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There's a lot in this thread, but one pt I'd like to extract is connected to something I've been arguing for years and #onhere quite a bit recently:
#MethodologicalIndividualism in public health occurs where we position the individual as the unit of change.
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#MethodologicalIndividualism in public health occurs where we position the individual as the unit of change.
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This is in comparison to structural interventions, which often alter upstream factors and institutions. My favorite example of the latter is laws and policies, but can also include infrastructure and built environmental changes, etc.
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But leading public health officials in the US have completely followed the #MethodologicalIndividualism that has dominated public health policy and priorities for much of the 20th c. until now. See:
pubmed.ncbi.nlm.nih.gov/19965565/
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pubmed.ncbi.nlm.nih.gov/19965565/
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