Why are men so shy when it comes to their health?



For many men around the world, November has been "Movember", where for 30 days usually clean-shaven gentlemen attempt to cultivate a moustache in return for sponsorship money in support of the Movember campaign. Its backers now claim to have more than one million participants annually and in 2009 it raised $41 million (Dh152 million) for prostate cancer charities. "The money goes towards researching ways of combating a disease that kills one man every hour," explains Dr Elizabeth Rapley, a research scientist at the UK Institute for Cancer Research.

Other male-focused health initiatives include Blue September in Australia and Britain, part of an ongoing campaign by the Everyman male cancer charity, is designed to remind men to self-check for signs of testicular cancer.

Dr Rapley insists that these campaigns work, citing the increased number of men reporting with early symptoms of testicular cancer as proof that raising awareness helps save lives.

But while such campaigns and events do attract much-needed publicity to serious issues, some doctors argue that they may also distract the focus of men's health problems away from more pressing ones.

"These campaigns can raise anxiety, not awareness," argues Dr Keith Hopcroft, the co-author of A Blokes DIY Guide To Health. "They skew perspective. Testicular cancer, for example, gets so much publicity that people assume it's far more common than it actually is. In terms of number of cases seen by the average doctor, the true answer is two or three, per career."

According to Cancer Research statistics prostate, lung and then bowel cancer are the most common forms of the disease in men. Testicular cancer doesn't appear in the top 10. "They're a distraction from the main message, too," adds Dr Hopcroft. "That the real problem is not men discovering they've got a lump - it's that they fail to act on it. The average time between discovering a problem and making an appointment about it is around six months."

The issue of why men are so reluctant to confront general health issues is one that's especially prominent in the UAE. According to a charity highlighting male health issues, the UAE Men's Health Aliance (MHA), women in the Emirates are 33 per cent more likely to visit a doctor than men.

Dr Nabil Mitry, a Dubai-based urology specialist, announced at the MHA's launch that men in the UAE are being negligent about their health, are less likely to seek quick medical help and are putting themselves at risk of developing complications. Among the more pressing ailments Dr Mitry has highlighted are heart disease, diabetes and more "taboo" issues such as erectile dysfunction and depression.

The failure of men to confront everyday health issues and discuss them with a doctor isn't unique to the UAE. According to Dr Rapley, women are generally more in tune with their bodies than men and when females do go through treatment for illness they're more likely to talk about it. "That willingness to be open about health matters encourages other women to do the same," she says. "From a campaign point of view that means that it's often easier to get women who've recovered from, say, cancer to act as spokespeople and to encourage others to investigate symptoms."

Men on the other hand don't engage in the health system as easily as women do. "Through things such as birth control and screenings, women are more acclimatised to dealing with doctors and nurses at regular intervals," explains Dr Rapley. The gender divide, when it comes to accessing health care, comes at fatal cost for men. "The big picture is that deaths from specific men's health issues are not falling,' Dr Mitry says.

According to the latest UN study, men in the UAE can expect a shorter lifespan compared with women.

Experts at the World Health Organisation also agree that by bottling up feelings and concerns, men allow problems to spiral out of control.

Psychological problems can not only have a dramatic effect on your work and your home life, but a man's resistance to tackling them for "macho" reasons such as fear of appearing weak can lead to health issues becoming a self-fulfilling prophecy. Embarrassment, stigmas and social pressures can make it difficult for men to confront their fears, but health professionals do suggest a number of moves that could help men to help themselves, including:

Don't put it off. The sooner you have symptoms identified by a health professional, the sooner they can either be treated or you can be reassured that all's OK. Testicular cancer has a 99 per cent cure rate if caught early enough. Don't ignore ongoing health issues, especially those that cause physical symptoms such as a shortness of breath, recurrent pain or traces of blood. Or psychological ones including sleeplessness and loss of libido.

Call ahead. If you're anxious about visiting the doctor, try contacting the medical centre or clinic by phone at first and ask to speak to a nurse or health specialist. They won't be able to diagnose you over the phone but by making the initial contact and airing your concerns anonymously you may find it easier to go face to face with a doctor.

Be professional. Treat an appointment or visit to a doctor like a business meeting. Book it, put it in your diary, take notes when you're there and if the outcome is positive then reward yourself for a job well done.

Know your numbers. By monitoring your health you can avoid having to go to your doctor with a serious health issue. By having a regular check of your cholesterol, blood pressure and blood sugar levels with a medic, or talking to a pharmacist about home-test kits, you'll get early warning signals that can stop you falling victim to one of the top man-killers, such as heart disease, in later life.

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Uefa Champions League semi-final, first leg
Bayern Munich v Real Madrid

When: April 25, 10.45pm kick-off (UAE)
Where: Allianz Arena, Munich
Live: BeIN Sports HD
Second leg: May 1, Santiago Bernabeu, Madrid

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Anxiety and work stress major factors

Anxiety, work stress and social isolation are all factors in the recogised rise in mental health problems.

A study UAE Ministry of Health researchers published in the summer also cited struggles with weight and illnesses as major contributors.

Its authors analysed a dozen separate UAE studies between 2007 and 2017. Prevalence was often higher in university students, women and in people on low incomes.

One showed 28 per cent of female students at a Dubai university reported symptoms linked to depression. Another in Al Ain found 22.2 per cent of students had depressive symptoms - five times the global average.

It said the country has made strides to address mental health problems but said: “Our review highlights the overall prevalence of depressive symptoms and depression, which may long have been overlooked."

Prof Samir Al Adawi, of the department of behavioural medicine at Sultan Qaboos University in Oman, who was not involved in the study but is a recognised expert in the Gulf, said how mental health is discussed varies significantly between cultures and nationalities.

“The problem we have in the Gulf is the cross-cultural differences and how people articulate emotional distress," said Prof Al Adawi. 

“Someone will say that I have physical complaints rather than emotional complaints. This is the major problem with any discussion around depression."

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The bio

Date of Birth: April 25, 1993
Place of Birth: Dubai, UAE
Marital Status: Single
School: Al Sufouh in Jumeirah, Dubai
University: Emirates Airline National Cadet Programme and Hamdan University
Job Title: Pilot, First Officer
Number of hours flying in a Boeing 777: 1,200
Number of flights: Approximately 300
Hobbies: Exercising
Nicest destination: Milan, New Zealand, Seattle for shopping
Least nice destination: Kabul, but someone has to do it. It’s not scary but at least you can tick the box that you’ve been
Favourite place to visit: Dubai, there’s no place like home

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Scores

Bournemouth 0-4 Liverpool
Arsenal 1-0 Huddersfield Town
Burnley 1-0 Brighton
Manchester United 4-1 Fulham
West Ham 3-2 Crystal Palace

Saturday fixtures:
Chelsea v Manchester City, 9.30pm (UAE)
Leicester City v Tottenham Hotspur, 11.45pm (UAE)

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Five expert hiking tips
    Always check the weather forecast before setting off Make sure you have plenty of water Set off early to avoid sudden weather changes in the afternoon Wear appropriate clothing and footwear Take your litter home with you
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Heavily-sugared soft drinks slip through the tax net

Some popular drinks with high levels of sugar and caffeine have slipped through the fizz drink tax loophole, as they are not carbonated or classed as an energy drink.

Arizona Iced Tea with lemon is one of those beverages, with one 240 millilitre serving offering up 23 grams of sugar - about six teaspoons.

A 680ml can of Arizona Iced Tea costs just Dh6.

Most sports drinks sold in supermarkets were found to contain, on average, five teaspoons of sugar in a 500ml bottle.

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How to protect yourself when air quality drops

Install an air filter in your home.

Close your windows and turn on the AC.

Shower or bath after being outside.

Wear a face mask.

Stay indoors when conditions are particularly poor.

If driving, turn your engine off when stationary.

Libya's Gold

UN Panel of Experts found regime secretly sold a fifth of the country's gold reserves. 

The panel’s 2017 report followed a trail to West Africa where large sums of cash and gold were hidden by Abdullah Al Senussi, Qaddafi’s former intelligence chief, in 2011.

Cases filled with cash that was said to amount to $560m in 100 dollar notes, that was kept by a group of Libyans in Ouagadougou, Burkina Faso.

A second stash was said to have been held in Accra, Ghana, inside boxes at the local offices of an international human rights organisation based in France.

Dr Amal Khalid Alias revealed a recent case of a woman with daughters, who specifically wanted a boy.

A semen analysis of the father showed abnormal sperm so the couple required IVF.

Out of 21 eggs collected, six were unused leaving 15 suitable for IVF.

A specific procedure was used, called intracytoplasmic sperm injection where a single sperm cell is inserted into the egg.

On day three of the process, 14 embryos were biopsied for gender selection.

The next day, a pre-implantation genetic report revealed four normal male embryos, three female and seven abnormal samples.

Day five of the treatment saw two male embryos transferred to the patient.

The woman recorded a positive pregnancy test two weeks later. 

Where to donate in the UAE

The Emirates Charity Portal

You can donate to several registered charities through a “donation catalogue”. The use of the donation is quite specific, such as buying a fan for a poor family in Niger for Dh130.

The General Authority of Islamic Affairs & Endowments

The site has an e-donation service accepting debit card, credit card or e-Dirham, an electronic payment tool developed by the Ministry of Finance and First Abu Dhabi Bank.

Al Noor Special Needs Centre

You can donate online or order Smiles n’ Stuff products handcrafted by Al Noor students. The centre publishes a wish list of extras needed, starting at Dh500.

Beit Al Khair Society

Beit Al Khair Society has the motto “From – and to – the UAE,” with donations going towards the neediest in the country. Its website has a list of physical donation sites, but people can also contribute money by SMS, bank transfer and through the hotline 800-22554.

Dar Al Ber Society

Dar Al Ber Society, which has charity projects in 39 countries, accept cash payments, money transfers or SMS donations. Its donation hotline is 800-79.

Dubai Cares

Dubai Cares provides several options for individuals and companies to donate, including online, through banks, at retail outlets, via phone and by purchasing Dubai Cares branded merchandise. It is currently running a campaign called Bookings 2030, which allows people to help change the future of six underprivileged children and young people.

Emirates Airline Foundation

Those who travel on Emirates have undoubtedly seen the little donation envelopes in the seat pockets. But the foundation also accepts donations online and in the form of Skywards Miles. Donated miles are used to sponsor travel for doctors, surgeons, engineers and other professionals volunteering on humanitarian missions around the world.

Emirates Red Crescent

On the Emirates Red Crescent website you can choose between 35 different purposes for your donation, such as providing food for fasters, supporting debtors and contributing to a refugee women fund. It also has a list of bank accounts for each donation type.

Gulf for Good

Gulf for Good raises funds for partner charity projects through challenges, like climbing Kilimanjaro and cycling through Thailand. This year’s projects are in partnership with Street Child Nepal, Larchfield Kids, the Foundation for African Empowerment and SOS Children's Villages. Since 2001, the organisation has raised more than $3.5 million (Dh12.8m) in support of over 50 children’s charities.

Noor Dubai Foundation

Sheikh Mohammed bin Rashid Al Maktoum launched the Noor Dubai Foundation a decade ago with the aim of eliminating all forms of preventable blindness globally. You can donate Dh50 to support mobile eye camps by texting the word “Noor” to 4565 (Etisalat) or 4849 (du).

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