Interesting take. I’d say social determinants dictate much of those opportunities and take away much choice.
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Replying to @dnunan79 @ProfEmilyOster
Some determinants take away some choice, but I don't think there are many that really pan out when people study them. EG bring a supermarket into a food desert and nothing changes. Which determinants do you think drive choices?
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Replying to @TamarHaspel @ProfEmilyOster
Poverty, housing, jobs, access to care etc = less likely to be have means to be healthy/healthier
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Replying to @dnunan79 @ProfEmilyOster
Poverty makes absolutely everything harder. Which is why I hate the "you have to cook at home" trope. But as you go up the socioeconomic scale, the choices people make don't change much (on diet & exercise), which is an indication that it's not the primary driver.
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Replying to @TamarHaspel @ProfEmilyOster
Agreed. I’d add as you go up the socioeconomic scale the problem of ill health isn’t so big as it is lower down. It might not be the primary driver for noncommunicable disease in higher SES - but that’s not the group where the bulk of the problems lie.
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Replying to @dnunan79 @ProfEmilyOster
The top third does better than the bottom 2/3. (30% obesity vs. 40% for both middle and bottom, eg). But because the middle third does about the same as the bottom third, it's hard to blame poverty. Could be different for other outcomes, of cousre.
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Depends how you slice it (and sometimes by place and time). Most recent evidence in Australia indicates a pretty strong socioeconomic gradientpic.twitter.com/ZJRpHovegy
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when the top quintile is 62% and the bottom is 72%, there's obviously a lot more going on than SES
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True, but I don't think the effect of SES is entirely negligible either
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I think it is often considered a much larger factor than it actually seems to be.
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Depends on what you mean by factor I think. SES isn't just one thing, but we pretend that it is to control for it in statistical analyses. Even the better measures often capture only a fraction of socio-economics
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