Translate the text from English to Welsh.



 
Following the announcement in December 2015 that Wales will introduce a new human papillomavirus (HPV) vaccination programme for men who have sex with men (MSM), this written statement highlights other areas of work in Wales specifically to support men adopt a healthy lifestyle and improve their health.


**Supporting healthy lifestyle choices**


Smoking rates among men are higher than among women and men are less likely to access the free support available to help them quit. Public Health Wales has commissioned insight research into barriers to accessing NHS services to help quitting, which will help to shape Stop Smoking Wales’ work in the future.


Smoking is markedly higher in the prison population – 80% compared to 20% – which in Wales is male only. We are working towards smoke\-free prisons in Wales; prisoners will be offered support and advice to help them quit smoking and the opportunity to attend a stop smoking programme through the prison healthcare support programme.


Men are more likely to misuse alcohol than women, with almost half of men saying they drink above the recommended guidelines and a third reporting that they binge drink.


On 8 January, the UK Chief Medical Officers issued revised guidelines for alcohol consumption which included a reduction for men to 14 units a week – a single guideline for men and women. My officials are working with Public Health Wales to communicate the revised alcohol guidelines. The Welsh Government is also consulting on an approach to tackle risky drinking behaviours as part of the Substance Misuse Delivery Plan 2016\-18\.


The workplace is an effective setting to improve the health of working age adults and to target men’s health – the employment rate for men is currently about 74%. The Welsh Government’s work and health programme, Healthy Working Wales supports employers to target men’s health issues in the workplace through the Corporate Health Standard and Small Workplace Health Award. Currently, 3,000 organisations in Wales, employing 455,719 people have been involved in Healthy Working Wales programmes. This represents almost a third of the working population in Wales.


**Preventative healthcare measures**


Population screening programmes help to identify the presence of previously\-undiagnosed disease in people who are not suffering any signs or symptoms. A one\-off ultrasound screening test for men aged 65 in Wales was launched in May 2013, looking for the swelling of the aorta, which could lead to a split or rupture – an abdominal aortic aneurysm (AAA). There is a high risk of dying from a ruptured AAA and finding the aneurysm early gives men the best chance of treatment and survival.


Between May 2013 and March 2014, more than 15,000 men attended for their first scan. Of these, 194 aneurysms were detected by the screening programme and as a result of this 17 men were placed on surveillance and five had life\-saving surgery. The overall uptake rate for men invited for screening during 2014\-15 was 74\.7%, which is a very promising start for a new national population screening programme. To date, around 2,000 men have taken advantage of the offer. A coaster and poster campaign has been planned in association with the Welsh Rugby Union to tie in with the Six Nations – all 320 Welsh rugby clubs will be sent coasters and posters about the AAA screening programme.


Bowel cancer is the third most common cancer in Wales and kills around 1,000 people each year. The bowel screening programme, which is available to men and women aged 60 to 74, aims to reduce the number of people dying from bowel cancer in Wales by 15% by 2020\. Take\-up is lower in men than in women. A number of interventions, targeted at men, have been or are being tried and evaluated – examples include collaborative work with Cancer Research UK; sending out gloves and kits to help collect samples and the trial use of introductory letters before issuing bowel screening kits. Since September 2015, all men have received a pre\-invitation letter about two weeks before they get their test kit. Based on evidence from a pilot, people who received a pre\-invitation letter were more likely to respond to screening, especially men.  


The Welsh Government has published a suite of major health delivery plans, including for cancer, heart and liver disease. These are comprehensive, all\-Wales and all\-population plans. However as men in general have higher risk and prevalence for some diseases, work is being taken forward by individual delivery plan implementation groups which will help to alleviate the impact on men’s health at a population level.


We know lung cancer is more common in men and has particularly poor outcomes. The cancer implementation group is taking forward a lung cancer initiative to help people recognise symptoms earlier, receive treatment at an earlier stage, increase lung surgery rates and improve the overall care pathway in order to improve patient outcomes.


Separately, my officials have worked with the Wales Cancer Intelligence and Surveillance Unit to produce a detailed analysis of lung cancer in Wales to highlight a range of issues including gender differences. Providing this information at primary care cluster levels has assisted local teams to more effectively engage communities in the development of local priorities.  

  

Men in Blaenau Gwent have some of the lowest life expectancy levels in England and Wales according to official statistics. Aneurin Bevan University Health Board’s Living Well Living Longer programme was the first of its kind in Wales and started in Blaenau Gwent to identify those at the greatest risk of developing cardiovascular disease and invite them for a short health check at venues throughout the county.


The Welsh Government has provided Aneurin Bevan University Health Board with funding in 2014\-15 and 2015\-16 to improve primary and community care to support the delivery of the programme. As part of the programme, blood pressure, pulse and cholesterol checks will be carried out to assess individuals’ risk of developing cardiovascular disease over the next 10 years. Once the results have been assessed, a plan of action is agreed with the patient and they identify their priorities with health professionals to reduce their risk of cardiovascular disease.


**Mental health and wellbeing**


Mental health is a priority area for this government, – more than £600m is being invested this year in mental health services in Wales.


One in four adults experience mental health problems or illness at some point during their lifetime. Suicide is a particular concern and men are three times more likely to take their own lives compared to women; men aged 30 to 49 are at the greatest risk. The Welsh Government’s new five\-year strategy Talk to Me 2 is deliberately targeted at those people who are particularly vulnerable to suicide and self harm and to care providers who will respond to their needs. It aims to promote, co\-ordinate and support plans and programmes to reduce suicide and prevent self harm at national, regional and local levels.


We need to help create a society where mental health problems are not hidden and this is why the Welsh Government funded a further phase of the Time to Change Wales campaign, which will continue to raise awareness, break down myths and stereotypes and challenge mental health stigma and discrimination across Wales. The Time to Change Wales Wear the Same Shirt campaign with Sport Wales uses football to help dispel myths and get communities playing and talking.


Together for Mental Health is the Welsh Government’s 10\-year strategy for improving mental health and wellbeing in Wales and improving the care and treatment of people using mental health services, their carers and their families. We are currently consulting on priority areas and actions for 2016\-19\.


 







Translation:


 
Yn dilyn y datganiad ym mis Rhagfyr 2015 y bydd Cymru yn cyflwyno rhaglen newydd i frechu dynion sy'n cael rhyw gyda dynion yn erbyn y feirws papiloma dynol (HPV), mae'r datganiad ysgrifenedig hwn yn tynnu sylw at feysydd eraill o waith penodol yng Nghymru sy’n rhoi cymorth i ddynion fabwysiadu ffordd fwy iach o fyw a gwella eu hiechyd.

Cefnogi dewisiadau iach o ran ffordd  o fyw

Mae cyfraddau smygu yn uwch ar gyfer dynion na menywod ac mae dynion yn llai tebygol o ddefnyddio'r cymorth am ddim sydd ar gael i'w helpu i roi gorau i smygu. Mae Iechyd Cyhoeddus Cymru wedi comisiynu gwaith ymchwil i'r rhwystrau rhag cael mynediad at wasanaethau'r GIG ar gyfer cymorth i roi'r gorau i smygu.  Bydd y canlyniadau yn llywio gwaith Dim Smygu Cymru yn y dyfodol. 

Mae canran y carcharorion sy'n smygu, sy'n ddynion yn unig yng Nghymru, yn uwch o lawer, sef 80% o'i gymharu â 20%. Rydym yn gweithio tuag at gael carchardai di\-fwg yng Nghymru. Bydd cymorth a chyngor yn cael eu cynnig i helpu carcharorion i roi'r gorau i smygu yn ogystal â'r cyfle i fynychu rhaglen rhoi'r gorau i smygu a fydd ar gael drwy raglen gofal iechyd carchardai.

Mae dynion yn fwy tebygol na menywod o gamddefnyddio alcohol. Mae mwy na hanner y dynion yn dweud eu bod yn yfed mwy na'r canllawiau a argymhellir, ac mae traean ohonynt yn dweud eu bod yn goryfed mewn pyliau. 

Ar 8 Ionawr, cyhoeddodd Prif Swyddogion Meddygol y DU ganllawiau diwygiedig ar yfed alcohol gan ostwng yr argymhelliad ar gyfer dynion i 14 uned yr wythnos \- un canllaw i ddynion a menywod. Mae fy swyddogion yn cydweithio ag Iechyd Cyhoeddus Cymru i rannu'r neges am y canllawiau alcohol newydd. Hefyd, fel rhan o'r  Cynllun Cyflawni ar gyfer Camddefnyddio Sylweddau 2016\-18, mae Llywodraeth Cymru yn ymgynghori ar sut i fynd i'r afael ag ymddygiadau yfed peryglus. 

Mae'r gweithle yn lleoliad effeithiol i wella iechyd oedolion o oedran gweithio ac i dargedu iechyd dynion \- mae cyfradd gyflogaeth i ddynion tua 74% ar hyn o bryd. Mae rhaglen gwaith ac iechyd Llywodraeth Cymru, Cymru Iach ar Waith, yn cefnogi cyflogwyr i ganolbwyntio ar faterion iechyd dynion yn y gweithle drwy'r Safon Iechyd Corfforaethol a Gwobr Iechyd y Gweithlu Bach. Ar hyn o bryd, mae 3,000 o sefydliadau yng Nghymru, sy'n cyflogi 455,719 o bobl, wedi cymryd rhan yn rhaglenni Cymru Iach ar Waith. Hyn yw bron traean o boblogaeth weithio Cymru.

Mesurau gofal iechyd ataliol

Mae rhaglenni sgrinio'r boblogaeth yn helpu i ganfod presenoldeb clefydau mewn pobl nad ydynt yn dangos arwyddion na symptomau ohonynt. Cafodd prawf uwchsain un\-tro i ddynion 65 oed yng Nghymru ei lansio ym mis Mai 2013 i chwilio am  y chwydd yn yr aorta a allai arwain at hollt neu rwyg \- ymlediad aortaidd yn yr abdomen (AAA). Mae risg uchel o farw yn sgil AAA sydd wedi rhwygo, ac mae darganfod yr ymlediad yn gynnar yn rhoi'r cyfle gorau i'r dynion hyn gael triniaeth a goroesi. 

Rhwng mis Mai 2013 a mis Mawrth 2014, cafodd mwy na 15,000 o ddynion eu sgan cyntaf. O'r rhain, canfuwyd 194 o ymlediadau oherwydd y rhaglen sgrinio ac o ganlyniad i hyn rhoddwyd 17 o ddynion o dan oruchwyliaeth feddygol a chafodd pump o ddynion lawdriniaeth achub bywyd. Yn gyffredinol, y gyfradd ddefnyddio ar gyfer dynion a gafodd eu gwahodd am sgrinio yn ystod 2014/15 oedd 74\.7%, sy'n ddechrau calonogol iawn ar gyfer y rhaglen newydd i sgrinio'r boblogaeth. Hyd yn hyn, mae tua 2,000 o ddynion wedi manteisio ar y gwahoddiad hwn. Mae ymgyrch mat diod a phoster wedi cael ei chynllunio ar y cyd ag Undeb Rygbi Cymru i gyd\-fynd â Phencampwriaeth y Chwe Gwlad. Caiff matiau diod a phosteri am y rhaglen sgrinio ar gyfer AAA eu hanfon i bob un o'r 320 o glybiau rygbi Cymru. 

Canser y coluddyn yw'r trydydd canser mwyaf cyffredin yng Nghymru, ac mae'n lladd tua 1,000 o bobl bob blwyddyn. Nod Rhaglen Sgrinio'r Coluddyn, sydd ar gael i ddynion a menywod 60 i 74 oed, yw gostyngiad o 15% yn nifer y bobl sy'n marw o ganser y coluddyn yng Nghymru erbyn 2020\. Mae nifer y dynion sy'n cael eu sgrinio yn is na nifer y menywod. Mae nifer o ymyriadau ar gyfer dynion wedi cael, neu yn cael, eu treialu a'u gwerthuso. Mae enghreifftiau yn cynnwys: cydweithredu ag Ymchwil Canser y DU; anfon menig a phecyn prawf ar gyfer casglu samplau, a threialu anfon llythyrau esboniadol cyn anfon pecynnau sgrinio’r coluddyn. Ers mis Medi 2015, mae pob dyn wedi cael gwahoddiad cynnar tua phythefnos cyn cael y pecyn prawf. Ar sail tystiolaeth o raglen beilot, roedd pobl a gafodd wahoddiad cynnar yn fwy tebygol o ymateb, yn enwedig dynion.  

Mae  Llywodraeth Cymru wedi cyhoeddi cyfres o gynlluniau cyflawni ar gyfer prif feysydd iechyd, gan gynnwys canser, clefyd y galon a chlefyd yr afu. Mae'r rhain yn gynlluniau cynhwysfawr sy'n seiliedig ar Gymru gyfan ac ar bob poblogaeth. Er hynny, wrth ystyried bod mwy o achosion o rai clefydau ymhlith dynion yn gyffredinol, mae gwaith yn cael ei wneud gan grwpiau gweithredu cynlluniau cyflawni a fydd yn helpu i liniaru'r effaith ar iechyd dynion. 

Rydym yn gwybod bod canser yr ysgyfaint yn ganser mwy cyffredin ymhlith dynion ac mae'n ganser â chanlyniadau arbennig o wael. Mae'r grŵp gweithredu ar gyfer canser yn rhoi ar waith fenter canser yr ysgyfaint i helpu pobl i adnabod symptomau'n gynharach, cael triniaeth ar ddechrau'r canser, cynyddu cyfraddau llawdriniaeth yr ysgyfaint a gwella'r llwybr gofal cyffredinol er mwyn gwella canlyniadau i gleifion.

Hefyd, mae fy swyddogion wedi cydweithio ag Uned Gwybodaeth a Gwyliadwriaeth Canser i gynhyrchu dadansoddiad manwl o ganser yr ysgyfaint yng Nghymru er mwyn tynnu sylw at amrywiaeth o faterion gan gynnwys gwahaniaethau rhwng y rhywiau. Mae darparu'r wybodaeth hon ar lefelau clwstwr wedi cynorthwyo timau lleol i gydweithio'n fwy effeithiol â chymunedau wrth ddatblygu blaenoriaethau lleol.   
   
Mae gan ddynion sy'n byw ym Mlaenau Gwent rai o'r disgwyliadau oes isaf yng Nghymru a Lloegr yn ôl ystadegau swyddogol. Rhaglen Byw'n Dda, Byw'n Hirach Bwrdd Iechyd Prifysgol Aneurin Bevan oedd y gyntaf o'i bath yng Nghymru. Dechreuodd ym Mlaenau Gwent i nodi'r rheini â'r risg mwyaf o ddatblygu clefyd cardiofasgwlaidd a'u gwahodd i gael archwiliad iechyd byr mewn lleoliadau ledled y wlad.

Mae Llywodraeth Cymru wedi rhoi cyllid i Fwrdd Iechyd Prifysgol Aneurin Bevan yn 2014\-15 a 2015\-16 i wella gofal sylfaenol a chymunedol er mwyn cefnogi'r gwaith o gyflwyno'r rhaglen. Fel rhan o'r rhaglen, bydd archwiliadau pwysau gwaed, curiad calon a cholesterol yn cael eu cynnal er mwyn asesu risgiau unigolion o ddatblygu clefyd cardiofasgwlaidd yn ystod y 10 mlynedd nesaf. Ar ôl i'r canlyniadau gael eu hasesu, caiff cynllun gweithredu ei gytuno â'r claf a bydd yn cydweithio â gweithwyr iechyd proffesiynol i nodi ei flaenoriaethau i leihau ei risg o glefyd cardiofasgwlaidd.

Iechyd meddwl a llesiant

Mae iechyd meddwl yn flaenoriaeth i'r Llywodraeth hon. Mae mwy na £600 miliwn yn cael eu buddsoddi eleni mewn gwasanaethau iechyd meddwl. 

Mae un o bob pedwar oedolyn yn wynebu problemau iechyd meddwl neu salwch rywbryd yn ystod eu bywyd. Mae hunanladdiad yn bryder arbennig ac mae dynion dair gwaith yn fwy tebygol o gymryd eu bywydau eu hunain o'u cymharu â menywod; mae'r risg mwyaf ymhlith dynion 30 i 49 oed. Mae strategaeth bum mlynedd newydd Llywodraeth Cymru Siarad â Fi 2 yn cael ei thargedu'n fwriadol at y grwpiau hynny o bobl sy'n arbennig o agored i gyflawni hunanladdiad a hunan\-niweidio, ac at ddarparwyr gofal a fydd yn ymateb i'w hanghenion. Ei nod yw hyrwyddo, cydlynu a chefnogi cynlluniau a rhaglenni i leihau achosion o hunanladdiad ac atal hunan\-niwed ar lefelau cenedlaethol, rhanbarthol a lleol. 

Mae angen inni helpu i greu cymdeithas lle nad yw problemau iechyd meddwl yn cael eu cuddio. Dyna'r rheswm y rhoddodd Llywodraeth Cymru gyllid i gyflwyno cam arall yr ymgyrch Amser i Newid Cymru a fydd yn parhau i godi ymwybyddiaeth, chwalu mythau ac ystrydebau, a herio stigma iechyd meddwl a gwahaniaethu ar draws Cymru. Mae'r ymgyrch Gwisgwch yr un Crys Amser i Newid Cymru, ar y cyd â Chwaraeon Cymru, yn defnyddio pêl\-droed i helpu i chwalu mythau ac annog cymunedau i chwarae a siarad.

Law yn Llaw at Iechyd Meddwl yw cynllun 10 mlynedd Llywodraeth Cymru ar gyfer gwella iechyd meddwl a llesiant yng Nghymru a gwella gofal a thriniaeth i bobl sy'n defnyddio gwasanaethau iechyd meddwl, eu gofalwyr a'u teuluoedd. Ar hyn o bryd, rydym yn ymgynghori ar feysydd blaenoriaeth a chamau gweithredu ar gyfer 2016\-19\.