Influence of Psychological and Social Factors in Men’s Preventive Health Behaviors

Authors

DOI:

https://doi.org/10.20435/pssa.v14i4.1862

Keywords:

health behavior, masculinity, prevention, men’s health, mental health

Abstract

Introduction: Men tend to seek less the healthcare system and have lower adherence to preventive treatments, which leads to worse health indicators. This study sought to analyze the influence of psychological and social factors on preventive health behaviors adopted by men. Method: Instruments included the Conformity to Masculine Norms Inventory (CMNI), the Self-Reporting Questionnaire (SRQ), and the Questionnaire of Attitudes and Health Behavior (QACS). A total of 315 adult men from all Brazilian regions participated in the analysis. Results: A linear regression was performed. Respondents who had higher traces of desire for admiration and respect and risky sexual behaviors, as well as greater likelihood of having a mental disorder, having black skin color, and lower educational level, were less likely to adopt preventive health behaviors. Discussion: Risk factors for lower preventive behavior in men were mapped. Conclusion: Psychological and social variables exert a strong influence on men's health behaviors, requiring actions to promote men's health beyond existing public policies in the search for the elaboration of new actions focused on this specific group and theme.

Author Biographies

Giulia Oliveira Falcão-Lima, Universidade Federal de Sergipe (UFS)

Graduanda em Psicologia pela Universidade Federal de Sergipe, São Cristóvão, SE.

Luana Cristina Silva-Santos , Universidade Federal de Sergipe (UFS)

Doutoranda em Psicologia na Universidade Federal de Sergipe. Bolsista de Doutorado CAPES. Mestre em Psicologia Social pela  Universidade Federal de Sergipe, São Cristóvão, SE. Professora do Centro Universitário Estácio de Sergipe, Aracaju, SE.

André Faro, Universidade Federal de Sergipe (UFS)

Doutor em Psicologia pela Universidade Federal de Sergipe (UFS), São Cristóvão, SE. Professor do Programa de Pós-Graduação em Psicologia da UFS.

References

Alsan, M., Stantcheva, S., Yang, D., & Cutler, D. (2020). Disparities in Coronavirus 2019 reported incidence, knowledge, and behavior among US adults. JAMA Network Open, 3(6), 1–12. https://doi.org/10.1001/jamanetworkopen.2020

Asarnow, R. J. (2014). Depression and health risk behaviors: Towards optimizing primary care service strategies for addressing risk. Primary Health Care: Open Access, 4(1), 152–167. https://doi.org/10.4172/2167-1079.1000152.

Beutel, T. F., Zwerenz, R., & Michal, M. (2018). Psychosocial stress impairs health behavior in patients with mental disorders. BMC Psychiatry, 18(375). https://doi.org/10.1186/s12888-018-1956-8

Boas, A. R. S. V., Sousa, A. R., Almeida, E. S., Santos, S. D., Silva, N. S. B., Borges, C. C. L., & Santos, D. G. (2021). Demandas masculinas para o atendimento na atenção primária à saúde. Revisa, 10(3), 551–560. https://doi.org/10.36239/revisa.v10.n3.p551a560

Carneiro, V. S. M., Adjuto, R. N. P., & Alves, K. A. P. (2019). Saúde do homem: Identificação e análise dos fatores relacionados à procura, ou não, dos serviços de atenção primária. Arquivos de Ciências da Saúde UNIPAR, 23(1), 35–40. https://doi.org/10.25110/arqsaude.v23i1.2019.6521

Faro, A., Silva-Santos, L., Silva, M. C., & Vasconcelos, M. M. (2021). Meta-worry, anxiety and depression in the COVID-19 pandemic: Brazil, June 2020. Salud mental, 45(4), 151-158. https://doi.org/10.17711/sm.0185-3325.2022.021

Field, A. (2019). Descobrindo a estatística usando o SPSS. Artmed.

Fluharty, M., Taylor, A. E., Grabski, M., & Munafò, M. R. (2017). The association of cigarette smoking with depression and anxiety: A systematic review. Nicotine & Tobacco Research, 19(1), 3-13. https://doi.org/10.1093/ntr/ntw140

Garcia, L. H. C., Cardoso, N. O., & Bernardi, C. M. C. N. (2019). Autocuidado e adoecimento dos homens: Uma revisão integrativa nacional. Revista Psicologia e Saúde, 11(3), 19–3. https://doi.org/10.20435/pssa.v11i3.933

Heidelbaugh, J. (2016). Men’s health in primary care. Humana Press.

Ho, S. C., Jacob, S. A., & Tangiisuran, B. (2017). Barriers and facilitators of adherence to antidepressants among outpatients with major depressive disorder: A qualitative study. PloS one, 12(6). https://doi.org/10.1371/journal.pone.0179290

Instituto de Pesquisa Econômica Aplicada. (2020). Ação afirmativa e população negra na educação superior: Acesso e perfil discente. https://www.ipea.gov.br/portal/images/stories/PDFs/TDs/td_2569.pdf

Knox, J., Scodes, J., Wall, M., Witkiewitz, K., Kranzler, H. R., Falk, D., Litten, R., Mann, K., O'Malley, S. S., Anton, R., Hasin, D. S., & Alcohol Clinical Trials (ACTIVE) Workgroup. (2019). Reduction in non-abstinent WHO drinking risk levels and depression/anxiety disorders: 3-year follow-up results in the US general population. Drug and Alcohol Dependence, 197, 228–235. https://doi.org/10.1016/j.drugalcdep.2019.01.009

Mahalik, J. R., Bianca, M. D., & Harris, M. P. (2021). Men’s attitudes toward mask-wearing during COVID-19: Understanding the complexities of mask-ulinity, 1-18. Journal of Health Psychology, 27(5), 1187–1204. https://doi.org/0.1177/1359105321990793

Mahalik, J. R., Locke, B. D., Ludlow, L. H., Diemer, M. A., Scott, R. P. J., Gottfried, M., & Freitas, G. (2003). Development of the conformity to masculine norms inventory. Psychology of Men & Masculinity, 4(1), 3–25. https://doi.org/10.1037/1524-9220.4.1.3

Mari, J. J., & Williams, P. (1986). A validity study of a psychiatric screening questionnaire (SRQ-20) in primary care in the city of Sao Paulo. British Journal of Psychiatry, 148, 23–26. https://doi.org/10.1192/bjp.148.1.23

Moura, E. C., Gomes, R., & Pereira, G. M. C. (2017). Percepções sobre a saúde dos homens numa perspectiva relacional de gênero, Brasil, 2014. Ciência e Saúde, 22(1), 291–300. https://doi.org/10.1590/1413-81232017221.17482015

Organização Mundial da Saúde. (1994). A user’s guide to the Self Reporting Questionnaire. Geneva. https://apps.who.int/iris/bitstream/handle/10665/61113/WHO_MNH_PSF_94.8.pdf?sequence=1&isAllowed=y

Powell, W., Adams, L. B., Cole-Lewis, Y., Agyemang, A., & Upton, R. D. (2016). Masculinity and race-related factors as barriers to health help-seeking among african american men. Behavioral Medicine, 42(3), 150–163. https://doi.org/10.1080/08964289.2016.1165174

Ramos, M. M., Junior, A. F. S., Freitas-Menezes, L., & Cerqueira-Santos, E. (2021). Masculinidade, antiafeminação e comportamento sexual de risco em universitários. Saúde e Desenvolvimento Humano, 9(2), 1–10. http://dx.doi.org/10.18316/sdh.v9i2.6940

Ribeiro, J. L. P. (2004). Avaliação das intenções comportamentais relacionadas com a promoção e proteção da saúde e com a prevenção das doenças. Análise Psicológica, 2(22), 387–397. https://doi.org/10.14417/ap.199

Santos, K. O. B., Araújo, T. M, & Oliveira, N. F. (2009). Estrutura fatorial e consistência interna do Self-Reporting Questionnaire (SRQ-20) em população urbana. Cadernos de Saúde Pública, 25(1), 214–222. https://doi.org/10.1590/S0102-311X2009000100023

Senkevics, A. S. (2018). Contra o silêncio racial nos dados universitários: Desafios e propostas acerca da Lei de Cotas. Educação e Pesquisa, 44, 1–23. https://doi.org/10.1590/S1678-4634201844182839

Silva, T. S., Christino, J M. M., Moura, L. R. C., & Morais, V. H. F. (2019). Gênero e consumo de álcool entre jovens: Avaliação e validação do Inventário de Conformidade com Normas Masculinas. Ciência & Saúde Coletiva, 24(9), 3495–3506. https://doi.org/10.1590/1413-81232018249.23952017

Slovic, P. (1987). Perception of risk. Science, 236(4799), 280–285. https://doi.org/10.1126/science.3563507

Sousa A. R., Alves G. V., Queiroz A. M., Florêncio R. M. S., Moreira W. C., Nóbrega M. P. S., Teixeira, E., & Rezende, M. F. (2021). Men’s mental health in the COVID-19 pandemic: Is there a mobilization of masculinities? Revista Brasileira de Enfermagem, 74(1), 9–15. https:// doi.org/10.1590/0034-7167-2020-0915

Sousa, A. R., Queiroz, A. M., Florencio, R. M. S., Portela, P. P., Fernandes, J. D., & Pereira, A. (2016). Homens nos serviços de atenção básica à saúde: Repercussões da construção social das masculinidades. Revista Baiana de Enfermagem, 30(3), 1–10. https://doi.org/10.18471/rbe.v30i3.16054

Sousa A. R., Moreira W. C., Santana T. S., Teixeira, J. R.B., Araújo, I. F. M., Almeida, E. S., Carvalho, E. S. S., Camargo, E. L. S., Souza, A. T. S., Silva, H. L. L., Holanda, A. F., Batista, P. C. T., Sousa, A. F. L., Mendes, I. A. C., Oliveira, M. A. F., Sequeira, C. A. C., & Pereira, A. (2022). SARS-CoV-2 in Brazil and Psychosocial Repercussions on men’s health: Health literacy is important. American Journal of Men’s Health. 16(5). https://doi.org/10.1177/15579883221119091

Srivastav, A., Santibanez, T. A., Lu, P.-J., Stringer, M. C., Dever, J. A., Bostwick, M., Kurtz, M. S., Qualls, N. L., & Williams, W. W. (2018). Preventive behaviors adults report using to avoid catching or spreading influenza, United States, 2015-16 influenza season. PLOS ONE, 13(3),1–16. https://doi.org/10.1371/journal.pone.0195085

Stickley, A., Matsubayashi, T., Sueki, H., & Ueda, M. (2020). COVID-19 preventive behaviours among people with anxiety and depressive symptoms: Findings from Japan. Public health, 189, 91–93. https://doi.org/10.1016/j.puhe.2020.09.017

Stubbs, B., Koyanagi, A., Schuch, F. B., Firth, J., Rosenbaum, S., Veronese, N., Solmi, M., Mugisha, J., & Vancampfort, D. (2016). Physical activity and depression: A large cross-sectional, population-based study across 36 low- and middle-income countries. Acta Psychiatrica Scandinavica, 134(6), 546–556. https://doi.org/10.1111/acps.12654

Turri, G. S. S., & Faro, A. (2018). Crenças em saúde acerca do exame do toque retal. Arquivos Brasileiros de Psicologia, 70(2), 49–64. http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1809-52672018000200005&lng=pt&tlng=pt.

Turri, G. S. S., & Rivermales, M. C. C. (2019). Adesão Dos Homens Às Práticas Preventivas: Papel Dos Gestores E Profissionais De Saúde. REVISE – Revista Integrativa Em Inovações Tecnológicas Nas Ciências Da Saúde, 2, 141–152. https://doi.org/10.46635/revise.v0iDossiê%20de.1414

Vistorte, A., Ribeiro, W. S., Jaen, D., Jorge, M. R., Evans-Lacko, S., & Mari, J. J. (2018). Stigmatizing attitudes of primary care professionals towards people with mental disorders: A systematic review. International Journal Of Psychiatry In Medicine, 53(4), 317–338. https://doi.org/10.1177/0091217418778620

Walker, E. R., Mcgee, R. E., & Druss, B. G. (2015). Mortality in mental disorders and global disease burden implications: A systematic review and meta-analysis. JAMA Psychiatry, 72(4), 334–341. https://doi.o’/10.1001/jamapsychiatry.2014.2502

Yildirim, M., Geçer, E., & Akgül, O. (2020). The impacts of vulnerability, perceived risk, and fear on preventive behaviours against COVID-19. Psychology, Health & Medicine, 2(1), 35–43. https://doi.org/10.1080/13548506.2020.1776891

Published

2023-03-23

How to Cite

Falcão-Lima, G. O., Silva-Santos , L. C. ., & Faro, A. (2023). Influence of Psychological and Social Factors in Men’s Preventive Health Behaviors. Revista Psicologia E Saúde, 14(4), 197–210. https://doi.org/10.20435/pssa.v14i4.1862

Issue

Section

Articles