Men's Use Research Articles

Family planning and men's health from nurses' perspective

Objective: This study aims to know nurses' views on men's use of family planning services in the regional health of municipalities in Rio Grande do Sul, Brazil. Methods: It is a qualitative study, carried out from July 2009 to October 2009 through semi-structured interviews with 22 nurses. Results: The results produced the following categories: 'Men and the limiting factors to their access to family planning services', and 'Men and their reasons for accessing family planning services'. The results showed that men seek those services looking for condoms or diagnosis of pathologies, sexual-related or not. Conclusion: The idea of men as being invulnerable or of family planning as being women's responsibility might be associated with men's disengagement from the services, but barriers to healthcare access and the unavailability of some services might be the greatest hindrance.

Australian Gay and Bisexual Men's Use of Erectile Dysfunction Medications During Recent Sexual Encounters

Australian Gay and Bisexual Men's Use of Erectile Dysfunction Medications During Recent Sexual Encounters

Psychological, Relational, and Sexual Correlates of Pornography Use on Young Adult Heterosexual Men in Romantic Relationships

Pornography is both prevalent and normative in United States' culture; however, little is known about the psychological and relational affects that it can have on men in romantic relationships. Thus, the purpose of this study was to examine theorized antecedents (i.e., gender role conflict and attachment styles) and consequences (i.e., poorer relationship quality and sexual satisfaction) of men's pornography use among 373 young adult heterosexual men. Findings revealed that both frequency of pornography use and problematic pornography use were related to greater gender role conflict, more avoidant and anxious attachment styles, poorer relationship quality, and less sexual satisfaction. In addition, the findings provided support for a theorized mediated model in which gender role conflict was linked to relational outcomes both directly and indirectly via attachment styles and pornography use. Finally, psychometric support for the Pornography Use Scale developed for this study is provided.

Growth of men’s alcohol use in early adulthood: Intimate partners’ influence.

The present study examined the effects of intimate partners' alcohol use on the developmental trajectories of men's alcohol use across their early to late 20s. Longitudinal data from a community sample of 110 at-risk young men and their intimate partners were analyzed using latent growth modeling. Results indicated that, in general, men showed a significant linear decrease in alcohol use across their 20s, as expected. However, partners' alcohol use had significant and positive effects on men's concurrent alcohol use across their 20s, regardless of relationship status, even after taking into account autoregressive effects of men's own alcohol use and their antisocial behavior. Furthermore, a new partner's alcohol use had a significantly greater influence on the man's alcohol use in his late 20s compared to a partner's alcohol use from intact relationships. Findings from the present study highlight the importance of considering intimate partners' alcohol use as part of the proximal psychosocial environment influencing men's alcohol use during early adulthood. Implications for prevention and intervention efforts are discussed.

Book Review: “Masculine Empire: How Men Use Violence to Keep Women in Line”

Book Review: “Masculine Empire: How Men Use Violence to Keep Women in Line”

A Qualitative Examination of Men’s Condom Use Attitudes and Resistance: “It’s Just Part of the Game”

The purpose of this study was to investigate the variability in young heterosexual men's perceptions of the advantages and disadvantages of condom use in their casual sexual relationships. Because men who perceive greater disadvantages of condom use may be more likely to resist using them, we also explored the tactics that men employ to avoid using condoms. Semi-structured focus groups were conducted with single men who have sex with women (n = 60), aged 21-35 years, all of whom reported using condoms inconsistently. Transcripts were analyzed using a framework analysis approach. As expected, participants reported advantages and disadvantages to condom use that pertained to the likelihood and quality of sex, physical sensations during intercourse, and the risk of sexually transmitted infections and unwanted pregnancies. Within each of these topics, however, participants' appraisals of the relative pros and cons of condom use varied considerably. Additionally, participants reported that men use a wide range of condom use resistance tactics, including seduction, deception, and condom sabotage, and that the use of these tactics was viewed as normative behavior for men their age. These findings suggest that the effectiveness of sexual health prevention efforts could be enhanced by increasing young men's motivations to use condoms and by targeting social norms regarding condom use resistance. Additionally, the issue of men's condom use resistance clearly merits increased empirical investigation and intervention attention.

P3.031 Condom Use as a Function of New Young Adult Relationship Duration

ObjectiveTo find out how condom use in new relationships changes as a function of time, gender, as well as sexual and relationship satisfaction.MethodParticipants in a larger study who reported at...

Prevalence of Pain and Analgesic Use in Men With Metastatic Prostate Cancer Using a Patient-Reported Outcome Measure

Contemporary tumor-directed therapies for metastatic castration-resistant prostate cancer (mCRPC) are approved to prolong life, but their effects on symptoms such as pain are less well understood as a result of the lack of analytically valid assessments of pain prevalence and severity, clinically meaningful definitions of therapeutic benefit, and methodologic standards of trial conduct. This study establishes pain characteristics in the mCRPC population using a PRO measure. Patients with prostate cancer participated in an anonymous survey at five US comprehensive cancer centers in the Prostate Cancer Clinical Trials Consortium that incorporated the Brief Pain Inventory (BPI), analgesic use, and interference with daily activities. Prevalence and severity of cancer-related pain and analgesic use were tabulated according to castration-resistant status and exposure to docetaxel chemotherapy. Four hundred sixty-one patients with prostate cancer participated, of whom 147 had mCRPC involving bone (61% [89 of 147] docetaxel exposed, 39% [58 of 147] docetaxel naive). Pain of any level was more common among docetaxel-exposed versus docetaxel-naive patients with mCRPC (70% [62 of 89] v 38% [22 of 58], respectively; P<.001). BPI score≥4 was reported by 38% (34 of 89) of docetaxel-pretreated and 24% (14 of 58) of docetaxel-naive patients with mCRPC; 40% of these patients with pain intensity≥4 reported no current narcotic analgesic. Pain prevalence and severity were higher in patients with prior docetaxel exposure. Analgesics were underutilized. These results provide a method for estimating accruals along the disease continuum, and for enabling design of trials appropriately powered to assess pain.

Re-Traditionalisation of Gender Relations in the 1990s? The Impact of Parenthood on Gendered Time Use in Three Scandinavian Countries

This study investigates the impact of parenthood on gendered time use in Scandinavia. Having (young) children at home generally intensifies gendered patterns in time use, and strengthens the traditional household division of labour, whereby women perform more child care and housework than men. In Sweden during the 1990s, this pattern changed and parenthood affected men's and women's time use in a more similar way by the end of that decade. The article considers whether this was a unique Swedish phenomenon, and whether developments regarding time use were connected more to economic crisis or to societal changes towards gender equality. Using six waves of time diary data from the Multinational Time Use Survey (MTUS), we perform multivariate Tobit regressions, comparing what happened in Sweden during the 1990s to developments in Norway and Finland during the same period. Our results indicate that in all three countries, parenthood around the year 2000 affected men and women in a more similar way than before. Gendered patterns of time use in housework and child care showed a less traditional, gender converging pattern. These developments are associated with underlying societal changes towards greater gender equality, despite the economic crisis experienced in these countries.

Neighborhood socioeconomic status and substance use by U.S. adults

BackgroundThis study examined relationships of extremes in neighborhood socioeconomic status with use of tobacco, alcohol, marijuana and other drugs. Hypotheses were (1) residence in disadvantaged neighborhoods would be positively associated with stress-related and higher-risk substance use patterns (e.g., drug use), and (2) residence in affluent neighborhoods would be positively associated with “healthy” substance use (e.g., drinking within recommended guidelines) and negatively associated with substance use patterns incompatible with a culture of health. Age was examined as a potential moderator. MethodsData were from nationally-representative samples of U.S. adults (N=14,531) from the 2000 and 2005 National Alcohol Surveys linked with indicators of neighborhood SES from the 2000 U.S. Decennial Census. Analyses included gender-stratified multivariate logistic regression using weights to adjust for sampling and non-response. ResultsAs hypothesized, compared to middle-class neighborhoods, residence in disadvantaged neighborhoods was associated with higher odds of both men's and women's tobacco use and with women's other drug use. Residence in affluent neighborhoods was associated with lower odds of men's tobacco use and women's marijuana use. The association of neighborhood SES with men's tobacco use was modified by age, with the highest odds of daily tobacco use evident for all men in disadvantaged neighborhoods, as well as for younger men in middle-class neighborhoods. There were no significant associations of either alcohol outcome with neighborhood SES. ConclusionsIncreased risk of substance use for younger residents in both disadvantaged and middle-class neighborhoods and for older residents in disadvantaged neighborhoods suggest a need for targeted prevention interventions.

Young Men's Condom Use Resistance Tactics: A Latent Profile Analysis

Research suggests that many men have used a variety of tactics to avoid using condoms when having sex with women. Guided by previous work demonstrating that men's use of coercive condom resistance tactics was predicted by negative attitudes toward women, inconsistent condom use, multiple partners, and sexual sensation seeking, the current study used latent profile analysis (LPA) to determine whether similar constructs were associated with a variety of resistance tactics. A community sample of 313 moderate-drinking men participated, of whom 80% reported employing at least one condom use resistance tactic since adolescence. The LPA revealed three classes of men. In general, men with the least negative beliefs about women, low levels of sexual sensation seeking and impulsivity, and positive beliefs about condoms (Condom Positive/Low Hostility) reported less use of resistance tactics than men with moderate sexual sensation seeking and impulsivity, negative beliefs about condoms, and moderate (Condom Negative/Moderate Hostility) or high (Condom Negative/High Hostility) negative attitudes about women. The classes also differed in terms of their sexual behaviors. This study demonstrated that sexual risk behavior interventions should not only address the tactics through which men resist using condoms but also tailor these efforts to men's individual characteristics.

Undergraduate men's use of performance- and appearance-enhancing substances: An examination of the gateway hypothesis.

Undergraduate men's use of performance- and appearance-enhancing substances: An examination of the gateway hypothesis.

1901 DEFINING THE UTILITY OF A CLINICAL CARE PATHWAY FOR CLOMIPHENE CITRATE USE IN MEN WITH HYPOGONADISM

You have accessJournal of UrologyInfertility: Therapy1 Apr 20131901 DEFINING THE UTILITY OF A CLINICAL CARE PATHWAY FOR CLOMIPHENE CITRATE USE IN MEN WITH HYPOGONADISM Clarisse R. Mazzola, Darren J. Katz, and John P. Mulhall Clarisse R. MazzolaClarisse R. Mazzola New York City, NY More articles by this author , Darren J. KatzDarren J. Katz New York City, NY More articles by this author , and John P. MulhallJohn P. Mulhall New York City, NY More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.2320AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Clomiphene citrate (CC) is an effective treatment for men with hypogonadism (HG). For fear of tachyphylaxis, many clinicians commence CC at low dose and some dose every other day rather than daily. This analysis was undertaken to define if up-titrating dose in men failing to respond to low dose CC is an effective therapeutic approach. METHODS Men with a diagnosis of HG (defined by having 2 separate early morning total T (TT) levels <300 ng/dl) opting for CC therapy constituted the study population. Demographic, comorbidity data, physical and laboratory characteristics were recorded. All patients were started on CC 25 every other day (QOD) and were up-titrated to 50mgs QOD and then eventually 50 mgs daily (QD) if the original dose strategy failed. Laboratory testing was conducted 4 weeks after commencement, 4 weeks after a dose change and every six months thereafter. Response was defined as an increase of ≥200 ng/dl in TT and a TT level ≥400 ng/dl at ≥6 months after commencing CC. ANOVA was conducted comparing TT and LH levels among the three dosing groups. Multivariable analysis was performed on patients failing to respond to CC25 QOD to define predictors of successful response to higher doses. Parameters included in the multivariable model were: patient age, mean testicular volume, varicocele presence, baseline TT, free T and LH levels. RESULTS 112 patients were included with a mean age = 45±19 years. Mean pre-treatment testicular volume = 16±8 mls. Mean baseline T and LH levels were 222±98 ng/dl and 3.8±1.6 (0.1-5.8) IU/ml. On CC25 QOD, 71/112 (63%) patients met the responder definition (TT = 467±190 ng/dl, LH = 12.4±3.6). Of the 41 who were up-titrated to C50 QOD, 32% (13) met the responder definition (TT = 414±212 ng/dl, LH = 8.2±5.2). Of the 28 moving to CC50 QD, 18% (5) met responder definition (TT = 366±166 ng/dl, LH = 7.0±1.6; ANOVA p=0.033 for TT, p=0.025 for LH). On multivariable analysis, the only factors predictive of response to up-titrating CC were: pre-treatment LH level (r=0.51, p<0.01) and pre-treatment LH level ≤6 IU/ml (RR 2.1, p<0.01). CONCLUSIONS These data confirm that about two thirds of men with HG meet a robust responder definition using CC25mgs QOD. Up-titrating permitted 44% of patients not responding to CC25 QOD to meet the responder definition. We believe these data support starting CC at low dose and up-titrating when appropriate giving patients realistic expectations when the latter is necessary. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e779 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Clarisse R. Mazzola New York City, NY More articles by this author Darren J. Katz New York City, NY More articles by this author John P. Mulhall New York City, NY More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...

Parental Influences of Sexual Risk Among Urban African American Adolescent Males

This study examined the influence of parental marital status, parent-child sexual communication, parent-child closeness on the HIV-related knowledge, safer-sex intentions, and behaviors of late adolescent urban African American males. The study employed a cross-sectional design with retrospective recall of salient parental influences and behaviors. Data were collected via paper-and-pencil questionnaire from 134 late adolescent African American males, 18 to 22 years of age, recruited from urban communities in and around Boston, Massachusetts. Data were analyzed using bivariate correlations, paired t tests, and regression modeling. Young men reported greater amounts of sexual communication with mothers than fathers (p < .001). Parent-child closeness was positively correlated with amount of parent-child sexual communication with both mothers and fathers (p < .001 for both). Parent-child closeness was, in turn, associated with greater condom use self-efficacy (p < .01), less permissive sexual attitudes (p < .001), fewer sexual partners (p < .01), and less unprotected sex (p < .01). Greater amounts of parent-child sexual communication were associated with fewer sexual risk behaviors, more consistent condom use, and greater intentions to use condoms in the future. There was evidence that parental influences on sexual risk behaviors and condom use intentions were mediated through young men's condom use self-efficacy, attitudes, and beliefs. These findings highlight the importance of the parent-child relationship and the role of parent-child communication between parents and sons. Further studies are needed to better understand the nature of father-son communication and develop strategies to help parents communicate effectively with sons. Evidence has shown that African American adolescent males are more likely to engage in high-risk sexual behaviors. Understanding the sexual risk communication between African American adolescent males and their parents is important to developing strategies in reducing sexual risk behavior.

Predictors of Condom Use in Men of Badi Community of Sahere Village Development Committee, Surkhet District, Nepal: Health Belief Model Perspective

In a non-experimental analytical study 70 male respondents from Badi community, from western Nepal, where women prostitute themselves, were interviewed using structured questionnaire adapted from Health Belief Model (HBM) to collect data on knowledge of condom and its benefits on transmission of Sexually Transmitted Infection (STI) and Human Immune Deficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS). Logistic regression analysis model was used to analyze data. Prevalence of condom use among respondents was very low (29%). Only two third had knowledge on condom before first sexual contact. 10.5 percent used condom always/consistently. 43.1% respondents intended to use condom. Respondents with knowledge on condom were 5 times more likely to use condom. Based on HBM final predictor, condom use was related to its High susceptibility (OR=1.416, 95% CI=1.2- 2.034), high benefits (OR=1.086, 95% CI=.730-1.615) low barrier (OR=0.891, 95% CI=.696-1.139), high cues to action (OR=1.785, 95% CI=1.049-3.035) and younger age (OR=6.213). The main reason behind low condom was perceived high barrier. Preventions strategies based on increasing perceived risk, perceived severity or adequate knowledge about HIV/AIDS should be promoted to increase condom use.

Masculinity, condom use self-efficacy and abusive responses to condom negotiation: the case for HIV prevention for heterosexual African-American men

This study explored the role of masculinity and perceived condom use skills in African-American men's abusive response to female partners' condom requests. Eighty African-American men aged 18-29 years completed measures on sexual behaviour, responses to condom requests, condom use self-efficacy and other masculine constructs. Men also were tested for sexually transmissible infections. Men's condom use self-efficacy explained 16.5% of the variance in abusive response to condom requests, beyond demographics and masculine constructs. The full model accounted for 63% of the variance. Many HIV interventions with women encourage condom negotiation. Findings highlight the need to address men's condom use skills and masculine norms.

Paid and unpaid work in Denmark – Towards gender equity

Since the 1960s women in most countries have increased the time they spend in the labour market, while little change has been seen in their time spent on unpaid household work. Men, however, have decreased their labour market participation and increased their time used on unpaid household work. This trend also holds true for Denmark, albeit reduced by standardization for the demographic distribution. The most robust result is a continued convergence in women and men's time use. When making a linear projection of the trends in women and men's time use, we have to go to the year 2033 before Danish women and men spend an equal amount of time in paid employment. However, for household work, gender equality will arrive as early as 2023.

Gender in Jeopardy!

Uptalk is the use of a rising, questioning intonation when making a statement, which has become quite prevalent in contemporary American speech. Women tend to use uptalk more frequently than men do, though the reasons behind this difference are contested. I use the popular game show Jeopardy! to study variation in the use of uptalk among the contestants’ responses, and argue that uptalk is a key way in which gender is constructed through interaction. While overall, Jeopardy! contestants use uptalk 37 percent of the time, there is much variation in the use of uptalk. The typical purveyor of uptalk is white, young, and female. Men use uptalk more when surrounded by women contestants, and when correcting a woman contestant after she makes an incorrect response. Success on the show produces different results for men and women. The more successful a man is, the less likely he is to use uptalk; the more successful a woman is, the more likely she is to use uptalk.

Gaydar Culture: Gay Men, Technology and Embodiment in the Digital Age

Popular culture has recognized urban gay men's use of the Web over the last ten years, with gay Internet dating and Net-cruising featuring as narrative devices in hit television shows. Yet to date, the relationship between urban gay male culture and digital media technologies has received only limited critical attention. Gaydar Culture explores the integration of specific techno-cultural practices within contemporary gay male sub-culture. Taking British gay culture as its primary interest, the book locates its critical discussion within the wider global context of a proliferating model of Western 'metropolitan' gay male culture. Making use of a series of case studies in the development of a theoretical framework through which past, present and future practices of digital immersion can be understood and critiqued; this book constitutes a timely intervention into the fields of digital media studies, cultural studies and the study of gender and sexuality.

Heterogeneity in Growth and Desistance of Alcohol Use for Men in Their 20s: Prediction from Early Risk Factors and Association with Treatment

The course of men's alcohol use from ages 18 to 19 through 28 to 29 years was examined using growth mixture modeling (GMM) to determine alcohol trajectories for 3 conceptualizations of alcohol use: volume of use, heavy episodic drinking (HED), and drinking-related problems. Trajectory classes were validated against the young men's alcohol treatment history, and childhood/adolescent predictors of trajectory membership were examined. Participants were 205 men from the Oregon Youth Study, an ongoing longitudinal study of predominantly White men recruited from higher crime neighborhoods who were assessed annually during their 20s. The multivariate association between 3 prospectively assessed risk factors-parental alcohol use, child antisocial behavior, and age at first drunken experience-and the latent classes extracted from the GMM were examined for each alcohol indicator. A 3-class-solution model best fit the data for each alcohol indicator. The classes for both HED and problematic drinking for the men were significantly associated with history of treatment for alcohol use. Overall, the findings indicated a relatively large class with persistently high volume of alcohol use across the 20s and a greater prevalence of desistance for HED and alcohol problems. Age at first intoxication was the best predictor of latent class membership, and men in the initially high-then-desisting alcohol classes had a high level of early risk. Concordance of trajectory class membership across alcohol indicators was moderate overall but particularly strong for higher problem groups, as almost all men in the increasing HED trajectory were also in the highest volume and alcohol problems trajectory classes. Levels of treatment were high for the higher and desisting HED and alcohol problems classes. Many of the men showed chronic alcohol use across the decade of the 20s and had problems resulting from their high usage. Whereas most of the men showed low and/or desisting HED across this period, desistance was less common for volume of use and for alcohol problems.