Men's Health in Primary Care PDF
Preview Men's Health in Primary Care
Current Clinical Practice Series Editor: Neil S. Skolnik Joel J. Heidelbaugh Editor Men's Health in Primary Care Current Clinical Practice Series editor Neil S. Skolnik More information about this series at h ttp://www.springer.com/series/7633 Joel J. Heidelbaugh Editor Men’s Health in Primary Care Editor Joel J. Heidelbaugh , MD, FAAFP, FACG Departments of Family Medicine and Urology University of Michigan Medical School Ann Arbor , NY , USA Current Clinical Practice ISBN 978-3-319-26089-1 ISBN 978-3-319-26091-4 (eBook) DOI 10.1007/978-3-319-26091-4 Library of Congress Control Number: 2015960810 Springer Cham Heidelberg New York Dordrecht London © Springer International Publishing Switzerland 2016 T his work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. T he use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specifi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. T he publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Humana Press is a brand of Springer S pringer International Publishing AG Switzerland is part of Springer Science+Business Media (www.springer.com) Acknowledgments For my patients, my students and residents, my mentors, and my colleagues For the advancement of men’s health worldwide With deepest gratitude to my coauthors for their inspiration and contributions And to my family for their love and support v Pref ace What is men’s health? “Guy problems. You know, prostate and genital problems. They die of heart attacks and strokes mostly. Working out at the gym. Oh yeah, some cancers too. And stupid, risky behaviors. Guys like to take chances, and don’t always think about what might happen to them. We should know better. Yeah, that should just about cover it…” [1]. W hile the above answer is quite superfi cial in its scope, it should be widely acknowledged that men on the worldwide arena share the common factor that they are at a higher risk of premature death from the majority of adverse health condi- tions that we would expect to affect men and women equally. Ultimately, men’s health as a subgenre of medicine needs to progress beyond a discussion simply refl ecting morbidity and mortality statistics, urology, and sexual function concerns, to focus on the circumstances that infl uence men to either seek or not seek preven- tive and holistic medical care. In the past decade, the fi eld of men’s health has begun to evolve and gain some modest traction, not simply as an answer to “women’s health,” but more formally to recognize, research, and address medical and social issues predicated upon inherent disparities affecting the male gender. However, creating a distinct fi eld of “men’s health” is still an admirable goal, one that should be multidisciplinary and should focus on the unique biopsychosocial factors that impact the health of men across the life cycle. I n reviewing the currently available primary care and specialty-oriented men’s health-affi liated journals and textbooks, I continue to see a growing need for pri- mary care clinicians to have a multidisciplinary and evidence-based reference guide to the diseases and disorders that affect male patients of all ages, with a comparative epidemiologic focus. Although the majority of references for this target audience on general pediatric and adult medical problems are considered to be comprehensive and up to date, few are specifi cally targeted at those diseases and disorders that unequally affect male patients. Hopefully, future provisions of men’s health will be supported through such legislature as the Affordable Care Act, which should help to improve many parameters of healthcare outcomes in men. vii viii Preface The collection of authors assembled for this textbook represents a cohort of nationally and recognized scholars, clinicians, and researchers, many of whom are the leading experts on their respective topics. They have provided current evidence- based reviews and practice recommendations on best practice strategies to approach common clinical concerns and disorders in men’s health. I would like to sincerely thank all of the authors who donated their extremely valuable time and energy to believe and participate in this textbook project. A very special thanks is given to Patrick Carr and his excellent staff at Springer for their assistance in the production and timely publication of this textbook. I t is my hope that this textbook spawns a broader interest in recognizing and addressing disparities in men’s health and provides a practical reference for learners and clinicians who care for common disorders in male patients across the globe. Best wishes Reference 1. Random male patient interview conducted by editor, when soliciting advice on what to include in a textbook on men’s health, Ypsilanti Health Center, Ypsilanti, Michigan, June 11, 2004. Appears in Heidelbaugh JJ (ed.) Clinical Men’s Health: Evidence in Practice . Philadelphia, PA: Saunders/Elsevier, 2008 Ypsilanti, MI Joel J. Heidelbaugh Ann Arbor, MI Series Editor Introduction A s a practicing primary care physician, I take care of many men who suffer from chronic diseases including hypertension, high cholesterol, diabetes, heart disease, COPD, and BPH. I also have noticed that many men fi rst present to the doctor at the insistence of their spouses, an observation that is not mine alone. While I knew that men have a shorter life expectancy than women, I had not given much thought to the fact that from their fi rst year of life onward, despite many occupational and social advantages when compared to women, men are more likely to die at any given age than their female counterparts. I had not thought a lot about the possibility that this increase in mortality may be partly attributable to behavioral choices and the conse- quent chronic diseases that men suffer from. Like a boy who grows up in the forest and never gives much thought that the trees may simultaneously form and obscure the landscape, I had never thought much about social determinant of men’s health. I had never given direct attention to the distinct interaction between male expecta- tions, stresses, the behavioral choices that are often a by-product of these stresses and expectations, as well as their relation to chronic disease and mortality. I t is seldom, after 30 years in the practice of medicine, to be provoked to think anew about a common problem that infl uences the health of the patients that I take care of each and every day. This book provokes such thought and provides data and the commentary which sheds new light on this common issue. For this, the authors deserve our thanks and attention. Neil Skolnik, MD Professor of Family and Community Medicine Temple University School of Medicine Associate Director Family Medicine Residency Program Abington Memorial Hospital ix
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