{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T10:39:16Z","timestamp":1792406356185,"version":"4.4.0"},"reference-count":22,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Andropause\u2010related symptoms may reflect biological ageing, lifestyle behaviours, and culturally shaped understandings of masculinity. Evidence examining lifestyle health, masculinity contingency, and self\u2010reported Ageing Males' Symptoms (AMS) among Pakistani men is limited. This study examined their associations and whether masculinity contingency moderated the lifestyle\u2013symptom relationship.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional correlational study included 150 Pakistani men aged 30\u201356 years who completed an online Qualtrics survey. Data were collected in 2024. Measures included the Lifestyle and Habits Questionnaire\u2010Brief, AMS scale, and Masculinity Contingency Scale (MCS). Analyses comprised descriptive statistics, reliability analysis, Pearson correlations, multivariable linear regression, and moderation analysis using IBM SPSS Statistics version 29.0.1.0.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Lifestyle health was inversely associated with AMS scores (r = \u22120.365,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). In multivariable regression, lifestyle health remained negatively associated with AMS scores (B = \u22121.180, 95% CI [\u22121.658, \u22120.701],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and the model explained 14.3% of the variance. MCS Boost showed a positive bivariate association with AMS scores (r = 0.178,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.03), whereas MCS Threat was not significantly associated with AMS scores. In the moderation model, MCS Boost was positively associated with AMS scores (B = 0.401, 95% CI [.095, 0.707],\n                      <jats:italic>p<\/jats:italic>\n                      = 0.01), but neither MCS Boost nor MCS Threat moderated the lifestyle\u2013AMS association. Age was not significantly associated with AMS scores.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Among Pakistani men aged 30\u201356 years, healthier lifestyle scores were associated with lower self\u2010reported ageing\u2010related symptom burden. Masculinity contingency did not moderate the lifestyle\u2013symptom association, although MCS Boost showed a positive association with symptom scores. These cross\u2010sectional findings identify lifestyle health as a relevant consideration in culturally sensitive men's health promotion. Longitudinal studies incorporating broader age ranges, clinical indicators, and culturally grounded qualitative work are needed to clarify temporal, biological, and cultural influences on symptom burden.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.73305","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T07:26:36Z","timestamp":1790321196000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Masculinity, Lifestyle Factors, and Andropause\u2010Related Symptoms in Pakistani Men: A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-6150-2691","authenticated-orcid":false,"given":"Sehar","family":"Adnan","sequence":"first","affiliation":[{"name":"School of Psychology, Faculty of Health Sciences and Wellbeing University of Sunderland Sunderland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4720-5910","authenticated-orcid":false,"given":"Sidra","family":"Afzal","sequence":"additional","affiliation":[{"name":"School of Psychology, Faculty of Health Sciences and Wellbeing University of Sunderland Sunderland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,25]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(99)00390-1"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.19080\/ASM.2018.01.555570"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.54183\/jssr.v3i1.163"},{"key":"e_1_2_12_5_1","unstructured":"U.AmjadDisrupted Masculinity: Infertile Pakistani Men and Their Therapeutic Encounters [doctoral dissertation]. Melbourne: Monash University;2022 https:\/\/doi.org\/10.26180\/20787340.v1."},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tem.2005.01.002"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0911101"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2018-00229"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.3109\/13685539909003173"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11121-013-0370-1"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.3109\/13685530903431597"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.3109\/13685538.2013.807428"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1507\/endocrj.EJ16-0619"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/13685538.2018.1477931"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0039211"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1210\/jcem.86.2.7219"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2007-1245"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-024-04805-9"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-147-8-200710160-00010"},{"key":"e_1_2_12_20_1","first-page":"615","article-title":"The Aging Male's Symptoms (AMS) Scale in Japanese Men Attending an Infertility Clinic","volume":"52","author":"Ichioka K.","year":"2006","journal-title":"Hinyokika Kiyo. Acta Urologica Japonica"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.3758\/BRM.41.4.1149"},{"key":"e_1_2_12_22_1","volume-title":"Multiple Regression: Testing and Interpreting Interactions","author":"Aiken L. S.","year":"1991"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1037\/men0000390"}],"container-title":["Health Science Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.73305","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/hsr2.73305","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.73305","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T09:39:20Z","timestamp":1792402760000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hsr2.73305"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,25]]},"references-count":22,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1002\/hsr2.73305"],"URL":"https:\/\/doi.org\/10.1002\/hsr2.73305","archive":["Portico"],"relation":{},"ISSN":["2398-8835","2398-8835"],"issn-type":[{"value":"2398-8835","type":"print"},{"value":"2398-8835","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,25]]},"assertion":[{"value":"2026-06-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e73305"}}