Abstract
Medical and behavioral research depicts the influence of testosterone on health in opposite ways, the former finding beneficial effects and the latter potentially detrimental ones. We investigate the relationship between testosterone and health risk behavior, indicators of disease, and overall health in a sample of 4393 men who were interviewed and medically examined. Analysis revealed that having a high level of testosterone, compared to a low level, increased the odds of health risk behavior. With respect to disease, high testosterone increased the odds of some health problems but decreased the chances of others. At very high levels testosterone loses many of its beneficial effects. Overall, men with high testosterone would be healthier if they did not engage in health risk behavior.
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REFERENCES
American Psychiatric Association (1997). Diagnostic and Statistical Manual of Mental Disorders, 3rd ed. rev., American Psychiatric Association, Washington, DC.
Archer, J. (1994). Testosterone and aggression. J. Offend. Rehab. 21: 3-25.
Arver, S., Dobs, A., Meikle, R., Allen, S., Sanders, S., and Mazer, N. (1996). Improvement of sexual function in testosterone deficient men treated for 1 year with a permeation enhanced testosterone transdermal system. J. Urol. 155: 1604-1608.
Billington, C., Mooradian, A., Duffy, L., et al. (1983). Testosterone therapy in impotent patients with normal testosterone. Clin. Res. 31: 718A.
Booth, A., and Dabbs, J. (1993). Testosterone and men's marriages. Soc. Forces 72: 463-477.
Booth, A., and Osgood, D. W. (1993). The influence of testosterone on deviance in adulthood: Assessing and explaining the relationship. Criminology 31: 93-117.
Booth, A., Shelley, G., Mazur, A., Tharp, G., and Kittok, R. (1989). Testosterone and winning and losing in human competition. Horm. Behav. 23: 556-571.
Breedlove, S. (1992). Sexual differentiation of the brain and behavior. In Becker, J., Breedlove, S., and Drews, D. (eds.), Behavioral Endocrinology, MIT Press, Cambridge, MA, pp. 39-68.
Centers for Disease Control Vietnam Experience Study (1989). Health Status of Vietnam Veterans; IV. Psychological and Neuropsychological Evaluation, Centers for Disease Control, Atlanta, GA.
Dabbs, J. (1992). Testosterone and occupational achievement. Soc. Forces 70: 813-824.
Dabbs, J., and Morris, R. (1990). Testosterone, social class, and antisocial behavior in a sample of 4,462 men. Psychol. Sci. 3: 209-211.
Dabbs, J., Frady, R., Carr, T., and Besch, N. (1987). Saliva testosterone and criminal violence in young adult prison inmates. Psychosom. Med. 49: 174-182.
Dabbs, J., Jurkovic, G., and Frady, R. (1991). Salivary testosterone and cortisol among late adolescent male offenders. J. Abnorm. Child Psychol. 19: 469-478.
Dabbs, J., Carr, S., Frady, R., and Riad, J. (1995). Testosterone, crime, and misbehavior among 692 male prison inmates. Personal. Indiv. Diff. 18: 627-633.
Dai, W., Gutai, J., Kuller, L., et al. (1988). Cigarette smoking and serum sex hormones in men. Am. J. Epidemiol. 128: 796-805.
Daltzman, R., and Zuckerman, M. (1980). Disinhibitory sensation seeking, personality and gonadal hormones. Personal. Indiv. Diff. 10: 103-110.
Davidson, J., Camargo, C., and Smith, E. (1979). Effects of androgen on sexual behavior in hypogonadal men. J. Clin. Endocrinol. Metab. 48: 955-958.
Ehrenkranz, J., Bliss, E., and Sheard, M. (1974). Plasma testosterone: Correlation with aggressive behavior and social dominance in men. Psychosom. Med. 36: 469-475.
Elias, M. (1981). Serum cortisol, testosterone, and testosterone-bind ing globulin responses to competitive fighting in human males. Aggress. Behav. 7: 215-224.
Freedman, D., O'Brien, T., Flanders, W., DeStefano, F., and Barboriak, J. (1991). Relation of serum testosterone levels to high density lipoprotein cholesterol and other characteristics in men. Arterioscler. Thromb. 11: 307-315.
Gimbel, C., and Booth, A. (1994). Why does military combat experience adversely affect marital relations? J. Marriage Family 56: 691-703.
Gimbel, C., and Booth, A. (1996). Who fought in Vietnam? Soc. Forces 786: 1137-1157.
Gladue, B., Boechler, M., and McDaul, K. (1989). Hormonal response to competition in human males.Aggress. Behav. 15: 409-422.
Granger, D., Schwartz, E., Booth, A., and Arentz, M. (1997). Salivary testosterone determination in studies of child health and development. Unpublished manuscript.
Hall, G., Larbre, J., Spector, T., Perry, L., and DaSilva, J. (1996). A randomized trial of testosterone therapy in males with rheumatoid arthritis. Br. J. Rheumatol. 35: 568-573.
Idler, E., and Benyamini, Y. (1997). Self-rated health and mortality: A review of twenty-seven community studies. J. Health Soc. Behav. 38: 21-37.
Istvan, J., Buist, A., Hell, D., and Voelker, H. (1990). Relationship of smoking cessation and nicotine gum use to salivary androstenedione and testosterone in middle-aged men. Metabolism 44: 90-95.
Johnson, E. (1990). The Deadly Emotions: The Role of Anger, Hostility, and Aggression in Health and Emotional Well-Being, Praeger, New York.
Joung, I., Mackenback, J., Stronks, K., van de Mheen, H., van der Meer, J., and van Poppel, F. (1997). The contribution of intermediary factors to marital status differences in self reported health. J. Marriage Family 59: 476-490.
Kouri, E., and Pope, H. (1997). Behavioral and psychiatric effects of testosterone cypionate injections in men. Paper presented at Annual Meeting of College of Neuropsychopha rmacology.
Kouri, E., Lukas, S., Pope, H., and Oliva, P. (1995). Increasing aggressive responding in male volunteers following the administration of gradually increasing doses of testosterone cypionate. Drug Alcohol Depend. 40: 73-79.
Kreuz, L., and Rose, R. (1972). Assessment of aggressive behavior and plasma testosterone in a young criminal population. Psychosom. Med. 34: 321-332.
Lindman, R., Jarvinen, P., and Vidjeskog, J. (1987). Verbal interactions of aggressively and nonaggressively predisposed mailes in drinking situations. Aggress. Behav. 13: 187-196.
Mazur, A. (1995). Biosocial models of deviant behavior among army veterans. Biol. Psychol. 41: 271-293.
Mazur, A., Booth, A., and Dabbs, J. (1992). Testosterone and chess competition. Soc. Psychol. Q. 55: 70-77.
Morley, J. (1991). Endocrine factors in geriatric sexuality. Clin. Geriatr. Med. 7: 85-94.
Ozata, M., Yildirimakaya, M., Bulur, M., Yilmaaz, D., Boulu, E., Corakci, A., and Gundogan, M. (1996). Effects of gonadotropin and testosterone treatments on Lipoprotein (a), high density lipoprotein particles, and other lipoprotein levels in male hypogonadism. J. Clin. Endocrinol. Metab. 81: 3372-3378.
Ross, C., and Mirowsky, J. (1995). Does employment affect health? J. Health Soc. Behav. 36: 230-243.
Simon, D., Preziosi, P., Barrett-Connor, E., Roger, M., Saint-Paul, M., Nahoul, K., and Papoz, L. (1992). The influence of aging on plasma sex hormones in men. Am. J. Epidemiol. 135: 783-791.
Udry, J., Morris, N., and Kovenock, J. (1995). Androgen effects on women's gendered behavior. J. Biosoc. Sci. 27: 359-369.
Umberson, D. (1987). Family status and health behaviors; Social control as a dimension of social integration. J. Health Soc. Behav. 28: 306-319.
Verbrugge, L. (1988). A life and death paradox. Am. Demograph. 41: 267-285.
Wang, C., Alexander, G., Berman, N., Salehian, B., Davidson, T., McDonald, V., Steiner, B., Hull, L., Callegari, C., and Swerdloff, R. (1996). Testosterone replacement therapy improves mood in hypogonadal men—a clinical research center study. J. Clin. Endocrinol. Metab. 81: 3578-3583.
Wells, S., Jozefowicz, R., Forbes, G., and Griggs, R. (1992). Effect of testosterone on metabolic rate and body composition in normal men and men with muscular dystrophy. J. Clin. Endocrinol. Metab. 74: 332-335.
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Booth, A., Johnson, D.R. & Granger, D.A. Testosterone and Men's Health. J Behav Med 22, 1–19 (1999). https://doi.org/10.1023/A:1018705001117
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DOI: https://doi.org/10.1023/A:1018705001117