institutional case study of a community as an educational system /Amodia, Anthony John. January 1982 (has links)
Thesis (Ed. D.)--Teachers College, Columbia University. / Typescript; issued also on microfilm. Sponsor: Paul Byers. Dissertation Committee: William C. Sayres. Bibliography: leaves 97-103.
Exploring the Intersected Influences of Sociocultural Norms and the Social Context on Alcohol and Substance Abuse in Hispanic MenValdez, Luis A., Valdez, Luis A. January 2017 (has links)
BACKGROUND: Maladaptive patterns of alcohol consumption can lead to clinically significant impairment or distress and have been established as a partial cause of a wide variety of health conditions, including neuropsychiatric disorders, cardiovascular diseases, hepatic inflammations, certain cancers, and infectious diseases. In the United States, Hispanic and non-Hispanic white (NHW) men have comparable rates of moderate alcohol consumption, however, Hispanic men are more likely to consume higher volumes of alcohol and with more frequency and experience disproportionate levels of adverse health and social consequences of alcohol abuse when compared to NHW men. Further, Hispanic men face greater barriers than NHW men in accessing, engaging, and completing alcohol abuse treatment services despite the contrasting burden of alcohol-related consequences they face. OBJECTIVES: This dissertation is composed from three studies addressing the following aims to: 1) synthesize the culturally- and gender-responsive components of alcohol and substance abuse and dependence treatment programs designed for Hispanic males in the United States; 2) explore Hispanic male perspectives and opinions regarding alcohol use and abuse patterns that may lead to disparate rates of alcohol abuse in Hispanic males in the United States; and 3) examine U.S. Hispanic male perspectives regarding the barriers to alcohol abuse treatment-seeking related behaviors that lead to disparate treatment engagement and completion rates. METHODS: A systematic literature search was conducted for Aim 1 in which articles reporting on culturally- and/or gender-adapted alcohol and/or substance abuse interventions designed exclusively for Hispanic males were identified. Aim 2 and Aim 3 used semi-structured interviews to elicit Hispanic male perspectives of alcohol abuse and alcohol abuse treatment seeking behaviors. Separate thematic analyses were conducted as per the objectives of Aims 2 and 3. Data analysis was based on a deductive process including a preliminary codebook that was supplemented with inductive codes that surfaced during iterative thematic analyses. RESULTS: Regarding Aim 1, literature searches yielded 2685 titles, resulting in 12 articles that fit the parameters of the review. The most scientifically rigorous findings suggest that cultural adaptations may outperform standard treatment for Hispanic men (n=6). Nevertheless, a fraction of the included interventions (n=4) did not improve outcomes compared to standard treatment. Considering the scarce number of publications, it is difficult to discern how much findings reflect ineffective interventions or methodological limitations. Findings for Aim 2 indicate that there are intersected effects of machismo, a culture of normalized overconsumption, social context stressors, and poor coping strategies that may influence maladaptive relationships with alcohol use. Findings for Aim 3 suggest that treatment seeking behaviors are highly influenced by; a) structural factors related to treatment accessibility, and linguistic and cultural-responsiveness of available treatment, b) sociocultural factors related to difficulties problematizing alcohol abuse due to lack of knowledge and cultural normalization of consumption, and societal stigmatization of alcohol abuse treatment, and c) individual factors related to machismo-bound pride as well as lack of knowledge. CONCLUSIONS: Given the rapid expansion of the Hispanic population in the United States, and the parallel growth of alcohol abuse implications in this population, it is imperative that we learn where these problems may be rooted to better understand how to diminish the existing gaps. Collectively, these findings point to the need for treatment providers to disseminate accurate information about treatment availability and eligibility, and the treatment process. This work also illustrates the need to for consciousness building efforts targeting the Hispanic male community regarding the detrimental effects of alcohol-related problems and treatment, in order to diminish the stigma. Increased or redistributed funding for linguistically and culturally responsive programs is also needed in communities with large Hispanic populations in order to meet the growing demand, particularly for the uninsured. Further research is needed to identify other potential barriers and recovery resources for this population and other Hispanic subgroups in other parts of the United States.
Provencher, Jennifer S. Schroder, Gene D. Rosenau, Pauline Vaillancourt, Buzi, Ruth
Thesis (M.P.H.)--University of Texas Health Science Center at Houston, School of Public Health, 2007. / Source: Masters Abstracts International, Volume: 45-06, page: 3147. Adviser: Gene Schroder. Includes bibliographical references.
The effect of a corporate wellness programme in reducing selected modifiable coronary artery disease risk factors in menLourens, Dirk Cornelis 08 April 2010 (has links)
M.A. / Chronic degenerative disease is responsible for a high percentage of deaths in industrialised westernised communities. These findings are not surprising if viewed in the light that most people consider physical activity not to be a priority in their daily activities. During the last decade, it would seem that employers have realised that the health status of an employee can have a direct influence on productivity, efficiency and absenteeism in the working environment. In an attempt to lower health-related costs, reduce absenteeism and improve productivity, some employers have started implementing a variation of total wellbeing and workers’ support programmes as part of their employee assistance programmes. A pressing question is, however, how effective these wellness programmes are. In order to evaluate the effect of such a programme, the present study used a sample of 76 employees in middle- to top management at a big corporate company. During 2002, tests were performed on twelve CAD risk factors, after which an intervention programme was introduced. Twelve months later (2003), the first intermediate test was conducted, using the same protocol. The second intermediate test followed in 2004, duplicating the procedures. The post-test and data analysing were conducted four years after the first evaluations. Subjects were monitored for changes in: total cholesterol, HDL-cholesterol, LDLcholesterol, triglycerides, TC/HDL ratio, LDL/HDL ratio, fasting blood glucose, systolic blood pressure, diastolic blood pressure, body mass index, waist-to-hipratio and waist circumference. The Repeated Measures General Linear Model Test was used to determine significance (P ≤ 0.05) from pre- to post-test. A novel CAD risk score was also iv developed from peer-reviewed literature by considering each of the 12 CAD risk factors measured. The results demonstrated that the wellness programme decreased CAD risk by 26% amongst the 76 participants in this study. The TC, LDL-C, LDL/HDL-C ratio, TC/HDL-C ratio, fasting blood glucose, resting systolic blood pressure, resting diastolic blood pressure and waist-to-hip ratio improved significantly, while triglycerides showed a non-significant improvement. The three CAD risk factors that deteriorated significantly during the study period were high-density lipoprotein cholesterol, BMI and waist circumference. The major finding of this investigation thus suggests that a corporate wellness programme has long-term beneficial effects on CAD risk and that the reduction in CAD risk is mainly attributed to the beneficial effects of regular exercise.
Background: A range of factors contribute to men with cancer having worse mortality and morbidity rates than women. The research specifically focused on psychosocial issues and health behaviours in men with cancer, and factors affecting help seeking behaviour. Methods: A mixed-methods study recruited adult men with cancer in the East of Scotland. The quantitative cross-sectional study explored psychosocial issues, health behaviours, and desire for support. Data from the Scottish Longitudinal Study were accessed to check sample representativeness. The qualitative study built on the preliminary findings of the quantitative study and used semi-structured interviews to explore factors affecting men's access to support. Inductive thematic analysis was undertaken. Results: 127 men with cancer completed the questionnaire. Being separated or divorced, younger and living in a high deprivation area was associated with poor psychosocial outcomes and some lifestyle behaviours. Social support was also influential. Twenty participants were interviewed. Appraisal of, and coping with, cancer in addition to biopsychosocial antecedents, the role of masculinity, and service contexts impacted on help seeking. The findings support a modified model of the transactional model of stress and coping relevant to men with cancer, which is new and original since it specifically incorporates the role of masculinity, highlights feedback from coping to appraisal, and recognises important service context factors that impact men's service access choices. Discussion: Legitimisation of help seeking and the use of emotion-focused coping styles were needed by some men, particularly where ideas about masculinity played a strong role in men's appraisal of, and coping with cancer. Implications for practice and policy relate to the survivorship agenda given the ongoing support men with cancer may need. Related to this, there is a need to carefully tailor and advertise services to men, and for health professionals to help legitimise the use of certain coping strategies and services.
Análise de fatores que levaram ao encaminhamento tardio em casos novos de câncer de próstata recebidos no Hospital Amaral Carvalho nos anos de 2015 e 2016. / Analysis of factors that led to late referral in new cases of prostate cancer received at Amaral Carvalho Hospital in the years 2015 and 2016.Moraes, Vanessa de 23 May 2018 (has links)
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No. of bitstreams: 1 moraes_v_me_bot.pdf: 2014135 bytes, checksum: a5eb85dede60a04ea178395c9a8b13cf (MD5) Previous issue date: 2018-05-23 / O câncer de próstata é o tipo de tumor de maior incidência nos homens, atrás somente do câncer de pele não melanoma, é o segundo em mortalidade no Brasil, sendo um grave problema de saúde pública, pois mesmo sendo um câncer de crescimento lento e de simples detecção, muitos pacientes descobrem tardiamente a doença, diminuindo as chances de cura e de sobrevida. Os objetivos da pesquisa foram: desvelar alguns dos motivos do diagnóstico e encaminhamento tardio para um serviço de referência; analisar quais regiões encaminharam pacientes mais tardiamente e entender o itinerário terapêutico desses pacientes. Trata-se de uma pesquisa quanti-qualitativa, desenvolvida em duas etapas. No 1º momento realizou-se um estudo retrospectivo, descritivo e quantitativo de dados levantados junto ao RHC, de 1531 pacientes com câncer de próstata recebidos no Hospital Amaral Carvalho em 2015 e 2016. Na segunda etapa foi realizado um estudo qualitativo, com realização de 100 entrevistas, com perguntas fechadas e abertas. Entre os resultados destaca-se que a maioria dos pacientes está acima de 50 anos (97,77%), com média de 66 anos. A faixa etária de 70 a 79 anos apresentou o maior número de óbitos (3,66%) do total de 141 (9,21%), sendo o maior índice de pacientes com estádio IV (4,25%). 28,15% (431) dos pacientes chegaram com estádio avançado, sendo 131 da DRS VI (Bauru), 85 da DRS IX (Marília), 84 da DRS XVI (Sorocaba), 52 da DRS III (Araraquara) e os demais casos em menores números das demais DRS. Na 2ª etapa da pesquisa, constatou-se que dos 100 pacientes entrevistados: 78 são casados, 41 possuem de 3 a 4 filhos, 50 estudaram até o 4º ano, 67 já estão aposentados, 79 buscaram atendimento SUS. Dos sujeitos, 76 se autonomearam brancos, 68 não fumantes, 56 pacientes afirmaram possuir familiares com câncer, sendo o familiar mais citado foi o pai (21), e o câncer de próstata o de maior prevalência. Ainda 70 pacientes declararam fazer exames de prevenção, 55 tiveram sintomas, apenas 20 relataram encontrar dificuldades no encaminhamento ao serviço especializado e 43 aguardaram menos de um mês para o atendimento no HAC. A pesquisa constatou que os casos de pacientes com estágios mais avançados (III e IV) somaram 24,85% em 2015 e 32,53% em 2016. Os valores culturais relacionados à masculinidade se destacaram como o principal motivo do encaminhamento tardio destes pacientes. A desorganização e a falta de comprometimento de alguns profissionais da saúde básica também foram obstáculos no acesso aos serviços de alta complexidade. Como proposta de auxílio na detecção precoce do câncer de próstata, sugerimos: definição de um consenso sobre rastreamento; capacitação dos profissionais da rede básica para atendimento desta clientela; priorização de campanhas e trabalho coletivo com equipe multiprofissional; horário diferenciado para atendimento / Prostate cancer is the second most common type of tumor in men, behind only non-melanoma skin cancer. It is the second most common type of cancer in Brazil, being a serious public health problem. simple detection, many patients belatedly discover the disease, decreasing the chances of cure and survival. The objectives of the research were: to unveil some of the reasons for the diagnosis and late referral for a referral service; to analyze which regions referred patients later and to understand the therapeutic itinerary of these patients. It is a quantitative qualitative research, developed in two stages. A retrospective, descriptive and quantitative study of 1531 prostate cancer patients received at the Amaral Carvalho Hospital in 2015 and 2016 was carried out in the 1st stage. A second qualitative study was carried out with 100 interviews, with closed and open questions. Among the results it is highlighted that the majority of patients are over 50 years (97.77%), with a mean of 66 years. The age group from 70 to 79 years old had the highest number of deaths (3.66%) out of 141 (9.21%), being the highest rate of patients with stage IV (4.25%). 28,15% (431) of the patients arrived at an advanced stage, 131 of the DRS VI (Bauru), 85 of the DRS IX (Marília), 84 of the DRS XVI (Sorocaba), 52 of the DRS III (Araraquara) and the other cases in smaller numbers of the other DRS. In the second stage of the research, it was verified that of the 100 patients interviewed: 78 are married, 41 have 3 to 4 children, 50 have studied until the 4th year, 67 are already retired, 79 have sought SUS care. Of the subjects, 76 became white, 68 were non-smokers, and 56 patients reported having relatives with cancer. The most frequent family member was the father (21), and prostate cancer was the most prevalent. In addition, 70 patients reported having had preventive exams, 55 had symptoms, only 20 reported having difficulty in referral to the specialized service, and 43 waited less than one month for care at HAC. The research found that the cases of patients with more advanced stages (III and IV) totaled 24.85% in 2015 and 32.53% in 2016. The cultural values related to masculinity were the main reason for the late referral of these patients. The disorganization and lack of commitment of some basic health professionals have also been obstacles in accessing high complexity services. As a proposal to aid in the early detection of prostate cancer, we suggest: definition of consensus on screening; training of professionals in the basic network to serve this clientele; prioritization of campaigns and collective work with multiprofessional team; differentiated service hours.
Exploring male disordered eating : a hermeneutic study of men's relationships with food, body and selfDelderfield, Russell January 2016 (has links)
Disordered eating in men is said to be uncommon with men forming less than ten per cent of reported cases. Yet it has been suggested that the number of males with eating disorders is beginning to increase, affecting more men than ever before. This presents problems for healthcare services that have created previous models of support around women. Current research offers pathological and epidemiological data, including information about testing men for eating disorders using male-centred instruments. However, understanding is aetiolated due to a focus on medical accounts of male disordered eating, rather than focusing on the stories that men themselves have to tell. This exploratory qualitative study addresses this problem by focusing on men’s stories of disordered eating. Four men share their accounts of living with an eating disorder and these are analysed using a hermeneutic approach, in order to glean insights into their experiences with food, body and self. These insights include an examination of the meaning of fat male bodies, analysis of the phenomenon of gender ambivalence that prevails in men with disordered eating and the fragmented and colonised nature of the male eating disordered self. These represent an original contribution to understanding as they have not been considered elsewhere in the literature to date. Additionally, an extensive analysis of the male eating disorder literature, use of a hermeneutic methodology and the positioning of male eating disorders within the context of masculinities studies further add to the novel value of this research.
Perfil de saúde de homens adultos do município de Campinas/SP = desigualdades segundo escolaridade / Health's profile of adults men from Campinas/SP : inequalities according to educationBastos, Tássia Fraga, 1983- 20 August 2018 (has links)
Orientador: Maria Cecília Goi Porto Alves / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-20T00:27:57Z (GMT). No. of bitstreams: 1 Bastos_TassiaFraga_M.pdf: 1997964 bytes, checksum: 9bfa403781786c185b8659596eacdbaa (MD5) Previous issue date: 2012 / Resumo: Por muito tempo as mulheres têm sido o foco de estudos sobre saúde relacionada ao gênero, enquanto poucas pesquisas investigam as condições de saúde dos homens. A população masculina apresenta altas taxas de mortalidade, principalmente nas idades mais precoces, além de sofrerem mais de condições graves e crônicas de saúde e adotarem mais comportamentos prejudiciais à saúde. Nesse contexto, é importante conhecer o perfil dessa população em relação à saúde, considerando-se sua condição socioeconômica e de que forma a estrutura social influencia sobre seu estado de saúde. O presente estudo tem por objetivo avaliar desigualdades sociais em saúde, segundo escolaridade, entre homens de 20 a 59 anos residentes no município de Campinas. Os dados foram coletados por meio do Inquérito Domiciliar de Saúde, um estudo transversal, de base populacional, com amostra por conglomerados em dois estágios, realizado no município de Campinas em 2008-2009. Dentre as variáveis incluídas neste estudo estão as sociodemográficas, as de comportamentos relacionados à saúde, as de estado de saúde e as de uso de serviços de saúde. A escolaridade, variável independente principal, foi categorizada em 0 a 8 anos de estudo e 9 ou mais anos de estudo. Para estimar as prevalências e as associações, foi utilizado o teste qui-quadrado, com nível de significância de 5% e, para obtenção das razões de prevalência (RP) e seus respectivos intervalos de confiança, foi feita a regressão de Poisson. Esta análise foi realizada por meio do software STATA versão 11, que considera as ponderações relativas ao desenho amostral / Abstract: For long time women have been the focus of health studies related to gender, while little research investigating the health conditions of men. The male population has high rates of mortality, especially in younger ages and suffer more severe and chronic conditions of health and adopting more unhealthy behaviors. In this context, it is important to know the profile of this population in relation to health, considering their socioeconomic and how social structure influences on their health. The present study aims to assess social inequalities in health, schooling, men 20 to 59 years living in the city of Campinas. Data were collected through the Household Health Survey, a cross-sectional study of populationbased cluster sampling in two stages, held in Campinas in 2008-2009. Among the variables included in this study are the demographic characteristics, the behaviors related to health, the health status and use of health services. Schooling, the main independent variable, was categorized as 0-8 years of study and nine or more years of study. To estimate the prevalence and associations, we used the chi-square test, with significance level of 5% and to obtain the prevalence ratios (PR) and their respective confidence intervals, was performed by Poisson regression. This analysis was performed using the STATA version 11, which considers the weights for the sample design / Mestrado / Epidemiologia / Mestre em Saude Coletiva
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