- Select a language for the TTS:
- UK English Female
- UK English Male
- US English Female
- US English Male
- Australian Female
- Australian Male
- Language selected: (auto detect) - EN
Play all audios:
ABSTRACT The shorter life span and poorer health of men compared with women is concerning, affecting spouses, families, and communities. Physicians and policy makers have identified a
growing need for a gender-specific focus on the unique health needs of boys and men and accompanying services. Men's health has emerged as a new discipline that is responsible for a
gender-specific approach to health-services delivery, government policy, research, and advocacy. The urologic community has taken a leadership role in this specialty by defining the issues
that face men in the 21st century, bringing together disparate areas of clinical care and research, and collaborating with stakeholders (such as primary care physicians and specialists from
other disciplines) to create and implement men's health initiatives. Access through your institution Buy or subscribe This is a preview of subscription content, access via your
institution ACCESS OPTIONS Access through your institution Subscribe to this journal Receive 12 print issues and online access $209.00 per year only $17.42 per issue Learn more Buy this
article * Purchase on SpringerLink * Instant access to full article PDF Buy now Prices may be subject to local taxes which are calculated during checkout ADDITIONAL ACCESS OPTIONS: * Log in
* Learn about institutional subscriptions * Read our FAQs * Contact customer support SIMILAR CONTENT BEING VIEWED BY OTHERS GENDER AWARENESS AMONG GENERAL PRACTITIONERS IN FRANCE: A CROSS
SECTIONAL STUDY USING THE NIJMEGEN GENDER AWARENESS IN MEDICINE SCALE (N-GAMS) Article Open access 08 March 2024 TRANS AND GENDER DIVERSE PEOPLE’S EXPERIENCES AND EVALUATIONS WITH GENERAL
AND TRANS-SPECIFIC HEALTHCARE SERVICES: A CROSS-SECTIONAL SURVEY Article 14 April 2021 INVESTIGATING THE ASSOCIATION BETWEEN GENDER-AFFIRMING TREATMENT INTENTIONS AND CHOICES ON MENTAL
HEALTH AMONG TRANSGENDER INDIVIDUALS Article 29 May 2025 REFERENCES * United Nations Department of Economic and Social Affairs (Population Division). _World mortality report 2005_ [online],
(2006). * Hoyert, D. 75 years of mortality in the United States, 1935–2012. _NCHS Data Brief_ 88, 1–8 (2012). Google Scholar * World Health Organization World Health Statistics. _Global
health indicators part 2_ [online], (2010). * Jha, P. _ et al_. Social inequalities in male mortality, and in male mortality from smoking: indirect estimation from national death rates in
England and Wales, Poland, and North America. _Lancet_ 368, 367–370 (2006). Article Google Scholar * Livingston, M. & Wilkinson, C. Per-capita alcohol consumption and all-cause male
mortality in Australia, 1911–2006. _Alcohol Alcohol_ 48, 196–201 (2013). Article Google Scholar * Bessudnov, A., McKee, M. & Stuckler, D. Inequalities in male mortality by occupational
class, perceived status and education in Russia, 1994–2006 _Eur. J. Public Health_ 22, 332–337 (2012). Article Google Scholar * Petersson, B., Trell, E. & Hood, B. Premature death and
associated risk factors in urban middle-aged men. _Am. J. Med._ 77, 418–426 (1984). Article CAS Google Scholar * New York Department of Health. _Leading causes of pre mature death (death
before age 75) among male by county, New York State, 2008–2010_ [online], (2013). * Gardner, J. W. & Sanborn, J. S. Years of potential life lost (YPLL)--what does it measure?
_Epidemiology_ 1, 322–329 (1990). Article CAS Google Scholar * Organisation for Economic Co-operation and Development (OECD). _Glossary of statistical terms, potential years of life lost_
[online], (2003). * Li, C. & Ekwueme, D. U. Years of potential life lost caused by prostate cancer deaths in the United States-Projection from 2004 through 2050. _Cancer Epidemiol._ 34,
368–372 (2010). Article Google Scholar * Iwamoto, D. K. _ et al_. The role of masculine norms and informal support on mental health in incarcerated men. _Psychol. Men Masc._ 13, 283–293
(2012). Article Google Scholar * Hooker, S. P., Wilcox, S., Burroughs, E. L., Rheaume, C. E. & Courtenay, W. The potential influence of masculine identity on health-improving behaviour
in midlife and older African American men. _J. Mens Health_ 9, 79–88 (2012). Article Google Scholar * Courtenay, W. H. Key determinants of the health and the well-being of men and boys.
_Int. J. Men's Health_ 2, 1–27 (2003). Article Google Scholar * Juel, K. & Christensen, K. Are men seeking medical advice too late? Contacts to general practitioners and hospital
admissions in Denmark 2005. _J. Public Health (Oxf.)_ 30, 111–113 (2008). Article Google Scholar * Goldenberg, S. L. Men's Health Initiative of British Columbia: connecting the dots.
_Urol. Clin. North Am._ 39, 37–51 (2011). Article Google Scholar * Springer, K. W. & Mouzon, D. M. “Macho men” and preventive health care: implications for older men in different
social classes. _J. Health Soc. Behav._ 52, 212–227 (2011). Article Google Scholar * Gough, B. & Conner, M. T. Barriers to healthy eating among men: a qualitative analysis. _Soc. Sci.
Med._ 62, 387–395 (2006). Article Google Scholar * De Visser, R. O., Smith, J. A. & McDonnell, E. J. 'That's not masculine': masculine capital and health-related
behaviour. _J. Health Psychol._ 14, 1047–1058 (2009). Article Google Scholar * Gough, B. Try to be healthy, but don't forgo your masculinity: deconstructing men's health
discourse in the media. _Soc. Sci. Med._ 63, 2476–2488 (2006). Article Google Scholar * Courtenay, W. H. Constructions of masculinity and their influence on men's well-being: a theory
of gender and health. _Soc. Sci. Med._ 50, 1385–1401 (2000). Article CAS Google Scholar * Moller-Leimkuhler, A. M. Barriers to help-seeking by men: a review of sociocultural and clinical
literature with particular reference to depression. _J. Affect. Disord._ 71, 1–9 (2002). Article Google Scholar * Hee Ahn, M., Park, S., Ha, K., Choi, S. H. & Hong, J. P. Gender ratio
comparisons of the suicide rates and methods in Korea, Japan, Australia, and the United States. _J. Affect. Disord._ 142, 161–165 (2012). Article Google Scholar * Milner, A., McClure, R.
& De Leo, D. Globalization and suicide: an ecological study across five regions of the world. _Arch. Suicide Res._ 16, 238–249 (2012). Article Google Scholar * Bourne, P. A. _ et al_.
Health literacy and health seeking behaviour among older men in a middle-income nation. _Patient Relat. Outcome Meas._ 1, 39–49 (2010). Article Google Scholar * O'Kane, G. M., Craig,
P., Black, D. & Sutherland, D. Riverina men's study: a preliminary exploration of the diet, alcohol use and physical activity behaviours and attitudes of rural men in two Australian
New South Wales electorates. _Rural Remote Health_ 8, 851 (2008). CAS PubMed Google Scholar * Iwamoto, D. K., Cheng, A., Lee, C. S., Takamatsu, S. & Gordon, D. “Man-ing” up and
getting drunk: the role of masculine norms, alcohol intoxication and alcohol-related problems among college men. _Addict. Behav._ 36, 906–911 (2011). Article Google Scholar * Herbeth, B.,
Samara, A., Stathopoulou, M., Siest, G. & Visvikis-Siest, S. Alcohol consumption, beverage preference, and diet in middle-aged men from the 2012 STANISLAS study. _J. Nutr. Metab._ 987,
243 (2012). Google Scholar * Siegel, L. C. _ et al_. Physical activity, body mass index, and diabetes risk in men: a prospective study. _Am. J. Med._ 122, 1115–1121 (2009). Article Google
Scholar * Hatchell, A. C., Bassett-Gunter, R. L., Clarke, M., Kimura, S. & Latimer-Cheung, A. E. Messages for men: the efficacy of EPPM-based messages targeting men's physical
activity. _Health Psychol._ 32, 24–32 (2013). Article Google Scholar * Soedamah-Muthu, S. S., De Neve, M., Shelton, N. J., Tielemans, S. M. & Stamatakis, E. Joint associations of
alcohol consumption and physical activity with all-cause and cardiovascular mortality. _Am. J. Cardiol._ http://dx.doi.org/10.1016/j.amjcard.2013.03.040 * Keto, C. J., Masko, E. M. &
Freedland, S. J. Physical activity, obesity, and lower urinary tract symptoms. _Eur. Urol._ 60, 1181–1183 (2011). Article Google Scholar * Lee, S. H. _ et al_. Effects of obesity on lower
urinary tract symptoms in Korean BPH patients. _Asian J. Androl._ 11, 663–668 (2009). Article Google Scholar * Lee, R. K., Chung, D., Chughtai, B., Te, A. E. & Kaplan, S. A. Central
obesity as measured by waist circumference is predictive of severity of lower urinary tract symptoms. _BJU Int._ 110, 540–545 (2012). Article Google Scholar * Abrams, P. _ et al_. The
future of urology. _Eur. Urol._ 61, 534–540 (2012). Article Google Scholar * Forrester, D. A. Myths of masculinity. Impact upon men's health. _Nurs. Clin. North Am._ 21, 15–23 (1986).
CAS PubMed Google Scholar * Foreman, M. D. Cardiovascular disease. A men's health hazard. _Nurs. Clin. North Am._ 21, 65–73 (1986). CAS PubMed Google Scholar * Jackson, C.
Men's health. Opening the flood-gates. _Health Visit_ 64, 265–266 (1991). CAS PubMed Google Scholar * Lawrence, C. _Proceedings from the National Men's Health Conference
official opening_ [online], (1996). Google Scholar * McEnvoy, R. Men's Health Forum in Ireland [online], (2004). * Men's Health Forum. _All Party Parliamentary Group on Men's
Health_ [online], (2011). * Men's Health World Congress. _Men's Health World Congress_ [online], (2001). * World Health Organization. _Madrid Statement: Gender Mainstreaming
Health Policies in Europe_ [online], (2002). * Cash, A. The state of men's health in Western Europe. _J. Mens Health Gend._ 1, 60–66 (2004). Article Google Scholar * White, A. _The
State of Men's Health in Western Europe_ [online], (2004). Google Scholar * European Men's Health Forum. _Vienna Declaration on the Health of Men and Boys in Europe_ [online],
(2005). * Australian Government. Department of Health and Ageing. _National Male Health Policy_ [online], (2010). * Australian Government. Department of Health and Ageing, _Australian
Longitudinal Study on Male Health_ [online], (2011). * Australian Institute of Health and Welfare. _The Health of Australia's Males_ [online], (2011). * Pelman, R. _ et al_. American
Urological Association (AUA) Committee on Male Health. White paper: Male Health—Urology's Collaborative Future. Presented at the AUA Board of Directors Meeting (2010). *
Sanchez-Chapado, M., Olmedilla, G., Cabeza, M., Donat, E. & Ruiz, A. Prevalence of prostate cancer and prostatic intraepithelial neoplasia in Caucasian Mediterranean males: an autopsy
study. _Prostate_ 54, 238–247 (2003). Article Google Scholar * Sakr, W. A. _ et al_. High grade prostatic intraepithelial neoplasia (HGPIN) and prostatic adenocarcinoma between the ages of
20–69: an autopsy study of 249 cases. _In Vivo_ 8, 439–443 (1994). CAS Google Scholar * Hebert, J. R. _ et al_. Nutritional and socioeconomic factors in relation to prostate cancer
mortality: a cross-national study. _J. Natl Cancer Inst._ 90, 1637–1647 (1998). Article CAS Google Scholar * Hammarsten, J. & Hogstedt, B. Clinical, anthropometric, metabolic and
insulin profile of men with fast annual growth rates of benign prostatic hyperplasia. _Blood Press._ 8, 29–36 (1999). Article CAS Google Scholar * Hammarsten, J., Hogstedt, B., Holthuis,
N. & Mellstrom, D. Components of the metabolic syndrome-risk factors for the development of benign prostatic hyperplasia. _Prostate Cancer Prostatic Dis._ 1, 157–162 (1998). Article CAS
Google Scholar * Anton-Culver, H., Lee-Feldstein, A. & Taylor, T. H. The association of bladder cancer risk with ethnicity, gender, and smoking. _Ann. Epidemiol._ 3, 429–433 (1993).
Article CAS Google Scholar * Taylor, E. N., Fung, T. T. & Curhan, G. C. DASH-style diet associates with reduced risk for kidney stones. _J. Am. Soc. Nephrol._ 20, 2253–2259 (2009).
Article CAS Google Scholar * Mroz, L. W., Chapman, G. E., Oliffe, J. L. & Bottorff, J. L. Men, food, and prostate cancer: gender influences on men's diets. _Am. J. Mens Health_
5, 177–187 (2011). Article Google Scholar * Parikh, A., Lipsitz, S. R. & Natarajan, S. Association between a DASH-like diet and mortality in adults with hypertension: findings from a
population-based follow-up study. _Am. J. Hypertens._ 22, 409–416 (2009). Article Google Scholar * Karanja, N., Erlinger, T. P., Pao-Hwa, L., Miller, E. R. 3rd & Bray, G. A. The DASH
diet for high blood pressure: from clinical trial to dinner table. _Cleve. Clin. J. Med._ 71, 745–753 (2004). Article Google Scholar * Sacks, F. M. Dietary approaches to stop hypertension.
_Ann. Epidemiol._ 5, 502 (1995). Article CAS Google Scholar * Sacks, F. M. _ et al_. Rationale and design of the Dietary Approaches to Stop Hypertension trial (DASH). A multicentre
controlled-feeding study of dietary patterns to lower blood pressure. _Ann. Epidemiol._ 5, 108–118 (1995). Article CAS Google Scholar * Kochanek, K. D., Xu, J. Q., Murphy, S. L., Miniño,
A. M. & Kung, H. C. Centres for Disease Control and Prevention. National Vital Statistics Reports [online], (2011). * Vlachopoulos, C. V., Terentes-Printzios, D. G., Ioakeimidis, N. K.,
Aznaouridis, K. A. & Stefanadis, C. I. Prediction of cardiovascular events and all-cause mortality with erectile dysfunction: a systematic review and meta-analysis of cohort studies.
_Circ. Cardiovasc. Qual. Outcomes_ 6, 99–109 (2013). Article Google Scholar * Large Urology Group Practice Association (LUGPA). _LUPGA History_ [online], (2008). * American Urological
Association (AUA). _AUA Men's Health Checklist_ [online], (2012). * Pelman, R. S. & Johnson, D. A. Advocacy in male health: a state society story. _Urol. Clin. North Am._ 39, 25–31
(2012). Article Google Scholar * Government of Ireland. Ministry for Health and Children. _National Men's Health Policy 2008–2013_ [online], (2013). * Men's Sheds Australia.
_Men's Sheds_ [online], (2013). * Australian Government. Department of Health and Ageing. _Men's Sheds_ [online], (2010). * Men's Health Initiative of Vancouver, BC, Canada.
_ABOUTmen.ca. Let's talk men's health_ [online], (2013). * Saunders, M. & Peerson, A. Australia's national men's health policy: masculinity matters. _Health Promot.
J. Austr._ 20, 92–97 (2009). Article Google Scholar * Blancher, K. D. Moustaches promote men's health: Global foundation supports prostate cancer research and education. _BJU Int._
108, ii–v (2011). Article Google Scholar * Movember. _Movember and sons_ [online], (2012). Download references AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Division of Urology, University
of Toronto, Toronto Western Hospital, Main Pavilion, 399 Bathurst Street, Toronto, ON M5T 2S8, Canada Dean S. Elterman * Iris Cantor Men's Health Centre, Weill Cornell Medical College,
425 East 61st Street, New York, 10065, NY, USA Steven A. Kaplan * Department of Urology, University of Washington School of Medicine, University of Washington Medical Centre, SP1266, 1st
Floor, Surgery Pavilion, Box 356158, 1959 N. E. Pacific Street, Seattle, 98195, WA, USA Richard S. Pelman * Department of Urologic Sciences, University of British Columbia, Gordon &
Leslie Diamond Health Care Centre, Level 6, 2275 Laurel Street, Vancouver, V5Z 1M9, BC, Canada S. Larry Goldenberg Authors * Dean S. Elterman View author publications You can also search for
this author inPubMed Google Scholar * Steven A. Kaplan View author publications You can also search for this author inPubMed Google Scholar * Richard S. Pelman View author publications You
can also search for this author inPubMed Google Scholar * S. Larry Goldenberg View author publications You can also search for this author inPubMed Google Scholar CONTRIBUTIONS S. L.
Goldenberg and D. S. Elterman researched, wrote, edited, and discussed the article. S. A. Kaplan and R. S. Pelman reviewed the manuscript before submission. S. A. Kaplan also made
substantial contributions towards discussions of contents. CORRESPONDING AUTHOR Correspondence to S. Larry Goldenberg. ETHICS DECLARATIONS COMPETING INTERESTS The authors declare no
competing financial interests. RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Elterman, D., Kaplan, S., Pelman, R. _et al._ How 'male health'
fits into the field of urology. _Nat Rev Urol_ 10, 606–612 (2013). https://doi.org/10.1038/nrurol.2013.161 Download citation * Published: 30 July 2013 * Issue Date: October 2013 * DOI:
https://doi.org/10.1038/nrurol.2013.161 SHARE THIS ARTICLE Anyone you share the following link with will be able to read this content: Get shareable link Sorry, a shareable link is not
currently available for this article. Copy to clipboard Provided by the Springer Nature SharedIt content-sharing initiative