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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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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Replying to @GidMK
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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Replying to @GidMK
It's not taking anyone's choices away. It's just structurally limiting them so that they are left with bad choices
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Replying to @GidMK
Be unhealthy? Or spend time and money buying healthy food? For many, this is no choice at all
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Which is why personal responsibility is a meaningless term in #publichealth #SDoH
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