Transcript itor - Guttmacher Institute

© March, 2002
Why Worry About Men?
Addressing men’s sexual and reproductive
health will help
make men become healthier individuals,
partners and fathers;
improve information, counseling and
clinical services for both men and women;
and
address social concerns such as sexually
transmitted diseases and unwanted
pregnancy.
The Alan Guttmacher Institute (AGI)
In Their Own Right, 2002
Report Overview
The first national synthesis of men’s sexual,
contraceptive, reproductive and parenting
experiences
Focus on men aged 15-49
The Alan Guttmacher Institute (AGI)
In Their Own Right, 2002
Information Sources
National Surveys
Current Population Survey
National Survey of Families and Households
National Survey of Adolescent Males
National Survey of Men
Other key national surveys
Centers for Disease Control and
Prevention
National Center for Health Statistics
Bureau of the Census
The Alan Guttmacher Institute (AGI)
In Their Own Right, 2002
Men’s Sexual and Reproductive
Behavior and Health Needs
Vary according to life stage (15-19, 20-29,
30-49)
Are influenced by
Relationship status
Poverty
Race and ethnicity
School/work status
The Alan Guttmacher Institute (AGI)
In Their Own Right, 2002
State Variations
46% of men 20-49 are not currently
married
36% (UT) - 54% (MA)
23% of men 15-49 are uninsured
13% (MN) - 32% (AZ)
95 per 100,000 males 10 and older had
reported chlamydia
24 per 100,000 (VT) - 161 per 100,000
(LA)
The Alan Guttmacher Institute (AGI)
In Their Own Right, 2002
The Alan Guttmacher Institute (AGI)
33.2
35
30.9
30
26.0
25
28.5
16.9
20
25.1
WOMEN
15
17.4
10
12.6
AGE
14.0
MEN
26.7
Sexual and Reproductive Milestones
In Their Own Right, 2002
Most Men Begin Sexual Intercourse
During Their Teenage Years
Percent of men who have had intercourse
90
80
70
60
50
40
30
20
10
0
11
12
13
14
15
16
17
18
19
Age
The Alan Guttmacher Institute (AGI)
In Their Own Right, 2002
Sexual Activity Is Increasingly
Common After Adolescence
(among those aged 15-49)
%
100
80
Had intercourse
60
Ever
In past year
In past month
40
20
0
15-19
20-29
The Alan Guttmacher Institute (AGI)
30-39
40-49
In Their Own Right, 2002
As Men Become Older, They Are
More Likely to Be in a
Relationship
(among those age 20-49)
%
100
80
Never married
and not
cohabiting
60
Divorced/
Separated/
Widowed
Cohabiting
40
Currently
married
20
0
20-24
25-29
The Alan Guttmacher Institute (AGI)
30-39
40-49
In Their Own Right, 2002
Most Men Have Had One Sexual Partner In the Past Year
Multiple Partners are More Common Among Men in Their
Teens and 20s Than Among Men of Other Ages
(among those aged 15-49 )
%
100
80
No. of partners
in past year
0
60
1
40
>2
20
0
15-19
20-29
The Alan Guttmacher Institute (AGI)
30-39
40-49
In Their Own Right, 2002
Men in Their Teens and 20s Are the Most
Likely to Contract Chlamydia and Gonorrhea
New infections per 100,000 men per year
700
Chlamydia
Gonorrhea
600
500
400
300
200
100
0
15-19
20-24
25-29
The Alan Guttmacher Institute (AGI)
30-34
35-39
40-44
45-54
In Their Own Right, 2002
Both Men and Women Are More Likely to
Have Children in Their 20s and Early 30s
Than at Other Ages
Births per 1,000, 1998
140
120
100
80
60
40
20
0
10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54
Men
The Alan Guttmacher Institute (AGI)
>55
Women
In Their Own Right, 2002
Men in Their 20s Account For
Approximately Half of All Pregnancies
Abortions
(N=1.4 million)
Births
(N=3.9 million)
>40
15-19
>40
15-19
30-39
30-39
20-29
The Alan Guttmacher Institute (AGI)
20-29
In Their Own Right, 2002
Male Methods Account for High Proportions
of Contraceptive Use at all Ages
%
100
Female
methods
only
Withdrawal
80
60
Vasectomy
40
Condom
plus others
Condom
only
20
0
15-19
20-24
25-29
The Alan Guttmacher Institute (AGI)
30-34
35-39
In Their Own Right, 2002
Few Men Make Sexual and
Reproductive Health Visits
25
Annual visits per 100 men
20
15
10
5
0
15-19
20-24
25-29
The Alan Guttmacher Institute (AGI)
30-34
35-39
40-44
45-54
In Their Own Right, 2002
Men in Their 20s Are More Likely to Be
Uninsured Than Are Men of Other Ages
%
100
80
60
No insurance
Medicaid/
Government
40
Private
insurance
20
0
15-19
20-24
The Alan Guttmacher Institute (AGI)
25-29
30-39
40-49
In Their Own Right, 2002
Defining Needed Services
Information
Skills
Counseling
Preventive health care
Clinical diagnosis and treatment
(Sources: American Medical Association, EngenderHealth,
Urban Institute and others)
The Alan Guttmacher Institute (AGI)
In Their Own Right, 2002
Information
Basic sexuality and reproductive health
education
Genital health and hygiene
Healthy relationships
Pregnancy prevention
Sexually transmitted diseases, including
HIV
Fatherhood
Where and how to obtain other services
The Alan Guttmacher Institute (AGI)
In Their Own Right, 2002
Skills
Pregnancy and STD prevention and sexual
health skills:
Risk assessment and avoidance
Resisting peer pressure
Communicating with partners
Using contraceptives properly
Fatherhood skills
The Alan Guttmacher Institute (AGI)
In Their Own Right, 2002
Counseling
Self-concept
Life events and decision-making
Values and motivation
The Alan Guttmacher Institute (AGI)
In Their Own Right, 2002
Preventive Health Care
Sexual and reproductive health history
Cancer evaluation screening
Substance abuse screening
Mental health assessment
Routine physical
Premarital blood test
Links to additional services or referral, if
needed
The Alan Guttmacher Institute (AGI)
In Their Own Right, 2002
Clinical Diagnosis and Treatment
STD, including HIV, diagnosis, treatment and
counseling, and partner follow-up
Sexual dysfunction diagnosis and treatment
Fertility evaluation
Contraceptive services, including vasectomy
Urologic disease, including vasectomy
reversal
The Alan Guttmacher Institute (AGI)
In Their Own Right, 2002
Obstacles to Addressing Men’s
Needs
No consensus on standards for male sexual
and reproductive health care
Provider reluctance to offer services for
men
Services focused on women and medical needs
Lack of information about men’s needs
Inadequate medical training
Gaps in financing
The Alan Guttmacher Institute (AGI)
In Their Own Right, 2002
Benefits of Addressing Men’s Sexual
and Reproductive Health Needs In
Their Own Right:
Societal awareness of men’s needs will
improve.
Men will receive the information and services
they need to protect their health.
The Alan Guttmacher Institute (AGI)
In Their Own Right, 2002
Benefits of Addressing Men’s Sexual
and Reproductive Health Needs In
Their Own Right:
The scope of services available for men and
women will expand.
Unintended pregnancies and sexually
transmitted diseases will be reduced, and
healthier pregnancies and better parenting
will be promoted.
The Alan Guttmacher Institute (AGI)
In Their Own Right, 2002