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The State of Men's Health in Leeds: Main Report

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The State of Men's Health in Leeds: Main Report The State of Men’s Health in Leeds: Main Report Professor Alan White, Leeds Beckett University Dr. Amanda Seims, Leeds Beckett University Robert Newton, Leeds Beckett University & Leeds City Council 1 To reference this document: White A., Seims A. and Newton R. (2016) The State of Men’s Health in Leeds: Main Report. Leeds: Leeds Beckett University and Leeds City Council. ISBN: 978‐1‐907240‐63‐8 This study was funded by Leeds City Council Acknowledgements We would like to thank the following individuals for their input and feedback and also for their commitment to men’s health in Leeds: Tim Taylor and Kathryn Jeffries Dr Ian Cameron DPH and Cllr Lisa Mulherin The Commissioners James Womack and Richard Dixon ‐ Leeds Public Health intelligence team Professor Steve Robertson and Dr Gary Raine ‐ Leeds Beckett University Professor Robert West, from the University of Leeds, for the factor analysis report 1 Contents Acknowledgements .............................................................................................................................. 1 1 Executive summary .................................................................................................................... 7 1.1 The male population ..................................................................................................................... 7 1.2 Health status ................................................................................................................................. 7 1.2.1 Circulatory disease ............................................................................................................... 7 1.2.2 Cancer ................................................................................................................................... 8 1.2.3 Respiratory ........................................................................................................................... 8 1.2.4 Accidents .............................................................................................................................. 8 1.2.5 Suicide ................................................................................................................................... 8 1.2.6 Diabetes ................................................................................................................................ 8 1.2.7 Mental health ....................................................................................................................... 8 1.3 Lifestyle and preventable risk factors ........................................................................................... 9 1.3.1 Alcohol .................................................................................................................................. 9 1.3.2 Overweight ........................................................................................................................... 9 1.3.3 Smoking ................................................................................................................................ 9 1.3.4 Sedentary lifestyle ................................................................................................................ 9 1.4 Social determinants of men’s health ............................................................................................ 9 1.4.1 Education .............................................................................................................................. 9 1.4.2 Housing ............................................................................................................................... 10 1.4.3 Employment ....................................................................................................................... 10 1.5 Accessing health and lifestyle services ....................................................................................... 10 1.6 Conclusion ................................................................................................................................... 10 2 Introduction ............................................................................................................................. 11 2.1 Aims and objectives of the study ................................................................................................ 12 3 Research approach ................................................................................................................... 13 3.1 Literature review ......................................................................................................................... 13 3.2 The analysis of current policies and practices within the City of Leeds ..................................... 13 3.3 Interviews with key council stakeholders ................................................................................... 13 3.4 Analysis of routinely collected health, socio‐economic and service use data ............................ 13 3.5 Factor analysis report .................................................................................................................. 14 3.6 Limitations ................................................................................................................................... 14 4 Health status of men in Leeds ................................................................................................... 16 4.1 Life expectancy ............................................................................................................................ 16 4.2 Mortality ..................................................................................................................................... 16 4.3 Cardiovascular disease ................................................................................................................ 19 4.4 Cancer ......................................................................................................................................... 20 4.5 Respiratory disease ..................................................................................................................... 21 4.6 Accidents ..................................................................................................................................... 22 2 4.7 Mental health .............................................................................................................................. 23 4.8 Suicide ......................................................................................................................................... 24 4.9 Diabetes ...................................................................................................................................... 24 4.10 Self‐assessment of health ....................................................................................................... 25 5 Understanding men and their health ........................................................................................ 27 5.1 Being born a male ....................................................................................................................... 27 5.2 Growing up as a boy and living as a man .................................................................................... 27 6 Intersectional factors and social determinants that impact on men’s health ............................. 29 6.1 Demographic profile of males in Leeds ...................................................................................... 29 6.1.1 Age ...................................................................................................................................... 29 6.1.2 Ethnicity .............................................................................................................................. 30 6.1.3 Disability ............................................................................................................................. 30 6.1.4 Sexuality ............................................................................................................................. 31 6.2 Social determinants of men’s health .......................................................................................... 31 6.2.1 Educational attainment ...................................................................................................... 31 6.2.2 Housing ............................................................................................................................... 32 6.2.3 Employment ....................................................................................................................... 34 6.2.4 Poverty ............................................................................................................................... 36 6.2.5 Marital status and relationships ......................................................................................... 37 6.3 Other key issues affecting men ................................................................................................... 38 6.3.1 Men as carers ..................................................................................................................... 38 6.3.2 Fatherhood ......................................................................................................................... 39 6.3.3 Ex‐servicemen .................................................................................................................... 39 6.3.4 Offenders ...........................................................................................................................
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