American Journal of Men's Health最新文献

{"title":"Sialic Acids and Tetraspanins: An Insight into their Potential as Indicators of Human Sperm Quality.","authors":"Katarína Michalková, Petra Sečová, Jana Jankovičová, Ľubica Horovská, Žaneta Dzurillová, Michal Ješeta, Jana Antalíková","doi":"10.1177/15579883261420405","DOIUrl":"10.1177/15579883261420405","url":null,"abstract":"<p><p>Since routine sperm analysis cannot detect molecular-level defects, efforts continue to find additional markers for selecting the \"highest quality\" sperm. This study analyzes ejaculates from normozoospermic and non-normozoospermic men, including teratozoospermics (T), asthenoteratozoospermics (AT), and oligoasthenoteratozoospermics (OAT), by two approaches. The first is distribution of sialic acid residues, molecules critical for sperm migration and survival in female reproductive tract, using lectins with distinct binding specificities (SNA I, MAL I, WGA). The second is the localization of membrane proteins, tetraspanins (CD9, CD63, CD81, CD151), which are involved in regulation of numerous cellular processes. Flow cytometry showed no significant differences in overall lectin positivity between diagnostic groups. However, in relation to sperm viability based on propidium iodide (PI) staining, SNA I binding was significantly higher in PI-low sperm across all groups. MAL I labeling increased in PI-intermediate and PI-high sperm, particularly in T and OAT ejaculates. WGA positivity decreased in the viable sperm of non-normozoospermic groups. Immunofluorescence analysis revealed tetraspanins in a subset of spermatozoa in both groups, most frequently in the acrosome and/or equatorial region, the primary site of sperm-egg fusion. Our results suggest that lectin-staining combined with PI could provide valuable insights into sperm status. SNA I and MAL I-based analysis could support early detection of potentially poor-quality sperm, that is, negative selection.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"20 1","pages":"15579883261420405"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12925008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146257110","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}

{"title":"Effects of Carbohydrate Combined with Caffeine on the Sports Performance of Basketball Players.","authors":"XiaoDong Cheng, Naichun Ji, Liangzhi Zhang, Weilong Zhu, Bao Jia","doi":"10.1177/15579883251412111","DOIUrl":"10.1177/15579883251412111","url":null,"abstract":"<p><p>The purpose of this study is to investigate the effects of combined carbohydrate (CH) and caffeine (CAF) supplementation on the sports performance of basketball players. A randomized crossover controlled experimental design was employed. A total of 32 collegiate-level basketball players were randomly assigned to one of the four groups: placebo (PLA), CH (30 g/h glucose solution) group, CAF (3 mg/kg body mass) group, and CH + CAF (combined intervention) group. Participants underwent a series of tests, including the countermovement jump (CMJ), 20-m sprint (20 m), change-of-direction and acceleration test (CODAT), Yo-Yo intermittent recovery test level 1 (Yo-Yo), free throw (FT) test, and straight-line dribbling speed (SLDS) test. Heart rate (HR) and blood lactic acid (BLA) levels were also monitored during the tests. The results revealed that, in the CMJ, 20 m, and CODAT tests, the CAF and CH + CAF groups outperformed the PLA group significantly (<i>p</i> < .05). In the Yo-Yo test, both the CH and CH + CAF groups demonstrated significantly better performance compared with the PLA group (<i>p</i> < .01). However, no significant differences were observed among the groups in the FT and SLDS tests (<i>p</i> > .05). Notably, the BLA levels in the CAF group were significantly higher than those in the PLA and CH groups 1-min postexercise (<i>p</i> < .05), and also significantly higher than in the CH + CAF group (<i>p</i> < .01). Three min after exercise, BLA levels in both the CH + CAF and PLA groups increased significantly (<i>p</i> < .05), with the CH + CAF group showing a greater increase compared with the CH group (<i>p</i> < .01). During exercise, the HR in the CH group was significantly lower than in the PLA group (<i>p</i> < .01), while the HR in the CAF group was significantly higher than in the PLA group (<i>p</i> < .01). Furthermore, the HR in the CH group was significantly lower compared with the CAF group (<i>p</i> < .01), and the HR in the CH + CAF group was significantly higher than in the CAF group (<i>p</i> < .01). After exercise, the HR in the CH group remained significantly lower than in the CAF group (<i>p</i> < .01). In conclusion, the combined supplementation of CH + CAF can effectively improve the overall sports performance of basketball players, with a certain recovery effect on physiological responses, but has no significant impact on professional skills. Overall, joint supplementation has not shown significant synergistic effects, but it can still be used as one of the nutritional strategies, with flexible selection of usage based on actual needs.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"20 1","pages":"15579883251412111"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12861393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146091649","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}

{"title":"The Personal and Social Determinants with Men's Age During Their First Transition to Fatherhood: A Case Study From Mashhad, Iran.","authors":"Mohammad Ali Kianfard, Sedigheh Shariat Moghani, Fatemeh Goldani Moghaddam, Mohammad Hassan Rashidpour, Marjan Naderpour","doi":"10.1177/15579883251408366","DOIUrl":"10.1177/15579883251408366","url":null,"abstract":"<p><p>Deciding when to become a father for the first time is shaped by personal and social factors, yet little is known about the determinants of men's age at first childbearing. This study examines the key personal and social predictors with men's age during their first transition to fatherhood. This descriptive-analytical, cross-sectional study examined 290 men who, with their wife's first pregnancy, were referred to health centers in Mashhad, Iran for pregnancy care in 2023. Cluster sampling was used. The data-collection tools included the Enrich Marital Satisfaction questionnaire, the Quality of Life questionnaire, the Multidimensional Scale of Perceived Social Support, the Snyder Hope Scale, and demographic characteristics. The outcome variable of interest is the age of the men. Data analysis was done using univariate and multiple linear regression models in SPSS 26, with statistical significance set at <i>p</i> < .05. A total of 290 men who became fathers for the first time participated in the study, with a mean age of 29.73 years and a standard deviation of 6.28 years. Among the variables included in the multiple linear regression analysis, the indicators of marital satisfaction (<i>p</i> = .001), marriage span (<i>p</i> = .001), occupation levels (<i>p</i> < .05), some economic status levels (<i>p</i> < .05), and the person who decides the number of children (<i>p</i> = .008) had a significant effect on men during their first transition to fatherhood. The duration of marriage, marital satisfaction, and economic factors are determinants during men's first transition to fatherhood. Governments and policymakers should include men in education and fertility planning by providing them with appropriate solutions.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"20 1","pages":"15579883251408366"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12779897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145910017","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}

{"title":"Lived Experiences of Men Working in Both White-Collar and Blue-Collar Jobs: A Systematic Literature Review.","authors":"Pius Omolewa, John Bressan, Nassrine Noureddine, Adekemi Adedipe","doi":"10.1177/15579883251414638","DOIUrl":"10.1177/15579883251414638","url":null,"abstract":"<p><p>The objective of this systematic review was to identify, appraise, and meta-synthesize qualitative evidence regarding the experiences and perceptions of men in both white-collar and blue-collar jobs. The systematic review of qualitative studies searches was conducted in MEDLINE, Scopus, EBSCohost, ProQuest, CINAHL, and PsycINFO of articles published between 2005 and 2025 to ensure information is current and relevant to modern practices and to analyze trends and the evolution of a research field over a significant period of 20 years. In total, 2,074 articles were identified, and after screening using the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines, 12 studies were included in the review. The search strategy included a combination of Smart Texting searching of the three main concepts being examined in this review (experience/perception, pressure at work, and coping strategies). Study quality was evaluated using the Critical Appraisal Skills Program tool. Qualitative data were analyzed using a meta-ethnographic approach, comprising reciprocal syntheses of participants' experiences in both white-collar and blue-collar jobs. A lines-of-argument synthesis is presented that identified the key elements of the experiences, perceptions, work environments, and coping strategies of men in white-collar and blue-collar jobs. This systematic review used meta-ethnographic approach to synthesize qualitative evidence regarding the experiences and perceptions of men in both white-collar and blue-collar jobs. The lack of trust together with hegemonic masculinity made it difficult for men to timely communicate and seek help for any prevailing problems. The societal concept that categorizes men as strong gender has not been helpful to the physical, mental, and psychological wellbeing of men.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"20 1","pages":"15579883251414638"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12804650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145964618","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}

{"title":"A Comparison of Fear of Childbirth and Attitudes Toward Participation in Birth in Expectant Fathers With Primiparous and Multiparous Partners.","authors":"Kaplan Dogan E","doi":"10.1177/15579883251414637","DOIUrl":"10.1177/15579883251414637","url":null,"abstract":"<p><p>Expectant fathers who struggle to cope with the fear of childbirth often develop negative attitudes toward attending birth. This study aimed to compare fear of childbirth and attitudes toward participation in birth among expectant fathers with primiparous and multiparous partners. The researchers conducted this prospective comparative study with 142 expectant fathers, including 70 fathers with primiparous partners and 72 fathers with multiparous partners. The study used a Personal Information Form, the Fathers' Fear of Childbirth Scale (FFCS), and the Attitude Scale Toward Participation in Birth for Father Candidates (ASTPBFC) to collect data. Fathers with primiparous partners reported significantly higher levels of fear of childbirth than fathers with multiparous partners <b>(</b><i>p</i> <b>< .05).</b> In addition, fathers with multiparous partners demonstrated more positive attitudes toward attending birth than fathers with primiparous partners <b>(</b><i>p</i> <b>< .05).</b> Age explained 22.20% of the variance in the positive emotions subdimension of the ASTPBFC among fathers with primiparous partners and 34.99% among fathers with multiparous partners. Overall, fathers reported moderate levels of fear of childbirth, with first-time fathers experiencing higher fear than fathers with multiparous partners. Fathers with primiparous partners also showed more negative attitudes toward participation in birth. Furthermore, increasing fear of childbirth negatively affected fathers' attitudes toward attending birth.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"20 1","pages":"15579883251414637"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12881308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146130993","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}

{"title":"Perceived Environment and HIV Sexual Risk Behaviors Among Male Migrants Under Gender Imbalance in China: Does Sex With Online Partner Play a Mediating Role?","authors":"Ying Wang, Hui Wang, Tolulope Ariyo, Huijun Liu","doi":"10.1177/15579883261427174","DOIUrl":"10.1177/15579883261427174","url":null,"abstract":"<p><p>The large-scale migration and significant gender imbalance over the decades are expected to elevate HIV sexual risk behaviors substantially in China. However, the mechanisms underlying these behaviors among male migrants in the context of gender imbalance remain poorly understood. This study explores the relationship between perceived environmental factors and HIV sexual risk behaviors, as well as the mediating role of sex with online partners. The data used in this study were obtained from a 2017 cross-sectional survey of 870 male migrants. We found that both peer norms and neighborhood characteristics were associated with sexual risk behaviors among male migrants. Furthermore, sex with online partners was a significant mediator, explaining 22.50% and 20.13% of the associations between peer norms, neighborhood characteristics, and HIV sexual risk behaviors. Notably, the mediating effect was only significant for unmarried male migrants, not for married migrant males. The findings suggest that sex with online partners plays an important role in unmarried male migrants' HIV sexual risk behaviors and that further prevention and intervention should enhance internet-based sex education.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"20 1","pages":"15579883261427174"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12950855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147315895","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}

{"title":"Effect of Mindfulness Intervention on Cognition and Emotion in Table Tennis College Athletes: A Randomized Controlled Trial.","authors":"Lei Qian, HuiDi Wei, Tao Zhu, An Wen, Wu Wen","doi":"10.1177/15579883251408399","DOIUrl":"10.1177/15579883251408399","url":null,"abstract":"<p><p>Mindfulness (Mind) intervention as a psychological treatment is adopted in the sports field, its effect during competition has not been fully explored yet. This study examined the impact on cognitive performance following laboratory-controlled mindfulness intervention lasting 16 weeks. In a single-blind randomized crossover design, 90 college table tennis athletes meeting inclusion criteria were randomly assigned to either a control (Con) group or a mindfulness (Mind) group. The Mind group underwent a 16-week mindfulness intervention (8 minutes/session, 4 sessions/week) after training, while the Con group continued with life-as-usual at that time. Cognition, cerebral oxygenation, emotion state, salivary cortisol, and mental fatigue were measured at baseline (pretest) and post-intervention (posttest). Long-term mindfulness intervention significantly improved cognitive performance, e.g., attention concentrativeness, attention span, distractibility, instantaneous memory, short-term memory, long-term memory, supported by eliciting increased oxyhemoglobin concentration in the left and right medial prefrontal cortex (mPFC). A better emotional state and a lower mental fatigue level as well as lower cortisol concentration were observed in the Mind group than in the Con group after the intervention at posttest. A 16-week mindfulness intervention can improve emotional state, reduce subjective fatigue, improve cognition and increase cerebral oxygenation. In general, mindfulness training is recommended for table tennis athletes during competition.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"20 1","pages":"15579883251408399"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12925001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146257108","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}

{"title":"Feasibility of Recruitment, Perceived Genetic Risk and Susceptibility Beliefs, and Saliva Sample Collection in a Community-Based Prostate Cancer Genetic Risk Pilot Study.","authors":"Carol Boxtha, Samaa El-Kolalli, Justin Denis, Ashley O'Neil, Susan T Vadaparampil, Rania Abdulla, Hyun Park, Jong Y Park, Clement K Gwede","doi":"10.1177/15579883251410526","DOIUrl":"10.1177/15579883251410526","url":null,"abstract":"<p><p>While prostate-specific antigen (PSA) testing can reduce mortality, there is potential for over-detection of indolent prostate cancer that would never become clinically important. Thus, research is needed to understand individual genetic risk profiles among unaffected men to help guide personalized PSA screening. This pilot study explored recruitment outcomes, genetic risk perceptions, and willingness to provide a biospecimen (saliva sample) for prostate cancer genetic risk testing among unaffected men. Recruitment approaches included: (1) active (in-person) recruitment that entailed face-to-face communications with men at different community settings, such as health fairs, senior centers, and barbershops and (2) passive (contactless) recruitment-flyers posted at various community locations, such as libraries and laundromats, and online including Facebook pages and other social media. Consenting participants completed a structured questionnaire and provided a saliva sample. A total of 154 individuals were reached and 100 consented (62 of whom were Black). In-person recruitment was associated with higher enrollment. Participants reported high genetic susceptibility beliefs in terms of perceived lifetime risk and comparative risk. Black males reported greater perceived risk compared with white men, but saliva sample return was comparable (89% and 90%, respectively). Overall, the saliva sample return rate was 85%, with an in-person return rate of 95%, and a mail return rate of 69%. This pilot study demonstrated high feasibility of enrollment, high perceived genetic risk and willingness to submit a saliva sample for prostate cancer genetic risk testing. Multimodal approaches are beneficial to reach racially diverse participants in various community settings.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"20 1","pages":"15579883251410526"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12783552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145931451","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}

{"title":"Is it Erectile Dysfunction or a Mental-Health Challenge? Insights From Psychologists.","authors":"Sweetbert Mugizi Anselimus, Vincent Jalang'o Cosmas","doi":"10.1177/15579883261424739","DOIUrl":"10.1177/15579883261424739","url":null,"abstract":"<p><p>Erectile dysfunction (ED) is increasingly recognized as a multidimensional condition in which psychological, relational, and sociocultural processes intersect with biological factors. While international research has documented strong links between ED and mental health, especially depression, anxiety, and stress, limited evidence exists on how these dynamics are understood within sub-Saharan African contexts. This study explores how psychologists in Tanzania conceptualize and respond to ED among adult male clients, with attention to the psychological, cultural, and relational factors that shape its presentation and management. A qualitative phenomenological design was employed to capture practitioners' lived experiences and interpretive frameworks. Twelve (12) psychologists working in public and private facilities were purposively sampled based on their direct experience with clients presenting ED alongside mental-health concerns. Data were analyzed thematically following Braun and Clarke's approach. Findings reveal that psychologists view ED as strongly intertwined with mental-health conditions, especially depression, performance anxiety, chronic stress, and low self-worth. Participants emphasized a bidirectional cycle in which psychological distress precipitates erectile difficulties, while ED intensifies emotional suffering and relationship strain. Cultural scripts of masculinity, expectations of male sexual competence, and stigma surrounding emotional vulnerability further shape help-seeking behavior and therapeutic engagement. Psychologists reported employing biopsychosocial formulations, psychosexual assessment, cognitive-behavioral interventions, couple therapy, and psychoeducation as central components of care. The study demonstrates that ED in Tanzania is a masked mental-health presentation requiring integrative, culturally informed psychological responses. Strengthening psychosexual services, embedding mental-health screening in sexual health settings, and addressing masculinity-related stigma are critical for improving men's sexual and psychological wellbeing.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"20 1","pages":"15579883261424739"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12949293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147300848","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}

{"title":"Engaging and Recruiting Black Men With Stroke or TIA in a Randomized Clinical Trial Conducted: Addressing Research Barriers and Developing Solutions for Successful Engagement.","authors":"Martha Sajatovic, Carolyn H Still, Beth Lute, Jacqueline Krehel-Montgomery, Jessica Surdam, Edna Fuentes-Casiano, Jacquelyn Whitlow, Carla Conroy, Michaela Broadnax, Shirley Moore, Sophia Sundararajan","doi":"10.1177/15579883261424111","DOIUrl":"10.1177/15579883261424111","url":null,"abstract":"<p><p>This report describes implementation of a clinical trial testing a behavioral approach to reduce stroke risk factors in Black men with stroke or transient ischemic attack (TIA). A survey of research team members identified macro-, mediator-, and micro-level barriers and facilitators to research engagement and participation and identified approaches to address these barriers. Not being aware of the study was the key macro-level barrier. The team used multiple methods of outreach to inform participant candidates including in-person and virtual community events. Key mediator-level barriers were lack of phone and transportation access, and clinicians not referring patients. A multi-pronged strategy was employed, including in-person meetings (for those who lived in the region) often at locations that were accessible to men in their neighborhoods. To help with transportation challenges the team provided ride-share services, bus fare or parking vouchers. At the micro-level, the team also used multiple approaches to help participants manage barriers related to stress or family life circumstances and acute or chronic health conditions. Being able to conduct assessments remotely was critical to being able to reach this community of men who often had significant functional impairments, such as difficulty walking or in speech fluency because of the effects of stroke. When possible, staff encouraged the involvement of care partners. Successful research outreach and engagement addresses barriers at the macro-, mediator-, and micro-levels, and use mixed-method (in-person + virtual) approaches targeted to the specific challenges individuals may be facing.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"20 1","pages":"15579883261424111"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12932872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147281796","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}