“THE GLOBAL CASE FOR ACTION: ACKNOWLEDGING POVERTY AS A DETERMINANT OF MEN’S HEALTH” SCIENTIFIC PROGRAMME DAY THREE THIRD JAPAN-ASEAN MEN’S HEALTH AND AGING CONFERENCE 03 DECEMBER 2008 SINGAPORE Plenary 8: jmh and ISMH Joint Lecture Dr. April M. W. Young

1. The Global Case for Action Acknowledging Poverty as a Determinant of Men’s Health Third Japan-ASEAN Men’s Health & Aging Conference Singapore 03 December 2008 April M. W. Young, PhD, Collins Center for Public Policy Siegfried Meryn, MD, International Society for Men’s Health JMH -ISMH joint lecture

5. Sources of Insurance Coverage in 2004 Employer Medicare Medicaid/SCHP Direct-purchase Military Uninsured

6. Percentage of men with usual primary care provider by income, U.S. 1999 Negative/poor Near poor/low Middle High

7. Percentage of men uninsured for any period in past year by race, U.S. 1999 White Black Asian/Pacific Islander American Indian/ Alaska Native

8. Percentage of men with usual primary care provider by education, U.S. 1999 Less than high school grad High school grad At least some college

9. Percentage of men uninsured for any period in past year by education, U.S. 1999 Less than high school grad High school grad At least some college

10. Distribution of uninsured and total U.S. population by income as measured by Federal Poverty Level (FPL) in 2004 Below poverty 100-199% FPL 200-299% FPL 300-399% FPL 400-499% FPL Over 500% FPL

11. Probability of males dying (per 100) ages 15-59 years by income in Latin American and Caribbean countries Chile Costa Rica Ecuador Honduras Nicaragua Peru Brazil Colombia Dominican Republic Guatemala Mexico Panama Venezuela

12. Life expectancy and disability-free life expectancy by income for men in Canada Life expectancy Disability-free life expectancy

13. Global Attention to Men’s Health Disparities

18. Persistent socioeconomic inequalities in ischemic heart disease for 6 Euro nations

19. Persistent socioeconomic inequalities in stroke mortality for 6 Euro nations

24. Centers on health and well-being Insists upon access Requires appropriate services, advice, and information Advocates focus on men’s health Describes current conditions and their impact Calls on nation states, EU organizations, health providers, others The Vienna Declaration on the Health of Men and Boys in Europe

25. The Vienna Declaration Recognise men’s health as a distinct and important issue Develop a better understanding of men’s attitudes to health Invest in ‘male sensitive’ approaches to providing healthcare Initiate work on health for boys and young men in school and community settings Develop coordinated health and social policies that promote men’s health.