Evidence shows that the male ideology has a significant impact on men’s health status. Men who adhere to the traditional masculine ideology may find messages regarding healthcare to be threatening. Pharmacists can use the Extended Parallel Process (EPP) Model to counsel men in a manner that reduces their feelings of fear and danger regarding their health while controlling feelings of vulnerability and susceptibility. When counseling men using the EPP Model, pharmacists are encouraged to use universal statements and open-ended questions to create patient awareness of the disease state and foster discussion. Furthermore, since men engage in limited nonverbal communication, pharmacists need to be direct and ask for feedback to gauge the patient’s understanding of the counseling.
HeronMHoyertDLMurphySL. Deaths: Final Data for 2006. Natl Vital Stat Rep. 2009;57(14):1–134.
2.
US Preventive Services Task Force. Guide to Clinical Preventive Services. 2nd ed.Baltimore, MD: Williams & Wilkins; 1996.
3.
PleisJRLucasJWWardMA. Summary Health Statistics for US Adults: National Health Interview Survey, 1008. Vital Health Stat. 2009;10(242):17–54.
4.
LevantRFHirschLCelentanoE. The male role: An investigation of norms and stereotypes. J Ment Health Counsel. 1992;14:325–337.
5.
SpringerKWMouzonDM. Masculinity and health care seeking among midlife men: variation by adult socioeconomic status. Presented at American Sociological Association 104th annual meeting. 2009. San Francisco, CA.
6.
Masculinity and men’s health. Harv Health Lett. 2008;33(8):6.
7.
LevantRFWimerDJWilliamsCM. The relationships between masculinity variables, health risk behaviors and attitudes toward seeking psychological help. Int J Men’s Health. 2009;8(1):3–21.
8.
LevantRFSmalleyKBAupontM. Initial validation of the Male Role Norms Inventory-Revised (MRNI-R). J Men’s Studies. 2007;15(1):83–100.
9.
CourtenayWHMcCrearyDRMerighiJR. Gender and ethnic differences in health beliefs and behaviors. J Health Psychol. 2002;7(3):219–231.
10.
MillarMGHouskaJA. Masculinity and intentions to perform health behaviors: the effectiveness of fear control arguments. J Behav Med. 2007;30:403–409.
11.
CameronKA. A practitioner’s guide to persuasion: an overview of 15 selected persuasion theories, models and frameworks. Pat Edu Counsel. 2009;74:309–317.
12.
SaigalCSWessellsHPaceJ. Predictors and prevalence of erectile dysfunction in a racially diverse population. Arch Int Med. 2006;166(15):1667–.
13.
SadovskyR. Asking the questions and offering solutions: the ongoing dialogue between the primary care physician and the patient with erectile dysfunction. Rev Urol. 2003;5:S35–S48.
14.
StimmelGLGutierrezMA. Counseling patients about sexual issues. Pharmacother. 2006;26(11):1608–1615.
15.
BrandenburgUBitzerJ. The challenge of talking about sex: the importance of patient-physician interaction. Maturitas. 2009;63:124–127.
16.
KendiriciMTanriverdiOTrostL. Management of sildenafil treatment failures. Curr Opin Urol. 2003;62:400–403.
17.
GiannitsasKKonstantinopoulosAPatsialasC. Preference for and adherence to oral phosphodiesterase-5 inhibitors in treatment of erectile dysfunction. Pat Pref Adher. 2008;2:149–155.
