Factors Influencing Healthcare-Seeking Behavior for Late-Onset Hypogonadism (LOH) Syndrome in Aging Men (The J-MARS Study)
Objective: This study aims to identify factors influencing healthcare-seeking behavior for late-onset hypogonadism (LOH), focusing on age, awareness, and AMS score.Methods: A web-based survey was conducted with 1,500 men aged 20 to 69 across Japan, gathering open-ended responses on factors that enco...
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| Published in | Journal of Japan Academy of Nursing Science Vol. 45; pp. 99 - 109 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English Japanese |
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Japan Academy of Nursing Science
2025
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| Abstract | Objective: This study aims to identify factors influencing healthcare-seeking behavior for late-onset hypogonadism (LOH), focusing on age, awareness, and AMS score.Methods: A web-based survey was conducted with 1,500 men aged 20 to 69 across Japan, gathering open-ended responses on factors that encourage health-seeking behaviors for LOH symptoms. A total of 1,168 responses were analyzed using text mining with KH Coder.Results: Based on 2,091 extracted words, four categories emerged: (1) conditions and support that promote health-seeking behaviors, (2) economic and social barriers to seeking care, (3) psychological and knowledge-related barriers, and (4) limitations in the healthcare system and institutional structure.Conclusion: Support from the workplace and family, enhancement of financial assistance, and the development of specialized healthcare systems are essential for promoting healthcare-seeking behavior. |
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| AbstractList | Objective: This study aims to identify factors influencing healthcare-seeking behavior for late-onset hypogonadism (LOH), focusing on age, awareness, and AMS score.Methods: A web-based survey was conducted with 1,500 men aged 20 to 69 across Japan, gathering open-ended responses on factors that encourage health-seeking behaviors for LOH symptoms. A total of 1,168 responses were analyzed using text mining with KH Coder.Results: Based on 2,091 extracted words, four categories emerged: (1) conditions and support that promote health-seeking behaviors, (2) economic and social barriers to seeking care, (3) psychological and knowledge-related barriers, and (4) limitations in the healthcare system and institutional structure.Conclusion: Support from the workplace and family, enhancement of financial assistance, and the development of specialized healthcare systems are essential for promoting healthcare-seeking behavior. |
| Author | Tanji, Fumiya Kawajiri, Maiko Nanbu, Hirohito Nishimoto, Daisaku |
| Author_xml | – sequence: 1 fullname: Nanbu, Hirohito organization: Wakayama Faculty of Nursing, Tokyo Healthcare University – sequence: 1 fullname: Nishimoto, Daisaku organization: Department of Nursing, School of Health Sciences, Faculty of Medicine, Kagoshima University – sequence: 1 fullname: Tanji, Fumiya organization: Department of Nursing, Akita University Graduate School of Health Sciences – sequence: 1 fullname: Kawajiri, Maiko organization: Department of Women’s Health Nursing & Midwifery, Tohoku University Graduate School of Medicine |
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| Cites_doi | 10.1136/bmj.317.7165.1072 10.3109/13685538.2014.963041 10.1111/j.1365-2648.2004.03331.x 10.5694/j.1326-5377.2006.tb00124.x 10.3109/13685539909003173 10.51108/ammr.1.3_169 10.1016/j.socscimed.2007.02.035 10.3390/ijerph19127351 10.1016/S0277-9536(99)00390-1 10.1111/1467-9566.00298 10.1038/ijir.2008.27 10.1016/j.maturitas.2005.07.004 10.2471/BLT.13.132795 10.1037/0003-066X.58.1.5 |
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| References | Baker, P., Dworkin, S. L., Tong, S., et al. (2014): The men’s health gap: Men must be included in the global health equity agenda, Bull. World Health Organ., 92(8), 618–620. Mohd Rosnu, N. S., Singh, D. K. A., Mat Ludin, A. F., et al. (2022): Enablers and barriers of accessing health care services among older adults in South-East Asia: A scoping review, Int. J. Environ. Res. Public Health, 19(12), 7351. 樋口耕一（2021）：社会調査のための計量テキスト分析―内容分析の継承と発展を目指して―（第2版），ナカニシヤ出版，京都 Marmot, M. (2005): The Status Syndrome: How Social Standing Affects Our Health and Longevity, Bloomsbury Publishing, London. 日本泌尿器科学会・日本メンズヘルス医学会・LOH症候群診療の手引き作成委員会（2022）：LOH症候群（加齢男性・性腺機能低下症）診療の手引き（第1版），医学図書出版，東京 大河原知嘉子（2022）：混合研究法におけるテキストマイニングの活用，混合研究法，1(3), 169–179. 内閣府（2023）：第5次男女共同参画基本計画～すべての女性が輝く令和の社会へ，Retrieved from: https://www.gender.go.jp/about_danjo/basic_plans/5th/pdf/5th_gaiyo.pdf.（検索日：2024年12月1日） Haroon, A. H., Rashid, K. Y., Tayyab, S. S. (2023): Assessing the relationship between psychosocial factors and quality of life among older adults, Int. J. Psychol. Cogn. Educ., 2(2), 1–12. Moynihan, C. (1998): Theories in health care and research: Theories of masculinity, BMJ., 317(7165), 1072–1075. Mahalik, J. R., Burns, S. M., Syzdek, M. (2007): Masculinity and perceived normative health behaviors as predictors of men’s health behaviors, Soc. Sci. Med., 64(11), 2201–2209. Heinemann, L. A. J., Zimmermann, T., Vermeulen, A., et al. (1999): A new ‘aging males’ symptoms’ rating scale, Aging Male, 2, 105–114. Morley, J. E., Perry, H. M., Kevorkian, R. T., et al. (2006): Comparison of screening questionnaires for the diagnosis of late-onset hypogonadism, Maturitas, 53(4), 424–429. Courtenay, W. H. (2000): Constructions of masculinity and their influence on men’s well-being: A theory of gender and health, Soc. Sci. Med., 50(10), 1385–1401. Bernie, A. M., Scovell, J. M., Ramasamy, R. (2014): Comparison of questionnaires used for screening and symptom identification in hypogonadal men, Aging Male, 17(4), 195–198. World Health Organization (WHO) (2018): Men’s health，Retrieved from: https://www.who.int/europe/news-room/fact-sheets/item/men-s-health.（検索日：2024年12月1日） Kobayashi, K., Hashimoto, K., Kato, R., et al. (2008): The aging males’ symptoms scale for Japanese men: Reliability and applicability of the Japanese version, Int. J. Impot. Res., 20(6), 544–548. Addis, M. E., Mahalik, J. R. (2003): Men, masculinity, and the contexts of help seeking, Am. Psychol., 58(1), 5–14. Galdas, P. M., Cheater, F., Marshall, P. (2005): Men and health help-seeking behaviour: Literature review, J. Adv. Nurs., 49(6), 616–623. 厚生労働省（2024）：女性の健康週間，Retrieved from: https://www.mhlw.go.jp/content/001390461.pdf.（検索日：2024年12月1日） 萱間真美（2007）：質的研究実践ノート―研究プロセスを進めるclueとポイント（第1版），医学書院，東京 厚生労働省（2022）：「更年期症状・障害に関する意識調査」基本集計結果（2022年7月26日），Retrieved from: https://www.mhlw.go.jp/content/000969166.pdf.（検索日：2024年12月1日） Smith, J. A., Braunack-Mayer, A., Wittert, G. (2006): What do we know about men’s help-seeking and health service use?, Med. J. Aust., 184(2), 81–83. 町田佳世子（2019）：質的研究におけるテキストマイニング活用の利点と留意点：活用研究の検討と頻出単語の特徴をもとに，SCU J. Des. Nurs., 13(1), 47–53. 男性の性腺機能低下症ガイドライン作成委員会（一般社団法人日本内分泌学会・一般社団法人日本メンズヘルス医学会）（2022）：男性の性腺機能低下症ガイドライン2022，Retrieved from: http://jspe.umin.jp/medical/files/guide20230217.pdf.（検索日：2023年8月18日） Riska, E. (2002): From type a man to the hardy man: Masculinity and health, Sociol. Health Illn., 24(3), 347–358. 22 23 24 25 10 11 12 13 14 15 16 17 18 19 1 2 3 4 5 6 7 8 9 20 21 |
| References_xml | – reference: Bernie, A. M., Scovell, J. M., Ramasamy, R. (2014): Comparison of questionnaires used for screening and symptom identification in hypogonadal men, Aging Male, 17(4), 195–198. – reference: Heinemann, L. A. J., Zimmermann, T., Vermeulen, A., et al. (1999): A new ‘aging males’ symptoms’ rating scale, Aging Male, 2, 105–114. – reference: Haroon, A. H., Rashid, K. Y., Tayyab, S. S. (2023): Assessing the relationship between psychosocial factors and quality of life among older adults, Int. J. Psychol. Cogn. Educ., 2(2), 1–12. – reference: 大河原知嘉子（2022）：混合研究法におけるテキストマイニングの活用，混合研究法，1(3), 169–179. – reference: Mahalik, J. R., Burns, S. M., Syzdek, M. (2007): Masculinity and perceived normative health behaviors as predictors of men’s health behaviors, Soc. Sci. Med., 64(11), 2201–2209. – reference: 萱間真美（2007）：質的研究実践ノート―研究プロセスを進めるclueとポイント（第1版），医学書院，東京． – reference: Kobayashi, K., Hashimoto, K., Kato, R., et al. (2008): The aging males’ symptoms scale for Japanese men: Reliability and applicability of the Japanese version, Int. J. Impot. Res., 20(6), 544–548. – reference: 男性の性腺機能低下症ガイドライン作成委員会（一般社団法人日本内分泌学会・一般社団法人日本メンズヘルス医学会）（2022）：男性の性腺機能低下症ガイドライン2022，Retrieved from: http://jspe.umin.jp/medical/files/guide20230217.pdf.（検索日：2023年8月18日） – reference: Moynihan, C. (1998): Theories in health care and research: Theories of masculinity, BMJ., 317(7165), 1072–1075. – reference: World Health Organization (WHO) (2018): Men’s health，Retrieved from: https://www.who.int/europe/news-room/fact-sheets/item/men-s-health.（検索日：2024年12月1日） – reference: Galdas, P. M., Cheater, F., Marshall, P. (2005): Men and health help-seeking behaviour: Literature review, J. Adv. Nurs., 49(6), 616–623. – reference: 日本泌尿器科学会・日本メンズヘルス医学会・LOH症候群診療の手引き作成委員会（2022）：LOH症候群（加齢男性・性腺機能低下症）診療の手引き（第1版），医学図書出版，東京． – reference: 内閣府（2023）：第5次男女共同参画基本計画～すべての女性が輝く令和の社会へ，Retrieved from: https://www.gender.go.jp/about_danjo/basic_plans/5th/pdf/5th_gaiyo.pdf.（検索日：2024年12月1日） – reference: Baker, P., Dworkin, S. L., Tong, S., et al. (2014): The men’s health gap: Men must be included in the global health equity agenda, Bull. World Health Organ., 92(8), 618–620. – reference: 樋口耕一（2021）：社会調査のための計量テキスト分析―内容分析の継承と発展を目指して―（第2版），ナカニシヤ出版，京都． – reference: Mohd Rosnu, N. S., Singh, D. K. A., Mat Ludin, A. F., et al. (2022): Enablers and barriers of accessing health care services among older adults in South-East Asia: A scoping review, Int. J. Environ. Res. Public Health, 19(12), 7351. – reference: Smith, J. A., Braunack-Mayer, A., Wittert, G. (2006): What do we know about men’s help-seeking and health service use?, Med. J. Aust., 184(2), 81–83. – reference: Courtenay, W. H. (2000): Constructions of masculinity and their influence on men’s well-being: A theory of gender and health, Soc. Sci. Med., 50(10), 1385–1401. – reference: Addis, M. E., Mahalik, J. R. (2003): Men, masculinity, and the contexts of help seeking, Am. Psychol., 58(1), 5–14. – reference: 厚生労働省（2022）：「更年期症状・障害に関する意識調査」基本集計結果（2022年7月26日），Retrieved from: https://www.mhlw.go.jp/content/000969166.pdf.（検索日：2024年12月1日） – reference: Riska, E. (2002): From type a man to the hardy man: Masculinity and health, Sociol. Health Illn., 24(3), 347–358. – reference: 厚生労働省（2024）：女性の健康週間，Retrieved from: https://www.mhlw.go.jp/content/001390461.pdf.（検索日：2024年12月1日） – reference: Marmot, M. (2005): The Status Syndrome: How Social Standing Affects Our Health and Longevity, Bloomsbury Publishing, London. – reference: Morley, J. E., Perry, H. M., Kevorkian, R. T., et al. (2006): Comparison of screening questionnaires for the diagnosis of late-onset hypogonadism, Maturitas, 53(4), 424–429. – reference: 町田佳世子（2019）：質的研究におけるテキストマイニング活用の利点と留意点：活用研究の検討と頻出単語の特徴をもとに，SCU J. Des. Nurs., 13(1), 47–53. – ident: 19 doi: 10.1136/bmj.317.7165.1072 – ident: 3 doi: 10.3109/13685538.2014.963041 – ident: 12 – ident: 6 doi: 10.1111/j.1365-2648.2004.03331.x – ident: 24 doi: 10.5694/j.1326-5377.2006.tb00124.x – ident: 10 – ident: 8 doi: 10.3109/13685539909003173 – ident: 16 – ident: 14 – ident: 22 doi: 10.51108/ammr.1.3_169 – ident: 9 – ident: 15 doi: 10.1016/j.socscimed.2007.02.035 – ident: 7 – ident: 17 doi: 10.3390/ijerph19127351 – ident: 20 – ident: 5 – ident: 13 – ident: 4 doi: 10.1016/S0277-9536(99)00390-1 – ident: 23 doi: 10.1111/1467-9566.00298 – ident: 11 doi: 10.1038/ijir.2008.27 – ident: 18 doi: 10.1016/j.maturitas.2005.07.004 – ident: 21 – ident: 2 doi: 10.2471/BLT.13.132795 – ident: 1 doi: 10.1037/0003-066X.58.1.5 – ident: 25 |
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| Title | Factors Influencing Healthcare-Seeking Behavior for Late-Onset Hypogonadism (LOH) Syndrome in Aging Men (The J-MARS Study) |
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