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GidMK's profile
Health Nerd
Health Nerd
Health Nerd
Verified account
@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 4 Feb 2018

      This is why public health is so often about social determinants rather than personal choice 1/pic.twitter.com/JHECL9CEL8

      1 reply 0 retweets 2 likes
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    2. Health Nerd‏Verified account @GidMK 4 Feb 2018

      In the personal choice model, you identify people who are at high risk, tell them to modify their risk factors, and make a very minor benefit to their lives 2/

      1 reply 0 retweets 1 like
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    3. Health Nerd‏Verified account @GidMK 4 Feb 2018

      Problem is, this isn't very effective. Changing your life is hard and it often doesn't work long term 3/

      1 reply 0 retweets 0 likes
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    4. Health Nerd‏Verified account @GidMK 4 Feb 2018

      Instead, we identify modifiable risk factors - say, smoking - and change the environment so that it's less likely that people will smoke 4/

      1 reply 0 retweets 0 likes
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    5. Health Nerd‏Verified account @GidMK 4 Feb 2018

      This is how we get plain packaging, tobacco taxes, and the like 5/

      1 reply 0 retweets 0 likes
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    6. Health Nerd‏Verified account @GidMK 4 Feb 2018

      It's also better from a health equity point of view. Health equity is the idea that everyone should have the same access to health/healthcare, regardless of things like race, country of birth, income, education etc 6/

      1 reply 0 retweets 0 likes
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    7. Health Nerd‏Verified account @GidMK 4 Feb 2018

      Population interventions like plain packaging are better for health equity because more advantaged people tend to benefit more from interventions that focus on personal choice 7/

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      Health Nerd‏Verified account @GidMK 4 Feb 2018

      So, for example, if you gave every person in the country a personal 'quit coach', who was there to help you quit smoking, the richest people would probably get the most out of it 8/

      2:10 PM - 4 Feb 2018
      1 reply 0 retweets 0 likes
        1. New conversation
        2. Health Nerd‏Verified account @GidMK 4 Feb 2018

          Instead, we make it more likely that everyone will stop smoking, which affects all levels of society more equally 9/

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        3. Health Nerd‏Verified account @GidMK 4 Feb 2018

          It's not a perfect response, but it does mean that your wealth and place of birth make less difference in how healthy your life will be 10/

          1 reply 0 retweets 0 likes
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        4. Health Nerd‏Verified account @GidMK 4 Feb 2018

          This has been your Monday discussion of health and health equity. Good things to think about next time you see someone on TV blaming people for being unhealthy 11/11

          1 reply 0 retweets 2 likes
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        5. Health Nerd‏Verified account @GidMK 4 Feb 2018

          P.S. this thread brought to you from this paper by @SimonCapewell99 and Hilary Graham on heart health improvement #PhDReadingshttp://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1000320#s3 …

          0 replies 1 retweet 1 like
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        6. End of conversation

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