Understanding preventive behaviors among mid-Western African-American men: a pilot qualitative study of prostate screening

http://dx.doi.org/10.1016/j.jomh.2011.03.00

Male frequent attenders of general practice and their help seeking preferences

Background: Low rates of health service usage by men are commonly linked to masculine values and traditional male gender roles. However, not all men conform to these stereotypical notions of masculinity, with some men choosing to attend health services on a frequent basis, for a variety of different reasons. This study draws upon the accounts of male frequent attenders of the General Practitioner's (GP) surgery, examining their help-seeking preferences and their reasons for choosing services within general practice over other sources of support. Methods: The study extends thematic analysis of interview data from the Self Care in Primary Care study (SCinPC), a large scale multi-method evaluation study of a self care programme delivered to frequent attenders of general practice. Data were collected from 34 semi-structured interviews conducted with men prior to their exposure to the intervention. Results: The ages of interviewed men ranged from 16 to 72 years, and 91% of the sample (n= 31) stated that they had a current health condition. The thematic analysis exposed diverse perspectives within male help-seeking preferences and the decision-making behind men's choice of services. The study also draws attention to the large variation in men's knowledge of available health services, particularly alternatives to general practice. Furthermore, the data revealed some men's lack of confidence in existing alternatives to general practice. Conclusions: The study highlights the complex nature of male help-seeking preferences, and provides evidence that there should be no 'one size fits all' approach to male service provision. It also provides impetus for conducting further studies into this under researched area of interest. © 2011 WPMH GmbH

'It is fun, fitness and football really': a process evaluation of a football-based health intervention for men

Concerns about gender inequalities in longevity, particularly premature male mortality, have prompted a range of innovative approaches to health promotion work dating back to the 1980s. In developing such work, sport, and football in particular, has emerged as a gendered cultural field that has utility for engaging men in community health initiatives. Evaluations of such work have shown that health initiatives using football settings, football interventions or even club branding can have positive impact on various health measures in the short and longer term. However, little work to date has looked at the underlying mechanisms that generate success in such projects. This paper presents secondary analysis of data collected during the evaluation of the Premier League Health (PLH) programme specifically focusing on these underlying mechanisms and how/where gender (masculinities) appears in these processes. We draw on interview data with 16 staff who had been involved in the delivery of the PLH initiative and 58 men who took part. Thematic analysis highlighted two overarching (and underpinning) themes: 'Trust', what processes it was key to and how it was developed and sustained; and 'Change', including what it was facilitated by and what impact it had. The paper adds to our understanding of how active listening, flexibility and sustained engagement are key to community-based sports projects' success. Furthermore, it demonstrates how the physicality and sociability of involvement, rather than any direct focus on 'health', are important in acting as a springboard for facilitating reflection and aiding lifestyle changes for men. © 2013 Taylor & Francis

Grandfathering as spatio-temporal practice: conceptualizing performances of ageing masculinities in contemporary familial carescapes

This paper examines the spatio-temporalities of the intergenerational caring practices that contemporary grandfathers engage in with their grandchildren, in order to critique old men’s constructions and performances of ageing masculinities, and the gendering and ageing of contemporary carescapes. Findings are based on 31 qualitative interviews and two participant observations, conducted in the North-West of England with men who are grandfathers. The concept of carescapes (Bowlby, Gregory and McKie 1997) is employed to explain that grandfathering is both spatially and temporally organized. Findings suggest that men construct distinctly masculine spaces of care later in life, contingent on both their resistance to spatially embedded ageism and their comparisons of grandfathering to previous lifecourse subjectivities, such as fathering. Complexity and diversity in how men negotiate these factors is also apparent and is explored. There is evidence for example that some men’s performances of ageing masculinities contribute to the maintenance of a gendered division of labour in family care work, while others perform alternative masculinities that offer potential to transform gendered carespaces. This is further mediated by intergenerational interactions with children and grandchildren. Focus on old men who are grandfathers necessarily complicates geographical perspectives on the spatio-temporalities of multiple masculinities, ageing and informal familial care