Population Outcome: Men in Suffolk and North East Essex have Good Health
The best possible mental and physical health for men and gender and sexual minorities is essential if everyone in Suffolk and North East Essex is to live well. Understanding and tackling their specific needs and the barriers they face to health and care is vital in ensuring they have the best health outcomes.
Premature and Preventable Mortality Data
- On average, men die 4 years earlier than women. Even today, in the UK one man in five dies before the age of 65
- Men go to the doctor less than women – Men go to the doctor just as much as women once they retire. The big gap is in working age. Men’s Health Forum research shows that a major factor is reluctance to take time off work – particularly for mental health issues
Premature Mortality (Under 75) from All Causes (Male, 3 year range)
|Indicator Name||Area Name||Directly standardised under 75 mortality rate per 100,000 (male)||Count||Better or Worse than England Average|
|Under 75 mortality rate from all causes||Tendring||473.2748||1,127||Worse|
|Under 75 mortality rate from all causes||Ipswich||422.4635||697||Worse|
|Under 75 mortality rate from all causes||East Suffolk||359.3199||1,427||Similar|
|Under 75 mortality rate from all causes||Colchester||358.4912||842||Similar|
|Under 75 mortality rate from all causes||West Suffolk||335.7777||814||Better|
|Under 75 mortality rate from all causes||Babergh||301.4901||445||Better|
|Under 75 mortality rate from all causes||Mid Suffolk||301.0379||502||Better|
- 50-55% of men between the ages of 40 and 70 years old suffer from Erectile Dysfunction (ED) – One in ten men will experience ED at some point in their lifetime
- It can be an early warning sign of high blood pressure or cholesterol and diabetes, and has also been linked with increased risks of cardiovascular disease (+43% risk), dementia (+68% risk) – 90% of men with ED have at least one underlying physical cause for their problem
- Men are 67% more likely to die from the common cancers that affect both sexes (other than breast cancer)
- Prostate Cancer – 1 in 6 UK males will be diagnosed with prostate cancer in their lifetime. It accounts for 27% of all new cancer cases in males in the UK, and accounted for 14% of all cancer deaths in males in the UK (2017-2019).
- Incidence rates for prostate cancer are lower in the Asian ethnic group and in people of mixed or multiple ethnicity, but higher in the Black ethnic group, compared with the White ethnic group, in males in England (2013-2017)
- Testicular Cancer – Since the early 1990s, testicular cancer incidence rates have increased by more than a quarter (27%) in males in the UK (2016-2018).
- In recent years the survival rate for testicular cancer is above 95%. Testicular cancer deaths in England are more common in males living in the most deprived areas.
- Circulatory Disease – Men account for 76% of premature deaths from heart disease and majority of those with Type 2 diabetes, but a minority of those having NHS Health Checks
- In the UK, one in eight men die from coronary heart disease
- Ipswich and Tendring have the highest rates of premature mortality from cardiovascular disease – both are higher than the England average with 119.2 per 100,000 and 115.2 per 100,000 respectively
- Men are three times more likely to die from suicide than women – The peak age group for death from suicide is 45-49. There are almost as many deaths from suicide amongst men over the age of 50 as there are for men under 45.
- Males are more likely to respond to stress by taking risks like misusing alcohol.
- Relationship breakdowns – marriage breakdown is more likely to lead men to suicide.
- Emotional literacy – men are less likely to have a positive view of talking therapies.
- Men report lower levels of life satisfaction than women
- research suggests that men who can’t speak openly about their emotions may be less able to recognise symptoms of mental health problems in themselves and less likely to seek support
- Higher rates of suicide are also found in minority communities, including gay men, war veterans, men from BAME backgrounds, and those with low incomes
- Victims of violence – The CSEW estimated that 60% of victims of violence were male, and 1 in 5 victims of ‘Honour Based Abuse’ (where the victim is LGBT – 63% male, or where they have mental capacity concerns – 55% male)
- A study showed that about one in four persons that reported DVA against them to the police were male. National crime surveys suggest that only about 10% of male victims tell the police
The Story Behind the Outcome
Black men's mental health
Men’s Health – Impact of societal expectations
- Higher rates of suicide are found in minority communities, including gay men, war veterans, men from ethnic minority backgrounds, and those with low incomes including middle-aged men with low incomes.
- Men report lower levels of life satisfaction than women (Government’s national well-being survey)
- Men are less likely to access psychological therapies than women: only 36% of referrals to NHS talking therapies
- Men are far more likely than women to go missing, sleep rough, be dependent on alcohol and use drugs frequently.
The All Party Parliamentary Group on issues affecting men and boys points out:
- Men tend to talk about mental health less due to societal expectations and traditional gender roles – to be strong, in control, the breadwinner.
- Men tend to lack of health literacy from an early age, with teenage boys not being supported to understand how their minds and body work, how to deal with their emotions, and how to use health systems.
- Research suggests men who can’t speak openly about emotions are less able to recognise mental health symptoms, talk to friends and family, and seek help.
The Mental Health Foundation recommends support should meet men’s preferences, be easy to access, meaningful and engaging.
References & Further Reading
Community Action Suffolk – Mens Sheds The Suffolk Men’s Sheds project is a network of community spaces operating in various venues, offering different activities.
What we know matters and why
|I can keep well||Convenient access to screening and testing for men’s health conditions and cancers enables me to be diagnosed and treated early.|
|I have access to high quality care||A trauma informed approach means recognising the impact of my life experiences and tailoring support to my needs.|
Supporting me to communicate my symptoms and experiences, means my needs are identified and I am given the right treatment and care.
Flexible care that recognises my gender and sexual identity means I receive the right care, without stereotypes or discrimination.
Care that incorporates my parental and caring responsibilities means I can continue in my role and maintain my closest relationships.
|I have information on men’s health to live well||Access to information and guidance on puberty, men’s health, becoming a parent, and age-related conditions, means I can identify problems early and obtain the right support.|
|I am treated as an individual||Treating me and my family with dignity and respect, recognising my culture, characteristics and life circumstances, means my care and support is inclusive, sensitive and responsive to my needs.|
|I am seen and heard||Understanding and tackling the barriers I face in accessing healthcare means I am confident of being listened to and am diagnosed and treated accurately first time.|
How will things be different in Suffolk and North East Essex
|We will co-produce information for health and care services, schools, workplaces, and community settings on boys’ and men’s health issues and talking more openly about men’s health.||We will co-produce health and care services that meet the specific needs of men and gender and sexual minorities.|
|We will co-produce access to screening and testing that accommodates men’s work and caring responsibilities.||We will review existing health and care services to identify and tackle gender inequalities, including men with other characteristics and living with deprivation and disadvantage.|
|We will ensure health and care staff understand gender and sexual biases, so that care for men and diverse gender identities is sensitive and non-discriminatory.||We will support men and gender and sexual minorities to maintain their health and wellbeing before, while waiting for, during and after treatment to help them stay well and recover well.|