IMR Press / JOMH / Volume 13 / Issue 1 / DOI: 10.22374/1875-6859.13.1.2

Journal of Men’s Health (JOMH) is published by IMR Press from Volume 17 Issue 1 (2021). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with Dougmar Publishing Group.

Open Access Original Research


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1 Department of Urologic Sciences, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
2 School of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
3 Department of Emergency Medicine, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
4 Department of Family & Community Medicine, Faculty of Medicine, University of Toronto, Ontario, Canada

*Author to whom correspondence should be addressed.

J. Mens. Health 2017, 13(1), 9–18;
Submitted: 18 March 2017 | Accepted: 20 June 2017 | Published: 30 June 2017

Background and Objective:

To facilitate the engagement of men in the evaluation of their own health status and risk of disease, we have developed and validated the Canadian Men’s Health Foundation’s self-risk assessment tool (“You Check”). In a single questionnaire, the “You Check” tool estimates the 10-year risk for myocardial infarction (MI), diabetes type 2 (DM), osteoporosis (OS), erectile dysfunction (ED), and low testosterone (LT). Additionally, the tool provides the user with his risk-factor profi le for prostate cancer and his current risk of depression (using the Center for Epidemiologic Studies Depression scale).

 Materials and Methods: 

Known risk factors for each disease were collated, the questionnaire designed, and risk scores for each dis-ease were assigned by clinical experts. A risk formula was developed using the sum of risk scores divided by their own range. We validated the risk models with case-control data from a retrospective review of 400 outpatient records from 4 Vancouver family practice clinics. Maximal correct classifi cation proportions were determined and used as thresholds for categorization of risk to low, medium, or high categories.


For DM, sensitivity and specifi city were 0.86 and 0.96 respectively and the Area Under Curve was 0.88 (95% Confi dence Interval [CI] 0.81-0.94). For MI these values were 0.70 and 0.93, and 0.75 (0.65-0.85); for LT 0.70 and 0.90 and 0.75 (0.66–0.84); for OS 0.70 and 0.86 and 0.70 (0.61–0.80); and for ED 0.42 and 0.96 and 0.66 (0.58–0.75).


This is the fi rst comprehensive men’s health self-risk assessment tool for 7 important diseases. Moderate internal validity was demonstrated for 5 diseases, meeting the public health objectives of “You Check” which is now in the public domain and under appropriate monitoring and evaluation (

men’s health
risk assessment
risk model
internal validation
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