Are men shortchanged on health? Perspective on life expectancy, morbidity, and in men and women in the United States

Division of Urology, Maimonides Medical Center, Brooklyn, NY, USA.
International Journal of Clinical Practice (Impact Factor: 2.57). 03/2010; 64(4):465-74. DOI: 10.1111/j.1742-1241.2009.02289.x
Source: PubMed

ABSTRACT Significant gender disparities exist in life expectancy and major disease morbidity. There is an urgent need to understand the major issues related to men's health that contributes to these significant disparities. It is hypothesized that men have higher and earlier morbidities, in addition to behavioral factors that contribute to their lower life expectancy.
Data was collected from CDC: Health United States, 2007; American Heart Association, American Obesity Association, and American Cancer Society.
Men have lower life expectancy than women in most countries around the world including United States. This gender disparity is consistent regardless of geography, race and ethnicity. More men die of 12 out of the 15 leading causes of death than women. In addition, men have higher morbidity and mortality in coronary heart disease (CHD), hypertension, diabetes, and cancer.
Men's lower life expectancy may be explained by biological and clinical factors such as the higher incidence of cardiovascular metabolic disease and cancer. In the context of public health, raising awareness of cardiovascular and metabolic health is needed to reduce the gender disparity. In addition, consideration of preventive and early detection/intervention programs may improve men's health.

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    • "By contrast, the gender gap has become wider. Although the size of the gender gap in life expectancy (GGLE) varies, figures demonstrate that women now outlive men in all countries across the globe (Pinkhasov et al., 2010). Indeed, the GGLE favours females, not just in humans, but also across virtually all mammals (The Economist, 2013). "
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    ABSTRACT: We studied the gender gap in life expectancy (GGLE), which currently favours women on average by 5 years. Individual data from 54 societies were extracted from the 1999-2004 wave of the World Values Survey. The GGLE was not predicted by the socio-economic factors of gross domestic product (GDP) or Gini coefficient, but was increased by national level of alcohol consumption, and decreased by gender differences in national levels of life satisfaction. Different national-level phenomena appear to be responsible for male and female contributions to the GGLE. National levels of male longevity were responsive to GDP, Gini coefficient, social engagement, tobacco use and life satisfaction, whereas female longevity rates were responsive only to GDP and alcohol consumption, underscoring the greater sensitivity of male longevity to contextual features of the nations where they live.
    Psychology Health and Medicine 07/2014; 20(2):1-10. DOI:10.1080/13548506.2014.936884 · 1.26 Impact Factor
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    • "[40] Men are known to die at an earlier age than women. [41, 42] "
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    ABSTRACT: Introduction Cardiovascular disease (CVD) is one of the top killer diseases in the world sparing neither developed or developing countries. The study was carried out to determine the pattern of cardiovascular admissions at Nnamdi Azikiwe University Teaching Hospital Nnewi South East Nigeria. Methods The study was a retrospective study covering the period January 2007 to December 2009. SPSS version 13 software was used to analyze data. Results 537 (15%) patients were admitted into the study out of 3546 patients {females 1756 and 1790} admitted into medical wards. 322 (60%) of study population were males and 215 (40%) females. 359(67.5%) were discharged, 170 (32%) died and 8 (0.5%) were discharged against medical advice. The majority of the deaths 105(61.8%), were in patients with CVA. Most of the deaths (111 or 65.3%) occurred within the first seven days of admission. The mean age of the population was 60.7 years ±15.9 with a range of 18 to 110 years. The length of stay in hospital ranged between 1 and 140 days with a mean of 13.5 ± 13.9 days and a median of 10 days. 33 of the subjects were single, 406 were married, 94 were widowed (11 males and 83 females) and 4 were divorced. 46.7% (251) were admitted for CVA and 30.9% (166) for heart failure. Cardiomyopathy/valvular heart diseases (clinical diagnosis due to absence of echocardiography) constituted 3.9%, hypertension 20.5% and pre-existing hypertension with uremia 1.9%. Conclusion The study has shown that cardiovascular disease contributed significantly to medical admissions the elderly accounting for a significant proportion. There is thus the need for intensification of primary preventive strategies for cardiovascular diseases.
    Pan African Medical Journal 02/2014; 17:116. DOI:10.11604/pamj.2014.17.116.1837
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    • "Some epidemiological studies did not report any gender differences in sepsis-related death (Crabtree et al., 1999; Martin et al., 2003; Laupland et al., 2004; Esper et al., 2006) whereas other found either increased mortality in men (Osborn et al., 2004; Melamed & Sorvillo, 2009; Wafaisade et al., 2011) or women (Combes et al., 2009; Pietropaoli et al., 2010; Nachtigall et al., 2011). As men are also at increased risk of death due to trauma, cancer and cardiovascular diseases as compared with women, the analysis of epidemiological data should integrate these potential biases (Micheli et al., 2009; Pinkhasov et al., 2010; Coronado et al., 2011). "
    Sex Hormones, 02/2012; , ISBN: 978-953-307-856-4
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