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In Australia during the 1990s there was considerable public discourse about men’s health and well-being. Generally this discourse has constructed men as a single category and described men’s health as problematic. The Australian Commonwealth Government and some states responded to the discourse of men and their health by beginning men’s health and well-being policy processes. Despite significant policy writing activity there has been very limited government program development or budget allocation. In other words policy implementation has been modest. This paper explores reasons for Australian governments’ inability to implement men’s health and well-being policies relatively systematically.

There has been remarkably little discussion in the Australian men’s health literature about policy and related program development, or about appropriate political action that would generate programs for populations of men. This is an important issue to address because, in recent years, epidemiologists have produced vast quantities of data that suggest that in many ways, men’s health outcomes (e.g., morbidity, injury and death) are significantly poorer than women’s (Mathers, 1996; National Health Strategy [NHS], 1992). However, such data do not explain why the differences exist, nor do they explain what can be done, if anything, to improve men’s health outcomes through public policy. Some men and women who support men’s health initiatives have studied the data but so far have not created the policies that would lead to comprehensive and publicly directed interventions for the betterment of men’s health. If there is a compelling case for men’s health, why do policy endeavours falter prior to implementation?

This paper discusses the impediments to Australian men’s health and well-being policies being implemented. This is useful because it is important to know what the difficulties are in moving from policy formulation to policy implementation when arguing for men and their health, especially in relation to the activities of the state. For those who believe that men’s health and well-being requires state intervention, astute strategising and an understanding of the complex and changing policy climate are required.

Men’s Health and The Economist head the list of “best circulation performers” for the 1990’s, as chosen by Capell’s Circulation Report.

Finalists were drawn from among CCR’s annual top 10 performers for 1990 through 1999. Selection criteria for the final cut included circulation growth (in some cases, in the context of a title’s competitive marketplace), rate base management, pricing, source mix, newsstand sales and efficiency levels and audit performance. In addition, ad pages were used as an indicator of cooperation between circulation and advertising sales.

Each magazine selected increased its circulation during a decade that saw the number of publications audited by ABC increase by 20 percent, while overall consumer paid circulation numbers remained constant.

1. Men’s Health Rodale’s Men’s Health saw circulation grow by 281 percent, from 437,000 in 1991 to 1.67 million as of first-half 1999. At the same time, the title’s basic price increased by 35 percent, from $17.70 to $23.94, and its percentage of subs sold at basic was built up from 1 percent in 1991 to 78 percent by decade’s end. Single-copy sales rose by nearly 270 percent, to 424,900, while sell-through improved by 12 percentage points.

2. The Economist The Economist saw North American circulation grow by 74 percent during the decade, to 315,300 as of first-half 1999. Basic price increased by 28 percent, to $125 (average subscription price paid: $108.32). Average newsstand sales doubled, to 30,000, while a 50 percent efficiency was maintained. Ad pages increased by 34 percent, to 3,100 as of last year.

3. YM YM’s circulation leapt by 120 percent during the ’90s, to 2.2 million as of first-half 1999. Newsstand sales rose by 224 percent, to 645,200, while sell-through improved by 12 points, to 56.3 percent

4. Barron’s Although it doesn’t claim a rate base, this Dow Jones business title increased paid circulation by 22 percent, to 306,100, between 1990 and first-half 1999, and has seen ad pages grow by 10 percent annually over the last few years, to more than 2,200. Basic price increased by 46 percent, to $145 dollars, and the percentage of subs sold at basic stayed steady, at about 50 percent. Single-copy sales rose by 6 percent, to 129,400, while efficiency increased by 11 points, to 61 percent Cover price rose by 40 percent, to $3.50.

WE KNOW IT’S THE HOLIDAYS, SO NOBODY’S EXPECTING YOU TO WORK OUT four days a week as usual or to keep up your low-carb diet in the face of Mom’s stuffing and bowls of figgy pudding (or whatever your abkilling family serves). However, we do expect–no, demand–that you lose five pounds this season anyway. And when you see how simple it is, your holidays (and post-holiday season) are sure to be a lot happier.

Notice I said simple, not easy. Most fitness magazines sell you short around the holidays. They figure you’re not going to have much time to work out between shopping sprees and snow shoveling, so they prescribe wussy workouts designed to help you “maintain” the shape you’re in while stress, traveling, and food take their inevitable toll. But we’re not letting you off that easy, and you’ll thank us for it in the New Year.

Consider this: The average American gains more than 10 pounds between Thanksgiving and New Year’s. As a trainer, I’ve lost track of how many people I’ve seen every January who are struggling to get back into their November shape. Their New Year’s resolution is always to drop 10 pounds–but it’s the same 10 pounds they just gained in the last two months! Now imagine being able to lose five pounds in that same time frame. By my calculations, that will make you 15 pounds leaner than your co-workers when you head back to the office on January 2.

But to take off that weight, you must do more than just maintain–you need to make gains. While our Holiday Survival Workout promises to be one of the most physically taxing regimens you’ve ever tried, it’s also one of the shortest and most flexible timewise. Furthermore, you won’t even have to curb your gluttonous feasting to reap the benefits. So grit your teeth, and give it a try.

Men’s Health
This morning I was told that one of my urological colleagues died on New Year’s eve. He was 46, fit, and at the peak of his career. Such a story is all too familiar to Roger and Mike Kirby, two of the editors of Men’s Health: their father died aged 49, just a few months after becoming a professor in cell biology. Left behind are young children who will not get to know their father and wives or partners who will have to cope with the loss for their remaining lives.

On average, men die five years younger than women do. The causes are age dependent: trauma in early life, cardiovascular disease and cancers later on, and suicide from the teens right through to old age. Dave Hill’s parody of the “gender gap” summarises many of the issues: “As gifts do better and better at school, boys trail behind; as women secure more and better jobs, men become more intimate with the schedules of daytime TV; while men kill themselves with increasing frequency, women lead lives that are not only longer, but also sweeter.”

The importance of Hill’s description lies not only with his assertion that the future is female but with his explicit prediction that this will be increasingly so if current trends continue. Books such as Men’s Health signpost the start of a reversal of such trends. In what other kind of book would you find contributions from urologists, family doctors, colorectal surgeons, psychiatrists, cardiologists, epidemiologists, and genito-urinary physicians as well as experts in health promotion and risk taking behaviour? Each of these disciplines is concerned with a disease process or trait that is more prevalent in men than in women.

The aim of this article is to identify analytical approaches to situate men within the reproductive health processes. One approach is to identify the circumstances under which men ate considered in the reproductive health discourse, the places in which they are absent and present, and how they condition favorable consequences for women’s and children’s health. This can be achieved without necessarily challenging the premise that women are the only ones who reproduce or questioning the relationships of power that underlie the experience of sexuality and reproduction. Another possibility is to explore the relational, social, and potentially conflictive nature of sexualized reproduction. This alternative means of analyzing reproduction as a gender relational process rather than as isolated events simultaneously recovers the specific sexual and reproductive characteristics of men and women. In the article we use the gender perspective in order to explore the second approach, so as to imagine these processes without negating the dimension of power.

The aim of this article is to identify some analytical approaches to situate men within the reproductive health processes, which has been defined as having four basic elements: “the ability for individuals to reproduce, and to regulate their fertility; safe pregnancies and deliveries for women; successful pregnancies in terms of child welfare and survival; and partner relations that are free of the fear of unwanted pregnancy or diseases” (Barzelatto & Hempel, 1990; Fathalla, 1989). In 1994, at the Cairo Conference on Population and Development, freedom to enjoy a satisfactory sex life was agreed to along with the highest level of reproductive health being a factor of reproductive rights. The conference emphasized the reproductive health needs of all individuals, including men–and by doing this, essentially determined that male reproductive health is a fundamental human right.

Got a first date tonight? A job interview tomorrow? For the man who hasn’t a thing to wear, next week the Web site for Men’s Health magazine is expected to unveil a free, interactive fashion guide featuring apparel and accessories made by 33 of the magazine’s major advertisers.

Called Style Finder, the service is scheduled to launch Aug. 7 in conjunction with Men’s Health’s annual fall style issue and will be a revamped version of the magazine’s first attempt at creating an online fashion resource. That first Style Finder, which appeared in March with the magazine’s spring style issue, allowed users to shop for products in four categories: first date, casual workplace, job interview and fitness.

Next week’s version will add a weekend wear category as well as the ability to peruse products by type of garment. Even more importantly, though, the updated finder will incorporate products from twice as many advertisers as the first version, said Leslie Gesser, special projects director for Men’s Health.

What the site doesn’t do, however, is enable users to buy apparel directly from the Men’s Health site. Instead, clicking on a specific product will link a user to that manufacturer’s Web page for either an e-tail option or a store locator list.

But, said Ed Fones, vp and worldwide publishing director for Men’s Health, a day of fashion e-tail may one day come to the Emmaus, Pa.-based, Rodale magazine. “It is our intention that as we develop the back-end technology to have one central area that they can do that,” he said.

For now, though, Gesser and her staff have been working to build out the site, which will include products from designers such as DKNY, Ralph Lauren and Kenneth Cole.

To figure out what fashion may work best for them, Style Finder users are asked to chose their style, height, weight and grooming ranges to generate three complete outfits, explained Gesser, while also noting that “we’re mixing and matching our advertisers because that’s the way guys dress.”

To fill Style Finder, items were chosen from those submitted by advertisers in Men’s Health’s style issue. Generally, said Gesser, for each page purchased, advertisers could submit about five items. Inclusion on Style Finder is free to the issue’s advertisers, she said.

I’ve traveled everywhere–to all 50 states and nearly 50 foreign countries–and the one thing that stays with me, despite all the trends that come and go, is how everyone loves classic American style: the worn-in jeans, T-shirts, the leather jackets, our swagger. That thing we do without even knowing it.

Now, some guys admire the European look. And you should-it’s elegant. And some dig the English-cool factor–one part Saville Row, another part punk rocker with a twist of grit. Others maintain their minimalism–black on black with accents of black. Me, I’ve tried them all (and sometimes it wasn’t all that pretty), but I always came back to what is true to myself–what I call Classic. But like a lot of you, I’ve got my own version, which for me is a navy blazer, a button-down, dogged-up jeans, and the ultimate wingtip shoes, no socks.

Knowing what your defining style is, what works, and how to put it all together sometimes takes a while–and quite frankly, with all the choices out there, it ain’t easy. The key is to stay true to yourself but be inspired–without fear.

This year some of my coolest friends can help: Dolce & Gabbana, who mix sex appeal and rock ‘n’ roll style with fine tailoring; John Varvatos, who marks every inch of his pieces with authenticity and a whiff of vintage (hell, he puts the boots on Bruce Springsteen); and Ralph Lauren, who still takes tradition and refinement and somehow makes it modern and cool every year. Perry Ellis, Calvin Klein, Prada, Tommy Hilfiger, and, of course, Giorgio Armani are all here for us, too. Consider these talents, as I do, trustworthy friends in the pursuit of what’s right for you no matter how you choose to mix it up.

Interest in men’s health, including their sexual and reproductive health, has been growing over the past two decades. The 1994 International Conference on Population and Development in Cairo and the 1995 Fourth World Conference on Women in Beijing both recognized the effect of men’s behavior on women’s health, highlighted the importance of shared responsibility and sparked interest in developing interventions to increase mate involvement in reproductive health programs. (1) A 2002 report by The Alan Guttmacher Institute emphasized that the sexual and reproductive health concerns of men are important in their own right, not only because males play important roles as fathers and sexual partners. (2) The National Survey of Adolescent Males, the Youth Risk Behavior Survey, and studies and reports sponsored or produced by other organizations have significantly contributed to the growing body of knowledge about men’s sexual and reproductive health concerns, beliefs, attitudes and behaviors. (3)

Since 1997, the Office of Family Planning in the Office of Population Affairs at the Department of Health and Human Services has funded diverse community-based programs to learn how to engage with and provide reproductive health services to males. (4) This special report describes sexual and reproductive health services and how they have evolved at one of those programs-the Young Men’s Clinic, an ambulatory clinic for adolescent and young adult males in New York City.

THE YOUNG MEN’S CLINIC

The clinic is a component of a reproductive health program jointly operated by the Center for Community Health and Education at Columbia University’s Mailman School of Public Health and New York-Presbyterian Hospital. It is located in the upper Manhattan community of Washington Heights, which has the highest concentration of Hispanic residents in New York City. (5) Created in 1987, the Young Men’s Clinic is the only facility in the city specifically tailored to address the sexual and reproductive health needs of adolescent and young adult men, and has been recognized for many years as an important model of the delivery of community-based health care services to young males.

Men's Health

Much attention has recently been given to gender differences in medical situations, ranging from health promotion and disease prevention to manifestation of diseases and therapy. In recent years, a good part of this attention has focused on women’s health. This book offers a valuable overview of topics related to men’s health, which primary care physicians in a busy clinical practice can use for quick reviews.

The book begins with a historical perspective of “the gender gap” and suggestions for improving the health of men worldwide. Following is a quite thorough review of specific conditions that occur exclusively in men or that manifest differently between genders. Some topics include prostate disease, testicular cancer, hernias, premature death in men, heart disease, suicide, male sexual dysfunction, male menopause, risk-taking behavior and setting up a well-man clinic in primary care.

High-quality graphics and photographs accompany a generous number of tables. Although written in British English, the book is easy to read because it maintains a simple structure. All 20 chapters are brief overviews of medical issues relevant to men, with the topics organized in a nontraditional way. As commonly occurs with women’s health books, the selection of topics is too extensive.

Although the book is written and edited by clinicians in the United Kingdom and the United States, the focus is mainly British. As such, most statistics and epidemiologic data apply to the United Kingdom and not to the United States. In addition, the book does not put much emphasis on ethnicity and culture as major contributors to disease. For instance, the health issues of gay men are only discussed as they relate to sexually transmitted diseases and anorectal pathology.

I was particularly impressed, however, with the final chapter, which deals with setting up a “well-man clinic” in primary care. In this discussion, the benefits of developing a well-man clinic are balanced with the difficulties that may be encountered in trying to establish such a clinic. Finally, there is a discussion about how to proceed with six essential steps in developing an efficient clinic.

Flashback to June 1987:

Condom ads aired on TV for the first time, Michael Jackson attempted to buy the bones of the Elephant Man, and Cher won an Oscar[R]. Adding to that year’s bizarre nature was the popularity of such workout programs as retro-running (running backward) and jarming. People who jarmed thought they could get away with doing upper-body exercises while sitting in their armchairs–the idea being that it’s just as good aerobically as running and not as hard on the body. The National Institute for Fitness and Sport debunked this notion in our June 1987 issue. We reported that while a vigorous arm workout can raise your heart rate to the same level that a jog does, it employs less muscle mass to do it and thus won’t provide as good a cardiovascular workout as running.

10 YEARS AGO IN MF

June 1994

Researchers discovered that 10% of women have high testosterone levels, and that the potency of the hormone affects their behavior. Due to their more aggressive and competitive natures, High-T women, as they were called, are more likely to become trial lawyers or play team rugby. They also experience a higher degree of sexual arousal compared with other women. But alas, as we reported in our June 1994 issue, they are most often attracted to girly men–those with low-T levels.

10 YEARS FROM NOW IN MF

June 2014

In our special summer issue, we report: Thongs on men are officially outlawed on all public beaches. Hairy arms and backs become the true sign of masculinity. Individual dietary needs are now based solely on our genetics. And after the Great Fast-Food Lawsuits of 2010, the only chains left are Starbucks and Atkinsland. In fitness-related news, no one remembers what the hell Pilates was.