The Health Screenings Men Skip (But Shouldn't)

For adults, being the healthiest version of themselves begins at the annual wellness visit. At this visit, depending on a patient’s age, sex and risk factors, a physician will recommend preventative health screenings. These unsung heroes are the cornerstone of wellness, yet low awareness, fear of a diagnosis and general health care avoidance contribute to lower rates of completed screenings. In particular, around one-third of men report that they don’t even have a primary care physician.

Lung Cancer Screening Saves Lives — But Many Men Skip It

The United States Preventative Services Task Force recommends yearly lung cancer screening for individuals who are between ages 50-80 with 20 or more pack-years of smoking history who still smoke or quit within the last 15 years.

A low dose CT is recommended as the screening modality, but only around one in five eligible individuals, including men, receive this screening. Lack of awareness, fear of diagnosis, stigma surrounding smoking and practical issues like transportation all contribute to this low rate.

Breaking Down Barriers to Colon Cancer Screening

Colorectal cancer screening rates are particularly low among men aged 45-49 (34% screened) and 50–54 (50% screened). Fear of the colonoscopy itself is well-documented among men. Other concerns are the time commitment, anesthesia and the liquid clean out.

While a colonoscopy is the gold standard for screening, shared decision making between patient and physician might find that another, less invasive test would be better than skipping this screening altogether.

Men who are opposed to colonoscopy and at average risk for developing colon cancer should have a conversation with their provider regarding their fears and consider tests like Cologuard™or FIT.

While these tests are options, it is important to note that positive results on these alternatives would require colonoscopy anyway.

Why Mental Health Screenings Matter for Men

Depression and mental health screenings are important for both sexes, yet men are significantly less likely to be screened for depression than women. Depression screening is recommended annually. Of course, lack of established primary care is one cause for low rates. However, concerns that tend to affect males more are societal pressures and the stigma regarding mental health. Honest communication between a patient and provider regarding these concerns goes a long way. 

An Often-Overlooked Screening for Men Over 65

Abdominal aortic aneurysm rupture carries an extremely high mortality. A one-time screening ultrasound is recommended for men aged 65-75 who have ever smoked, yet this screening is frequently overlooked in practice. This can be because patients are typically asymptomatic, low rates of referral and socioeconomic factors.

Taking Control of Your Health Starts with Prevention

Though there are many other preventative health screenings that also may be overlooked, these screenings in particular are vital to men’s health. For any man who wants to take control of his health, it is recommended to establish care with a primary care physician who can provide a guide for screenings.