Discover and read the best of Twitter Threads about #healthinequalities

Most recents (17)

Looking forward to what should be an interesting discussion as to whether, and how, our cities can bounce back from the #Coronavirus pandemic #PolicyExchange
First, Chair @TrevorPTweets announces the relaunch of the #LiveableLondon project, which seeks to explore how #London can address the challenges it faces both post-#Coronavirus & post-#Brexit #PolicyExchange
Prof Ed Glaeser opens his tall by saying that “the age of the city is not over” and that London’s “best days could well be in front of it” #PolicyExchange
Read 28 tweets
Despite rhetoric on #healthinequalities, the current UK #vaccination strategy discriminates against poorer people.

🧵 below on why.

Immediate action needs to be allowing vacc sites to move down cohorts (& providing supply to do so)

@CdsPcn @NikkiKF @CMO_England @Jeremy_Hunt
With the exception of HCWs, the top JCVI cohorts are based on biological age.

But poverty affects life expectancy. In poor areas people don't live so long.
Our #PCN covers a highly deprived area. Most people don't live to be over 80. Or > 75 for that matter. Our first cohorts are tiny.

BUT we have huge numbers of patients in cohort 4 (over 70, and clinically extremely vulnerable). That's b/c we have LOADS of ppl w multimorbidity
Read 9 tweets
Looking forward to a timely & topical debate on how our #Coronavirus recovery response can address ore-existing economic & social #inequalities in the UK #BuildBackFairer
Richard Horton opens the seminar by saying that the #Coronavirus pandemic is more than just combatting the effects of the disease, it is also combatting the effects of pre-existing #HealthInequalities & social #Deprivation that now need addressing #BuildBackFairer
Next, Sir @MichaelMarmot presents the findings of his report showing how inequalities have impacted on #Coronavirus deaths, with #Deprivation being the main driver of higher death rates in various communities #BuildBackFairer ImageImageImage
Read 39 tweets
If you work in the field of #HealthInequalities research, this is a thoughtfully written paper, well-worth a read

anthrosource.onlinelibrary.wiley.com/doi/full/10.11…
There are different types of research needed to inform health inequalities, as I mentioned yesterday when I alluded to three types

These each use different research questions, methods & approaches

As a social epidemiologist, the major challenge when describing health inequalities or trying to understand the mechanisms (often focussed on the 1st two types I mentioned) is:

how do you measure the social environment? This is one of the critiques made in the above paper
Read 7 tweets
Today is the start of #SHW2020! Each day this week, I'll be tweeting about Britain's long, tempestuous and ever-so-slightly bonkers love–hate relationship with its #sexualhealth.

Darlings, brace yourselves. 💋 #SHW20 Image
We begin with the Victorians, who, contrary to popular belief, were obsessed with sex. In the C19, the only known #STIs were syphilis and gonorrhoea. Diagnosis depended on observable symptoms (no blood tests/smears). Effective treatments were non-existent. Image: @ExploreWellcome Image
In 1864 the British government introduced the Contagious Diseases Acts, intended to protect the armed forces through 'regulation' of 'common prostitutes'. The Acts gave police almost-unlimited discretionary powers to arrest any woman they thought might be soliciting. Image: HCPP Image
Read 62 tweets
I'm invigorated after today's @NHSCitizen meeting. Be warned this is a long thread!
@NHSCitizen Advisory Group's ambition is to draw together all of the forums and networks that @NHSEngland work with to share experiences, identify areas of shared interest (and frustration), 1/7
to amplify the voice and experience of people with lived experience and to drive change in how we @NHSEngland involve people and communities in meaningful and impactful ways. We have many forums and networks that do brilliant work in their own area and the Advisory Group 2/7
aims to bring that work in to a shared space to learn, connect and amplify peoples experiences across different communities of place, health, geography and identifies. It's a new work in progress that, especially after today's meeting, I know will have enormous benefit 3/7
Read 8 tweets
I'm seeing a rise in the number of medical journals publishing papers about #HealthInequalities

This is positive overall:

The more medical professionals integrating that structural & social determinants underlie health the better

BUT...
📌Please consider looking outside of classic medical papers to learn about this field

📌Read widely in fields like sociology, social epidemiology, geography, anthropology

📌Do not only rely on knowledge coming from physicians & medical folk
We do not need to medicalise structural & social issues, we need joined-up thinking with policy

There is alot of knowledge out there which can be intimidating, here is a previous thread I did to help navigate some theorised concepts:

Read 4 tweets
This paper on #RacialInequalities in children’s postoperative mortality is chilling:
Healthy Black children are *3.5* times more likely to die than white children

I’m troubled by the term “putative” used in relation to poverty & bias in the health system
pediatrics.aappublications.org/content/pediat… Image
I suspect the authors are trying to avoid using language that appears causal, which I understand

But saying that poverty, discrimination, bias in the health care system are putative mechanisms underplays the body of evidence for these determinants of #HealthInequalities Image
These structural factors are easily dismissed in clinical settings as “not the real causes” because they’re complex & don’t fit germ theory

This is an everyday battle for those of us working on #HealthInequalities : for these structural factors to be acknowledged AT ALL
Read 4 tweets
What do #SocEpi & #HealthInequalities people think of Inconvenient Truth 1 in J. Mackenbach's recent piece?

"there is surprisingly little robust evidence that the correlation between socioeconomic inequalities and health inequalities is causal [...]"

1/n
I'd be interested to discuss this, as for me its not a "truth"

Here's a link to the paper btw
academic.oup.com/eurpub/article…
The definition of what constitutes "causal" in this instance is basically evidence from MR & PO approaches, one assumes, because it is not made explicit?

This is related to the points being made in another thread by @s_j_prins & @Arrianna_Planey
Read 8 tweets
Many people are now taking an interest in #HealthInequalities & the structural & social determinants of health

Here’s a thread to help you learn about some of the concepts & constructs & previous work in this field, with links to papers & people to follow

1/n
An overview of health inequalities in relation to global public health by @MBarreto1954 is a great place to start

“Health inequalities: a global perspective” is available in Portuguese & Spanish also
scielo.br/scielo.php?scr…
Concepts & theories:

Social & socioeconomic factors are numerous & related to specific theories & processes. They are often lumped under “SES” or socioeconomic status...
Read 15 tweets
This is an excellent piece by @jameskmcauley on the complex issues around race, racism & #BlackLivesMatter in France
As a researcher working on #HealthInequalities in France the problem of how to consider racism in our work arises again & again
[Thread]
washingtonpost.com/world/europe/a…
The article has been criticised by some as a form of "Anglo-Saxon" imperialism, imposing concepts & ideology upon the French context. I find that it allows the voices of members of the #BlackLivesMatter movement in France to raise important issues & contextualises the problem
As an aside, there is a bit of a habit in France, especially among academics, of constantly railing against the "Anglo-Saxons", which sometimes means the USA, the UK or any anglophone. As an Irish person I'm constantly referred to as "Anglo-Saxon" 🙄 Image
Read 10 tweets
In our research team we work on understanding how #HealthInequalities are constructed

We've heard about Black and ethnic minority populations having worse health outcomes, as well as socially disadvantaged people

But HOW do these health inequalities come to be?
[thread]
Population health inequalities are partly produced through social-to-biological processes.

One set of processes involved: the long term physiological effects of stressful life conditions. The stress response system keeps us alive & well living within a complex environment Image
The continuous experience of stressful conditions, including "microaggressions" because of discrimination, financial strain, harassment etc means we are repeatedly soliciting our physiological stress response & engaging the HPA & sympathetic nervous system
ncbi.nlm.nih.gov/books/NBK54112…
Read 11 tweets
Been asked for media interviews more recently on #HealthInequalities & the #covid crisis which are sometimes short & sound-bitey
However, this interview I did for @franceculture with my colleague C Delpierre allowed us the time to discuss complex issues

franceculture.fr/emissions/la-m…
There are plenty of women with expertise on many aspects of the pandemic who you can follow, contact & interview. Here are some threads about them:
And another here, feel free to add more, I know there are others:
Read 3 tweets
How can we improve our research on #HealthInequalities? Some ideas:

-Make sure that work by People of colour & minority groups are included in our reading & that they are cited

-Explicitly teach critical race & intersectional theory in epidemiology & #PublicHealth
-Confront & have difficult conversations about racialized communities. In France, this means having conversations about the colonial past & discuss why race/ ethnicity as a concept is still such a sensitive topic

To do this I will seek out literature & also look to my colleagues & their knowledge (you should follow them btw) for ex this thread of reading material:

Read 6 tweets
I have spent the last week RTing rather than tweeting myself. Mostly because the last couple of weeks and months have been hard. COVID-19 and the current events in the US have been a lot and I needed time. But let me tell you I am tired, angry and fed up! #BlackLivesMatter (1/8)
I am tired, angry and fed up of watching another Black person lose their life to police violence. #GeorgeFloyd #BreonnaTaylor #AhmaudAubrey (2/8)
I am tired, angry and fed up of people pretending that this is an American issue. Let's not pretend that the UK is innocent. Structural racism is a global problem. I am already worried about my two nephews and they are both under 5. #BlackLivesMatter (3/8)
Read 8 tweets
Sitting on the train to Birmingham and reflecting on the many impactful and insightful conversations we've had today. Leaving feeling even more committed to shifting the systems attitude to involving and working in partnership with people and communities #EngagementPractitioners
Huge thanks to @ProfDonnaHall @SunnyDhadley @BradGudger @wellbeingandy and everyone who contributed their expertise, passion and impatience for change. #healthinequalities will only begin to be reduced in partnership with people, their families and communities.
BTW for those of you that know me .... I am even more committed so that should probably mean folk should be slightly scared 🤣🤣🤣
Read 3 tweets
1. Pity that the @rtenews focus on the @IMO_IRL deal on FEMPI restoration is on extension of the GMS to 6-12 when that is not actually agreed, just an agreement to negotiate. Misses really key positive elements
2. €2 million funding for GPs working in high deprivation areas like @deepend_ireland A major step for the health service in recognising the need to address #healthinequalities deepend.ie
3. GP support to implement an Individual Health Identifier. Needed to unlock the potential of data for research that can drive improved patient care @hrbireland @astaines
Read 9 tweets

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