Decolonising the health and well-being of Aboriginal men in Australia

2020 ◽  
Vol 56 (2) ◽  
pp. 151-166 ◽  
Author(s):  
Jacob Prehn ◽  
Douglas Ezzy

Aboriginal and/or Torres Strait Islander men have the worst health of any group in Australia. Despite this, relevant policies do not specifically explain how the issue will be improved. Existing research demonstrates the complexity of the problems facing Australian Indigenous men. The intersection of masculinity and Indigeneity, compounded by colonisation, historical policies, stigma, marginalisation, trauma, grief and loss of identity are key factors that shape these poor health outcomes. These outcomes are acknowledged in federal and some state government policies but not implemented. The article argues for a holistic and decolonised approach to Australian Aboriginal men’s health. Effective models of intervention to improve men’s health outcomes include men’s health clinics, men’s groups, Men’s Sheds, men’s health camps/bush adventure therapy, fathering groups and mentoring programs. Further research needs to be undertaken, with a greater emphasis on preventative health measures, adequate specific funding, culturally and gender appropriate responses to health, and government policy development and implementation covering Aboriginal male health.

2007 ◽  
Vol 1 (1) ◽  
pp. 81-86 ◽  
Author(s):  
Henrie M. Treadwell ◽  
Mary E. Northridge ◽  
Traci N. Bethea

Two fundamental determinants of men’s health are confronted—racism and sexism—that the authors believe underlie many of the health disparities documented between women and men and place men of color at particular disadvantage in U.S. society. In doing so, the authors contend that race and gender, as well as racism and sexism, are social constructs and, therefore, amenable to change. They hope to allay concerns that gains in the health of men will come at the expense of continued advances in the health of women. Instead, by better understanding how the harsh intersections of racism and sexism have contorted roles for men of color and damaged their social ties, a healing process in intimate relationships, extended families, and entire communities may be fostered. Only by reforming historical injustices and reuniting men with their partners, families, and communities will sustained improvements in their health and well-being be realized.


2018 ◽  
Vol 1 (SP1) ◽  
pp. e23-e35
Author(s):  
Noel Richardson ◽  
Paula Carroll

Historically, men, as a population group, have been conspicuous by their absence at a global and national health policy level. Moreover, most gender-focused health policy initiatives and gender-mainstreaming approaches to health have tended to be synonymous with women’s health. This places Ireland’s National Men’s Health Policy (NMHP) and recent external 5-year review in the collector’s item category within the wider health policy landscape.   This paper will review the impetus and background to men’s health policy development in Ireland against a backdrop of the invisibility of men more generally from health policy. Reflecting on the key milestones and challenges associated with transitioning from policy development to implementation, the paper will seek to inform a wider public health debate on the case for targeting men as a specific population group for the strategic planning of health. The case for a NMHP on the grounds of a gender inequity will also be explored in the context of contributing more broadly to gender equality. There will be a particular focus on exploring how strategies associated with governance and accountability, advocacy, research and evaluation, partnerships and capacity-building, have acted as a catalyst and framework for action in the rollout of a broad range of men’s health initiatives. With the central challenge being the translation of cross-departmental and inter-sectoral recommendations into sustainable actions, the role of NMHP in applying a gender lens to other policy areas will also be discussed.   Ireland’s NMHP has raised the visibility of men’s health in Ireland; the lessons learned during its implementation provide a strong rationale and blueprint for NMHP development elsewhere.


2020 ◽  
Vol 31 (2) ◽  
pp. 76-79
Author(s):  
Ian Peate

In many key areas, men's health outcomes are worse than women's. Ian Peate discusses the reasons for these health inequalities and how the practice nurse can help to erradicate them In many key areas, men's health outcomes are worse than women's. In the UK, there has been no strategic response to men's health needs at a national or local level. The chief causes for these differences in health outcomes are associated with men's risk taking behaviours, such as alcohol use, diet, and smoking, non-communicable diseases, and under-use of health services. When there are ‘gender-sensitive’ health interventions that have been aimed specifically at men, these have been shown to improve men's outcomes. Taking seriously the unique needs of men in policy development, implementation and evaluation, including further expansion of nurse-led initiatives, has the potential to make a difference to men's health.


2021 ◽  
pp. 5-11
Author(s):  
Caitlin Ryan ◽  
David Huebner ◽  
Rafael M. Diaz ◽  
Jorge Sanchez

OBJECTIVE We examined specific family rejecting reactions to sexual orientation and gender expression during adolescence as predictors of current health problems in a sample of lesbian, gay, and bisexual young adults. METHODS On the basis of previously collected in-depth interviews, we developed quantitative scales to assess retrospectively in young adults the frequency of parental and caregiver reactions to a lesbian, gay, or bisexual sexual orientation during adolescence. Our survey instrument also included measures of 9 negative health indicators, including mental health, substance abuse, and sexual risk. The survey was administered to a sample of 224 white and Latino self-identified lesbian, gay, and bisexual young adults, aged 21 to 25, recruited through diverse venues and organizations. Participants completed self-report questionnaires by using either computer-assisted or pencil-and-paper surveys. RESULTS Higher rates of family rejection were significantly associated with poorer health outcomes. On the basis of odds ratios, lesbian, gay, and bisexual young adults who reported higher levels of family rejection during adolescence were 8.4 times more likely to report having attempted suicide, 5.9 times more likely to report high levels of depression, 3.4 times more likely to use illegal drugs, and 3.4 times more likely to report having engaged in unprotected sexual intercourse compared with peers from families that reported no or low levels of family rejection. Latino men reported the highest number of negative family reactions to their sexual orientation in adolescence. CONCLUSIONS This study establishes a clear link between specific parental and caregiver rejecting behaviors and negative health problems in young lesbian, gay, and bisexual adults. Providers who serve this population should assess and help educate families about the impact of rejecting behaviors. Counseling families, providing anticipatory guidance, and referring families for counseling and support can help make a critical difference in helping decrease risk and increasing well-being for lesbian, gay, and bisexual youth.


Author(s):  
Kristyn A. Jackson

Contemporary research indicates hegemonic masculinity negatively impacts on the recognised global male health treatment gap, spurring debate around the promotion of male health conversation. Through a case study, this chapter explores how Movember Australia, a global NPO dedicated to raising awareness of and funds for male health illness, has utilised principles of value co-creation in its online campaign to promote conversation around men's health in Australia. Movember's facilitation of online community conversation, engagement and its utilisation of hegemonic masculinity to promote online male solidarity and resultant health conversation is investigated. Research references previous online male health research indicating effectiveness of three themes for health communication and conversation facilitation: personalisation, environment and trust.


2019 ◽  
Vol 13 (5) ◽  
pp. 155798831988258 ◽  
Author(s):  
Derek M. Griffith ◽  
Andrea R. Semlow ◽  
Mike Leventhal ◽  
Clare Sullivan

Tennessee is the only state in the United States that has regularly published a document monitoring men’s health and assessing men’s health disparities. Vanderbilt University, Vanderbilt University Medical Center, the Tennessee Department of Health, Meharry Medical College, Tennessee Men’s Health Network, and health providers and advocates across the state have come together to publish a set of indicators as the Tennessee Men’s Health Report Card (TMHRC). This article describes the origins, structure, development, and lessons learned from publishing report cards in 2010, 2012, 2014, and 2017. The report card highlights statistically significant changes in trends over time, identifies racial, ethnic, age, and geographic differences among men, highlights connections to regional and statewide public health initiatives, and suggests priorities for improving men’s health in Tennessee. State data were compared to Healthy People 2020 Objectives and graded based on the degree of discrepancy between the goal and the current reality for Tennessee men. Over the four iterations of the report card, the TMHRC team has made significant adjustments to the ways they analyze and present the data, utilize grades and graphics, consider the implications of the data for the economic well-being of the state, and disseminate the findings across the state to different stakeholders. It is important to go beyond creating a summary of information; rather, data should be shared in ways that are easily understood, actionable, and applicable to different audiences. It is also critical to highlight promising policy and programmatic initiatives to improve men’s health in the state.


2010 ◽  
Vol 21 (1) ◽  
pp. 76-76 ◽  
Author(s):  
James A. Smith ◽  
Steve Robertson ◽  
Noel Richardson

2020 ◽  
Vol 5 (11) ◽  
pp. e003471
Author(s):  
Ayden Scheim ◽  
Vibhuti Kacholia ◽  
Carmen Logie ◽  
Venkatesan Chakrapani ◽  
Ketki Ranade ◽  
...  

IntroductionDespite the rapid growth of research on transgender (trans) health globally, the extent of research on trans men and other transmasculine persons assigned the female sex at birth remains unclear. We, therefore, conducted a scoping review on trans men’s health in low-income and middle-income countries (LMICs).MethodsThe review included peer-reviewed articles and conference abstracts, and grey literature published from 1 January 1999 to 5 July 2019 in English, French, Hindi or Spanish and reporting original quantitative and/or qualitative data on the health of trans men or transmasculine persons living in LMIC. Studies were excluded if they did not disaggregate data for trans men or if they only described surgical techniques or laboratory values.ResultsWe included 53 studies (42 peer-reviewed and 11 grey literature) from 19 LMIC. Most were conducted in higher-middle-income countries (n=12) and in Latin America (n=16, 30.2%), the Middle East (n=14, 26.4%) or Sub-Saharan Africa (n=12, 22.6%) and published in 2014 or later (n=44, 83.0%). Approximately half of studies used quantitative methods (52.8%, n=28), of which 64.3% (n=18) had fewer than 50 participants and 14.2% (n=4) had over 150. Across study designs, social determinants of health and gender-affirming care were the most commonly represented domains (49.1% and 47.1% of studies respectively), with common themes including gender-based violence, coercion and discrimination as well as unprescribed hormone use. Other domains represented included mental health (32.1%), sexual and reproductive health (24.5%), general healthcare access (18.9%), physical health (9.4%) and substance use (9.4%).ConclusionGreater inclusion and disaggregation of trans men and transmasculine persons in global health research is needed to support sex- and gender-based analyses of trans health. Community-based research approaches and theoretically driven research may help to increase the relevance and rigour of such research. Funders should invest in research on trans men’s health in LMIC.


2019 ◽  
Vol 35 (3) ◽  
pp. 535-543
Author(s):  
Donald R McCreary ◽  
John L Oliffe ◽  
Nick Black ◽  
Ryan Flannigan ◽  
Joe Rachert ◽  
...  

AbstractMen are at high risk for both morbidity and premature mortality from several of the most common serious diseases. Although numerous factors have been identified to explain men’s risk, this study focused on the relationship between lifestyle behaviors, health-related self-stigma and masculine role norms. An age and location stratified sample of 2000 Canadian men completed measures assessing five lifestyle behaviors (smoking, alcohol use, sleep, diet and exercise), a screen for depression, and measures of self-stigma and masculine role norms. The results showed that elements of both health-related self-stigma and masculine role norms were associated with increased risk for being above the clinical threshold for four of the lifestyle behaviors and depression. The most frequent and largest relationships were associated with exercise and depression. The total number of lifestyle behaviors for which participants were above the clinical cut-points was also associated with self-stigma and masculine role norms. These findings demonstrate the importance of health-related self-stigma and masculine role norms as potential barriers to men’s health and well-being.


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