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Married Men More Likely
to Get Health Screenings
Excerpt
By Natalie Engler, Reuter's
Health
BOSTON (Reuters Health)
- Unmarried older men are less likely
to get necessary health screenings than their married peers, according
to a new study of men over age 65 in the UK.
With the number of single men living
alone expected to more than double by 2021, according to the 2002
British census, the problem has potential health implications
for the country, said Dr. Kate Davidson, who presented her findings
here Saturday at Gerontological Society of America's annual meeting.
To examine the link between marriage
and self-reported health, Davidson and her colleague Tom Daly,
both of the University of Surrey in Guilford, England, analyzed
three national databases and interviewed 85 men over age 65.
They found that divorced men and
those who have never been married were less likely to have their
cholesterol and high blood pressure checked routinely.
The divorced and never married
men also reported worse physical and mental health, were more
likely to smoke and were more likely to drink to excess--defined
as consuming more than 22 alcoholic beverages a week.
It is not that the husbands were
better informed, Davis explained in an interview with Reuters
Health. Nearly all of the study participants "know what constitutes
good health," she said. For example, they knew the recommended
alcohol limit per week, were aware of the dangers of smoking,
understood what was meant by a "good diet" and realized they should
exercise.
The difference was that the married
men put that knowledge into practice.
In other words, Davidson said,
their overall health, or at least their perception of it, was
better because their wives "bossed them into" going in for routine
check-ups and screenings.
Davidson explained that while women
routinely visit the doctor--for family planning, pregnancy, or
to take their children to their pediatrician--the men in her study
seemed to consider going to the doctor a "sign of weakness."
They did not want to "give in"
to sickness, she observed, adding that even men on regular medication
for high blood pressure or breathing difficulties didn't want
to admit to seeing a doctor.
In addition to these men, whom
she calls "stoics," she interviewed a large number of "skeptics"
who see physicians as quacks.
One man said he would "rather go
to a vet than see a doctor," she reported. Another likened the
reliability of a physician's diagnosis to that of a weatherman's
predictions.
But doctor avoidance becomes a
vicious circle, Davidson warned. These elderly men postpone making
an appointment until they are sick. They then have negative associations
with the doctor because they only go when they are in pain or
discovering bad news, for example, about their prostate.
They may be too embarrassed to
endure a rectal exam, Davidson noted. "But prostate cancer is
one of the most treatable forms of cancer if caught early."
Speaking with Reuters Health, she
said she does not believe this ostrich mentality is unique to
older men. On the contrary, all generations of men tend to stick
their heads in the sand, she said. "But the neglect is potentially
disastrous for older men because they are more likely to suffer
the consequences," she added.
Reference
Source 89
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