Abstract
Introduction: There has been an increasing number of studies that have evidenced the profile of male morbidity and mortality, their causes and related consequences, and their association with the low demand and men's permanence in the services offered in Primary Health Care (PHC). Objective: The objective of the study was to map the literature on men's health situation in Primary Health Care. Methods: A scoping review, according to the Joanna Briggs Institute protocol, with the PCC acronym (P – men, C – health situation, C – in primary care), was conducted in the Medline/Pubmed, COCHRANE, Web of Science, SCOPUS, Science Direct, LILACS, BDENF, MEDCARIBE, and SciELO databases, using the descriptors “Men”, “Men's Health”, “Health Services Needs and Demand”, “Primary Health Care” in three information sources (EBSCO, PubMed and SciELO). Results: Men's health situation in Primary Health Care is defined by the influence of the social construction of the masculinities and cultural aspects in the adoption of health care behaviors and practices, in the way in which men present their health complaints, demands, and needs, and establish bonds with the health professionals and the services. Conclusion: There is a number of sociocultural factors inherent to masculinities, institutional factors of the services' organization, and relational factors of men with the health professional that intervene together with the health situation.
Highlights
There has been an increasing number of studies that have evidenced the profile of male morbidity and mortality, their causes and related consequences, and their association with the low demand and men's permanence in the services offered in Primary Health Care (PHC), which have drawn the attention to the problematic context existing in men's health situation in
The results have shown that men's attendance to PHC consultations is low and that they present difficulties in complying with the therapies as well as with the treatments instituted by health professionals in the services, positive aspects were observed, such as the establishment of a bond between the male population and the service professionals, participation in health educational groups and change in lifestyle, perceived from the health care stimulated in PHC [35, 42, 45 - 49]
The men's health situation evidenced by Primary Health Care professionals involved dimensions of care and of men's health behavior, which reflect the social construction of masculinities, of the culture, and of the relationship of men with the health services and professionals, in addition to the dimension regarding the emergence of health and disease demands and needs, expressed by means of lower-complexity acute symptom complaints and chronic physical and sexual health problems, in addition to mental health
Summary
There has been an increasing number of studies that have evidenced the profile of male morbidity and mortality, their causes and related consequences, and their association with the low demand and men's permanence in the services offered in Primary Health Care (PHC). The Open Nursing Journal, 2021, Volume 15 413 generating concealment of male demands and needs, from a gender perspective, on the part of Primary Health Care, which does not generally focus on the male population In this context, it is necessary to look for ways to involve men in those services due to the excess costs produced by hospital admissions [5 - 9]. Aspects related to prevention should be explored, especially external causes such as traffic and work accidents, violence, suicide, eating habits, use of alcohol and other drugs, clinical examinations, and prevention of Sexually Transmitted Infections [9 - 16]
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