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GidMK's profile
Health Nerd
Health Nerd
Health Nerd
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@GidMK

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Health NerdVerified account

@GidMK

Epidemiologist. Writer (Guardian, Observer etc). "Well known research trouble-maker". PhDing at @UoW Host of @senscipod Email gidmk.healthnerd@gmail.com he/him

Sydney, New South Wales
theguardian.com/profile/gideon…
Joined November 2015

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    1. Health Nerd‏Verified account @GidMK 5 Nov 2018

      This is poisonous nonsense that is repudiated by decades of research "Personal responsibility" is a great buzzword for politicians who want to cut healthcare spending, but totally meaningless at the population level https://www.theguardian.com/society/2018/nov/05/people-must-take-responsibility-for-own-health-says-matt-hancock …pic.twitter.com/jipdvOJouP

      4 replies 21 retweets 29 likes
      Show this thread
    2. Health Nerd‏Verified account @GidMK 5 Nov 2018

      We have demonstrated time and again that society has a massive impact on your health For example, an analysis of East London found that diabetes rates mapped almost perfectly to rates of social deprivationpic.twitter.com/9LbDP7B6aX

      1 reply 15 retweets 14 likes
      Show this thread
    3. Health Nerd‏Verified account @GidMK 5 Nov 2018

      This has been echoed in my own work - diabetes hotspots in Sydney align amazingly well with areas of social disadvantagepic.twitter.com/TZfasfAvTq

      1 reply 5 retweets 8 likes
      Show this thread
    4. Health Nerd‏Verified account @GidMK 5 Nov 2018

      The obesity crisis is another perfect example of this disparity. Obesity rates have skyrocketed, impacting socially deprived communities first and foremostpic.twitter.com/ceb7BulM1G

      1 reply 3 retweets 5 likes
      Show this thread
    5. Health Nerd‏Verified account @GidMK 5 Nov 2018

      If "personal responsibility" was a factor, it would mean that the last generation or two were fundamentally different from every human to have lived for the last hundred thousand years or so

      1 reply 5 retweets 12 likes
      Show this thread
    6. Health Nerd‏Verified account @GidMK 5 Nov 2018

      The reality is that humans haven't suddenly lost all control, our environment has changed Foods that used to be expensive rare options are now freely available at virtually no cost Exercise is harder to come by as we move to a more dense urban way of life And on, and on

      2 replies 3 retweets 13 likes
      Show this thread
    7. Health Nerd‏Verified account @GidMK 5 Nov 2018

      As our environment changes, so do our behaviours, and ultimately our health risks You see this across the board for a huge number of diseases https://theconversation.com/social-determinants-how-class-and-wealth-affect-our-health-64442 …pic.twitter.com/fhTXXm61oo

      1 reply 1 retweet 3 likes
      Show this thread
      Health Nerd‏Verified account @GidMK 5 Nov 2018

      It's also a disingenuous to argue that personal responsibility drives healthcare outcomes, because we KNOW that society at large has a far bigger impact

      4:00 PM - 5 Nov 2018
      • 8 Likes
      • Felicity Nelson (Now ex Lab) Words Have Consequences Red 'til I'm Dead Liatai Captain Science PhD Mela Eckenfels Carolyn Parsons 🇦🇴🇵🇹🇺🇸🏳️‍🌈🖌🐄🔬 Abigail Attenborough
      1 reply 0 retweets 8 likes
        1. New conversation
        2. Health Nerd‏Verified account @GidMK 5 Nov 2018

          When you say things like "We need to do far more to personally take responsibility for our own health" you are implicitly stating that unhealthy people have NOT taken responsibility for their health The evidence strongly contradicts this assertion

          1 reply 7 retweets 15 likes
          Show this thread
        3. Health Nerd‏Verified account @GidMK 5 Nov 2018

          Take this chart, from the tweet above We know that social deprivation - due to things like air pollution - increases your risk of asthma It is NOT related to how "responsible" you arepic.twitter.com/QmFlClyX9o

          1 reply 3 retweets 10 likes
          Show this thread
        4. Health Nerd‏Verified account @GidMK 5 Nov 2018

          There are, of course, things that individuals can do to improve their own health. I'm not arguing that humans have no agency whatsoever BUT At a population level, "personal responsibility" is simply meaningless

          1 reply 4 retweets 11 likes
          Show this thread
        5. Health Nerd‏Verified account @GidMK 5 Nov 2018

          You can point people towards unprocessed food all you want: if it's still far cheaper/easier to eat KFC, your health advocacy is probably going to have little to no effect

          1 reply 4 retweets 8 likes
          Show this thread
        6. Health Nerd‏Verified account @GidMK 5 Nov 2018

          We also know that this sort of health advocacy is most effective for people who are already well-off. A major part of my PhD is addressing the inequities caused by providing health services in an inequitable way

          1 reply 1 retweet 5 likes
          Show this thread
        7. Health Nerd‏Verified account @GidMK 5 Nov 2018

          For example, one study found that people were less likely to use a free weight control app if they were poor, non-white, or had multiple comorbidities

          1 reply 1 retweet 5 likes
          Show this thread
        8. Health Nerd‏Verified account @GidMK 5 Nov 2018

          This is true across the board - if you run a health intervention, the people who are at the top already will usually benefit the most It's formally describe in public health in the equity effectiveness looppic.twitter.com/VjJ69sGQVD

          1 reply 1 retweet 7 likes
          Show this thread
        9. Health Nerd‏Verified account @GidMK 5 Nov 2018

          The basic idea is that a health intervention - say, a mobile self-management app - has to go through stages to be effective. Someone has to have access to it, download it, use it, continue to use it, and benefit from it

          1 reply 0 retweets 4 likes
          Show this thread
        10. Health Nerd‏Verified account @GidMK 5 Nov 2018

          At each stage in this cycle, social factors get in the way If you don't have a phone, you can't access an app If you don't understand the language used for the app, you can't download or use it And on, and on

          1 reply 0 retweets 6 likes
          Show this thread
        11. Health Nerd‏Verified account @GidMK 5 Nov 2018

          Ultimately, personal responsibility is a great thing to tell an individual, but not useful at all at the population level

          1 reply 0 retweets 4 likes
          Show this thread
        12. Health Nerd‏Verified account @GidMK 5 Nov 2018

          If you truly want to improve outcomes, you have to address larger social outcomes rather than talking about what actions individuals do and do not take

          1 reply 0 retweets 7 likes
          Show this thread
        13. Health Nerd‏Verified account @GidMK 5 Nov 2018

          I've written about all of this before - it's more expensive and politically difficult to change the environment, but if we don't we'll probably never address many of our disease problemshttps://medium.com/@gidmk/personal-responsibility-is-a-meaningless-term-8c1f7732993b …

          1 reply 6 retweets 11 likes
          Show this thread
        14. Health Nerd‏Verified account @GidMK 5 Nov 2018

          Health Nerd Retweeted Chelsea Watego

          Also important to note, this is not just limited to health. As this thread aptly demonstrates, welfare and social programs are interlinked with healthcare effortshttps://twitter.com/drcbond/status/1059568949359038465 …

          Health Nerd added,

          Chelsea WategoVerified account @drcwatego
          The problem with ‘family support’ programs https://www.theguardian.com/australia-news/2018/nov/06/single-parents-forced-to-attend-story-time-or-lose-centrelink-payments?CMP=soc_567 …
          Show this thread
          0 replies 1 retweet 6 likes
          Show this thread
        15. End of conversation

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