Yes / Aim To explore the challenges of engaging men with penile cancer in qualitative interview research. Background Qualitative interviewing offers an ideal tool for exploring men’s experiences of illness, complementing and providing context to gendered health inequalities identified in epidemiological research on men. But conducting interviews with men can be challenging and embarking on a qualitative interview study with males can feel like a daunting task, given the limited amount of practical, gender-sensitive guidance for researchers. Reflecting on a researcher’s experience of conducting qualitative research on men with penile cancer, this paper explores the potential challenges of interviewing this group, but also documents how engagement and data collection were achieved. Review methods This is a reflective paper, informed by the experiences of a male researcher (KW) with no nurse training, who conducted 28 interviews with men who had been treated for penile cancer. The researcher’s experiences are reported in chronological order, from the methodological challenges of recruitment to those of conducting the interview. Implications for practice/research The paper offers a resource for the novice researcher, highlighting some advantages and disadvantages of conducting qualitative interview research as a nurse researcher, as well as recommendations on how to overcome challenges. Conclusion Engaging men with penile cancer in qualitative interview raises practical, methodological, ethical and emotional challenges for the researcher. However, when these challenges are met, men will talk about their health. Methodological procedures must enable an open and ongoing dialogue with clinical gatekeepers and potential participants to promote engagement. Support from colleagues is essential for any interviewer, no matter how experienced the researcher is.

Self-care is the key to living a long and healthy life for people with diabetes. Yet numerous studies show that self-care is far from optimal. This has resulted in attempts to understand the progress underlying self-care behavior in the efforts of mediating more effectively. While there are an abundance of studies focusing on African-American women and diabetes management, there is a considerable gap in health education literature regarding the self-care management experiences of African-American men living with type 2 diabetes. The management and impact of type 2 diabetes on the sense of self, lifestyle, and significant others of the African-American man are not clearly comprehended. Therefore, the purpose of the study was to explore the knowledge, beliefs, and self-care management practices of African American men living with type 2 diabetes. This was an exploratory study utilizing qualitative methodology to understand the knowledge, beliefs, and existing self-care management practices of up to 50 African-American men, ages 18-70, living with type 2 diabetes. Participants had one-on-one semi structured interviews with the primary investigator. The instruments that were used consisted of two parts: one was a self-administered paper/pencil questionnaire to collect socio-demographic information. The second was a semi-structured interview. The study significance was to identify and understand the barriers to type 2 diabetes management and how they had an adverse influence on self-care. A combination of high barriers, poor daily self-care, management, and knowledge possibly put those with type 2 diabetes at an elevated risk for subordinate self-care management. Barriers had a role in reality and diabetes researchers and educators are charged with recognizing the complications of what individuals with type 2 diabetes need to do improve and enhance their health. The study findings revealed that the participants labored with managing their diabetes and some counted on their own potential or performance, as well as the encouragement of their family, extended family, neighbors, and friends. Also, many of the participants had a unified theme in that regarding self-care management, having type 2 diabetes affected those in their surrounding environment, not just the person living with the illness. In conclusion, the study findings suggest that future diabetes research and education among African-American men should give attention to male masculinity and the powerful influence it has on utilizing preventive health services. The limited amount of African-American men included in empirical type 2 diabetes research could help explain the under addressed barriers and complexities to positive self-care management.

Submitted by Fabio Sobreira Campos da Costa (fabio.sobreira@ufpe.br) on 2016-08-19T15:16:36Z No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) Dissertação_Camyllatenório.pdf: 2844834 bytes, checksum: b75564661e25030200d48d9bafe42b2c (MD5) / Made available in DSpace on 2016-08-19T15:16:36Z (GMT). No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) Dissertação_Camyllatenório.pdf: 2844834 bytes, checksum: b75564661e25030200d48d9bafe42b2c (MD5) Previous issue date: 2016-02-29 / CAPEs / Modelos culturais de gênero e masculinidades são elementos de grande influência nos padrões de comportamento de homens e nos significados que estes elaboram sobre o masculino. Nas relações cotidianas relacionam-se a diversas dimensões, entre elas a saúde. Assim, dependendo de como os homens entendem e expressam as relações de gênero e masculinidades, elas podem influenciar condutas e relações peculiares com a saúde. Além disso, sabe-se que essas construções envolvem toda a população de homens, entre eles, de forma particular, adolescentes/jovens. Diante disso, o presente estudo objetivou compreender os significados de masculinidades e cuidado à saúde para homens adolescentes/jovens em processo de formação profissional. Trata-se de uma pesquisa exploratória e descritiva de abordagem qualitativa, realizada com 27 homens adolescentes/jovens de 17 a 19 anos, matriculados em cursos técnicos, vinculados ao Programa Jovem Aprendiz de uma Escola Técnica localizada em Recife-PE. Foram realizadas entrevistas individuais semiestruturadas, que foram gravadas, transcritas e submetidas a análise, a qual foi orientada pela técnica de análise de conteúdo na modalidade temática. Para organização dos dados utilizou-se o software Atlas.ti (versão 7.5.3). Foram identificadas três categorias temáticas: 1) “Ser homem” adolescente/jovem; b) Homens e saúde; e c) “Ser homem”, adolescente/jovem, saúde e trabalho. Os resultados revelaram que os significados de masculinidades se basearam em modelos hegemônicos, cuja relação com a saúde perpassa compreensões de invulnerabilidade e dificuldades no cuidado. Entretanto, identificaram-se variações nesse cenário, com a presença de homens jovens que afirmaram outros modelos de masculinidades e a importância da promoção/prevenção da saúde. O que permite concluir acerca da importância que os estudos de gênero e masculinidades têm no contexto da saúde, em especial em práticas de educação em saúde, tendo em vista que o modo como os homens jovens se posicionam nos discursos de masculinidades podem se relacionar a concepções e práticas de saúde, assim como práticas de saúde podem ser mecanismos utilizados para construções de modelos de gênero. Além de sua relevância como tema de debate no intuito de desconstruir estereótipos de gênero e masculinidades, fortalecendo a adoção de novos posicionamentos que possam repercutir a importância da prevenção e promoção da saúde. / Cultural models of gender and masculinities are highly influential elements in the men’s behavior patterns and about the meanings that they elaborate about the masculine. In everyday relationships they relate to several dimensions, including health. Then, depending on as the men understand and express the relationships of gender and masculinities, these can influence behavior and peculiar relationships with health. Furthermore, it is known that these constructions involve the entire population of men, among them, in a particular way, adolescents/young. Therefore, the present study aimed to understand the meanings of masculinities and health care for male adolescents/young in professional qualification process. It is a descriptive exploratory study of qualitative approach, accomplished with 27 adolescents/ young men with 17-19 years old, enrolled in technical courses, linked to the Jovem Aprendiz Program in a Technical School located in Recife-PE. Semi-structured individual interviews were realized, which were recorded, transcribed and subjected to analysis, using the content analysis technique in thematic modality. For organize the data we used the Atlas.ti software (version 7.5.3). Three thematic categories were identified: 1) “to be man” adolescent/young; b) Men and health; and c) “to be man”, adolescent/young, health and work. The results have revealed that the meanings of masculinities were based on hegemonic models, whose relationship to health pervades understandings of invulnerability and difficulties in the health care. However variations were identified in this scenario, with the presence of young men who claimed other models of masculinities and the importance of promotion and health prevention. What can be concluded about the importance of gender studies and masculinities have in the context of health, especially in health education practices, given that the way young men are positioned in speeches of masculinities can relate to conceptions and health practices, as well as health practices can be mechanisms used for constructions of gender models. In addition to its relevance as a theme of debate in order to deconstruct stereotypes of gender and masculinities, strengthening the adoption of new positions that may reflect the importance of prevention and health promotion.

Individuals living with HIV experience higher rates of stigmatizing social interactions that may negatively impact psychological and physical health. We examined depressive symptoms as a mediator of the relationship between HIV-specific unsupportive social interactions (USIs) and health behaviors in 87 Black and White men living with HIV (MLWH). We also examined ethnicity as a moderator of this model. Depressive symptoms were an indirect mechanism through which HIV-specific USIs explained poorer health behaviors. The indirect effects between disconnecting USI, more depressive symptoms, and poorer health behaviors were significant for Black men but not for White men. Depressive symptoms may be one pathway through which USI are associated with physical health, and disconnecting USI may be particularly detrimental for Black MLWH.

Yes / Survival for penile cancer is high but treatment can have a long-term detrimental effect on urological function and quality of life. Owing to its rarity, it is difficult to include men with penile cancer in research about their condition.The aim of this study was to identify aspects of their diagnosis and treatment that they would want explored in penile cancer research. The study employed a participative, mixed qualitative methods design; it utilized focus groups and patient-conducted interviews, combined into a 1 day ‘pilot workshop’. The data were analysed using framework analysis. ‘Early signs and seeking help’, ‘disclosure of a ‘personal’ cancer’ and ‘urological (dys)function’ emerged as three key themes. Men with penile cancer want research about their condition to explore early signs and helping seeking, disclosure of a ‘personal’ cancer and urological (dys)function. Research could use methodologies that include consideration of the chronological narrative of the experiences of men with penile cancer, which could be applied in clinical practice by integrating opportunities to explore specific aspects of their experiences at appropriate times along the care pathway. / National Institute for Health Research (NIHR); Research for Patient Benefit (RfPB) Programme. Grant Number: PB‐PG‐0808‐17158

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.

Submitted by JOSIANE SANTOS DE OLIVEIRA (josianeso) on 2017-06-29T12:40:32Z No. of bitstreams: 1 Felipe Viero Kolinski Machado_.pdf: 5436748 bytes, checksum: cc6c50af27516d420b0ae1093da9b38c (MD5) / Made available in DSpace on 2017-06-29T12:40:33Z (GMT). No. of bitstreams: 1 Felipe Viero Kolinski Machado_.pdf: 5436748 bytes, checksum: cc6c50af27516d420b0ae1093da9b38c (MD5) Previous issue date: 2017-03-31 / CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / O objetivo central da presente pesquisa é perceber quais sentidos sobre masculinidades são movimentados e constituídos pelas/nas revistas Junior e Men’s Health Portugal, tendo em vista o discurso dos agentes envolvidos em sua produção, os instantes que se conseguiu acompanhar e o produto final veiculado. Inspirando-se nos referenciais teóricos e metodológicos provenientes de pesquisas etnográficas, bem como em textos científicos e políticos dos estudos de gênero, de sexualidade e da teoria queer, propõe-se um desenho de quatro categorias analíticas que, frente à pluralidade de objetos empíricos, foram concebidas para responder à questão norteadora. Gozando em frente ao espelho, Cópia da cópia, Porque tamanho e quantidade importam e Vidas para além do centro, portanto, dizem daquilo que nas revistas, enquanto dispositivos discursivos das masculinidades, constitui-se sobre o que é ser, e o que não é ser, um homem e um corpo com peso. De maneira geral, percebeu-se o reforço a um projeto de masculinidade hegemônica, ainda que na condição de cúmplice, um jornalismo predicativo a fim de ensinar os modos de ser e de estar no mundo, a constituição de um outro, diferente, estranho, com o qual os leitores não devem/não podem identificar-se e disputas, de ordem subjetivas, observadas a partir das falas dos sujeitos acessados, em torno de quais vidas importam e de como compreendê-las. / The main objective of the present research is to understand which meanings about masculinities are moved and constituted by/in the magazines Junior and Men's Health Portugal, considering the discourse of the agents involved in its production, the instants that were followed and the finished product. Inspired by the theoretical and methodological references from ethnographic research, as well as in scientific and political texts of gender studies, sexuality and queer theory, it is proposed a design of four analytical categories that, faced with the plurality of empirical objects, were designed to answer the guiding question. Boasting in front of the mirror, Copy of the copy, Because size and quantity matter and Lives beyond the center, therefore, they say of what in magazines, as discursive devices of masculinities, is constituted on what is to be, and what is not being, a man and a body with weight. In general, it was noticed the reinforcement to a project of hegemonic masculinity, although in the condition of accomplice, a predicative journalism in order to teach the ways of being and being in the world, the constitution of another, different, strange, with which readers should not / can not identify themselves and disputes, subjective order, observed from the speeches of the subjects accessed, around which lives matter and how to understand them.

The national recommendations for use of the prostate specific antigen (PSA) test for prostate cancer screening have been modified over the years as scientific evidence emerged. Current screening recommendations discourage widespread PSA screening for men at low to average risk, but provide specific guidelines for shared-decision making between men and their health providers about the benefits and risks of PSA testing. This study was an examination of relationships between men’s assessment of the quality of their care and communication with their health providers, the extent to which providers engage men in recommended discussions about PSA testing, and factors associated with shared-decision making and PSA testing. Secondary data from the U.S. Health Information National Trends Survey 4, Cycle 2 that included men with no history of prostate cancer and in the recommended age ranges for prostate cancer screening were analyzed (N=777). Non-Hispanic white men rated their quality of care higher than men of other races (c2 (49, n=635) = 7.23, p = 0.0098), whereas Hispanic men gave the lowest ratings compared to other men (c2 (49, n=635) = 5.42, p = 0.024). Previous PSA testing was reported by 64% of the men, 56% of whom stated that they discussed screening with their provider and 80% reported that they were asked if they wanted to have the test done. However, only 21% - 39% reported having ever discussed the pros and cons of PSA testing. Discussing PSA testing with a provider was the strongest predictor of obtaining the test (OR=69.5, CI = 23.6 – 204.6) but the effect was significantly modified when providers and patients engaged in the shared-decision making process (OR = 47.42, CI = 14.91 – 150.74). Age, education level and perceived quality of care were consistent, positive predictors of PSA testing. These results indicate there is a gap in provider-patient discussions about PSA screening and suggest that health providers may not be following the recommended guidelines for the content of the discussions needed to facilitate shared-decision making. Effective provider-based interventions to increase shared-decision-making about PSA testing are needed if the national objectives for prostate cancer screening are to be met.

Submitted by Fabiana Gonçalves Pinto (benf@ndc.uff.br) on 2018-03-13T20:19:01Z No. of bitstreams: 1 Vilza Aparecida Handan de Deus.pdf: 1844485 bytes, checksum: 0b66f3ee738aa1cf0aed6794810131c4 (MD5) / Made available in DSpace on 2018-03-13T20:19:01Z (GMT). No. of bitstreams: 1 Vilza Aparecida Handan de Deus.pdf: 1844485 bytes, checksum: 0b66f3ee738aa1cf0aed6794810131c4 (MD5) Previous issue date: 2017 / Mestrado Profissional em Ensino na Saúde / Posto que o enfermeiro, em sua prática profissional, contribui de forma significativa na promoção e prevenção dos agravos a saúde do homem, como as doenças crônicas não transmissíveis, cabendo à universidade fornecer competências e habilidades aos graduandos de enfermagem, como preveem as Diretrizes Curriculares Nacionais. O objetivo deste estudo é compreender a percepção do estudante de graduação em enfermagem acerca da saúde do homem, em sua formação pedagógica, a partir da perspectiva fenomenológica de Merleau- Ponty; Descrever a percepção do estudante de graduação em enfermagem acerca da saúde do homem em sua formação pedagógica, a partir da perspectiva fenomenológica de Merleau-Ponty; Desenvolver um projeto de extensão universitária no âmbito da saúde do homem contribuindo para a formação acadêmica e científica do graduando de enfermagem. Trata-se de um estudo fenomenológico, descritivo, com abordagem qualitativa, cujos dados foram coletados através de entrevista semiestruturada, e tratados pelo método de Georgio. Os sujeitos da pesquisa foram os graduandos de enfermagem do 10º período da Universidade Estácio de Sá (UNESA/RJ). Após a apreensão dos significados e interpretação do “mundo - da - vida” dos graduandos de enfermagem desvelou que a saúde do homem é negligenciada em relação às demais disciplinas como saúde da mulher e da criança. Denotando como resultados deste estudo que é urgente e imediata a intervenção neste cenário visando à formação do enfermeiro e viabilizando o acesso do graduando de enfermagem em relação à saúde do homem em seus diversos ciclos da vida. Assim sendo, proponho o desenvolvimento de um Programa de Extensão Acadêmica "Atuação do Graduando de Enfermagem no Acolhimento à Saúde do Homem'' com atividades mediadas por ações pedagógicas como conferências, seminários palestras,cursos de caráter teórico e/ou teórico-prático, proporcionará maior valorização do conhecimento técnico-científico do graduando de enfermagem / The study in question brings the Phenomenology as a method of approximation of the universe of nursing, inserting a content that specifically will foster human health providing opportunity to graduates to train nursing contribute to the learning process and achieve changes in behaviour of future professionals in the handling of real situations.The harms to health of the male population are challenges to be faced by nurses therefore being paramount to implementation of educative actions on promoting the joint of, theoretical/practical content, the Academy of the society. Since the nurse in your professional practice contributes significantly to the promotion and prevention of diseases to human health such as chronic non-communicable diseases, and the University provide skills and abilities to nursing graduates, as provided for in the National Curriculum Guidelines. The aim of this study is to understand the perception of the graduate student in nursing, about men's health in your pedagogical training, from the phenomenological perspective of Merleau-Ponty. It is a phenomenological study, descriptive qualitative approach, developed with the nursing graduates of the 10th period of Estácio de Sá (UNESA/RJ). Data collection through the phenomenological interview, sought to answer the following question: what is your guiding perception about human health on your pedagogical training? After seizure of the meanings and interpretation of "world-of-life" of undergraduates of nursing uncovered unfavorable conditions that human health is neglected in relation to other disciplines such as women's health and children. The content issue of teaching nursing graduation about aspects of National Policy for Full Health Care of Man is still shy as well as being presented in fragmentary form in other disciplines such as adult and elderly Health. Denoting as a result of this study it's urgent and immediate intervention in this scenario aimed at the formation of the nurses and enabling the access of the nursing student in relation to human health, expanding the program of attention to men's health in its different cycles of life, providing better quality of life to men. Denoting as a result of this study it's urgent and immediate need to intervene in these processes of education providing the nursing student's access to health-related content, aimed at the formation of the nurse and enlarge the National Program of attention to men's health in its different cycles of life, providing better quality of life to men. Therefore I propose the development of an Academic outreach program under the theme with activities, mediated by pedagogical actions such as conferences, seminars, lectures, courses of theoretical character and/or theoretical-practical, had provided greater appreciation of technical and scientific knowledge of the nursing student

Submitted by Renata Lopes (renatasil82@gmail.com) on 2016-05-12T18:14:24Z No. of bitstreams: 1 leandrohermisdorffbernardo.pdf: 2471442 bytes, checksum: d3adf8f386800446bd62310452998a26 (MD5) / Approved for entry into archive by Adriana Oliveira (adriana.oliveira@ufjf.edu.br) on 2016-06-27T19:54:28Z (GMT) No. of bitstreams: 1 leandrohermisdorffbernardo.pdf: 2471442 bytes, checksum: d3adf8f386800446bd62310452998a26 (MD5) / Made available in DSpace on 2016-06-27T19:54:28Z (GMT). No. of bitstreams: 1 leandrohermisdorffbernardo.pdf: 2471442 bytes, checksum: d3adf8f386800446bd62310452998a26 (MD5) Previous issue date: 2013-03-25 / CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / O foco específico na relação homem e saúde vêm ocorrendo, nos últimos anos, tanto nos meios acadêmicos quanto no âmbito dos serviços de saúde. Incluir a participação do homem nas ações de saúde é, no mínimo, um desafio, por diferentes razões. Apesar de avanços no campo da saúde do homem, muitas questões ainda precisam ser consideradas no cuidado destes com a própria saúde. Uma questão importante seria como esta população avalia seu próprio estado de saúde, bem como os fatores que estão associados a esta avaliação pois permite identificar o perfil desta população ainda pouco estudada, o que pode, assim, auxiliar no planejamento de medidas de prevenção e promoção de saúde, bem como subsidiar estratégias necessárias para o maior alcance destes homens em termos de saúde. O objetivo do presente estudo foi avaliar condições de saúde auto-referidas, e os possíveis fatores relacionados, da população masculina na cidade de Belo Horizonte (MG), nos anos de 2006 e 2011. Trata-se de um estudo epidemiológico longitudinal, que se propõe fazer a análise desta população em 2006 e 2011, através de inquérito telefônico (VIGITEL 2006 e 2011). As amostras foram compostas por 782 indivíduos em 2006 e 836 em 2011, com idades superiores a 18 anos. Os dados foram processados em um banco de dados criado por meio do software Statistical Package forthe Social Sciences (SPSS), versão 20.0, que permitiu verificar a associação entre cada uma das variáveis independentes com a variável dependente, através da utilização do teste Qui-quadrado (χ²). Houve uma significativa mudança na idade dos indivíduos entrevistados, onde a média passou de 41,9 em 2006 para 44,2 anos em 2011; diminuição significativa, de 59,2% para 51,7% (2006 e 2011, respectivamente), do consumo alcoólico;melhora nas condições de saúde auto-referidas, aumentando de 21,1% (0,18 – 0,23) para 28,1% (0,24 – 0,31) a proporção de indivíduos que referiram a saúde como excelente. Esses dados chamam a atenção para a necessidade de políticas públicas e ações de saúde voltadas para essa população, com ênfase em ações educativas, preventivas, e de promoção à saúde. Apesar de o VIGITEL constituir um importante instrumento de coleta de dados que favoreçam o entendimento acerca das doenças crônicas não transmissíveis, a inclusão de questões referentes às condições econômicas dos participantes seria importante para se traçar com maior clareza os fatores associados às morbidades nas populações estudadas. / The specific focus in the relationship between man and health has been occurring, in the last years, both in academic terms and in scope of health services. For many reasons, it's a challenge to include man's participation in care health. Although there are advances in the field of human health, many questions have to be considered in the care of man with own health. An important point would be how this population evaluates its own state of health, as well as the factors that are associated to this evaluation because it allows us to identify this population profile, which is still not very studied, which may, thus, help in the planning of prevention methods and health promoting, as well as support strategies, which are necessary to a higher reach of these men in terms of health. The objective of this study was to evaluate conditions of self-reported health and the possible factors related of the male population in Belo Horizonte (MG) in 2006 and 2011. This is a longitudinal epidemiological study which proposes to do an analysis of this population in 2006 and 2011 through telephonic survey (VIGITEL 2006 and 2011). The samples were composed of 782 people in 2006 and 836 in 2011 with more than 18 years. The data were processed on a database created through the software Statistical Package for Social Sciences (SPSS), version 20.0, which allowed to verify the association between each one of the independent variables with the dependent variable, through the use of qui-square test. There was a meaningful change in the interviewed individuals age, in which the average changed from 41.9 in 2006 to 44.2 years old in 2011; meaningful decrease, from 59.2% to 51.7% (2006 and 2011, respectively), in the alcoholical consume; self reported health condition improvement, increasing from 21.1% (0.18-0.23) to 28.1% (0.24-0.31) the individuals proportion that referred to the health as excellent. These data call our attention to the need for policies and health public actions focused on this population, with emphasis on educational actions, preventive and promotion to the health. Although VIGITEL be an important tool for data collection to encourage the understanding of chronic diseases, including questions relating to economic conditions of the participants would be important to more clearly delineate the factors associated with morbidity in the populations studied.