Discover and read the best of Twitter Threads about #sdoh

Most recents (24)

BREAKING: 1000+ members of the health community & 200+ organizations ACROSS ONTARIO are delivering a letter to @fordnation @SylviaJonesMPP, calling for universal access to #healthcare4all in Ontario. #ONpoli #ONwide #CDNpoli #SDOH #statusforall
The Ontario gov't did the right thing when it removed long-standing barriers to accessing medical services for people without health insurance. Now it needs to make those changes PERMANENT. It's the right thing to do, for people and for our health system. #healthcare4all #ONpoli
There's a cost to not helping a child w/ asthma manage their condition or not ensuring a diabetic person can access medications -- a human cost + a cost to our health system b/c of worsened conditions. Universal access to health services must be PERMANENT. Period. #Healthcare4all
Read 6 tweets
The impact of #racism on maternal health & early life #RHOConf22


Systemic & structural determinants of health & effect of #intersectionality for women of colour #SDOH

Black mothers more likely to die than white mothers for >100yrs

The five whys as a framework
#RHOConf22 the landscape is changing

Imp of community partners, integration of social needs - new opportunities for the #ICS

Introducing panel @TeamCMidO, Dr Daghni Rajasingam, @MumsandTea and @BenashNaz 💙

Take the woman with you & have the will to act
Data obscures the human experience

Strategy based on #ProportionateUniversalism at scale and intensity equal to the level of need

Focus on #racist behaviour and who listens to who @TeamCMidO

@MumsandTea recommends data sets and ethnic coding “what gets measured gets done”
Read 8 tweets
The @NHS_RHO is a do-tank not a think-tank #RHOConf22.

It’s a place where things get done @Voa1234

How an org values it’s ethnic minority staff is a good barometer of how well patients are likely to feel irrespective of skin colour

It’s about #leadership
Now @DrHNaqvi starting with a quote from #JRRTolkein #RHOConf22

We must break down #inequalities

The @NHS_RHO set up to:
Synthesise insight
Inform policy
Enable transformation

Work programme uses global data driven evidence

Year 1 report:
What drives racial inequities? @D_R_Williams1 #RHOConf22

Socioeconomic status SES matters
In the UK for every £1 a white person has, a Black/Bangladeshi has 10p

But after SES taken into account, it’s about race
Not about “trying harder”
Neighbourhood opportunity matters
Read 7 tweets
Underway at #ICEM22 for the afternoon, talking #ClimateCrisis and actions for clinicians. Kicking us off is Forbes McGain from Western Health & @DocsEnvAus
McGain said his journey on this began working for RFDS in Alice Springs. Impacts of what we do at work far outstrips what happens at home. Average hospital of a few hundred beds represents 500-10k houses worth of energy use, waste #ICEM22
Growing concerns about healthcare's footprint, McGain says. How can we stop contributing to the problem. Health care contributes about 7% of national emissions - roughly equivalent to the contributions of South Australia. 1 hour of anaesthesia with desflurane=30L petrol #ICEM
Read 31 tweets
Morning from #ICEM22! We are underway for a packed day of #ClimateCrisis and health discussions. @heng_foong says this will be the greatest challenge to public health in the next decade. Disproportionate impacts on society's most vulnerable & marginalised
I m tweeting today from Wonnarua Country on the NSW mid-north coast and pay my respects. Aboriginal land, never ceded #ICEM22
Our first speakers are @DeepakCWMED and Trina Sale, giving a Pacific view of #ClimateChange from Fifi and the Solomon Islands #ICEM22
Read 63 tweets
New thread for our opening plenary, on lessons from #COVID19 for emergency care. Our hosts are @SallyMcCEP & @robdmitchell #ICEM22
First speaker the excellent Kamalini Lokuge from ANU/MSF/ICRC. Disadvantage drives pandemics, she commences. Trust, the social contract so critical. Social disadvantage a key predictor of infection, yet we forget this every outbreak and #COVID19 was no different #ICEM22
Lokuge says Australian government ignored warnings from herself and others regarding structural disadvantage as the key determinant of ongoing #COVID19 outbreaks, and moreover, seemed surprised by suggestion of this link #ICEM22
Read 27 tweets
A2 #Latinos are 1.5X as likely to be affected by #ALZ than non-Latino whites. They face inequities that discourage healthcare participation. They’re less likely to receive a timely diagnosis & more likely to experience #racism. #BrainHealthEquity #SaludTues @UsAgainstAlz (1/3)
A2 continued: In addition to barriers in healthcare participation, #Latinos & other people of color face higher risk for #ALZ or related dementia due to due to higher risk of comorbidities, like #diabetes and #hypertension. #BrainHealthEquity #SaludTues @UsAgainstAlz (2/3)
A2 continued: Lastly, social determinants of health #SDOH, like educational attainment, obesity & pollution are disproportionately felt by #Latino communities. We must make an intentional effort to promote #prevention & #BrainHealthEquity for #Latinos #SaludTues @UsAgainstAlz 3/3
Read 3 tweets
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 #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
Back on deck at #RANZCP2022 and tweeting from the #COVID19 symposium. @CroakeyNews will be at the session on PTSD and veterans' mental health. @RANZCP President @DrVinayLakra getting us underway. Jeff Looi giving an overview first up on pandemic impacts on mental health Image
Looi says MH consequences to date in Australia less significant than seen elsewhere, but was and continue to be increased demand on NGOs and agencies like Lifeline. Anxiety and depression increased but peaks lower than expected at 10% #RANZCP2022
As high as 25% in other comparable countries. Can't draw equivalence as different approaches in different countries. Some groups eg HCWs more affected. Most presentations tended to peak and subside, says Looi. Imposition of restrictions were found to ^ impacts #RANZCP2022 Image
Read 38 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.

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

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

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
"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"


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.

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

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…
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… 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…
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…
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

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