Mens use of health services; a no man's land?

Ian BanksPresident European Men’s Health Forum (with thanks to Alan White)

Mens use of health services;A No Man’s Land?

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Life expectancy for men and women2001, by country

68.0

70.0

72.0

74.0

76.0

78.0

80.0

82.0

84.0

Year

s Men

Women

Source of data:Statistics in Focus Theme 3 17/2002

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Men in Glasgow's east end have life expectancy of 54Daily Record, 29 August 2008

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Consultations with doctor – Proportion of rates per 10,000 person years at risk by ‘minor’ category of severity, by sex

0.00

10.00

20.00

30.00

40.00

50.00

60.00

70.00

80.00

90.00

100.00

Perc

enta

ge (

%)

Male

Female

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Consultations with doctor – Proportion of rates per 10,000 person years at risk by ‘serious’ category of severity, by sex

0

10

20

30

40

50

60

70

Perc

enta

ge (

%)

Male

Female

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Men tend to delay diagnosis and treatmentThe example of Melanoma (all ages)

0 5 10 15 20

Norway

Sweden

Denmark

Austria

Finland

The Netherlands

Switzerland

United Kingdom

Germany

Luxembourg

Italy

Ireland

France

Belgium

Spain

Portugal

Greece

Source of data: Health for All database 2003

05101520

Norway

Sweden

Denmark

The Netherlands

Switzerland

Austria

Ireland

Finland

France

Germany

United Kingdom

Belgium

Luxembourg

Italy

Spain

Portugal

Greece

Incidence Rates Death Rates

Men

Women

Rate per 100,000

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Men twice as likely not to know they have diabetes 02 November 2009

New research suggests men over 50 are nearly twice as likely to have undiagnosed Type 2 diabetes than

their female counterparts, warns Diabetes UK today.

Published in the journal Diabetic Medicine, a nationally representative study of 6,739 52- to 79-

year-olds found 502 to have diabetes. Of the men with diabetes, 22 per cent did not realise they had the

condition before the study, compared to 12 per cent of the women.

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Men’s usage of the health service

Source: General Household Survey, Office for National Statistics, 1988,1989

0 5 10 15 20 25

16-24

25-34

35-44

45-54

55-64

65-74

75+

All ages

Allages

0510152025

16-24

25-34

35-44

45-54

55-64

65-74

75+

Consultations with GP In-patient use

Men Women

10

12

13

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Cost of late diagnosis

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Diabetes

2.35 million people in the UK have diabetes (source: UK, DH)

– Expected to grow to more than 2.5 million in 2010 (in part due to rising obesity)

What does this cost the UK health economy?

– Answer: ~5% of total NHS spending per year (~10% of hospital in-patient spending) (source: UK DH) – total NHS spending is ~£110 Billion (source: HM Treasury)

What happens to costs if there are health complications from diabetes?

– Answer: costs continue to rise – in the United States complications from undiagnosed diabetes alone are estimated to cost ~ $18 Billion (source: Zhang et al 2009).

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Work Fit

Can’t Read?

Phone this number: 0878 561339

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Chlamydia screening

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Prostate health awareness

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Main pointsMen present late for diagnosis?

There are multiple factors

The cost is unknown but is considerable

The workplace is an ideal venue for addressing this issue

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