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#SERiousEpi Journal Club #SERweek2020
Discussing controversial ideas presented in Win-Win: Reconciling Social Epidemiology and Causal Inference: doi.org/10.1093/aje/kw… by@sandrogalea & @_MiguelHernan
COVID-19 and other inequities have further highlighted the need for social epi
Replying to @societyforepi
No one definition of social epidemiology. Social epidemiologists are interested in collective. Causal inference is a tool but we must move forward and translate into action and practice
Replying to @societyforepi
In terms of tension between causal inference and social epi, methods must seek to answer the complex questions that social epi is grappling with
Replying to @societyforepi
Challenging exposures, such as racism, are hard to study given the ubiquity of such exposures. Equally challenging in complex modeling frameworks.
Replying to @societyforepi
Some ideas on how we move to more action and change:
1.We cannot ignore the larger, systemic factors
2.Do not stop with our estimates but embed them in larger societal forces
3.Explore how systems science can assist us
Replying to @societyforepi
Many measurement issues in social epi. We often do not have the best measures available to us given the challenges of studying social factors. If we invest in measurement of these factors, we can go further (comparing to genetic epi).
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How do we move away from system preserving to system changing interventions? Systems rarely preserved when we implement interventions in practice. Must think more about identification strategies and need more theory and qualitative processes.
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Has causal inference built enough tools for social epi? Perhaps we haven’t spent enough time, but it does not mean we cannot borrow tools from other fields of epi. We must continue to push our tools.
Replying to @societyforepi
What do we need more of in the classroom? More on social theory, equity, racism, sexism, social justice, measurement of social epi constructs. Integrate social epi in all courses.
Onward and upward!
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