Men in Australia Telephone Survey (MATeS): a national survey of the reproductive health and concerns of middle-aged and older Australian men

CA Holden, RI McLachlan, M Pitts, R Cumming… - The Lancet, 2005 - thelancet.com
CA Holden, RI McLachlan, M Pitts, R Cumming, G Wittert, PA Agius, DJ Handelsman…
The Lancet, 2005thelancet.com
Summary Background The Men in Australia Telephone Survey (MATeS) describes the
prevalence of self-reported reproductive health disorders as well as related concerns and
health behaviours among middle-aged and older Australian men. Methods A representative
sample population (n= 5990) of Australian men (≥ 40 years) was obtained by contacting a
random selection of households with unbiased sampling, stratified by age and state. A 20-
min computer-assisted telephone interview was done to assess reproductive health and …
Background
The Men in Australia Telephone Survey (MATeS) describes the prevalence of self-reported reproductive health disorders as well as related concerns and health behaviours among middle-aged and older Australian men.
Methods
A representative sample population (n=5990) of Australian men (≥40 years) was obtained by contacting a random selection of households with unbiased sampling, stratified by age and state. A 20-min computer-assisted telephone interview was done to assess reproductive health and related knowledge and beliefs, sociodemographic factors, general health, and lifestyle factors.
Findings
A response rate of 78% (5990/7636) was achieved. 34% (1627/4737) of men surveyed reported one or more reproductive health disorder, all of which were most common in the oldest age group. Age-standardised prevalence of significant lower urinary tract symptoms was 16%, erectile dysfunction was 21%, and prostate disease was 14%. About 50% of participants reported having had a prostate cancer test whereas only 30% (300/1012) of men with erectile dysfunction sought medical help. Willingness to seek medical help for erectile dysfunction was related to age and ethnic origin. Although men aged 40–69 years expressed a moderate or high level of concern about prostate cancer and loss of erectile function, concern about reproductive health was less in the oldest age group (≥70 years).
Interpretation
The high prevalence of reproductive health disorders and associated concerns in middle-aged and older Australian men draws attention to the need to develop appropriate services and education strategies specifically directed to improving reproductive health in these men.
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