1. © March, 2002

2. In Their Own Right, 2002The Alan Guttmacher Institute (AGI) Why Worry About Men? Addressing mens sexual and reproductive health will help make men become healthier individuals, partners and fathers; improve information, counseling and clinical services for both men and women; and address social concerns such as sexually transmitted diseases and unwanted pregnancy.

3. In Their Own Right, 2002The Alan Guttmacher Institute (AGI) Report Overview The first national synthesis of mens sexual, contraceptive, reproductive and parenting experiences Focus on men aged 15-49

4. In Their Own Right, 2002The Alan Guttmacher Institute (AGI) Information Sources National Surveys Current Population Survey National Survey of Families and Households National Survey of Adolescent Males National Survey of Men Other key national surveys Centers for Disease Control and Prevention National Center for Health Statistics Bureau of the Census

5. In Their Own Right, 2002The Alan Guttmacher Institute (AGI) Mens Sexual and Reproductive Behavior and Health Needs Vary according to life stage (15-19, 20-29, 30-49) Are influenced by Relationship status Poverty Race and ethnicity School/work status

6. In Their Own Right, 2002The Alan Guttmacher Institute (AGI) State Variations 46% of men 20-49 are not currently married 36% (UT) - 54% (MA) 23% of men 15-49 are uninsured 13% (MN) - 32% (AZ) 95 per 100,000 males 10 and older had reported chlamydia 24 per 100,000 (VT) - 161 per 100,000 (LA)

7. In Their Own Right, 2002The Alan Guttmacher Institute (AGI) Sexual and Reproductive Milestones 101520253035 Menarche Spermarche First intercourse First marriage First birth Intend no more children First intercourse First marriage First birth Intend No More children AGE 14.0 16.9 26.7 28.5 33.2 12.6 17.425.1 26.0 30.9 MEN WOMEN

8. In Their Own Right, 2002The Alan Guttmacher Institute (AGI) Most Men Begin Sexual Intercourse During Their Teenage Years Age

9. In Their Own Right, 2002The Alan Guttmacher Institute (AGI) Sexual Activity Is Increasingly Common After Adolescence (among those aged 15-49) 15-19 20-2930-39 40-49 % Had intercourse

10. In Their Own Right, 2002The Alan Guttmacher Institute (AGI) As Men Become Older, They Are More Likely to Be in a Relationship (among those age 20-49) %

11. In Their Own Right, 2002The Alan Guttmacher Institute (AGI) Most Men Have Had One Sexual Partner In the Past Year Multiple Partners are More Common Among Men in Their Teens and 20s Than Among Men of Other Ages (among those aged 15-49 ) 15-1920-2930-3940-49 % No. of partners in past year

12. In Their Own Right, 2002The Alan Guttmacher Institute (AGI) Men in Their Teens and 20s Are the Most Likely to Contract Chlamydia and Gonorrhea 15-1920-2425-2930-3435-3940-4445-54 New infections per 100,000 men per year

13. In Their Own Right, 2002The Alan Guttmacher Institute (AGI) Both Men and Women Are More Likely to Have Children in Their 20s and Early 30s Than at Other Ages Births per 1,000, 1998

14. In Their Own Right, 2002The Alan Guttmacher Institute (AGI) Men in Their 20s Account For Approximately Half of All Pregnancies

15. In Their Own Right, 2002The Alan Guttmacher Institute (AGI) Male Methods Account for High Proportions of Contraceptive Use at all Ages 15-1925-2930-3435-3920-24 %

16. In Their Own Right, 2002The Alan Guttmacher Institute (AGI) Few Men Make Sexual and Reproductive Health Visits 15-19 20-24 25-29 30-3435-3940-4445-54 Annual visits per 100 men

17. In Their Own Right, 2002The Alan Guttmacher Institute (AGI) Men in Their 20s Are More Likely to Be Uninsured Than Are Men of Other Ages 15-19 20-2425-2930-3940-49 %

18. In Their Own Right, 2002The Alan Guttmacher Institute (AGI) Defining Needed Services Information Skills Counseling Preventive health care Clinical diagnosis and treatment (Sources: American Medical Association, EngenderHealth, Urban Institute and others)

19. In Their Own Right, 2002The Alan Guttmacher Institute (AGI) Information Basic sexuality and reproductive health education Genital health and hygiene Healthy relationships Pregnancy prevention Sexually transmitted diseases, including HIV Fatherhood Where and how to obtain other services

20. In Their Own Right, 2002The Alan Guttmacher Institute (AGI) Skills Pregnancy and STD prevention and sexual health skills: Risk assessment and avoidance Resisting peer pressure Communicating with partners Using contraceptives properly Fatherhood skills

21. In Their Own Right, 2002The Alan Guttmacher Institute (AGI) Counseling Self-concept Life events and decision-making Values and motivation

22. In Their Own Right, 2002The Alan Guttmacher Institute (AGI) Preventive Health Care Sexual and reproductive health history Cancer evaluation screening Substance abuse screening Mental health assessment Routine physical Premarital blood test Links to additional services or referral, if needed

23. In Their Own Right, 2002The Alan Guttmacher Institute (AGI) Clinical Diagnosis and Treatment STD, including HIV, diagnosis, treatment and counseling, and partner follow-up Sexual dysfunction diagnosis and treatment Fertility evaluation Contraceptive services, including vasectomy Urologic disease, including vasectomy reversal

24. In Their Own Right, 2002The Alan Guttmacher Institute (AGI) Obstacles to Addressing Mens Needs No consensus on standards for male sexual and reproductive health care Provider reluctance to offer services for men Services focused on women and medical needs Lack of information about mens needs Inadequate medical training Gaps in financing

25. In Their Own Right, 2002The Alan Guttmacher Institute (AGI) Benefits of Addressing Mens Sexual and Reproductive Health Needs In Their Own Right: Societal awareness of mens needs will improve. Men will receive the information and services they need to protect their health.

26. In Their Own Right, 2002The Alan Guttmacher Institute (AGI) Benefits of Addressing Mens Sexual and Reproductive Health Needs In Their Own Right: The scope of services available for men and women will expand. Unintended pregnancies and sexually transmitted diseases will be reduced, and healthier pregnancies and better parenting will be promoted.