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No / A disease of the anatomical or social body, cancer raises fears about the uncontrollable division and multiplication of some abnormality that will lead ultimately to the destruction of those very conditions that make possible our lives. Cancer incidence and mortality rates are higher in men than women, raising questions about the roles for psychologists in relation to gender and cancer. Psychologists are wont to question the division of population level statistics by sex rather than other, such as behavioural, categories. Conceptual distinctions between biological sex and psychosocial gender are taught early in the psychology curriculum, but cancer of the breast questions the easy separation of the biological body and psychosocial society.

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Thesis (Ph.D.)--University of Western Sydney, 2007. / A thesis presented to the University of Western Sydney, College of Arts, School of Education, in fulfilment of the requirements for the degree of Doctor of Philosophy (Social Ecology). Includes bibliographies.

The purpose of this study was to develop and evaluate a nutrition education program for men on healthy eating when dining out. The Health Belief Model provided the basic framework to identify factors that would potentially motivate men over 40 to change their dietary behavior to reduce heart disease risk. Roundtable discussions were held to identify nutrition needs. A 10 minute "Dine Right with MENu Insight" slide program on low-fat eating away from home was developed. Three educational messages were the key concepts of the program: 1) relationship between diet and health, 2) proportionality, variety and moderation as themes of the Food Guide Pyramid and 3) low-fat food choices at home and away. A four page handout was developed to supplement the slide show presentation. Four programs were presented to a total of 148 people (136 males, 12 females) at Rotary and Kiwanis groups in Corvallis and Albany, Oregon in January and February, 1994. Each program included a pretest, the "Dine Right with MENu Insight" slide presentation and a group discussion. Of the 136 males, forty-eight volunteered (aged 40-60 years) and completed the 10-15 minute follow-up phone post-test 3-4 weeks after attending the program. Pre-test responses showed limited knowledge of the Food Guide Pyramid, with 65% of the men incorrectly selecting the vegetable group as the base of the Pyramid. Knowledge of low-fat menu choices was high with an average score of 4.7+1.1 (out of a possible 5 points) and a range of 0-5 prior to the education program. An attitude score measuring awareness of healthy dietary practices underlying the Pyramid (eg, variety, proportionality and moderation) had a mean of 5.3+1.7 (out of a possible 15) with a range of 3-8. These pre-test data suggested that participants were aware of the relationship between diet and health. In the post-test, 98% of the men correctly selected the bread group as the Food Guide Pyramid food group that should be eaten in the largest amount. This was a significant increase (p<.001) from pre-test scores. Half of the men had heard of the Pyramid prior to the program. A reassessment of healthy dietary practices awareness showed a significant increase in positive attitudes (p [less than or equal to] .001) with a mean of 3.6+.93 (out of a possible 15 points) and a range of 5-7. Seventy-three percent of the men reported that their diet could be "somewhat healthier". In the past year, 69% reported increasing their consumption of foods (eg, vegetables, grains) to reduce heart disease; 79% reported decreased consumption (eg, red meat). Seventy-five percent reported that they "sometimes" try to select lower fat foods when eating out. Personal preference (65%), menu selection (80%) and the restaurant (27%) influenced lower fat food selection decisions. Many participants indicated awareness of the relationship between proper food selection and optimal health before the program. However, awareness did increase as a result of the program. There was a significant positive (p [less than or equal to] .005) change in attitudes toward the importance of watching fat in the diet in order to stay healthy between pre and posttests. In addition, a positive (r=.36, p [less than or equal to] .05) correlation was reported between knowing that the amount of dietary fat affects the chance of heart disease and watching fat in the diet in order to stay healthy. These data suggest that the Dine Right program conveyed a tie between diet and optimum health. Significant changes in participants' knowledge about the Food Guide Pyramid and underlying concepts also suggest that the program had an impact on participants. These data suggest that knowledge of nutritious food choices at home and away from home increased or was reinforced by the program. The majority (79%) of men learned "some new things" from the program. As a result of the program, 65% planned on making changes in their diets when eating out (eg, by increasing grains, fruits, vegetables). Thirty-five percent planned to make changes at home. Eighty-three percent reported showing the Dine Right handout to someone else and 85% talked about the program with their spouse, family member, coworker or friend. The results of this research indicate that men respond to nutrition education programs. Therefore nutrition and health campaigns to reach the American male are merited. Men's health and nutrition programs such as "Dine Right with MENu Insight" could be followed by additional education programs utilizing a theoretical framework. Future research should test each of the components of the Health Belief Model on men's dietary behavior. Also extensions to other samples of men (such as those with lower educational levels) is warranted in order to better understand how to target nutrition education programs to this important audience. / Graduation date: 1995

This study explored the experience of what it is to be a gay man and to live in a rural community. It sought to understand why gay men would want to live in places that are said to have a reputation for hostility towards them. The empirical data from the semi-structured interviews with twenty-one gay men living in fifteen small-town locations across New South Wales, Australia, was analysed using a qualitative method derived from phenomenology, ethnography and modified grounded theory. The distinctive findings of this thesis centre on these men???s desire and determination to stay in the bush. They chose to stay in rural locations and effectively employed a diverse range of strategies to both combat the difficulties of rural life and enhance its advantages. The bush was the place in which these men could find themselves, be themselves and also find others like themselves. The space and the isolation of the bush gave them the latitude and the scope to live gay lives. This is why they stayed. By staying, they were also able to live out both the homosexual and rural components of their personal and social identity. Building on a brief look at the Australian rural past, the conceptual framework utilises notions of ???the stranger??? and draws on resilience, agency and resistance theory to understand these men???s ability to live in an unwelcoming place. Resilience allowed these men to cope and deal with the difficulties they faced. Human agency, the individual's capacity to exert autonomy over his life, is used to restore prominence to resistance theory. Agency is the catalyst to resistance and resistance fuels an individual???s, and sometimes a collective, opposition to the dominant social forces that inhibits one???s agency. These men???s desire to live in a rural place can be understood through theoretical considerations of place, the freedom of place and queer theory. Their satisfaction with life can be theorised through the application of a concept new to theory in gay literature - thriving. This thesis documents a largely unreported aptitude and proficiency by rural gay men to live in the bush. It suggests that their close affinity with place gives them a sense of belonging that, when combined with their concept of a gay lifestyle, effectively queers the places in which they live. That gay men can live fulfilled lives in the very places they are said to have fled evokes an innovative perspective together with an appreciation of what it is to be gay in the bush.