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Arrianna_Planey's profile
Arrianna M. Planey
Arrianna M. Planey
Arrianna M. Planey
@Arrianna_Planey

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Arrianna M. Planey

@Arrianna_Planey

Geography PhD cand | RWJF @HPRScholars | spatial analysis/epi, healthcare worker geographies, care access, crit public health | she/her | spouse: @donald_planey

arriannaplaney.wordpress.com
Joined March 2017

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    Arrianna M. Planey‏ @Arrianna_Planey 17 Nov 2018

    Thinking on Ruth Wilson Gilmore's definition of racism & whether the mainstream discourse of "disparities" in Public Health is adequate for the taskpic.twitter.com/chPfKq4APZ

    9:47 am - 17 Nov 2018
    • 18 Retweets
    • 51 Likes
    • Jessie Duvall M Grrl Ellie Erickson broketose intolerant succulent killer Showtime Synergy! (Shani, The 5th Hologram) Mariam Khan Tanya Jonathan Yoder
    1 reply . 18 retweets 51 likes
      1. New conversation
      2. Arrianna M. Planey‏ @Arrianna_Planey 17 Nov 2018

        If racism, specifically anti-Black racism, is “state-sanctioned or extra-legal production and exploitation of group-differentiated vulnerability to premature death” then analysis of "health disparities" in public health should address the State- policies, practices, enabled harms

        1 reply . 5 retweets 17 likes
        Show this thread
      3. Arrianna M. Planey‏ @Arrianna_Planey 17 Nov 2018

        Given the field of public health's genesis in "public hygiene" campaigns & other state eugenic projects (both positive and negative eugenics), it would be a challenging task for PH to seriously consider the State as complicit in harms borne by marginalized groups

        1 reply . 3 retweets 15 likes
        Show this thread
      4. Arrianna M. Planey‏ @Arrianna_Planey 17 Nov 2018

        Most PH programs equip their graduates with the same tools that built up the State that enacted eugenics on the population- statistics, the logic of managing populations from the spreadsheet, tabulating the populations that "count"- the bases of biomedical research.

        1 reply . 2 retweets 14 likes
        Show this thread
      5. Arrianna M. Planey‏ @Arrianna_Planey 17 Nov 2018

        This is a book topic. Maybe I should keep these thoughts to myself.pic.twitter.com/ZgMGpXG1Nv

        4 replies . 0 retweets 18 likes
        Show this thread
      6. Arrianna M. Planey‏ @Arrianna_Planey 17 Nov 2018

        Anyway, I think about these things a LOT as I complete my coursework. I've taken some excellent courses in Epidemiology (including Spatial Epidemiology), Biostats, etc. I am well-trained. This is intentional on my part, b/c if I'm going to be "critical ___", I need to know ___

        1 reply . 0 retweets 5 likes
        Show this thread
      7. Arrianna M. Planey‏ @Arrianna_Planey 17 Nov 2018

        It is not enough to take epi/biostats/health comm, though. We need to know history. We should all know that the first attempt at universal health care was during the Reconstruction, & it floundered b/c white doctors refused to treat freedmen.

        3 replies . 3 retweets 19 likes
        Show this thread
      8. Arrianna M. Planey‏ @Arrianna_Planey 17 Nov 2018

        We should all know about the forcible sterilization of disabled, Black, indigenous people. "Mississippi appendectomies" are not in the past. CA prisons just stopped forcibly sterilizing incarcerated women, & up North, Native women are suing b/c they coerced into being sterilized.

        1 reply . 6 retweets 17 likes
        Show this thread
      9. Arrianna M. Planey‏ @Arrianna_Planey 17 Nov 2018

        We, in PH, should also know about the socio-political place-making processes that shape where we live, acting as sorting mechanisms across the axes of race & class. Else "we" fall into geographic determinism- e.g. "the zip code you live in determines your lief expectancy"

        1 reply . 4 retweets 12 likes
        Show this thread
      10. Arrianna M. Planey‏ @Arrianna_Planey 17 Nov 2018

        Arrianna M. Planey Retweeted Arrianna M. Planey

        There are tweets on that topic BTW (1)https://twitter.com/Arrianna_Planey/status/1062395236536737794 …

        Arrianna M. Planey added,

        Arrianna M. Planey @Arrianna_Planey
        I think the whole "the zip code you were born in/live in predicts your life expectancy" line in public health is giving me heartburn. #ecologicalfallacy #healthINplace #geographicdeterminism #WhatAboutSocialProcessesAndStructures
        Show this thread
        1 reply . 0 retweets 7 likes
        Show this thread
      11. Arrianna M. Planey‏ @Arrianna_Planey 17 Nov 2018

        Arrianna M. Planey Retweeted Arrianna M. Planey

        Here's another thread on how claims that "where you live [zip code, census tract, neighborhood] determines your life expectancy" are examples of both (1) ecological fallacy (2) geographic determinismhttps://twitter.com/Arrianna_Planey/status/1041565622411436032 …

        Arrianna M. Planey added,

        Arrianna M. Planey @Arrianna_Planey
        “Where you live affects your life expectancy” is a bit of a causal inference fail b/c racial and class segregation are major determinants of environmental exposures. Thx for attending my TED talk.
        Show this thread
        1 reply . 2 retweets 7 likes
        Show this thread
      12. Arrianna M. Planey‏ @Arrianna_Planey 17 Nov 2018

        Arrianna M. Planey Retweeted Arrianna M. Planey

        The dominant approaches to studying "health disparities" outside of social epidemiology are forms of statistical modelling, which, by nature, abstract the phenomena they study. E.G. how does one model socio-economic status?https://twitter.com/Arrianna_Planey/status/1041580994497798144 …

        Arrianna M. Planey added,

        Arrianna M. Planey @Arrianna_Planey
        Good read on ‘SES’ vs. class/power relations in (public) health research https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2614883/ … #criticalpublichealth pic.twitter.com/aktcRSgbkK
        Show this thread
        1 reply . 4 retweets 8 likes
        Show this thread
      13. Arrianna M. Planey‏ @Arrianna_Planey 17 Nov 2018

        How does one model the effects of being racialized in a racist society, when that process of racialization is spatialized, shaping exposures- environmental, stress, social- and is thus also embodied? How do you model that? Certainly not with logistic regressions.

        2 replies . 3 retweets 7 likes
        Show this thread
      14. Arrianna M. Planey‏ @Arrianna_Planey 17 Nov 2018

        And the refusal (yes, refusal) to say *racism* rather than "race" (there is no "race" without racism) means that race-as-biological will be retrenched through simplified models that "adjust for race" without addressing racism's biological consequences (c/f Dorothy Roberts)

        1 reply . 3 retweets 11 likes
        Show this thread
      15. Arrianna M. Planey‏ @Arrianna_Planey 17 Nov 2018

        Arrianna M. Planey Retweeted Arrianna M. Planey

        And without grappling with the racist history of public health (e.g. below), I'm not sure that any real progress will be made. Meanwhile, "excess deaths" in Black, indigenous, Latinx communities will continue apace.https://twitter.com/Arrianna_Planey/status/1055244272079945728 …

        Arrianna M. Planey added,

        Arrianna M. Planey @Arrianna_Planey
        🤨🙃🙃🙃🙃🙃 page 113 of Krieger’s (2011) Epidemiology & The People’s Health: Theory & Context #publichealth #eugenics #racism #whitesupremacy pic.twitter.com/IVhQM7CIyv
        1 reply . 2 retweets 5 likes
        Show this thread
      16. Arrianna M. Planey‏ @Arrianna_Planey 17 Nov 2018

        Another reason that modeling socio-economic status is this: In the US context, about 60% of wealth inequality ("social mobility") is transmitted intergenerationally. How do you reduce that to a variable in a model?https://journals.sagepub.com/doi/abs/10.1177/0002716218794129?journalCode=anna …

        2 replies . 4 retweets 10 likes
        Show this thread
      17. Arrianna M. Planey‏ @Arrianna_Planey 17 Nov 2018

        Anyway, based on my experiences, I'm not convinced that the callousness and rot of racism is rooted out in public health. I've sat through biostats classes where my (white) classmates giggled as they analyzed datasets where Black PTs were 4x more likely to die of sepsis

        1 reply . 1 retweet 6 likes
        Show this thread
      18. Arrianna M. Planey‏ @Arrianna_Planey 17 Nov 2018

        Arrianna M. Planey Retweeted Arrianna M. Planey

        I even tweeted about it https://twitter.com/Arrianna_Planey/status/1031963037039841280 … It's almost as tho they did not grasp the gravity of it all- that each line in the spreadsheet was a life. Or perhaps the abstraction- the logic of managing the life of the population via the spreadsheet- inures them to the tragedy

        Arrianna M. Planey added,

        Arrianna M. Planey @Arrianna_Planey
        My biostats class was a nightmare for this reason. The subject material wasn't hard, but hearing coursemates giggle as we analyzed a dataset where Black patients had a 4x higher sepsis mortality was soul-killing. I asked, "are these the future leaders of public health?" https://twitter.com/Hood_Biologist/status/1031960864696541185 …
        1 reply . 0 retweets 7 likes
        Show this thread
      19. Arrianna M. Planey‏ @Arrianna_Planey 17 Nov 2018

        Arrianna M. Planey Retweeted Arrianna M. Planey

        I'll append this #thread with another thread from a couple of days ago, on racial (racist) essentialism in biomedical practice/research/educationhttps://twitter.com/Arrianna_Planey/status/1062396849758330881 …

        Arrianna M. Planey added,

        Arrianna M. Planey @Arrianna_Planey
        "The belief in racial essentialism means that the medical curriculum pays scant attention to the means by which the social experience of race produces disease—how, for example, the lived experience of racism makes black bodies more susceptible to stress-related illnesses..."
        Show this thread
        1 reply . 0 retweets 2 likes
        Show this thread
      20. Arrianna M. Planey‏ @Arrianna_Planey 17 Nov 2018

        Arrianna M. Planey Retweeted Pens and Needles

        & when we talk about ableism, eugenics, & the role of PH, it is important to understand that different disabilities were racialized+classed differently. EG diabetics were not forcibly sterilized, in part b/c those w/ access to a dx were white & higher-SEShttps://twitter.com/PensNeedles/status/1030100883722383361 …

        Arrianna M. Planey added,

        Pens and Needles @PensNeedles
        “During the late 1920s and 1930s,...roughly twenty-five thousand individuals underwent surgical operations to ensure that they would never reproduce. Diabetics were not among them.” Why were they exempt? #Dishist #medhist #Insulin4all http://pensandneedles.org/diabetes-and-race-betterment/ …
        Show this thread
        1 reply . 0 retweets 6 likes
        Show this thread
      21. Arrianna M. Planey‏ @Arrianna_Planey 17 Nov 2018

        In health communication, we learn about blame attribution & how it differs based on the illness/disability & the person's assigned race & class status. White & high-SES diabetics with access to a dx were less likely to be blamed for their status than say, Black folks

        1 reply . 3 retweets 5 likes
        Show this thread
      22. Arrianna M. Planey‏ @Arrianna_Planey 17 Nov 2018

        ... never mind that diabetes is one of the top causes of disability in Black communities, & is linked to psychosocial stress + food insecurity exacerbated by racist residential segregation & racist wealth inequities transmitted intergenerationally

        1 reply . 2 retweets 5 likes
        Show this thread
      23. Arrianna M. Planey‏ @Arrianna_Planey 17 Nov 2018

        Arrianna M. Planey Retweeted Arrianna M. Planey

        (the last 2 tweets actually sum up my estrangement with white & non-Black disability advocates)https://twitter.com/Arrianna_Planey/status/1063865066007740416 …

        Arrianna M. Planey added,

        Arrianna M. Planey @Arrianna_Planey
        & when we talk about ableism, eugenics, & the role of PH, it is important to understand that different disabilities were racialized+classed differently. EG diabetics were not forcibly sterilized, in part b/c those w/ access to a dx were white & higher-SES https://twitter.com/PensNeedles/status/1030100883722383361 …
        Show this thread
        1 reply . 0 retweets 1 like
        Show this thread
      24. Arrianna M. Planey‏ @Arrianna_Planey 17 Nov 2018

        Anyway, this whole thread started with me sitting and thinking on one of the typical "disparity frames." To paraphrase: "Being Black is akin to having a felony when it comes to the job search."

        1 reply . 0 retweets 1 like
        Show this thread
      25. Arrianna M. Planey‏ @Arrianna_Planey 17 Nov 2018

        "Being Black is akin to having a felony when it comes to the job search." The unnamed referent is nearly always white. And the statement does not account for overlaps. Black folks are more likely to be criminalized by racist law enforcement, more likely to be incarcerated

        1 reply . 1 retweet 6 likes
        Show this thread
      26. Arrianna M. Planey‏ @Arrianna_Planey 17 Nov 2018

        So, even as a Black person with no prior contact with the "criminal justice" system is less likely to be hired than a white person with a felony- all else equal (education levels, etc), we need to consider that the original phrasing implicitly conflates Blackness w/ criminality.

        1 reply . 3 retweets 7 likes
        Show this thread
      27. Arrianna M. Planey‏ @Arrianna_Planey 17 Nov 2018

        Lemme end this thread with a perennial classic from the Onion poking fun at the "disparities frame": "New Study Finds Blacks More Likely"https://www.theonion.com/new-study-finds-blacks-more-likely-1819571950 …

        1 reply . 0 retweets 4 likes
        Show this thread
      28. Arrianna M. Planey‏ @Arrianna_Planey 17 Nov 2018

        Last thought: while "disparities frames" are not meant to imply "essential" difference or deficiency, they often do so. - white/ness as unnamed referent - "other" as "disparate", having disparate outcomes relative to the referent - dominance of individual-level blame attributionpic.twitter.com/h8ayEC7vwh

        1 reply . 0 retweets 5 likes
        Show this thread
      29. Arrianna M. Planey‏ @Arrianna_Planey 17 Nov 2018

        "Fatalities—premature deaths (Greenberg and Schneider 1994)—are not simply an objective function of any kind of power differential. There is no difference without power, and neither power nor difference has an essential moral value (Foucault 1977)." [Gilmore 2004, 15]pic.twitter.com/xJEVkdNNB9

        1 reply . 0 retweets 4 likes
        Show this thread
      30. Arrianna M. Planey‏ @Arrianna_Planey 30 Nov 2018

        Related: https://www.healthaffairs.org/do/10.1377/hblog20181127.606916/full/ …

        1 reply . 0 retweets 1 like
        Show this thread
      31. Arrianna M. Planey‏ @Arrianna_Planey Jan 3

        Arrianna M. Planey Retweeted AMA Journal of Ethics

        Follow up to that thread- this might be of interesthttps://mobile.twitter.com/JournalofEthics/status/1080849012700393472 …

        Arrianna M. Planey added,

        AMA Journal of Ethics @JournalofEthics
        Many medical curricula still uncritically deploy race as a biological or epidemiological risk factor. Educators have an obligation to revise how racial categories are used in bioscientific teaching, to avoid damaging racial essentialism. http://spr.ly/6012Ezgqr 
        1 reply . 0 retweets 3 likes
        Show this thread
      32. End of conversation

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