A quick thought on social determinants and "personal responsibility" in terms of healthcare
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Replying to @GidMK
This is a map of diabetes risk in Sydney. Red is bad, blue is good, purple is really good and other colours are ~ok~pic.twitter.com/C1kA353NDc
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Replying to @GidMK
This is a map of food deserts overlaid on the same area. If you have a look, you can see a pretty similar patternpic.twitter.com/H05W6rKQqC
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Replying to @GidMK
It turns out that diabetes is really well correlated with how accessible healthy food is. Not with how AVAILABLE it is, but how ACCESSIBLE
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Replying to @GidMK
Health Nerd Retweeted Health Nerd
This is an important distinction. Everyone in Sydney can access healthy food. It's just FAR more difficult for somehttps://twitter.com/GidMK/status/892869330680987648 …
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Replying to @GidMK
Health Nerd Retweeted Health Nerd
And if you can't access fresh, healthy food, you are more likely to suffer from diabeteshttps://twitter.com/GidMK/status/892869330680987648 …
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Replying to @GidMK
Health Nerd Retweeted Health Nerd
Which brings us back to this. How much "personal responsibility" do people have for their health?https://twitter.com/GidMK/status/892868263096352768 …
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Replying to @GidMK
Health Nerd Retweeted Health Nerd
Every person on that map who has diabetes controls what goes in their mouth. No on is forcing them to eat badlyhttps://twitter.com/GidMK/status/892869850887897088 …
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But, and here's the important part, we have designed a society that makes it incredibly difficult for them to eat well
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Replying to @GidMK
Health Nerd Retweeted Health Nerd
If create a society that penalizes health in this way, how much does personal responsibility play into it?https://twitter.com/GidMK/status/892869850887897088 …
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Replying to @GidMK
That is, in a nutshell, what the social determinants of health are all about
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