Limits...
Malaysian primary care doctors' views on men's health: an unresolved jigsaw puzzle.

Tong SF, Low WY, Ismail SB, Trevena L, Willcock S - BMC Fam Pract (2011)

Bottom Line: Understanding attitudes towards men's health among Malaysian primary care doctors is important for the effective delivery of health services to men.There was wide variation in understanding and opposing attitudes towards men's health among primary care doctors.Creating awareness and having a systematic approach would facilitate PCDs in delivering health service to men.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Family Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia. ston1073@uni.sydney.edu.au

ABSTRACT

Background: Men have been noted to utilise health care services less readily then women. Primary care settings provide an opportunity to engage men in health care activities because of close proximity to the target group (men in the community). Understanding attitudes towards men's health among Malaysian primary care doctors is important for the effective delivery of health services to men. We aimed to explore the opinions and attitudes of primary care doctors (PCDs) relating to men's health and help-seeking behaviour.

Methods: A qualitative approach to explore the opinions of 52 PCDs was employed, using fourteen in-depth interviews and eight focus group discussions in public and private settings. Purposive sampling of PCDs was done to ensure maximum variation in the PCD sample. Interviews were recorded and transcribed verbatim for analysis. Open coding with thematic analysis was used to identify key issues raised in the interview.

Results: The understanding of the concept of men's health among PCDs was fragmented. Although many PCDs were already managing health conditions relevant and common to men, they were not viewed by PCDs as "men's health". Less attention was paid to men's help-seeking behaviour and their gender roles as a potential determinant of the poor health status of men. There were opposing views about whether men's health should focus on men's overall health or a more focused approach to sexual health. There was also disagreement about whether special attention was warranted for men's health services. Some doctors would prioritise more common conditions such as hypertension, diabetes and hypercholesterolaemia.

Conclusions: The concept of men's health was new to PCDs in Malaysia. There was wide variation in understanding and opposing attitudes towards men's health among primary care doctors. Creating awareness and having a systematic approach would facilitate PCDs in delivering health service to men.

Show MeSH

Related in: MedlinePlus

Semi-structured interview guide used for both focus group discussions and in-depth interviews.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3117703&req=5

Figure 1: Semi-structured interview guide used for both focus group discussions and in-depth interviews.

Mentions: FGD provides an opportunity for doctors to exchange ideas and stimulate further thoughts beyond their own original ideas, IDI allows expression of views that the participant may not want to reveal in the presence of their peers [33]. All FGDs and IDIs were moderated and conducted by SF. All sessions were conducted in English because English is the common language in the medical fraternity in Malaysia. Sessions were guided by semi-structured questions to stimulate discussion. (Figure 1) The questions were compiled to address the study objectives and were derived from the literature. All questions were open-ended, starting with "What is your understanding of men's health?" Free-flowing discussion was encouraged to gain unrestricted opinions on the topic of interest. Participants were briefed about ground rules to ensure confidentiality and the objectives of the study. It was emphasised that the discussion was not meant for assessment. The participants in the FGDs were kept to similar training backgrounds to avoid intimidating situations between the primary care doctors with post-graduate training and junior primary care doctors. Consent was sought for audio-recording before each IDI and FGD. A note taker assisted all FGDs to help with recording and taking note of who was conversing. All sessions were audio-taped and subsequently transcribed verbatim for analysis.


Malaysian primary care doctors' views on men's health: an unresolved jigsaw puzzle.

Tong SF, Low WY, Ismail SB, Trevena L, Willcock S - BMC Fam Pract (2011)

Semi-structured interview guide used for both focus group discussions and in-depth interviews.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3117703&req=5

Figure 1: Semi-structured interview guide used for both focus group discussions and in-depth interviews.
Mentions: FGD provides an opportunity for doctors to exchange ideas and stimulate further thoughts beyond their own original ideas, IDI allows expression of views that the participant may not want to reveal in the presence of their peers [33]. All FGDs and IDIs were moderated and conducted by SF. All sessions were conducted in English because English is the common language in the medical fraternity in Malaysia. Sessions were guided by semi-structured questions to stimulate discussion. (Figure 1) The questions were compiled to address the study objectives and were derived from the literature. All questions were open-ended, starting with "What is your understanding of men's health?" Free-flowing discussion was encouraged to gain unrestricted opinions on the topic of interest. Participants were briefed about ground rules to ensure confidentiality and the objectives of the study. It was emphasised that the discussion was not meant for assessment. The participants in the FGDs were kept to similar training backgrounds to avoid intimidating situations between the primary care doctors with post-graduate training and junior primary care doctors. Consent was sought for audio-recording before each IDI and FGD. A note taker assisted all FGDs to help with recording and taking note of who was conversing. All sessions were audio-taped and subsequently transcribed verbatim for analysis.

Bottom Line: Understanding attitudes towards men's health among Malaysian primary care doctors is important for the effective delivery of health services to men.There was wide variation in understanding and opposing attitudes towards men's health among primary care doctors.Creating awareness and having a systematic approach would facilitate PCDs in delivering health service to men.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Family Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia. ston1073@uni.sydney.edu.au

ABSTRACT

Background: Men have been noted to utilise health care services less readily then women. Primary care settings provide an opportunity to engage men in health care activities because of close proximity to the target group (men in the community). Understanding attitudes towards men's health among Malaysian primary care doctors is important for the effective delivery of health services to men. We aimed to explore the opinions and attitudes of primary care doctors (PCDs) relating to men's health and help-seeking behaviour.

Methods: A qualitative approach to explore the opinions of 52 PCDs was employed, using fourteen in-depth interviews and eight focus group discussions in public and private settings. Purposive sampling of PCDs was done to ensure maximum variation in the PCD sample. Interviews were recorded and transcribed verbatim for analysis. Open coding with thematic analysis was used to identify key issues raised in the interview.

Results: The understanding of the concept of men's health among PCDs was fragmented. Although many PCDs were already managing health conditions relevant and common to men, they were not viewed by PCDs as "men's health". Less attention was paid to men's help-seeking behaviour and their gender roles as a potential determinant of the poor health status of men. There were opposing views about whether men's health should focus on men's overall health or a more focused approach to sexual health. There was also disagreement about whether special attention was warranted for men's health services. Some doctors would prioritise more common conditions such as hypertension, diabetes and hypercholesterolaemia.

Conclusions: The concept of men's health was new to PCDs in Malaysia. There was wide variation in understanding and opposing attitudes towards men's health among primary care doctors. Creating awareness and having a systematic approach would facilitate PCDs in delivering health service to men.

Show MeSH
Related in: MedlinePlus