The rate of men participating in health promotion programs is lower than that of women. The reasons and barriers for the different motivation of men as well as wishes and perception for prevention are not yet sufficiently analyzed. This quantitative survey examines motives and barriers of men for participation in primary prevention. Thus, the sample was subdivided into 2 groups, namely motivated vs. non-motivated regarding being active for health promotion. Differences between the 2 groups concerning current health status, health beliefs and health behavior were analyzed to plan more suitable programs in the future. A sample of N=243 men (motivated n=147, non-motivated n=96) participated in the standardized online-survey. The quantitative data analysis integrated the BMZI, KKG, SF-12, TICS and the MGV-39. The examination of the differences between the sub-groups was done with Chi²-Tests and analysis of variance (one-way ANOVA) with IBM SPSS 22 (Armonk, NY: IBM Corp). The group of motivated men reported worse health status, especially in psychological well being compared to the non-motivated group (SF-12: F=6.3, p=0.013, eta²=0.025). Both groups named refusal to use harmful substances (e.g. drugs, alcohol), good nutrition and active life-style as important factors for health. Non-motivated men showed a higher score for the fatalistic externality of health (KKG: F=7.609, p=0.006, eta²=0.031) and rated health promotion as paternalism (Chi²=17.693, p≤0.001, C=0.261). The men of this study who were motivated to join health promotion programs had a worse health status that might explain their compliance. For the non-motivated men, there was a discrepancy between their own beliefs in health behavior and their real daily activities (e.g. physical activity). In order to reach this target group of men before their health status worsens, prevention programs should integrate incentive systems that integrate features for overcoming dysfunctional daily behavior.
