Preconception health indicators among adult US men: Race/ethnicity variations and temporal trends

IF 3.2 2区医学 Q1 ANDROLOGY

Andrology Pub Date : 2023-12-19 DOI:10.1111/andr.13573

Adaobi Anakwe, Kasim Ortiz, Milton Kotelchuck, Rhonda BeLue

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引用次数: 0

Abstract

Background

Preconception health is important for men as it is for women. However, optimizing preconception health is understudied among men.

Objectives

To examine the time trends and temporal shifts in preconception health risk indicators among 20–44-year-old adult US men in need of preconception care and their racial/ethnic variations.

Materials and methods

Data from the 2011–2019 National Survey of Family Growth male file was used to estimate the prevalence of nine preconception health indicators among men (20–44 years) intending to have a future pregnancy (n = 6813), stratifying by race/ethnicity, and assessing temporal changes across the study period. Binary logit and linear regression models estimated temporal trends from 2011–2013 to 2017–2019. Absolute and relative changes were estimated to detect temporal shifts in men's preconception health comparing 2011–2013 to 2017–2019.

Results

Men in all groups exhibited substantial preconception health needs, with unique trends across race/ethnicity groups. Between 2011 and 2019, the prevalence of marijuana use (28.6%–39.4%, p = 0.001), overweight/obese status (60.7%–65.1%, p ≤ 0.001), and the mean number of preconception health indicators (M = 2.69–2.84, p = 0.018) increased. Among non-Hispanic White men, the prevalence of marijuana use (30.1%–41.4%, p = 0.028), overweight/obese status (60.6%–63.7%, p = 0.002), and mean number of preconception health risk indicators (M = 2.74–2.90, p = 0.033) increased. Among Hispanic men, the prevalence of inconsistent/no condom use (68.9%–81.4%, p = 0.022), marijuana use (18.9%–40.4%, p = 0.001), and the mean number preconception health risk indicators (M = 2.50–2.96, p = 0.014) increased. Among non-Hispanic Black men, sexually transmitted infections declined (5.4%–3.6%, p = 0.002). Significant temporal shifts, which varied by race/ethnicity, were also observed.

Discussion and conclusion

Our study, which provides initial insight into men's preconception health development in the last decade, highlights a tremendous need for preconception health care among men. Their increasing preconception health needs, and their racial/ethnic variations, suggest additional contributors to racial/ethnic differences in men's reproductive outcomes and their long-term health.

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美国成年男性的孕前健康指标：种族/族裔差异和时间趋势。

背景介绍孕前健康对男性和女性一样重要。然而，对男性优化孕前健康的研究却不足：研究需要孕前保健的 20-44 岁美国成年男性孕前健康风险指标的时间趋势和时间变化及其种族/民族差异：我们使用 2011-2019 年全国家庭成长调查男性档案中的数据来估算打算在未来怀孕的男性（20-44 岁）中九项孕前健康指标的流行率（n = 6813），并按种族/民族进行分层，评估整个研究期间的时间变化。二元对数和线性回归模型估计了 2011-2013 年至 2017-2019 年的时间趋势。通过估算绝对变化和相对变化来检测 2011-2013 年至 2017-2019 年男性孕前健康状况的时间变化：结果：所有群体中的男性都表现出了大量的孕前健康需求，不同种族/族裔群体的趋势各不相同。2011 年至 2019 年期间，吸食大麻的流行率（28.6%-39.4%，p = 0.001）、超重/肥胖状态（60.7%-65.1%，p ≤ 0.001）和孕前健康指标的平均数量（M = 2.69-2.84，p = 0.018）均有所增加。在非西班牙裔白人男性中，吸食大麻的比例（30.1%-41.4%，p = 0.028）、超重/肥胖状态（60.6%-63.7%，p = 0.002）和孕前健康风险指标的平均数量（M = 2.74-2.90，p = 0.033）均有所增加。在西班牙裔男性中，不一致/不使用安全套（68.9%-81.4%，p = 0.022）、吸食大麻（18.9%-40.4%，p = 0.001）和孕前健康风险指标平均值（M = 2.50-2.96，p = 0.014）的发生率增加。在非西班牙裔黑人男性中，性传播感染率有所下降（5.4%-3.6%，p = 0.002）。此外，还观察到不同种族/族裔之间存在显著的时间变化：我们的研究初步了解了过去十年中男性孕前保健的发展情况，突出了男性对孕前保健的巨大需求。他们日益增长的孕前保健需求及其种族/民族差异表明，造成男性生殖结果及其长期健康的种族/民族差异的其他因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Andrology ANDROLOGY-

CiteScore

9.10

自引率

6.70%

发文量

200

期刊介绍： Andrology is the study of the male reproductive system and other male gender related health issues. Andrology deals with basic and clinical aspects of the male reproductive system (gonads, endocrine and accessory organs) in all species, including the diagnosis and treatment of medical problems associated with sexual development, infertility, sexual dysfunction, sex hormone action and other urological problems. In medicine, Andrology as a specialty is a recent development, as it had previously been considered a subspecialty of urology or endocrinology