Men’s health has been less widely discussed than women’s health – both professionally and by interest groups, in New Zealand and internationally. There has been a lack of attention to some important preventable causes of death and disease in New Zealand men. For instance, it was not until the 2000s that public discussions took place on prostate cancer, an issue specific to men.
The health of men in New Zealand has slowly improved. Further health gains for New Zealand men will come through prevention of the major causes of premature death, disease and injury throughout the life course, and addressing ethnic and social inequalities.
Life expectancy measures the average age that someone can expect to live to, at a particular age. The life expectancy of a male born in 2012–14 was 79.5 years; a female had a life expectancy of 83.2 years. In the 1990s, male life expectancy increased steadily and at a faster rate than that of females. It rose by 5.1 years between 1995–97 and 2012–14, a remarkable improvement. The corresponding increase for females was 3.5 years; as a result, the gender gap in life expectancy decreased from 5.3 years to 3.7 years over the period. Internationally, New Zealand men’s life expectancy ranked eighth out of 36 OECD countries in 2013.
Ethnic and status differences
In New Zealand in 2012–14, the life expectancy of non-Māori males (80.3 years) was 7.3 years higher than that of Māori men (73). This gap had slowly decreased since the late 1990s. Pasifika men had a life expectancy of 74.5 years – closer to the Māori rate than the non-Māori. Asian men had the highest life expectancy, 84.4 years.
There were striking differences in life expectancy at birth by measures of social and economic status. Low-income men experience higher risks of dying at every age than their more advantaged counterparts. Mortality rates have been falling for all income groups for several decades, at much the same rate.
An important feature of the increase in male life expectancy is that most of the extra years gained have been in relatively good health. Independent life expectancy (the number of years that a person can expect to live without needing assistance) for men increased from 63.8 years to 65.2 years between 1996 and 2013; three-quarters of the life years gained in this period were in good health.
Around two-thirds of life-expectancy improvements have been through the prevention of major causes of death. The rest are due to improvements in the efficacy of health services for ill men.