Read on Twitter
Why I resist the framing of "racism is a SDoH!":
"The #SDoH framework similarly allows certain “acceptable” structural problems to become visible and treatable, while downplaying problems that might more substantively challenge the structures that the framework operates within."
"The #SDoH framework similarly allows certain “acceptable” structural problems to become visible and treatable, while downplaying problems that might more substantively challenge the structures that the framework operates within."
1) Racism is a fundamental cause
2) The SDoHs are structured by racism & other forms of oppression within society
3) The framework addresses downstream effects of racism, not racism itself. It does not grasp the root. https://twitter.com/Arrianna_Planey/status/1277650925541351431?s=20
2) The SDoHs are structured by racism & other forms of oppression within society
3) The framework addresses downstream effects of racism, not racism itself. It does not grasp the root. https://twitter.com/Arrianna_Planey/status/1277650925541351431?s=20
4) If "SDoH" are considered unidirectional, & distributional effects are considered as an outcome with one variable vs. relational outcomes (deprivation & higher risks/hazards exposures for minoritized groups; abundance & 'safety' for the dominant groups), we miss the mark
5) Further, there is the question of scale AND context.
Fundamental causes
Social Determinants of Health
Social Risk
Social Needs
These are not on the same scale. Interventions must be across scales.
We cannot medicalize injustice & expect those insights to lead to justice.
Fundamental causes
Social Determinants of Health
Social Risk
Social Needs
These are not on the same scale. Interventions must be across scales.
We cannot medicalize injustice & expect those insights to lead to justice.
Here's a figure I created a few months ago: https://twitter.com/Arrianna_Planey/status/1255860198922768389?s=20
Here's the figure I wanted to link to
On this, I refer to eds. Ehlers & Hinkson (2017) Subprime Health: Debt and Race in U.S. Medicine
- Excellent work on the intersection of racism, debt, and healthcare. Really illustrates the limitations of healthcare as redress for injustice. https://twitter.com/Arrianna_Planey/status/1277652685362266112?s=20
- Excellent work on the intersection of racism, debt, and healthcare. Really illustrates the limitations of healthcare as redress for injustice. https://twitter.com/Arrianna_Planey/status/1277652685362266112?s=20
I suppose I should write out that essay making a case against healthcare as reparations lolol https://twitter.com/Arrianna_Planey/status/1274873929379741697?s=20
