“…Although an ecological model framework has been applied to men and health (as an example, see McCabe, Mellor, Ricciardelli, Mussap, & Hallford, 2016, for an ecological model applied to Australian indigenous men’s health), it has not been applied to health-care utilization. Shen-Miller, Isacco, Davies, St. Jean, and Phan (2013) did propose an ecological model to understand men’s health but it was specific to men in college. That model identified the macrosystemic factors (culture and society), exosystemic factors (media, policies, laws), mesosystemic factors (interactions with everyday people in their life), and finally, microsystemic factors (families, friends, romantic partners).…”