Evan H

@LisaZha15073078 Such an important issue. How can we expect to help people with alcohol use disorder if we continually stigmatize them in medicine

Alcohol use disorder can have direct and indirect effects on provision of healthcare. What can we do as clinicians and beyond to make an impact?

@miketzeng1 @PNussenzweig @sudhavallii @rachelbabij @MClerkship It is scary to know that this happens, especially given the fact that a majority of Americans are overweight/obese.

Check out this infographic on weight bias in the healthcare system that my colleagues and I put together @PNussenzweig @sudhavallii @rachelbabij @MClerkship

Secondhand smoke exposure (SHSe) is highest in non-Hispanic Blacks, the less educated, those in poverty, and children @MClerkship jamanetwork.com/journals/jamai…

@MClerkship Fascinating article from Chamie et al (2020) that used community-level COVID-19 testing in census tract of SF academic.oup.com/cid/advance-ar…

Increasingly medical technologies are gaining attention for entrenching racism. In this 2019 @ScienceMagazine paper the authors find that a widely used algorithm to allocate more resources to "sicker" patients discriminates against Black people @MClerkship science.sciencemag.org/content/366/64…

Proportion of total tests to population and positive tests clustered by zip code, with the number of total tests increasing and ratio of positive tests to total tests significantly decreasing with increasing proportion of white residents.

@LisaZha15073078 Very interesting that places with the lowest positivities rates (Manhattan) had more COVID testing than places with much higher positivity rates (Brooklyn/Queens). Would think that areas with higher pos rate would get more testing. Socioeconomic factors definitely contribute.

Interesting article by Lieberman-Cribbin et al (2020) in American Journal of Preventive Medicine on socioeconomic and racial disparities in COVID-19 testing and positivity rates in NYC @MClerkship sciencedirect.com/science/articl…

@miketzeng1 @MClerkship Very interesting! I wonder if this is due to increased smoking rates in these communities or possibly structural determinants that make it harder to avoid second hand smoke if exposed. Likely a combo of both

Therefore, structural disparities in these communities may explain higher out of hospital COVID deaths. @MClerkship #socialdeterminantsofhealth #SDOH #socialjustice #healthdisparities

but black pts were less likely to have severe illness or death during hospitalization - these populations are not inherently more susceptible to poor COVID outcomes.

jamanetwork.com/journals/jaman… Recent article by Ogedegbe et al in @JAMANetworkOpen looked the racial/ethnic disparities in hospitalization/mortality during the COVID19 in NYC. It is interesting that black and Hispanic pts were more likely to test positive than white pts,