Transcript Sex Gender

What is gender medicine?
Karin Schenck-Gustafsson, MD, PhD
Professor of Cardiology, Karolinska University Hospital
Director and Founder, Centre for Gender Medicine, Karolinska Institutet
www.ki.se/cfg
Strategic Councillor, Equality and Equity
karin [email protected]
Schenck
SEX
Sex
Biology
Genetics
GENDER
Gender
G
Society
ender
Symptoms
Genus
Abuse
Hormones
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Socio-cultural
What is the impact of being a man or a woman in the society?.
1990 Mattel Co. Barbie and Ken
Math is difficult
Veng
ean
is min ce
e
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3
IGender aspect of diseases
some examples
Women
Osteoporosis
i
Lungdiseases
Rheumatic diseases
Multipel sclerosis
Alzheimer
Eaing disorders
Depression
Fibromyalgia
Cronic Fatigue
Thyroid diseases
Gallbladderstones
Migraine
Whip lash
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Men
Myocardial infarction
Infections
Coloncancer
Ulcus
Diabetes
Alcoholism
Schizofrenia
Atrial fibrillation
Autism
ADHD
Men and women
experience health
and disease differently
Biology differs
Aging is different in
men and women
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Always consider sex and gender in
Epidemiology
Riskfactors
Patophysiology
Diagnostics
Treatment
Prognosis
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Women live longer since 1750 in Sweden
but lately the gendergap is decreasing
(10 years to 3)
Namn
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Efternamn
?
Smoking
Lipids
Obesity
Hormones
Stress
Socio-cultural factors
Telomers
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25 augusti 2011
7
Telomere length
Telomerase
Nobel price 2009
Medicine/Physiology
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Women seek more health care
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Women take more pills
Women are prescribed more pills
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Drug utilization data from Swedish Board of Health and Welfare:
59% of all Swedish men and 75 % of all Swedish women
take out at least one docotrs prescribed drug per year (2010)
12
hos män och kvinnor
Soldin & Mattison. Clin Pharmacokinet
2009;48:143-157
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On-going gender activity in
Stockholm County Council
(hospitals, general practioners)
Education in equity and gender medicine for heads of departments
since 2006, 800 chiefs have been educated
CEMR-declaration accepted dec 2008, EU-meeting Stockholm May 2010
Development of gender tools in hospitals
Pilot study on-going: stroke, AMI, hip-fractures, eye-operations
Projects on equality indicators in health care
Gender aspects on the use of medication
HOUPE-study
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Can Healthy Work Organization Prevent Suicidal Thoughts among Physicians?
The University Hospital Physician (HOUPE) Study -- Results from Sweden
Ann Fridner, PhD, 1, 2 Karen Belkic, MD, PhD, 2, 3 Massimo Marini, MSc, 4
Birgit Pingel, PhD, 1Lise Lövseth, PhD Candidate, 5
Lilja Sigrún Jónsdóttir, MD, 6 Karin Schenck-Gustafsson, MD, PhD, 2
J Gender Medicine 2010
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Centres for Gender Medicine in Europe
Stockholm, Karolinska Institutet, Sweden, 2001
(Prof.Karin Schenck-Gustafsson)
Berlin, Charite University, Germany, 2004
(Prof. Vera Regitz-Zagrosek)
Vienna, Austria, University of Vienna 2006
(Prof. Jeannette Strametz-Juranek)
Modena,Italy, 2004
(Prof. Maria-Grazia Modena)
Padova, Italy 2009
(Prof. Giovanella Baggio)
Tel Aviv, Israel, 2010
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(Prof. Marek Glezermann)
Europe:
International Society of Gender Medicine
USA:
OSSD
(Organization for th Studies of Sex
Differences)
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Centre for Gender Medicine, Karolinska Institutet
since 2001
Initiated by
Prof. Karin Schenck-Gustafsson and Prof. Harriet Wallberg-Henriksson, KI´s president
Funding: Karolinska Institutet, Wallenberg Foundation, AFA Insurance Company
Stockholm County Council, 1.6 million club (calender)
Organisation:
A board with a chair and 5 members from Karolinska Institutet’s faculty
2 external members
A director
An administrative assistant
A core research committee
An executive committee
Researchers and educational leaders
Inauguration with Queen Silvia
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Centrum för Genusmedicin
Omkring 25 personer
Berlin 2009
Nobel Forum oct 2010
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10 years with Center for Gender Medicine
Past, Present and Future
Monday October 17th, 2011, Rolf Luft Center, Karolinska University Hospital, Solna
8:00-8:55
8:30-8:55
8:55-9:00
9:00-9:30
9:30-10:00
10:00-10:15
Chair: Noel Bairey Merz
10:15-10:30
10:30-10:45
10:45-11:00
11:00-11:30
11:30-12:00
12:00-13:00
14:00-14:30
14:30-15:00
15:15-15:45
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15:45-17:00
Coffee at “Faculty Club” (Invited)
Coffee and registration
Welcome: Karin Schenck-Gustafsson
Inauguration: H.M. Queen Silvia, Harriet Wallberg-Henriksson,
The devolepment of Gender Medicine in the world
Marianne Legato, Columbia University, New York
Center for Gender Medicine, Karolinska Institutet
Karin Schenck-Gustafsson, Ingrid Lundberg
Gender Medicine at Stockholm County Council
Birgitta Rydberg, Politician, Stockholm County Council
Gender perspectives when building a new hospital, NKS
Lennart Persson,
Fruit and refreshments
The vulnerable man
Marek Glezerman, Rabin Medical Center, Tel Aviv
The vulnerable woman
Virginia Miller, Mayo Clinic, Minnesota
Research at the Center: Abstract show
Katarina Bilén, Joakim Sturup, Elisabeth Örtqvist, Sebastian Gidlöf,
Jocelien Olivier, Juan Jesus Carrero, Nina Johnston, Desirée Loikas,
Natallia Luksha, Annika Berglund, Marie Gustafsson
Female coronary artery disease
Noel Bairey Merz, Cedars-Sinai Medical Center, Los Angeles
LifeGene – a goldmine for studies of gender medicine
Nancy Pedersen
“The Power Study” in Canada - what have we learnt about
determinants of health and disease
Arlene Bierman, University of Toronto
C
Health care seeking - Why do women and men behave differently?
Jan 2012
Karger
Handbook of Clinical
Gender Medicine
2009
Editor in Chief
Karin Schenck-Gustafsson
Schenck
Center for Gender Medicine
impact
Gender Medicine
”is one of the most exciting and rapidly growing areas in science and medicine and one
of the most important developments of the 21st century.”
and very important for the optimal care and treatment
of both men and women
www.ki.se/cfg/ [email protected]
Schenck