Transcript Public Health Reports Webinar on Progress in Women’s Health: 1985 - 2015 April 7th, 2015 | 1:00 PM – 2:00 PM ET Thank you for.

Public Health Reports
Webinar on
Progress in Women’s Health:
1985 - 2015
April 7th, 2015 | 1:00 PM – 2:00 PM ET
Thank you for joining, the presentation will begin shortly.
Welcome to the Public Health Reports
Meet the Author Webinar on
Progress in Women’s Health:
1985 - 2015
Frederic E. Shaw, MD, JD
Senior Advisor, Center for Surveillance, Epidemiology, and Laboratory Services
Office of Public Health Scientific Services, Centers for Disease Control and Prevention
Department of Health and Human Services
Acting Editor, Public Health Reports
Public Health Reports
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Progress in Women’s Health: 1985 - 2015
Nancy C. Lee, M.D.
Deputy Assistant Secretary for Health – Women's Health
Director, Office on Women's Health
U.S. Department of Health and Human Services
Progress in Women’s Health
Why Focus on Women’s Health?
• Often, specific health conditions act differently in
women and men
• Example: a heart attack in a woman is often
different from a heart attack in a man
– Women have more nontraditional symptoms
– Women are more likely to die after a heart attack
– USPSTF recommendation for aspirin as a prevention is
different for men and women
30 Achievements in Women’s Health in 30 Years
1.
Affordable Care Act Improves Women’s Health
2.
Increasing Women’s Lifespan
3.
Improvements in Breast Cancer Screening
4.
Decrease in Breast Cancer Deaths
5.
Decrease in Smoking Rates in Women
6.
Decrease in Lung Cancer Deaths in Women
7.
Cervical Cancer Prevention and Screening
8.
Decrease in HIV/AIDS Deaths in Women
9.
Decrease Mother-to-child Transmission of HIV
10.
Decrease in Deaths from the Leading Killer of
Women – Heart Disease
11.
12.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
Birth Control Became Better, Safer, and More
Accessible for Women
27.
Cancer and Steroid Hormone Study Looked at Link 28.
Between Women’s Cancers and Birth Control Pills
13.
Approval of Emergency Contraception
14.
Decrease in Teen Pregnancy
15.
Efforts to Improve Pregnant Women’s Health
and Outcomes
16.
Increase in Breastfeeding
29.
30.
Increase in Federal Funding to Address Violence
Against Women
Improvements in Mental Health Care for Women
Improvements in Support to Family Caregivers
Improvements in Older Women’s Health.
Largest Women’s Health Prevention Study Ever –
Women’s Health Initiative
Building Better Osteoporosis Treatments
Dangerous Drugs and Devices for Women
Removed from Market
FDA Helps Women and Families Meet Their
Nutritional Needs
Policies for Inclusion of Women in Clinical Trials
Addressing Sex Differences in Health
Addressing Minority Women’s Health
Recognizing the Needs of Lesbian, Bisexual, and
Transgender Women
Creation of HHS Offices of Women’s Health
Creation of Women’s Health Information
Resources
womenshealth.gov/about-us/government-in-action/achievements/
HHS Office on Women’s Health
Vision
• All women and girls achieve the best possible health
Mission
• The Office on Women’s Health provides national
leadership and coordination to improve the health of
women and girls through policy, education, and model
programs.
Goals
Inform and
advance
policies
Educate the
public
Support
model
programs
Educate health
professionals
Connect with OWH
twitter.com/womenshealth
twitter.com/girlshealth
twitter.com/SaludDLaMujer
facebook.com/HHSOWH
facebook.com/girlshealth
youtube.com/WomensHealthGov
pinterest.com/womenshealth
Challenges for the Future
• Understanding the complex nature of health
disparities in multiple populations
• Improve maternal health during pregnancy
• Decrease unplanned pregnancy rate
• Find a solution for obesity in American women
• Eliminate violence against women
Public Health Reports
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Improving the Health of Women Through Research
Janine Austin Clayton, M.D.
NIH Associate Director for Research on Women’s Health
Director, Office of Research on Women’s Health
NIH Office of Research on Women’s Health
• 25th anniversary in 2015: Founded in 1990
• 1991: Women’s Health Initiative
• 1993: NIH mandate to include women and minority
groups in clinical research
• 2015: NIH focal point for research on sex/gender
influences on health
… Benefits girls, women, boys, men
XX XY
“This report does not focus strictly on the
diseases and problems unique to women
in the traditional sense – that is,
reproductive problems – but rather is
devoted to assessing the problems of
women’s health, in the context of the
lives women in America lead today.”
– Edward N. Brandt Jr., MD, PhD
Assistant Secretary for Health
Public Health Rep. 1985 Jan-Feb;100(1):73-106.
Turning Discovery into Health
• Basic Research on Human Health and Disease
• Translational Research and Clinical Studies
• Funding for Training and Biomedical Workforce
Development
• NIH funds 4,000 institutions, small businesses
• > 300,000 scientists and research personnel
• Partnership with universities, public, industry
Women’s Health Initiative’s $250 million clinical trial
• $37 billion net economic return in the past decade
• Spared 75,000 women from heart disease
Return on Investment
• Prevented 126,000 women from getting breast cancer
• Added 145,000 quality-adjusted life years overall
ORWH A to Z Guide:
Sex and Gender Influences on Health
Sex is Not the Same as Gender
female, male
XX XY
Every cell has a sex.
XX
XY
Sex begins in utero.
Sex: genetic, molecular,
cellular, physiological
feminine, masculine
XX XY
Sex affects behavior
and perception.
Gender also affects
behavior and
perception.
Gender: behavioral,
environmental, social,
cultural
NIH in 2015: Beyond Inclusion
Sex/Gender Influences on Health and Disease
Preclinical studies
|
Basic
|
Healthy Women,
Men, Girls, Boys
Cell, Animal Studies
Health Care
Toxicology
| Education |
|
Health Policy
|
Phase I, II, III, IV Clinical Trials
Clinical
Sex-Specific Data Analyses
Sex-Specific Reporting
May 14, 2014
Clayton JA, Collins FS.
Nature. 2014 May 15;509(7500):282-3.
• Basic Research on Human Health and Disease
• Translational Research and Clinical Studies
• Funding for Training and Biomedical Workforce
Development
Sex is a Biological Variable
Study Both Sexes
Enhancing Study of Male and Female Biology in
Preclinical Research: It Takes a Village
• Scientific progress emerging in NIH-funded
laboratories
• Congressional interest and support
• Journal policies (November 2014) to improve
reporting standards (including information about
sex)
• NIH policy for considering sex as a biological
variable in preclinical research
• Resources for the scientific community
Better With Both: Encouraging Scientists to
Study Both Sexes
Better with Both: Improving Understanding of
Female and Male Biology Across Diseases
Behavioral Studies/Programs
1%
Cancer
6%
Aging
9%
Substance Abuse
17%
Cardiovascular/Pulmonary
20%
Health Effects of the
Environment
6%
Immune Disorders
8%
Infectious Diseases
1%
Reproductive &
Maternal/Child/Adolescent
Health
5%
Neurologic, Muscular & Bone
9%
Metabolism/Endocrinology/Ga
strointestinal
6%
Mental Health
11%
Kidney and Urologic
1%
•
•
•
The Basic Science and the Biological Basis for Sex – and Gender-Related Differences
Sex and Gender Differences in Health and Behavior
New! The Influence of Sex & Gender on Disease Treatment
Module 3.
The Influence of Sex and Gender on Disease Expression and Treatment
•
•
•
•
•
Sexual Dimorphism in Metabolic Bone Disorders
Cardiovascular Disease in Women: A Focus on Heart Failure
Sex and Gender Differences in Pulmonary Function and Health
The Neural Basis of Sex Differences in Pain
Sex Differences in Substance Abuse and Treatment
https://sexandgendercourse.od.nih.gov/
*CME or CPE credit can be
awarded to eligible
candidates who successfully
complete Courses 1, 2, or 3
www.nih.gov/sexinscience
The 4 Cs of Studying Sex to Strengthen Science
Consider
Design studies
that take sex
into account, or
explain why it
isn’t
incorporated
Collect
Tabulate
sex-based
data
Characterize
Analyze
sex-based data
Communicate
Report and
publish
sex-based data
Resources
For more information, please visit
http://orwh.od.nih.gov/
Public Health Reports
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FDA’s Role in Women’s Health
Marsha Henderson, MCRP
Assistant Commissioner for Women’s Health
Food and Drug Administration
What FDA Regulates
Drug and Device Development Process
FDA’s Role in Clinical Trials
• FDA does not conduct or support
clinical trials.
• FDA reviews clinical trials data
submitted as a part of product
applications.
• Diversity in clinical trial participation is
essential.
Office of Women’s Health
33
Why does FDA have an OWH?
The 1992 GAO report said:
• women were not adequately
included in clinical studies
• lack of understanding of
sex/gender differences
Response to Report:
• Women’s Health Advocates
lobbied Congress
• In 1993 Congress mandated
that FDA establish an OWH
GAO Report
OWH-Funded Research
1994-2014
Office of Women’s Health
37
Women’s Health Research Roadmap
FDASIA Section 907 Data Report
http://go.usa.gov/3DYEY
& Action Plan
http://go.usa.gov/3DY7w
Trainings for Health Professionals
Science of Sex and Gender
in Human Health
Online course series developed with
NIH ORWH
http://sexandgendercourse.od.nih.gov/
Women’s Health Curriculum &
Toolkit for Schools of Pharmacy
Developed with AACP
http://www.aacp.org/resources/education/whc
Take Time to Care Outreach Program
• Reached over 50 million
women
• Partnerships with
government, national
organizations, business, faithbased groups
• Consumer Publications
Special Projects & Populations
• Pregnancy
• College Women’s
Campaign
• Women with Disabilities
Project
• Pink Ribbon Sunday
Mammography
Awareness Program
• Video Outreach
FDA Website
www.fda.gov/womens
What You Can Do
• Join the Conversation on Diversity in Clinical Trials
– Encourage Diverse Women to Participate
– Project with NIH ORWH and other stakeholders will
target patients, researchers, and clinicians
• Spread the Word about FDA resources
– Incorporate materials into existing programs
Resources
FDA For Women Website:
www.fda.gov/womens
FDA Women’s Health Research:
www.fda.gov/womenshealthresearch
FDA Health Professionals Website
www.fda.gov/ForHealthProfessionals/default.htm
Questions?
Certified in Public Health (CPH)
Continuing Education Credit
Participation in this webinar qualifies for 1 CPHCE Credit
For more information please visit: http://www.nbphe.org
Password for credit is: Progress
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