Better Health: Smart Health Commentary Better Health (TM): smart health commentary

Article Comments (2)

The Good Intentions of Men’s Health Week Promotion


This week has been proclaimed International Men’s Health Week – the week leading up to and including Father’s Day. And it’s part of what’s more broadly been proclaimed by some as Men’s Health Month.

The campaign offers a variety of men’s health “materials” – including the squeezy prostate stress ball pictured at left – if you’re into that kind of thing.

There are also brochures like the one below.  The “Facts About Prostate Cancer” state that men at high risk should begin yearly screening at age 40 – all others at age 50. The “should begin (at 50)” recommendation crosses a line not supported by the US Preventive Services Task Force and the American Cancer Society, among other organizations.

The campaign also commits fear-mongering with these statistics:


1 in 6 men will get prostate cancer and approximately 28,000 men will die from the disease this year.

There’s nothing inaccurate about that. It’s just the framing and lack of context that is concerning. 1 in 6 – or about 16% is a lifetime risk – 16% of men born today will be diagnosed with prostate cancer at some time during their lifetime. But the National Cancer Institute reminds us that “Sometimes it is more useful to look at the probability of developing prostate cancer between two age groups. For example, about 8% of men will develop cancer of the prostate between their 50th and 70th birthdays.” And the lifetime risk of dying from prostate cancer, according to the American Cancer Society, is more like 1 in 36.

This is what such campaigns tend to do – use the scariest numbers to “heighten awareness.”

Such promotions might help more men if they spent more time discussing the poor quality of shared decision-making that takes place around prostate cancer issues. The DECISIONS survey found that “most prostate cancer screening decisions did not meet criteria for shared decision making because subjects did not receive balanced discussions of decision consequences, had limited knowledge, and were not routinely asked for their preferences.”

Dr. Len Lichtenfeld of the American Cancer Society wrote last year:

“The American Cancer Society does not recommend routine screening for prostate cancer, and has not since 1997. There is simply insufficient and conflicting evidence to say whether or not PSA tests really make a difference and save lives. Some evidence says, “Yes it does,” other evidence says, “No it doesn’t,” and some evidence is still too early to say for certain one way or another.

Bottom line, this picture is not clear so we can’t say yes or no as to whether or not screening is right for you.

So what do you do?

You and your health professional need to have a talk about the pros and cons of screening. You need to understand the possible benefits and harms, and what the evidence shows. Then you can make an informed decision about what is right for you. You may weigh the evidence and conclude that you want to be screened with a PSA test, or you may weigh the evidence and say that you don’t. And if you can’t make up your mind, the guidelines recommend that your health professional take your personal considerations into account and make the decision for you.

“But wait a minute,” you say. “I go to my doctor or other health professional for an office visit these days, and I am lucky if I get to say hello before she/he moves on to the next patient. How the heck are we going to have that discussion? Great theory; lousy practice.”

That’s where the modern age of technology comes in.

There are a number of valuable decision aids available on the internet which have been shown to make the process more reasonable and efficient–and allow you to move at your own pace in learning about prostate cancer screening benefits and risks.

“But wait another minute: my local hospital has free screening. Isn’t that a reasonable thing to do? Just go to my local grocery store parking lot, find the PSA van when it is there and get a test? Why shouldn’t I do that?” you might ask.

Here’s where we are probably at odds with a number of people who believe they are doing good by giving men mass screening in convenient locations.

Our guidelines are pretty straightforward on that one: unless you are someone who simply has no other access to medical care because you can’t afford it, mass screening doesn’t offer individualized counseling and education about the benefits and risks of PSA testing, so it should not be offered. And for communities that are disadvantaged, an effort must be made to provide that education and follow-up.

In other words, in our opinion, mass screenings at health fairs, or local parking lots or wherever are not a good idea. They certainly don’t meet the recommendations in our guidelines that men have a direct discussion with their health care professional to discuss benefits, risks and harms of screening for prostate cancer.”

Such context, depth, and emphasis on shared decision-making is absent in the Men’s Health Week promotion. It’s well-intentioned. But the road to fear-mongering is paved with good intentions. And it may not lead to truly informed decision-making.

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

You may also like these posts

    None Found

Read comments »

2 Responses to “The Good Intentions of Men’s Health Week Promotion”

  1. mens health products says:

    Thanks for sharing such a nice information with us.Your tips are really very much useful.Thanks for sharing with us.

    mens health products

  2. Horan says:

    Please be aware of Hashmi Dawakhana’s sexual products. These are cheater no One. They are cheating to innocent people like me. I was also attracted and impressed by their advertisements and websites. I also got trapped by these thugs. Whatever they are promising on net like 2 inches increments in length and 50% increments in girth? These are all fake.

    I took full course of my treatment what I have achieved only 1 1/2 inches increments in length and 25% increments in girth. I was also expecting to be cured of my pre ejaculation.

    Please think over before making any decision.

Return to article »

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

Read more »

How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

Read more »

See all interviews »

Latest Cartoon

See all cartoons »

Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

Read more »

The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

Read more »

Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

Read more »

See all book reviews »

Commented - Most Popular Articles