Does gender matter? An analysis of men's and women's accounts of responding to symptoms of lung cancer

Peer reviewedPublisher PD

Comparing the effectiveness of using generic and specific search terms in electronic databases to identify health outcomes for a systematic review: a prospective comparative study of literature search methods

<p>Objective: To compare the effectiveness of systematic review literature searches that use either generic or specific terms for health outcomes.</p> <p>Design Prospective comparative study of two electronic literature search strategies. The 'generic' search included general terms for health such as 'adolescent health', 'health status', 'morbidity', etc. The 'specific' search focused on terms for a range of specific illnesses, such as 'headache', 'epilepsy’, 'diabetes mellitus', etc.</p> <p>Data: sources The authors searched Medline, Embase, the Cumulative Index to Nursing and Allied Health Literature, PsycINFO and the Education Resources Information Center for studies published in English between 1992 and April 2010.</p> <p>Main: outcome measures Number and proportion of studies included in the systematic review that were identified from each search.</p> <p>Results: The two searches tended to identify different studies. Of 41 studies included in the final review, only three (7%) were identified by both search strategies, 21 (51%) were identified by the generic search only and 17 (41%) were identified by the specific search only. 5 of the 41 studies were also identified through manual searching methods. Studies identified by the two ELS differed in terms of reported health outcomes, while each ELS uniquely identified some of the review's higher quality studies.</p> <p>Conclusions: Electronic literature searches (ELS) are a vital stage in conducting systematic reviews and therefore have an important role in attempts to inform and improve policy and practice with the best available evidence. While the use of both generic and specific health terms is conventional for many reviewers and information scientists, there are also reviews that rely solely on either generic or specific terms. Based on the findings, reliance on only the generic or specific approach could increase the risk of systematic reviews missing important evidence and, consequently, misinforming decision makers. However, future research should test the generalisability of these findings.</p&gt

Optical Selection of Galaxies at Redshifts 1<z<3

Few galaxies have been found between the redshift ranges z < ~1 probed by magnitude-limited surveys and z > ~3 probed by Lyman-break surveys. Comparison of galaxy samples at lower and higher redshift suggests that large numbers of stars were born and the Hubble sequence began to take shape at the intermediate redshifts 1<z<3, but observational challenges have prevented us from observing the process in much detail. We present simple and efficient strategies that can be used to find large numbers of galaxies throughout this important but unexplored redshift range. All the strategies are based on selecting galaxies for spectroscopy on the basis of their colors in ground-based images taken through a small number of optical filters: GRi for redshifts 0.85<z<1.15, GRz for 1<z<1.5, and UGR for 1.4<z<2.1 and 1.9<z<2.7. The performance of our strategies is quantified empirically through spectroscopy of more than 2000 galaxies at 1<z<3.5. We estimate that more than half of the UV-luminosity density at 1<z<3 is produced by galaxies that satisfy our color-selection criteria. Our methodology is described in detail, allowing readers to devise analogous selection criteria for other optical filter sets.Comment: 13 pages including 20 figures. Accepted for publication in the Ap

'Coz football is what we all have': masculinities, practice, performance and effervescence in a gender-sensitised weight-loss and healthy living programme for men

In this paper we use a social practice approach to explore men's experience of Football Fans in Training (FFIT), a group-based weight management programme for men that harnesses men's symbolic attachment to professional football clubs to engage them in lifestyle change. FFIT is delivered by community coaches in clubs&rsquo; stadia and is gender-sensitised in relation to context, content and style of delivery. Using a &lsquo;toolkit&rsquo; of concepts from the work of Bourdieu, Goffman and Durkheim we analysed data from 13 focus group discussions with participants, and fieldwork notes from programme observations to investigate the appeal and success of FFIT, and how it worked to support change. Our analysis builds on our work on the importance of shared symbolic commitment to the football club and being with &lsquo;men like me&rsquo; to understand how the interaction context facilitated &lsquo;effervescent&rsquo; experiences. These experiences encouraged men to make changes to their diet and physical activity, talk about them, practice performing them and implement them in their lives. Thus a social practice approach illuminated the social processes through which lifestyle change was achieved, and we argue that it can deepen and enrich both intervention design and evaluation. &copy; 2016 The Authors. Sociology of Health &amp; Illness published by John Wiley &amp; Sons Ltd on behalf of Foundation for SHIL

"It's not healthy and it's decidedly not masculine": a media analysis of UK newspaper representations of eating disorders in males

Objectives: Recent qualitative research found young men reporting that an expectation that eating disorders (EDs) mainly affect young women led them, and others, to only recognise their symptoms when their ED had become entrenched. This raises questions about how these stereotypes persist. We therefore explored how EDs in males were represented in articles published in UK newspapers over a 10-year period (7.12.2002-7.12.2012), specifically attending to whether newsprint media represent EDs in males as 'gender appropriate', 'gender anomalous' or 'gender neutral'.    Design: A qualitative thematic analysis of UK newspaper articles.  Methods: We searched two databases, Newsbank and LexisNexis, for newspaper articles including ED and male terms in the lead/first paragraph. Following de-duplication, 420 articles were scrutinised; 138 met inclusion criteria for detailed textual analysis and were imported into NVivo10.  Findings: The number of articles peaked in 2008 when a UK politician announced that he had experienced bulimia nervosa. Analysis of how the articles portrayed male ED-related characterisations and experiences revealed that they conveyed ambiguous messages about EDs in males. Despite apparently aiming to dispel stereotypes that only young women experience EDs and to address stigma surrounding EDs in males, many aspects of the articles, including repetition of phrases such as 'a young woman's illness', serve to reinforce messages that EDs are inherently 'female' and so 'anomalous' for men.  Conclusions: Newspaper articles represent men with EDs as atypical of men, as a result of having an ED (and any feminising or demasculinising characteristics associated with this), and as atypical of people with EDs, who are still usually portrayed as teenage girls. Such media representations frame a cultural paradigm in which there is an expectation that men may feel shame about or strive to conceal EDs, potentially contributing to men with EDs delaying help-seeking, gaining late access to treatments and reducing chances of successful outcomes

Group-based healthy lifestyle workplace interventions for shift workers: a systematic review

Objective Shift work is a risk factor for many chronic diseases and has been associated with unhealthy lifestyle behaviors. Workplaces have great potential for promoting and supporting behavior change. We conducted a systematic review of group-based lifestyle workplace interventions for shift workers to identify adaptations and intervention components that accommodate shift working; and assess their impact on weight, physical activity, sedentary behavior and healthy eating. Methods A systematic search was conducted in Scopus, Web of Knowledge, EBSCO and Ovid databases. Using pre-established criteria, independent pairs of researchers conducted the study selection, quality appraisal and data extraction. Results In total, 22 studies on group-based workplace interventions for shift workers were included. Many demonstrated organizational level adaptations, such as flexible delivery times and paying employees’ time for their involvement. Delivery locations near the workplace and management support were other key features. Common intervention components included competitive group activities, individualized goal setting, self-monitoring and feedback, staff involvement in intervention delivery, and incentives. There was moderate evidence for effectiveness on weight and physical activity outcomes, but insufficient evidence for healthy eating outcomes. No interventions focusing on sedentary behavior in shift workers were found. Conclusion Current evidence demonstrates that group-based workplace interventions can be effective for supporting shift workers to lose weight and increase physical activity, while further research is needed for changing healthy eating and sedentary behaviors. Our findings offer decision support on organizational level adaptations and intervention components that are important to make interventions that promote healthy lifestyles more accessible to shift workers

Do weight management programmes delivered at professional football clubs attract and engage high risk men? A mixed-methods study

Background: The prevalence of obesity in men in the UK is amongst the highest in Europe but men are less likely than women to use existing weight loss programmes. Developing weight management programmes which are appealing and acceptable to men is a public health priority. Football Fans in Training (FFIT), a men-only weight management programme delivered to groups of men at top professional football clubs, encourages men to lose weight by working with, not against, cultural ideals of masculinity. To inform further development of interventions in football club settings, the current study explored who is attracted to FFIT and why overweight/obese men choose to take part.  Methods. A mixed-methods study analysing baseline data on 747 men aged 35-65 years with BMI ≥ 28 kg/m² who were participants in a randomised controlled trial of FFIT, and data from 13 focus group discussions with 63 men who had attended the programme.  Results: Objectively-measured mean body mass index was 35.3 kg/m ² (sd 4.9). Overall over 90% of participants were at very high or extremely high risk of future ill-health. Around three-quarters of participants in all age groups were at 'very high' risk of type 2 diabetes, hypertension and cardiovascular disease (72%, 73% and 80% of men aged 35-44, 45-54 and 55-64 years respectively). A further 21%, 16% and 13% were at 'extremely high' risk. Qualitative data revealed that the powerful 'draw' of the football club attracted men otherwise reluctant to attend existing weight management programmes. The location and style of delivery of early FFIT sessions fostered team spirit; men appreciated being with others 'like them' and the opportunity to undertake weight management in circumstances that enhanced physical and symbolic proximity to something they valued highly, the football club.  Conclusions: The delivery of a weight management intervention via professional football clubs attracted men at high risk of ill-health. The setting enabled men to join a weight management programme in circumstances that felt 'right' rather than threatening to themselves as men. FFIT is an example of how to facilitate health promotion activities in a way that is consistent with, rather than challenging to, common ideals of masculinity.