How the Outside World Gets In Stacy Tessler Lindau, MD, MAPP, University of Chicago Principal Investigator, South Side Hea...
 
 
 
 
 
 
 
 
 
How Outside World Gets In McEwen, 1998. Protective and damaging effects of stress mediators. N Engl J Med. 338(3):171-9.
© Lindau 2010 Biological / Physiological Mechanisms Social Relationships and Environment Positive social relationships and...
© Lindau 2010 Immunity Inflammation Hormones Blood Vessel Turbulence Metabolism HEALTH DISEASE Social Factors
 
 
Actual cause of death = major external (non genetic) modifiable factor that contributes to death. McGinnis JM, Foege WH.  ...
Environmental   Mapping Physical Natural Service Built Technology Population-Based Research Cross-sectional surveillance P...
<ul><li>The purpose of the South Side Health and Vitality Studies, a collaboration between community and university member...
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Chicago Humanities Festival: Stacy Lindau - South Side Health and Vitality Studies

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As Principal Investigator of the South Side Health and Vitality Studies (SSHVS), Dr. Lindau directs population-based biosocial and health technology research using a community-engaged, minimally-invasive approach. This project is the major research component of the University of Chicago Medical Center’s Urban Health Initiative, and it involves dozens of faculty members across biomedical and social science disciplines at the University of Chicago collaborating with civic leaders and community members living on Chicago’s South Side.

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  • Health care gets under the skin with technology, medicines, etc.
  • Play gets under the skin
  • Politics gets under the skin
  • Parenthood gets under the skin
  • Love gets under the skin
  • Here’s a way in which the body is used to effect social change – starvation used as a tool to move society.
  • Race gets under the skin – discrimination changes biology. More susceptible or more resilient? Fight or flight?
  • Fight?
  • Or flight?
  • Figure source: McEwen, 1998. Protective and damaging effects of stress mediators. N Engl J Med. 338(3):171-9. McEwan is neuroscientist and neuroendocrinologist at Rockefeller Allostatic Load = cumulative, multisystem view of physiological toll exacted on the body through attempts at adaptation (McEwan and Stellar, AIM 1988) Reactivity Steady-state activity Costs of these adjustments builds up, culminating in cumulative identifiable damage that results in increased pathology (Seeman et al, 1997; Cacioppo et al, 2000) Note- negatively framed. Is allostatic load bad? What happens to allostatic load in situations of great pleasure, say orgasm or love?
  • The National Social Life, Health and Aging Project uses the interactive biopsychosocial model to hypothesize a bidirectional relationship between health and sexuality. In this framework, good health promotes sexuality and AND positive sexual activity and relationships promote good health. Ultimately, we aim to elucidate the biological and physiological mechanisms through which sexuality and health influence one another. Although we only have cross-sectional data at this point, our longitudinal hypothesis proposes that positive sexual activity and relationships promote health and mitigate illness as people age.
  • Minino AM, Aria E, Kochanek KD, Murphy SL, Smith BL. National Vital Statistics Report . 2002
  • Chicago Humanities Festival: Stacy Lindau - South Side Health and Vitality Studies

    1. 1. How the Outside World Gets In Stacy Tessler Lindau, MD, MAPP, University of Chicago Principal Investigator, South Side Health and Vitality Studies Chicago Humanities Festival October 24, 2010
    2. 11. How Outside World Gets In McEwen, 1998. Protective and damaging effects of stress mediators. N Engl J Med. 338(3):171-9.
    3. 12. © Lindau 2010 Biological / Physiological Mechanisms Social Relationships and Environment Positive social relationships and environments promote health and mitigate illness over the life course. Health TIME
    4. 13. © Lindau 2010 Immunity Inflammation Hormones Blood Vessel Turbulence Metabolism HEALTH DISEASE Social Factors
    5. 16. Actual cause of death = major external (non genetic) modifiable factor that contributes to death. McGinnis JM, Foege WH.  The Journal of the Academic Medical Association.  1993
    6. 17. Environmental Mapping Physical Natural Service Built Technology Population-Based Research Cross-sectional surveillance Prospective longitudinal study Experimental and quasi-experimental studies Data Collaboratory Acquisition and curation of existing and anticipated data sets relevant to South Side South Side Health and Vitality Studies
    7. 18. <ul><li>The purpose of the South Side Health and Vitality Studies, a collaboration between community and university members, is to: </li></ul><ul><li>collect the highest quality data from outside (? and inside ?) the body </li></ul><ul><li>in the priority areas defined by community members </li></ul><ul><li>to make it widely and rapidly available </li></ul><ul><li>with respect for individual integrity and confidentiality </li></ul><ul><li>and to use the data to inform innovations and actions </li></ul><ul><li>that will accelerate and sustain exemplary health </li></ul><ul><li>among the people and communities who are the South Side of Chicago </li></ul><ul><li>and beyond. </li></ul>

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