34 promotion of men's health in malaysia
TRANSCRIPT
Abstracts
33Setting up a men’s health clinic
S.H. Teoh. Singapore Men’s Health Clinic, Singapore
Background: In almost every society, men’s health data
are poor when compared with that of women. There
is wide suggestion that men specific health initiatives
would help improve men’s health outcomes. However,
it is not known whether such initiatives will positively
impact men’s health.
Objective: This paper will present the experience of the
author and his colleagues in setting up a private men’s
health clinic.
Forum on Men’s Health
34Promotion of men’s health in Malaysia
C.J. Ng. University of Malaya, Malaysia
Large community studies in Malaysia have confirmed
the tremendous disease burden among ageing men
in Malaysia. The prevalences of obesity, diabetes,
hypertension anddyslipidaemiaare alarming. In addition,
erectile dysfunction, lower urinary tract symptoms and
testosterone deficiency are common occurrences among
men. All these conditions were found to have a significant
impact on the quality of life of Malaysian men.
However, Malaysian men do not undergo regular health
screening and tend to delay in seeking help when ill. Local
qualitative studies with men and their partnersrevealed
that men, despite being aware of the importance of
health, faced difficulty in balancing between work and
healthy living. Family and peers play an important role in
motivating them to seek treatment and adopt a healthy
lifestyle.
Currently, there is no concerted effort nationally to
promote men’s health in Malaysia. At the macro level,
there is no policy focusing on men’s health and public
health campaigns are lacking. At the meso level, there is
lack of focus on men’s health in the undergraduate and
postgraduate medical and allied health curriculum. At
the micro level, the primary care doctors, who are at the
frontline of care, may not have the necessary knowledge,
skills and resources to address men’s health issues using
a ‘men-centred’ approach.
Therefore, promotion of men’s health in Malaysia is
critical. An integrative approach is necessary to drive
this movement. This must involve the government
policy makers; the medical societies and associations;
academic institutions; and men’s health support groups
including men’s partners. Research is urgently needed to
develop and evaluate interventions which are effective in
motivating healthy lifestyle; increasing screening uptake;
and encouraging appropriate health-seeking behaviour
among men in Malaysia.
35Promotion of men’s health in Australia
G. Millan. Men’s Health Services, Australia
The Australasian Men’s Health Forum (AMHF) is thenational peak body for men and boy’s health and social
well being in Australia. This presentation will highlight
the work of AMHF over the past ten years in providinga model for men’s health work in Australia and provide
examples of best practice work on the area of men’shealth promotion. The Federal Government announced
the first National Male Health Policy for Australia in May
2010 and I will be presenting key recommendations fromthe Policy and discussing the way we work to improve
male health in our country.
36Men’s health issues in Japan
H. Okada1, S. Horie2. 1 Department of Urology, DokkyoMedical University Koshigaya Hospital, 2 Department of Urology,Teikyo University School of Medicine, Japan
Background: Current trend of studying and treating
of men’s health started only four years ago in Japan.This is the time to clarify what had been achieved and
what should be done in Japan as a leading industrialized
country in ASEAN.Objective: To investigate the clinical trials and review
papers dealing ‘Men’s Health’ conducted or published inJapan. To clarify the treatment methods used to improve
men’s health in Japan.
Methods: Survey of clinical trials and review papersconducted or published in Japan through PubMed and
Ichushi (a search engine of medical papers published inJapan) was done.
Results: No large-scale randomized clinical trial has
been published and less than 20 review papers havebeen published. A clinical guide line for the LOH
syndrome (late onset hypogonadism) was published in2007. Current treatment options improving men’s health
are HRT (testosterone replacement therapy), PDE5-i,
kampo medicine, supplements, herbs, exercise, andaroma therapy. However, no definite indication of each
treatment was postulated.Conclusions: We are just on the start line to find out the
best way to improve men’s health in Japan.
Keywords: Clinical guide line; Medical treatment; Physicaltreatment; Alternative medicine
jmh Vol. 8, Suppl. 1, S97–S121, April 2011 S109