Discover and read the best of Twitter Threads about #SDoH

Most recents (24)

Panel discussion up now: 'reframing Aboriginal health as the key to our future of health' with panel facilitated by Nicole McCartney, Chief Aboriginal Health Advisor at DOH Victoria. #GiantSteps22
Panelists incl Brad Brown, Director Victorian Aboriginal Health Service, Sheree Lowe Executive Director of Social & Wellbeing Centre of Excellence @VACCHO_org & Pat Turner AM CEO @NACCHOAustralia - #GiantSteps22 Image
Question - why is it important to reframe health?
Brown - local people talk about their own issues & needs, as needs & #SDOH are different across communities. Co-producing is important - community is part of the process, which is part of self-determination also #GiantSteps22
Read 24 tweets
I'm catching up on some of the recorded sessions & will start a thread on the 'Impact of the UN Committee’s statement in 2019 in relation to the minimum age of criminal responsibility', one of #RANZCP2022's recorded sessions, presented by Invited speaker Dr Enys Delmage
Dr Delmage is a consultant in adolescent forensic psychiatry and has worked in an adolescent forensic inpatient unit in Porirua, New Zealand, since November 2017. He has an interest in the law as it relates to children.ranzcp2022.com.au/dr-enys-delmage #RANZCP2022
Minimum age of criminal responsibility is defined as the age below which is deemed incapable of having committed a criminal offence. Below this age, children are 'doli incapax' - incapable of knowing that what they were doing was wrong- Dr Delmage #RANZCP2022
Read 33 tweets
Well that was truly awesome. A presentation from a medical student Maddie Pritchard from Aberdeen on the effects of social deprivation on outcomes for frail older patients.

A complex subject! #bgsconf #SDOH (social determinants of health). ImageImageImageImage
I’ll tweet some of Maddie’s graphs. Some fascinating results, that aren’t straightforward to explain….

#bgsconf Image
Check them out. It’s complicated because frail people in some parts of Scotland are younger than in some other parts. So judging outcomes related to age and frailty vs deprivation is complicated.

#SDOH #bgsconf ImageImageImageImage
Read 5 tweets
Next up at the #bgsconf meeting is @GrahamEllis247, talking about the Older People’s Strategy.

How do we address the health inequalities that afflict our country so badly?

#SDOH #inequality
So many challenges. Older people are often discriminated against and yet are also often quite passive in accepting what they experience.

#bgsconf
Older people are most likely to breach the #FourHourTarget in the #EmergencyDept.

#bgsconf
Read 26 tweets
Building on my thread below, I want to help policymakers committed to social, economic and climate justice better understand not only why #Bitcoin's proof-of-work consensus is essential, but Bitcoin's global value. We need policymakers to adopt a "walk and chew gum" approach. 🧵
2/ What I mean by a "walk and chew gum" approach is to step back from the fragmented silos in which public policy is far too often approached these days -- environment | housing | healthcare | food security | education | others -- and to adopt an inter-sectoral lens on #Bitcoin.
3/ In the same way that the "Social Determinants of Health" #SDOH and @UN "Sustainable Development Goals" #SDGs @SDGoals have rallied us to grapple with the ways in which diverse social, economic and political factors impact wellbeing & human development, so too does #Bitcoin.
Read 23 tweets
🧵Had the pleasure of attending a talk by the inimitable @edyong209 at @UBCJournalism @ubcSPPGA. He’s a superb journalist and just as good a speaker. His insights about #journalism, science and pandemics are remarkable too. #PandemicJournalism /1
Many of our standard modes of operation, like reporting today's news without context, have failed us during the pandemic. "Sense-making is important," said @edyong209. "It's not just about telling people what happened, it's helping them understand." #PandemicJournalism /2
We make the mistake of treating some doctors as all-knowing. "Expertise is very deep and narrow. For our work to deep and broad we need to speak to many people with different expertise" - clinicians, social scientists, epidemiologists, nurses, patients... #PandemicJournalism /3
Read 25 tweets
@MondayNightIBD @DCharabaty @BonumCe @pfizer @JanssenUS @TakedaPharma 3/ Social determinants of health #SDOH
👉Conditions in places where people live, learn, work, & play shaped by 💰wealth, power, & resources that affect a wide range of health risks/outcomes
📌SDOH can lead to unfair & avoidable differences in health status w/in pops #disparities Image
@MondayNightIBD @DCharabaty @BonumCe @pfizer @JanssenUS @TakedaPharma 4/ #SDOH impact health outcomes
📌Unemployed >6yrs👉2x⬆️mortality
📌Chicago area👉16yrs⬇️ life expectancy
📌Social isolation👉2x⬆️ risk of CAD
📌Unsafe childhood👉5x⬆️risk mental health disorder
📌Dual M/M ins👉24%-67% ⬆️readmission
📌Language services👉60% ⬆️risk ED utilization Image
@MondayNightIBD @DCharabaty @BonumCe @pfizer @JanssenUS @TakedaPharma 5/ How do #SDOH impact pts w/ #IBD?

📌 Low socioeconomic status (SES) in pts w/ IBD 👉
⬆️ICU admissions
⬆️hospitalizations 🏥
⬆️mortality risk
⬆️use of steroids >2,000mg/yr
⬆️outpatient visits
⬆️narcotic/psych med use

#MondayNightIBD
Read 21 tweets
Ce que décrit ce tweet est un phénomène découlant du Santéisme ou Healthism.

Mot que j'ai découvert grâce à Carla Nagels, qui s'appuie sur ce concept pour expliquer les dérives de l'autonomisation du citoyen et l'émergence des pratiques anti-scientifiques et antivax.

⤵️🧵
Il n'y a pas bcp d'articles en médecine sur le sujet.
74 results PubMed

Il surgit en 1980 dans l'article d'un économiste "Healthism and the medicalization of everyday life"
qui pose déjà les pièges de l'injonction au bien-être plaçant l'individu au centre
pubmed.ncbi.nlm.nih.gov/7419309/
"Dans la mesure où le Santéisme façonne les croyances populaires, nous continuerons à avoir une conception et une stratégie de promotion de la santé apolitiques et donc, en fin de compte, inefficaces"

BOUM!

Et Robert Crowford a écrit cela il y a 42 ans.
42 fucking années.
Read 15 tweets
I see that we are still slavishly worshipping at the idol of RCTs in epidemiologic science as the evidentiary warrant for public health action. I have written LOTS on the foolishness of this, its disastrous ethical & policy implications, & it's role in #ManufactureOfDoubt.

1/
It's almost as if people have never heard of the #PrecautionaryPrinciple. If we demanded evidence of exposure-harm or intervention-benefit that flowed from RCTs to warrant public health interventions, we would have essentially NO public health action AT ALL.

2/ Even granting the presumption that RCTs are a categorically
More on this, from my 2016 paper on importance of maintaining epistemically reasonable standards for proof of harm (& benefit!) as warrant for public health action:

(The subject of the paper is COIs and lays out my arg for regarding them as ordinary epidemiologic exposures)

3/ robust as we might like. If evidence of the kind envisioned
Read 6 tweets
#antivaxx efforts now even use #deepfake

to target #refugee, Black, religious minority communities

like measles outbreak in Minnesota in 2019: Wakefield was flown in TO spread #misinformation & #disinformation

Now: online fake accounts/fake identities vs #VaccinesWork
What has #healthcare been doing meanwhile?

#Medbikini: Teach (male Asian) med students to make fake accounts to cyberstalk trainees’ personal Facebook for: bikini
or “being political” or “religious” (#BLM)

➡️“model minority” pipeline for “shadow faculty” vs Blck @ayshakhoury
#Medbikini #research got flak for men vs women

BUT was ALSO fake acct #surveillance vs #BLM like drove out @ayshakhoury @uche_blackstock @nhannahjones

While academia has ignored #vaccineequity
➡️ongoing #pandemic & deaths in marginalized targeted by #antivaxx

@womanistpsych
Read 23 tweets
Hearing at @CATSINaM #BackToTheFire the powerful presentation by @LynoreGeia at the first conference event on Yirrganydji and Yidinji Country in Cairns - was played also on previous days this week but tweeting again ICYMI Image
She urges deep listening for what's been happening in Australia, of the movement for Black voices that are arising, and white voices that are standing with Black voices. Listen to "the heart of the Black nation that is crying out for justice". #BackToTheFire Image
. @LynoreGeia writes: Today, Australia finds itself in a shifting tide of social change, where the voices for better & safer health care ring out loud. Voices for justice, equity & equality reverberate across our cities, streets, homes &institutions of learning. #BackToTheFire
Read 54 tweets
In July of 2021, the @CDCgov announced a decrease in US life expectancy of 1.5 years, the biggest one-year decline since #WWII. Even before COVID-19, however, the US has seen several years of declining life expectancy in the past decade. #ph260720 #COVID
cdc.gov/nchs/pressroom…
Meanwhile, we see a widening gap in medical care between those with high and low status, leading to much larger declines in life expectancy for black and brown populations during #COVID19. How do you think these gaps came to be? #ph260720 #Healthcare
#hospitals continue to #Innovate and improve their medical care, following charters to improve health and care for the needy. However, they often fail to address the non-medical needs of their community, the “social determinants of health” #ph260720 #CommunityHealth
Read 13 tweets
Next #YHFSummit session: @roxxmacdonald talks to @SandroDemaio (he of #SolidarityPancakes #lockdown fame). @VicHealth has announced new partnerships with young people's orgs vichealth.vic.gov.au/media-and-reso… Image
Shifting the focus from health to wellbeing in governments: looking at 'building back better' not just from pandemic, but intergenerational challenges/inequities that have continued to play out. Look beyond GDP as indicator of success: @SandroDemaio #YHFSummit Image
"What gets measured gets done." @SandroDemaio says we all know individual worth not reflected in income, and it's the same for Australia/other countries. If all we measure is $ generated (GDP), that leads to perverse incentives, profit over health. #YHFSummit
Read 8 tweets
'Developing ideas for the future': session being led now at #YHFSummit by @jahintanvir_ and strategist @andrewhollo - thanks Jahin for featuring in our @CroakeyNews preview croakey.org/chf-youth-heal…
Mapping ideas #YHFSummit Image
Read 31 tweets
Dr Naheed Dosani is the Opening Plenary presenter #21OPCC - @NaheedD is a #palliativecare physician in Toronto, Canada and a health justice advocate. Some of his work includes implementing the Palliative Care and Education for the Homeless (PEACH) program cbc.ca/radio/whitecoa…
He helps provide #PalliativeCare for people who experience structural inequities
He started out when he met someone living on the streets who had cancer who did not follow up with healthcare due to structural challenges and denied access to medications #21OPCC
Read 34 tweets
Many timely reflections in this recent article re the capacity of health systems and workforce now and into the future croakey.org/under-pressure… #AusPol #COVID
On the importance of timely lockdowns & continuing other sensible public health measures, Prof @JBraithwaite1 says: "I would argue for prudence and holding the course. We risk unprecedented cases, deaths, and economic mayhem otherwise...
"I’d go for 90 percent, not 70 percent, vaccination rates, and counsel continuing public health measures, as stringently as possible," says @JBraithwaite1
Read 31 tweets
Interesting analysis/comparison of health equity/inequities in Australia, the Netherlands, Denmark etc croakey.org/inequity-in-he… By Professor @evelynedeleeuw, Director of CHETRE, UNSW, and Editor-In-Chief of Health Promotion International. #SDOH
"The success of Nordic and Bismarckian welfare states has not been the result of a conscious (autocratic or democratic) decision but rather the result of centuries of relatively close-knit joining of forces...
"Our (local, state/territory, federal) governments time and again claim pride in being the wealthiest and luckiest, and even among the healthiest, countries in the world. They refuse to face the truth – we are also one of the most unequal and inequitable nations."
Read 4 tweets
Women are not smaller men! #Atherosclerosis genesis, progression & sequelae different in women. Plaque erosion causing ACS more common in women. Women have unique #SDOH, are undertreated with #cvPrev therapies & #GDMT, leads to worsening outcomes in women. @lesleejshaw #SCCT2021 ImageImageImage
Women’s CVD risk can be underestimated. Female specific risk enhancers help. #CAC if risk uncertain. Women have lower #CAC prevalence than men but prevalence increases after menopause. CAC when present confers greater risk of incident CVD in women than men. @lesleejshaw #SCCT2021 ImageImageImage
Prevalence of non-obstructive #CAD is higher in women but is prognostic of risk. @lesleejshaw #SCCT2021 ImageImageImage
Read 6 tweets
A system is perfectly designed to achieve the outcomes created by that system.

This system isn’t broken, it’s flawed by design. Ruthless capitalism in which the people the system should be designed to care for are abandoned and failed at every turn.
I would add, by the way, that the same system design that harms patients also harms physicians as well. We are trapped in a system where the winners are the corporations that pulls the strings and the people who run them. You don’t have to look very hard for examples:
This is why I care so much about health policy and the political determinants of health. #PDoH

We can’t truly improve health outcomes or address social determinants of health if we don’t understand the policies that led to them in the first place. #SDoH
Read 4 tweets
1/ Joining some wonderful people from what I am seeing as a diverse group of researchers at the #EditorialBoard of @PLOSGPH; journal has given itself the tall order of “addresses inequities in public health and makes impactful research accessible to all… (1/n) #Threads
2/ In words of @paimadhu "the journal will amplify the voices of underrepresented and historically excluded communities and prioritize equity, diversity, and inclusion at all levels"; I am highly skeptical of this,
3/ yet I am thrilled that a #PublicHealth journal would give itself such a vision; #Knowledge #Science #Evidence all reproduce the same kind of social hierarchies that drive unfair accumulation of resources in our society
Read 12 tweets
The brilliant @KBibbinsDomingo opens today's @theNASEM workshop by reminding us that #EquityInClinicalTrials is about justice, better science, and economic opportunity. There are NO excuses to prop up the status quo, y'all. #BrainHealthEquity
#AdaoraAdimora points out that the research enterprise too often focuses on enrolling individuals that are easy to enroll.
Yes, ma'am...an example of how privilege is exalted by the current system. 🧵/2 #EquityInClinicalTrials
Dr. #AdaoraAdimora underscores the importance of hiring diverse staff that understand, empathize, and reflect the communities to advance #EquityInClinicalTrials. It's past time for research to be anchored by **communities** and not institutions. 🧵/3
Read 21 tweets
Aisha Willisams from @CHRIS180_Change Krystal Billups from @GroupMosaic presenting on how to address complex challenges when aligning organizations from different sectors to drive change and focus on community rather an organizational plans and interests #collectiveimpact Image
Their initiative used a placed-based and people-based focus #collectiveimpact #CIAS2021 Image
The goals of the Westside Health Collaborative in Atlanta #collectiveimpact #CIAS2021 Image
Read 15 tweets
The answer is....

*drumroll*

ZDogg with guest Vinay Prasad.

Watch at your own discretion.
Warning: this is painful and there will be no lifeguard on duty.

The mental gymnastics of two people with big platforms complaining about being cancelled or other people with big platforms being cancelled when they literally are doing so on social media on their big platforms that are entirely not cancelled.
My brain hurts just listening to this.

“Why are they pushing masks when they really should be talking about social inequality and the lack of resources provided to protect these people” when that’s literally what we’ve been fucking saying for so long...
Read 10 tweets

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