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
Epidemiologist. Writer (Guardian, Observer etc). "Well known research trouble-maker". PhDing at @UoW Host of @senscipod Email gidmk.healthnerd@gmail.com he/him
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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
It turns out that diabetes is really well correlated with how accessible healthy food is. Not with how AVAILABLE it is, but how ACCESSIBLE
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 …
Health Nerd added,
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 …
Health Nerd added,
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 …
Health Nerd added,
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 …
Health Nerd added,
But, and here's the important part, we have designed a society that makes it incredibly difficult for them to eat well
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 …
Health Nerd added,
That is, in a nutshell, what the social determinants of health are all about
It's not taking anyone's choices away. It's just structurally limiting them so that they are left with bad choices
Be unhealthy? Or spend time and money buying healthy food? For many, this is no choice at all
Which is why personal responsibility is a meaningless term in #publichealth #SDoH
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