American Journal of Men's Health最新文献_第10页

Clinical Analysis of Gonorrhea Coinfection With Ureaplasma urealyticum, Chlamydia trachomatis, and Mycoplasma hominis in Southern China. 华南地区淋病解脲支原体、沙眼衣原体、人支原体共感染临床分析。

IF 2.4 4区医学

American Journal of Men's Health Pub Date : 2026-01-01 Epub Date: 2026-02-28 DOI: 10.1177/15579883261418251

Bo Zheng, Hongyan Ma, Zixin Liu, Zhenzhen Du, Jianhong Xie, Hongfu Li

{"title":"Clinical Analysis of Gonorrhea Coinfection With Ureaplasma urealyticum, Chlamydia trachomatis, and Mycoplasma hominis in Southern China.","authors":"Bo Zheng, Hongyan Ma, Zixin Liu, Zhenzhen Du, Jianhong Xie, Hongfu Li","doi":"10.1177/15579883261418251","DOIUrl":"10.1177/15579883261418251","url":null,"abstract":"This retrospective study investigated coinfection with Ureaplasma urealyticum (UU), Chlamydia trachomatis (CT), and Mycoplasma hominis (MH) among patients with Neisseria gonorrhoeae (NG) in southern China to support clinical diagnosis and treatment. A total of 1,138 specimens from patients with gonorrhea were tested for UU, CT, MH, and other pathogens using culture methods, electrochemiluminescence, and fluorescence quantitative PCR. Among the 1,138 patients with NG, 526 (46.2%) were coinfected with at least one additional pathogen. The most frequent coinfection patterns involving UU, CT, or MH were NG+UU (235, 20.7%), NG+CT (173, 15.2%), and NG+MH (90, 7.9%). Coinfections with two or more additional pathogens occurred in 171 patients (15.0%): NG+UU+MH (82, 7.2%), NG+UU+CT (53, 4.7%), NG+MH+CT (21, 1.8%), and NG+UU+MH+CT (15, 1.3%). The distribution of coinfections differed by age group for NG+UU (χ2 = 12.23, df = 5, p = .032) and NG+CT (χ2 = 29.05, df = 5, p < .001), and women showed a higher rate of NG+UU coinfection than men (χ2 = 24.30, df = 1, p < .001). Overall, mixed infections involving UU, CT, and MH were common among patients with NG, supporting comprehensive sexually transmitted infections screening to reduce missed diagnoses, treatment delays, and transmission.","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"20 1","pages":"15579883261418251"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12953942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147315877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Harnessing Ubiquitin-Proteasome System-Related Genes to Identify Subtypes of Bladder Cancer and Reveal Immune Landscape. 利用泛素-蛋白酶体系统相关基因鉴定膀胱癌亚型并揭示免疫景观。

IF 2.4 4区医学

American Journal of Men's Health Pub Date : 2026-01-01 Epub Date: 2026-01-07 DOI: 10.1177/15579883251410519

Guanyun Shi, Xianfei Zhou, Fan Yang, Tianxing Wang

{"title":"Harnessing Ubiquitin-Proteasome System-Related Genes to Identify Subtypes of Bladder Cancer and Reveal Immune Landscape.","authors":"Guanyun Shi, Xianfei Zhou, Fan Yang, Tianxing Wang","doi":"10.1177/15579883251410519","DOIUrl":"10.1177/15579883251410519","url":null,"abstract":"The ubiquitin-proteasome system (UPS) is intricately linked to the growth and metastasis of numerous types of cancer. However, current analysis on the function and impact of UPS in bladder cancer (BLCA) is still sparse. First, univariate Cox regression analysis was applied to screen survival-associated UPS-related genes (UPSGs). Then, based on the expression of survival-related UPSGs, BLCA patients were divided into three clusters through unsupervised cluster analysis, and the overall survival rate of Cluster 1 and Cluster 3 was higher than that of Cluster 2, but there was no survival difference between Cluster 1 and Cluster 3. Therefore, Cluster 1 + Cluster 3 (Cluster A) and Cluster 2 (Cluster B) were selected for subsequent analysis. The differentially expressed genes of the two clusters were predominantly enriched in signaling pathways such as the Calcium signaling pathway and Cytokine-cytokine receptor interaction. An immune microenvironment analysis revealed that Cluster B patients were characterized by highly infiltrated immunosuppressive cells (M2 macrophages and Tregs) as well as high expression of immune checkpoint genes (such as BTLA and CTLA4). Furthermore, Cluster B exhibited a higher TIDE score. Somatic mutations demonstrated that the mutation rate of Cluster B was higher than that of Cluster A. In addition, candidate drugs for two clusters of patients were predicted, with Lapatinib, Doramapimod, and SCH772984 may be potential drugs for Cluster A patients. Luminespib, Staurosporine, and Dasatinib may be more suitable for Cluster B patients. The study provides a reference for guiding the clinical treatment of BLCA patients.","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"20 1","pages":"15579883251410519"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12779901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145910025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trusted Community Spaces for Suicide Prevention: Evaluating the Ambassador Barbers, Salons, and Tattoo Studios Project in the London Borough of Bexley, UK. 预防自杀的可信社区空间：评估英国伦敦贝克斯利区大使理发店、沙龙和纹身工作室项目。

IF 2.4 4区医学

American Journal of Men's Health Pub Date : 2026-01-01 Epub Date: 2026-01-16 DOI: 10.1177/15579883251410534

David Palmer, Simon Dolby

{"title":"Trusted Community Spaces for Suicide Prevention: Evaluating the Ambassador Barbers, Salons, and Tattoo Studios Project in the London Borough of Bexley, UK.","authors":"David Palmer, Simon Dolby","doi":"10.1177/15579883251410534","DOIUrl":"10.1177/15579883251410534","url":null,"abstract":"Men account for the majority of suicides in the United Kingdom, yet many delay seeking help due to gendered norms that discourage emotional disclosure and position vulnerability as socially risky. Everyday environments where men routinely engage in familiar, informal conversation may, therefore, offer opportunities for earlier intervention. This evaluation examined the Mind in Bexley Ambassador Project, which trained barbers, hair stylists, and tattoo artists to recognize emotional distress, initiate supportive dialogue, and signpost to local services. A total of 61 ambassadors completed training, including 24 barbers, 32 hair stylists, and 5 tattoo artists. Quantitative confidence measures, activity logs, and qualitative interviews assessed feasibility, acceptability, and early outcomes. Ambassadors reported increased confidence in recognizing distress, asking directly about suicide, and referring to support, with 1,818 mental health-related conversations and 265 signposting interactions (including provision of service-information leaflets) recorded over 7 months. Emotional disclosure typically emerged gradually across repeat appointments, where trust and familiarity were already established. Brief, evidence-informed training supported ambassadors to respond more intentionally and confidently to distress without altering the informal character of these grooming environments. The intervention legitimized and strengthened existing relational practices, positioning barbershops, salons, and tattoo studios as low-threshold, socially safe settings where distress may be recognized and voiced before reaching a crisis point. Embedding proportionate training, reflective supervision, and clear referral pathways into such everyday spaces offers a scalable and culturally congruent approach to suicide prevention for men.","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"20 1","pages":"15579883251410534"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12811575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145987774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Indirect Associations of Perceived Stress and Sleep Quality in the Relationship Between Andropause Symptoms and Quality of Life Among Middle-Aged Men: A Cross-Sectional Study. 中年男性男性更年期症状与生活质量之间的间接关联：一项横断面研究

IF 2.4 4区医学

American Journal of Men's Health Pub Date : 2026-01-01 Epub Date: 2026-01-16 DOI: 10.1177/15579883251412966

Jisu Lee, Hye-Ja Park

{"title":"Indirect Associations of Perceived Stress and Sleep Quality in the Relationship Between Andropause Symptoms and Quality of Life Among Middle-Aged Men: A Cross-Sectional Study.","authors":"Jisu Lee, Hye-Ja Park","doi":"10.1177/15579883251412966","DOIUrl":"10.1177/15579883251412966","url":null,"abstract":"This study examined the associations between andropause symptoms, perceived stress, and sleep quality, and determined the indirect pathway of perceived stress and sleep quality in the relationship between andropause symptoms and quality of life (QoL) among middle-aged men. This cross-sectional study employed a quantitative mediation analysis design. In total, 186 middle-aged men completed questionnaires, including the Androgen Deficiency in Aging Males Scale, Perceived Stress Scale, Pittsburgh Sleep Quality Index, and World Health Organization Quality of Life. Data were analyzed using binary logistic regression, Baron and Kenny mediation analysis, and Hayes PROCESS macro. In total, 83.3% of the participants screened positive for andropause symptoms, and 58.6% reported poor sleep quality. Andropause syndrome and perceived stress were significantly associated with an increased risk of poor sleep quality (odds ratio [OR] = 6.168, 95% confidence interval [CI] = [2.013, 18.896], p = .001; OR = 1.279, 95% CI = [1.159, 1.410], p < .001). Statistical mediation analysis indicated perceived stress and poor sleep quality explained the link between andropause symptoms and QoL (B = -0.033, p < .001; B = -0.060, p < .001; B = -0.052, p < .001). Bootstrapped mediation analysis revealed two significant indirect associations between andropause symptoms and QoL: perceived stress (B = -0.861, 95% CI = [-1.210, -0.514]) and sleep quality (B = -1.566, 95% CI = [-2.054, -1.035]). These findings provide empirical evidence that acute and sustained psychosocial burdens associated with andropause symptoms contribute substantially to a decline in overall well-being and health.","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"20 1","pages":"15579883251412966"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12811583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145987810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Community-Led Social and Emotional Well-being Trial Intervention With First Nations Male Parents in Remote Australian Indigenous Communities. 澳大利亚偏远土著社区第一民族男性父母社区主导的社会和情感健康干预试验。

IF 2.4 4区医学

American Journal of Men's Health Pub Date : 2026-01-01 Epub Date: 2026-02-18 DOI: 10.1177/15579883251365069

Lyndon Reilly, Mick Adams, Alvin Kuowei Tay, Preston Deemal, Byron Diamond, Derrick Silove, Susan J Rees

{"title":"A Community-Led Social and Emotional Well-being Trial Intervention With First Nations Male Parents in Remote Australian Indigenous Communities.","authors":"Lyndon Reilly, Mick Adams, Alvin Kuowei Tay, Preston Deemal, Byron Diamond, Derrick Silove, Susan J Rees","doi":"10.1177/15579883251365069","DOIUrl":"10.1177/15579883251365069","url":null,"abstract":"Australian First Nations men are a specific and neglected demographic group at substantially higher than average risk for mental disorders, trauma, and suicide. A mixed methods investigation, including a randomised, controlled feasibility trial was undertaken into the effectiveness of a First Nations designed and led men's parenting and social and emotional well-being (SEWB) intervention. The aim was to test if the intervention group improved on two validated measures for SEWB, compared with the control group. The SEWB intervention known as Enabling Dads (ED) was conducted in three remote Aboriginal communities in Far North Queensland, Australia, with 68 adult men. Outcome measures included the Indigenous Growth and Empowerment Measure and the Kessler 6 Distress Scale (K6). Before the intervention, no significant differences were found between the control and intervention groups for any variables, indicating that the groups were comparable at baseline. Post-intervention, the ED intervention group showed notably but not significantly higher scores on theoretically germane items including feeling more energetic, having a sense of belonging in the community, more confidence, feeling centred and focused, and experiencing less anger compared to the control group. Qualitative data with the intervention group provided confirmatory and new insights that strengthen the quantitatively indicated benefits that men gained from the ED program. The conclusion is that a group-based parenting intervention for First Nations dads may improve important indicators of their SEWB.","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"20 1","pages":"15579883251365069"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12925011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146218351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Infant Sleep Behavior Practices and Knowledge of Fathers: An Exploratory and Descriptive Study. 婴儿睡眠行为实践与父亲知识：一项探索性和描述性研究。

IF 2.4 4区医学

American Journal of Men's Health Pub Date : 2026-01-01 Epub Date: 2026-02-27 DOI: 10.1177/15579883261427173

Levi Funches, James E Slaven, Nancy Swigonski

{"title":"Infant Sleep Behavior Practices and Knowledge of Fathers: An Exploratory and Descriptive Study.","authors":"Levi Funches, James E Slaven, Nancy Swigonski","doi":"10.1177/15579883261427173","DOIUrl":"10.1177/15579883261427173","url":null,"abstract":"Sudden unexpected infant death (SUID) is a term for any sudden death occurring under 1 year of age. SIDS (sudden infant death syndrome) is the sudden death of an infant that is unexplained after an investigation and often occurs during sleep or in the infant sleep area. In Indianapolis, 130 infants died in 2022 before their first birthday, and 17% were from SUIDs. Fathers' understanding of infant safe-sleep knowledge and behaviors is mostly unknown. This study aims to describe fathers' infant safe-sleep knowledge and behaviors. Study participants were recruited via promotional flyers from 2019 to 2024. Volunteers completed a survey on their infant safe-sleep knowledge and behaviors. Responses were entered via secure, web-based data-collection tool either directly by QR code accessible survey or manually by the research team. Frequency and comparative analyses were performed, and results described. Eighty-five fathers completed the survey. The lowest reported knowledge for safe-sleep practices was for breastfeeding, and wearable blankets being protective against SUID. A smaller percentage of fathers reported their baby never slept in the same bed as someone else and similarly reported never placing their baby to sleep in an adult bed. Fewer fathers correctly reported practicing room-sharing and pacifier usage. Interactive learning geared toward male caregivers on AAP recommendations for preventing sleep-related deaths is key. Focusing efforts with fathers on the risk of soft bedding, benefit of breastfeeding, pacifier usage, and room-sharing will be important to lowering SUID rates and helping men in their role as fathers.","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"20 1","pages":"15579883261427173"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12950853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147300818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Gum Acacia as a Novel Therapeutic Agent for Male Infertility: What Does the Evidence Say? 金合欢作为一种新的男性不育症治疗剂：证据是什么？

IF 2.4 4区医学

American Journal of Men's Health Pub Date : 2026-01-01 Epub Date: 2026-02-12 DOI: 10.1177/15579883261420406

Amir Masoud Firouzabadi

{"title":"Gum Acacia as a Novel Therapeutic Agent for Male Infertility: What Does the Evidence Say?","authors":"Amir Masoud Firouzabadi","doi":"10.1177/15579883261420406","DOIUrl":"10.1177/15579883261420406","url":null,"abstract":"Male fertility has declined markedly in recent decades, with reductions in sperm count, motility, and quality posing a growing global concern. Among the multifactorial causes, oxidative stress plays a central role by disrupting redox balance, damaging sperm DNA, impairing membrane integrity, and reducing motility. Natural antioxidants, particularly plant-derived bioactives, have gained significant attention as potential modulators of male reproductive health. Gum Acacia (GA), a dried exudate obtained mainly from Acacia senegal and Acacia seyal, is a highly branched arabinogalactan-rich polysaccharide with excellent solubility, biocompatibility, and bioactivity. Preclinical studies suggest that GA exerts protective effects on testicular function by reducing oxidative stress, modulating inflammation, inhibiting apoptosis, and improving metabolic and hormonal profiles, including testosterone and luteinizing hormone. GA has also shown promise in mitigating reproductive damage caused by diabetes, chemotherapy, and environmental toxins, as well as enhancing semen cryopreservation as a plant-based alternative to conventional extenders. Despite these encouraging findings, evidence remains limited, fragmented, and largely restricted to animal studies, with human data virtually absent. This review critically appraises current experimental and biomedical evidence on GA as a modulator of male fertility, highlights potential mechanisms of action, and identifies key knowledge gaps. Findings indicate that GA could emerge as a safe, accessible, and cost-effective adjunct for improving male reproductive outcomes, warranting further investigation in standardized and clinically oriented studies.","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"20 1","pages":"15579883261420406"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12901913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146163507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Epigenetic Disruption as a Molecular Signature in Idiopathic Nonobstructive Azoospermia. 表观遗传破坏作为特发性非阻塞性无精子症的分子特征。

IF 2.4 4区医学

American Journal of Men's Health Pub Date : 2025-11-01 Epub Date: 2025-11-17 DOI: 10.1177/15579883251389793

Amir Masoud Firouzabadi, Samaneh Harimi, Parisa Heydari, Farangis Demehri, Seyyed Amir Hossein Mirghanizadeh Bafghi, Farzaneh Fesahat

{"title":"Epigenetic Disruption as a Molecular Signature in Idiopathic Nonobstructive Azoospermia.","authors":"Amir Masoud Firouzabadi, Samaneh Harimi, Parisa Heydari, Farangis Demehri, Seyyed Amir Hossein Mirghanizadeh Bafghi, Farzaneh Fesahat","doi":"10.1177/15579883251389793","DOIUrl":"10.1177/15579883251389793","url":null,"abstract":"Idiopathic nonobstructive azoospermia (iNOA) is defined as the absence of sperm in the ejaculate with no identifiable cause after thorough physical, hormonal, and genetic evaluations. This study aimed to investigate the differential gene expression of key epigenetic regulators-DNA methyltransferase (DNMT) 1 (DNMT1), DNMT3A, DNMT3B, and Zinc Finger CCHC-Type Containing 13 (ZCCHC13)-in patients with iNOA compared with those with obstructive azoospermia (OA). Sixty infertile men diagnosed with azoospermia were equally divided into iNOA (case group) and OA (control group). Participants with iNOA were further subdivided into iNOA⁺ (successful sperm retrieval, n = 10) and iNOA⁻ (unsuccessful retrieval, n = 20) based on microdissection testicular sperm extraction (micro-TESE) outcomes. The relative expression of DNMT1, DNMT3A, DNMT3B, and ZCCHC13 was analyzed in testicular tissue samples using quantitative real-time PCR. Expression levels of DNMT1 and ZCCHC13 were significantly lower in the iNOA group compared with OA (p = .01), while DNMT3B expression was significantly higher in iNOA, particularly in the iNOA⁻ subgroup (p < .0001). Receiver operating characteristic (ROC) analysis revealed DNMT3B had the highest diagnostic accuracy (AUC = 0.84, p < .0001), followed by ZCCHC13 (Area under the curve (AUC) = 0.69) and DNMT1 (AUC = 0.68). Our findings indicate that epigenetic dysregulation contributes to impaired spermatogenesis in iNOA, which can be molecularly distinguished from OA. Epigenetic biomarkers such as DNMT3B and ZCCHC13 may offer reliable diagnostic tools for idiopathic cases of azoospermia and serve as potential targets for future epigenetic therapies.","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"19 6","pages":"15579883251389793"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12623614/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145538182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

15 Years of the National Policy for Comprehensive Men's Health Care in Brazil: Perception of Strengths and Opportunities. 巴西男子综合保健国家政策的15年：对优势和机会的认识。

IF 2.4 4区医学

American Journal of Men's Health Pub Date : 2025-11-01 Epub Date: 2025-12-09 DOI: 10.1177/15579883251368315

Nilo Manoel Pereira Vieira Barreto, Jeferson Santos Araújo, Delmar Teixeira Gomes, Andrey Ferreira da Silva, Aurea Christina de Paula Corrêa, Álvaro Francisco Lopes de Sousa, Rosseirys Noelia De La Rosa, Johis Ortega, Álvaro Pereira, Anderson Reis de Sousa

{"title":"15 Years of the National Policy for Comprehensive Men's Health Care in Brazil: Perception of Strengths and Opportunities.","authors":"Nilo Manoel Pereira Vieira Barreto, Jeferson Santos Araújo, Delmar Teixeira Gomes, Andrey Ferreira da Silva, Aurea Christina de Paula Corrêa, Álvaro Francisco Lopes de Sousa, Rosseirys Noelia De La Rosa, Johis Ortega, Álvaro Pereira, Anderson Reis de Sousa","doi":"10.1177/15579883251368315","DOIUrl":"10.1177/15579883251368315","url":null,"abstract":"This study aims to evaluate the strengths, opportunities, and facilitators in the implementation of the National Policy for Comprehensive Men's Health Care (PNAISH) in Brazil in response to user demands. A mixed-method approach was applied to residents across Brazil between April and July 2024 through a web survey using a semi-structured questionnaire addressing sociodemographic characteristics, engagement, and critiques of the PNAISH. The qualitative analysis employed the Collective Subject Discourse method. A total of 144 individuals participated, primarily young cisgender men, with 80.5% holding postgraduate degrees and 75.7% engaged in male health initiatives. Progress has been observed in the implementation of the PNAISH, particularly in primary care, yet challenges persist regarding policy dissemination and managerial involvement. Most respondents (77.8%) recognized strengths and facilitators in PNAISH, with 43.8% reporting its implementation at both state and municipal levels. Qualitative narratives revealed that participants perceive PNAISH as a strategic opportunity not only to engage men in preventive care but also to foster reflection on masculinities, self-care, and health promotion. Many highlighted that the policy helps to overcome cultural stigmas that traditionally distance men from health services, especially through educational actions and intersectoral strategies. While the policy has advanced access and male participation in health services, structural barriers and limited visibility still constrain its broader impact and effective engagement.","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"19 6","pages":"15579883251368315"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12696301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Window of Opportunity to Address the Critical Issue of U.S. Male Longevity and Disease Burden Gaps: A Call for U.S. Federal Oversight. 解决美国男性寿命和疾病负担差距这一关键问题的机会之窗：呼吁美国联邦监管。

IF 2.4 4区医学

American Journal of Men's Health Pub Date : 2025-11-01 Epub Date: 2025-12-06 DOI: 10.1177/15579883251400718

Salvatore J Giorgianni, Ronald K Henry

引用次数: 0