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#sdoh

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When you can predict health outcomes based on postcodes, the issue is much more than individual choice.
Mothers and kids in the outer suburbs don't choose to be more obese than those in the inner suburbs. Obesigenic environments drive health inequities.
#obesity #sdoh #publichealth
theage.com.au/national/victori

The Age · Postcode lottery means some mothers – and their babies – are more likely to be overweight or obeseBy Wendy Tuohy

Childhood obesity is complex.
1-in-4 Aussie kids are overweight or obese.
Childhood obesity has tripled since the 1980s; it's significantly higher for kids who grow up in regional areas, those from low-income families, and those living in single-parent households.

Environment, poverty, genetics, housing security, education, town planning and access to healthy food and healthcare all play a massive part in determining health.
#sdoh #obesity
instagram.com/reel/DDIRMYATI1I

InstagramChris Steffanoni on Instagram: "Childhood obesity is a complex problem in Australia. One out of every four kids is overweight or obese. Childhood obesity has tripled since the 1980s; it's significantly higher for kids who grow up in regional areas, those from low-income families, and those living in single-parent households. We know Australians eat less healthy foods than before; we are also less physically active. Environment, poverty, genetics, housing security, education, town planning and access to healthy food and healthcare all play a massive part in determining how healthy our kids are. Healthy choices are not as accessible to everyone. #nutrition #publichealth #obesity"7 likes, 0 comments - chris_steff on December 3, 2024: "Childhood obesity is a complex problem in Australia. One out of every four kids is overweight or obese. Childhood obesity has tripled since the 1980s; it's significantly higher for kids who grow up in regional areas, those from low-income families, and those living in single-parent households. We know Australians eat less healthy foods than before; we are also less physically active. Environment, poverty, genetics, housing security, education, town planning and access to healthy food and healthcare all play a massive part in determining how healthy our kids are. Healthy choices are not as accessible to everyone. #nutrition #publichealth #obesity".

My opening credits for #ISOQOL

#1/
Greeted on the Hohenzollernbrücke with a statement from the results of the #SoliMed #Gesundheitsatlas #Köln 👇
solimed-koeln.de/gesundheitsat
#SDoH #SocialDeterminants #Epidemiology

#2/
Then my final meeting as Editor in Chief of Quality Of Life Research. Counting down the issues, with the October one just out (two more to go):
link.springer.com/journal/1113

But with view to #SDoH they showed how important factors such as the family and support context are, as well as the role of agency including elements such expectations and aspirations for oneself!
(see figure 2 in gh.bmj.com/content/9/1/e013606)

BMJ Global Health · An interpretative phenomenological analysis of the lived experience of people with multimorbidity in low- and middle-income countriesPeople living with multimorbidity (PLWMM) have multiple needs and require long-term personalised care, which necessitates an integrated people-centred approach to healthcare. However, people-centred care may risk being a buzzword in global health and cannot be achieved unless we consider and prioritise the lived experience of the people themselves. This study captures the lived experiences of PLWMM in low- and middle-income countries (LMICs) by exploring their perspectives, experiences, and aspirations. We analysed 50 semi-structured interview responses from 10 LMICs across three regions—South Asia, Latin America, and Western Africa—using an interpretative phenomenological analysis approach. The bodily, social, and system experiences of illness by respondents were multidirectional and interactive, and largely captured the complexity of living with multimorbidity. Despite expensive treatments, many experienced little improvements in their conditions and felt that healthcare was not tailored to their needs. Disease management involved multiple and fragmented healthcare providers with lack of guidance, resulting in repetitive procedures, loss of time, confusion, and frustration. Financial burden was exacerbated by lost productivity and extreme finance coping strategies, creating a vicious cycle. Against the backdrop of uncertainty and disruption due to illness, many demonstrated an ability to cope with their conditions and navigate the healthcare system. Respondents’ priorities were reflective of their desire to return to a pre-illness way of life—resuming work, caring for family, and maintaining a sense of independence and normalcy despite illness. Respondents had a wide range of needs that required financial, health education, integrated care, and mental health support. In discussion with respondents on outcomes, it appeared that many have complementary views about what is important and relevant, which may differ from the outcomes established by clinicians and researchers. This knowledge needs to complement and be incorporated into existing research and treatment models to ensure healthcare remains focused on the human and our evolving needs. Data are available upon reasonable request and subject to approval by the COSMOS group. Part of the data is available in online supplemental file 4.
Continued thread

With view to #HRQL I will point out that conceptually it is interesting to consider differences in outcomes and how they relate to #SDoH, but research and practice likely will benefit from a focus on the mediating factors:
- service provision and quality in the area;
- initiation of treatment;
- adherence & participation in treatment;
- #SelfManagement and its support (formal and informal)
to name only a few.