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The state of Men’s Health in the Nordic Countries - Is there a Nordic welfare model for today’s men? Svend Aage Madsen Svend Aage Madsen Copenhagen University Hospital, Denmark Alan White Leeds Metropolitan University
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The state of Men’s Health in the Nordic Countries - Is there a Nordic welfare model for today’s men? Svend Aage Madsen Copenhagen University Hospital, DenmarkAlan WhiteLeeds Metropolitan University
Transcript of Nfhk2011 madsen turku_parallel27
The state of Men’s Health in the Nordic Countries
- Is there a Nordic welfare model for today’s men?
Svend Aage Madsen
Svend Aage Madsen
Copenhagen University Hospital, Denmark
Alan White
Leeds Metropolitan University
Svend Aage Madsen
The State of Men’s Health in Europe
• Prof.Alan White Leeds Metropolitan University
The writing team
The report on “The State of Men’s Health in Europe” iscommissioned by The EU Commission, D-G Health & Consumers
• Prof.Alan White Leeds Metropolitan University
• Prof.Witold Zatonski Centrum Onkologii-Institut
• Prof.Peter Makara University of Debrecen
• Dr Bruno de Sousa Instituto de Higiene e Medicina Tropical
• Dr Richard de Visser University of Sussex
• Dr Svend Aage Madsen Copenhagen University Hospital
• Dr Noel Richardson Dept of Health and Children
Where are the Nordic men?
Total number of women per 100 men
15-64 years
> 106
Svend Aage Madsen
> 106
102 – 106
98 –102
94 – 98
90 – 94
< 90
- And the Nordic women?
Total number of women per 100 men
15-64 years
> 106
Svend Aage Madsen
> 106
102 – 106
98 –102
94 – 98
90 – 94
< 90
Life Expectancy in Europe and The Nordic countries
70
75
80
85
90
Ag
e
Male
Svend Aage Madsen
60
65
70
EU
27 IS LI
CH SE IT CY
NL
NO LU ES
AT
EL
DE
FR
UK IE BE
MT
DK FI
PT SI
CZ
HR
MK
PL
SK
HU
BG
RO EE
LV LT
Country
Female
Life Expectancy in The North
80
85
90
2008 Men Women
EU27 76,1 82,2
Svend Aage Madsen
60
65
70
75
EU27 IS SE NO FI DK
Ag
e
Country
Male
Female
EU27 76,1 82,2
IS 80,0 83,3
SE 79,2 83,3
NO 78,4 83,2
FI 76,5 83,3
DK 76,5 80,0
Sex differences in life expectancy The Nordic countries
6
7
8
Women-Men
Difference
75
80
85
90
Ag
e
Svend Aage Madsen
0
1
2
3
4
5
EU27 IS SE NO FI DK
Women-Men
Difference
60
65
70
75
EU27 IS SE NO FI DK
Ag
e
Country
Male
Female
Cardio Vascular Disease mortality
600
700
800
900
Per 100,000
Age standardised mortality for CVD, by sex and country, all ages
Svend Aage Madsen
0
100
200
300
400
500
EU
27
BG LV LT
RO EE
MK
SK
HU
HR PL
CZ FI
SI
LU EL
MT
DE
AT
BE
SE
CY
DK IE UK
PT IT IS
NO
CH
NL
ES
FR
Country
Male
Female
Cardio Vascular Diseases mortality
200
250
300
350
Per 100,000
Men Women
EU27 286,0 188,3
FI 298,7 164,1
Svend Aage Madsen
0
50
100
150
200
EU27 FI SE DK IS NOCountry
Male
Female
FI 298,7 164,1
SE 252,2 158,6
DK 244,3 154,5
IS 217,7 135,5
NO 213,8 129,8
Cancer mortality
Age standardised death rates for cancer, by sex
and country, all ages, latest year
Svend Aage Madsen
Cancer mortality in the North
200,0
250,0
300,0
Men Women Difference
EU27 228,7 131,5 96,8
Svend Aage Madsen
0,0
50,0
100,0
150,0
EU27 DK NO SE FI IS
Male
Female
EU27 228,7 131,5 96,8
DK 245,9 182,2 63,7
NO 195,9 137,4 58,8
SE 172,0 134,1 37,9
FI 171,9 113,9 58,0
IS 170,8 151,8 19,0
Overweight and Obesity in Europe and The North
20
30
40
50
60
70
80
Pe
rce
nta
ge
Svend Aage Madsen
0
10
20
Country
Overweight & obese men (BMI > 25), by country, 2004
Overweight and obese men in The North
50
60
70
EU MEDIAN 55,2
IS 58,4
BMI>25
Svend Aage Madsen
0
10
20
30
40
Series1
IS 58,4
FI 57,5
SE 50,8
DK 49,6
NO 37,7
Diabetes mortality
30
35
40
45
Per 100,000
Age standardised death rate for Diabetes mellitus, by sex and
country, all ages, latest year
Svend Aage Madsen
0
5
10
15
20
25
Country
Male
Female
Proportion of male Daily smokers
20
30
40
50
60
Pro
po
rtio
n o
f d
ail
y s
mo
ke
rs
Svend Aage Madsen
0
10
Pro
po
rtio
n o
f d
ail
y s
mo
ke
rs
Country
Chronic liver disease
50
60
70
80
Per 100,000
Age standardised death rates for Chronic liver disease, by sex and
country, all ages
Svend Aage Madsen
0
10
20
30
40
50
EU
27
HU LT
RO SI
SK
HR
EE
BG FI
PL
CZ
LV
AT
LU
DK
DE
PT
FR
UK
MK
ES
BE IT
MT
CH IE CY
EL
SE
NL
NO IS
Country
Male
Female
Death rates for ‘Mental and behavioural disorders due to use of alcohol’
20
25
Per 100,000
Age standardised death rates for Mental and behavioural disorders
due to use of alcohol
Svend Aage Madsen
0
5
10
15
EU
27
DK
EE
HR PL SI
DE
FR
AT
HU LV
NO LU SE FI
RO BE
CH IE CZ
UK LT
NL IS PT
CY
ES
MK
BG EL IT
MT
Country
Male
Female
Self perceived health
50
60
70
80
Self perceived health – good and very good health, ages 55-64 years, by sex and country, 2008
Men Women
EU27 52,5 51
IS 76 70
Svend Aage Madsen
0
10
20
30
40
50
EU27 IS SE DK NO FI
Men
Women
IS 76 70
SE 75 69,5
DK 70 61
NO 70 60
FI 50 52
Life Expectancy in The North
80
85
90
Male Female
EU27 76,1 82,2
Svend Aage Madsen
60
65
70
75
EU27 IS SE NO FI DK
Ag
e
Country
Male
Female
EU27 76,1 82,2
IS 80 83,3
SE 79,2 83,3
NO 78,4 83,2
FI 76,5 83,3
DK 76,5 80
Hospital admission due to Mood affective disorders
10
12
14
16
18
20
Pe
r 1
00
0 p
op
ula
tio
n
Male
Svend Aage Madsen
0
2
4
6
8
LV FI
DE LT
AT
HR
LU
HU
CH SK IS CZ SI
FR IT BE
UK
DK
NO ES IE PT
CY
NL
PL
Pe
r 1
00
0 p
op
ula
tio
n
Country
Male
Female
Suicides
40
50
60
Per 100,000
Svend Aage Madsen
0
10
20
30
EU27
LT
LV
HU SI
EE FI
BE
HR PL
FR
CH
AT
CZ
LU
SK
RO IS SE
DK
BG
DE IE
NO
MK
MT
NL
PT
ES
UK IT CY
GR
Country
Male
Female
How does the Nordic welfare model cope with today’s men’s challenges?
• In all Nordic countries men have markedly higher occurrences and higher mortality rates for nearly all diseases
• - and lower life expentacy• - and lower life expentacy
• There are a lot of similarities
• However there are also big differences
• In some instances there is no ‘Nordic Welfare Model’
Recommendations for actions 1
• Recognition of men’s physical and mental health as an area of public health concern in the Nordic countries
• Inclusion of men’s health within decision • Inclusion of men’s health within decision making
• Monitoring of the effects of the post industrial Nordic societies on the health and wellbeing of men and boys
Svend Aage Madsen
Svend Aage Madsen
Recommendations for actions 2
Each Nordic country should develop a Men’s Health Policy - As well as a women’s health policy:
a) Action plans to tackle men’s high rates of premature mortalitypremature mortality
b) Preventative and health promotion programmes targeting men
c) - with a specific focus on vulnerable male subpopulations: young men, lower socio-economic group men, ethnic minority men
d) Provide an increased focus on workplace health
Svend Aage Madsen
Thank you!
Svend Aage Madsen
