Spatial Health Inequalities

The neighborhoods and the biophysical, political, and cultural environments all play a key role in affecting health outcomes of individuals. Unequal spatial distribution of resources such as clinics, hospitals, public transportation, fresh food markets, and schools could make some communities as a whole more vulnerable and less resilient to adverse health effects. This somber reality suggests that it is rather the question of "who you are depends upon where you are" and the fact that health inequality is both a people and a place concern. That is why health inequality needs to be investigated in a spatial setting to deepen our understanding of why and how some geographical areas experience poorer health than others. This book introduces how spatial context shapes health inequalities. Spatial Health Inequalities: Adapting GIS Tools and Data Analysis demonstrates the spatial health inequalities in six most important topics in environmental and public health, including food insecurity, birth health outcomes, infectious diseases, children’s lead poisoning, chronic diseases, and health care access. These are the topics that the author has done extensive research on and provides a detailed description of the topic from a global perspective. Each chapter identifies relevant data and data sources, discusses key literature on appropriate techniques, and then illustrates with real data with mapping and GIS techniques. This is a unique book for students, geographers, clinicians, health and research professionals and community members interested in applying GIS and spatial analysis to the study of health inequalities.

The neighborhoods and the biophysical, political, and cultural environments all play a key role in affecting health outcomes of individuals. Unequal spatial distribution of resources such as clinics, hospitals, public transportation, fresh food markets, and schools could make some communities as a whole more vulnerable and less resilient to adverse health effects. This somber reality suggests that it is rather the question of "who you are depends upon where you are" and the fact that health inequality is both a people and a place concern. That is why health inequality needs to be investigated in a spatial setting to deepen our understanding of why and how some geographical areas experience poorer health than others. This book introduces how spatial context shapes health inequalities. Spatial Health Inequalities: Adapting GIS Tools and Data Analysis demonstrates the spatial health inequalities in six most important topics in environmental and public health, including food insecurity, birth health outcomes, infectious diseases, children’s lead poisoning, chronic diseases, and health care access. These are the topics that the author has done extensive research on and provides a detailed description of the topic from a global perspective. Each chapter identifies relevant data and data sources, discusses key literature on appropriate techniques, and then illustrates with real data with mapping and GIS techniques. This is a unique book for students, geographers, clinicians, health and research professionals and community members interested in applying GIS and spatial analysis to the study of health inequalities.

This new health atlas of Japan presents a series of maps about the health of the contemporary Japanese population, i.e. detailed maps of health indicators in small areas using cartograms. This is the first comprehensive small-area based health atlas about contemporary Japan using vital statistics from 1995-2014. Each map is supplemented with concise explanations written by leading epidemiologists and health geographers in Japan. The book employs various cutting-edge methods in spatial epidemiology, Bayesian spatial smoothing for the reliable mapping of mortality indices, advanced cartographic transformations using the concept of aerial cartograms, and summary statistics of socioeconomic health inequalities. The atlas highlights geographical aspects of social gradients in health by comparing mortality maps with distribution of deprivation index during the recent long-lasting economic stagnation period of Japan known as the lost decades. This health atlas will be a useful resource for international comparisons between Japan and other advanced countries in terms of health and related socioeconomic disparities between regions. It will be of interest to public health practitioners, administrators, researchers and students working on health geography and public health.

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

By relating theoretical arguments to specific landscapes Sarah Curtis develops the basis for a geographical analysis of health problems and proposes a range of strategies for reducing disadvantage and societal inequalities.

This book provides a fresh analysis of the demography, health and well-being of a major African city. It brings a range of disciplinary approaches to bear on the pressing topics of urban poverty, urban health inequalities and urban growth. The approach is primarily spatial and includes the integration of environmental information from satellites and other geospatial sources with social science and health survey data. The authors Ghanaians and outsiders, have worked to understand the urban dynamics in this burgeoning West African metropolis, with an emphasis on urban disparities in health and living standards. Few cities in the global South have been examined from so many different perspectives. Our analysis employs a wide range of GIScience methods, including analysis of remotely sensed imagery and spatial statistical analysis, applied to a wide range of data, including census, survey and health clinic data, all of which are supplemented by field work, including systematic social observation, focus groups, and key informant interviews. This book aims to explain and highlight the mix of methods, and the important findings that have been emerging from this research, with the goal of providing guidance and inspiration for others doing similar work in cities of other developing nations.

Inequality is one of the major problems of the contemporary world. Significant geographical disparities exist within nations of the developed world, as well as between these countries and those referred to as the ‘South’ in the Bruntland Report. Issues of equity and deprivation must be addressed in view of sustainable development. However, before policymakers can remove the obstacles to a fairer world, it is essential to understand the nature of inequality, both in terms of its spatial and socio-demographic characteristics. This second volume in the series contains population studies that examine the disparities evident across geographical space in the UK and between different individuals or groups. Topics include demographic and social change, deprivation, happiness, cultural consumption, ethnicity, gender, employment, health, religion, education and social values. These topics and the relationships between them are explored using secondary data from censuses, surveys or administrative records. In volume 1 the findings of research on fertility, living arrangements, care and mobility are examined. Volume 3 will focus on ethnicity and integration.

This book qualitatively and quantitatively examines the relationships between the constructed environment, health and social vulnerability. It demonstrates that spatial disintegration is often intertwined with health and social inequalities, and therefore a multidisciplinary approach to urban health is essential in order to analyze the impact that psycho-social-environmental factors can have on objective, and perceived health and to investigate the inequalities in healthcare and medical assistance processes. Empirical relationships have been observed between urban environment, social vulnerability and health in different contexts, however there is still a lack of standardized tools that allow us to gain a clear understanding of how health inequalities and daily life are generated. In order to address this issue, a national network of active research groups has been created to draft and develop a prototypical analysis infrastructure to facilitate empirical studies aimed at shedding light on the complex relationships between health disparities, socio-environmental and economic distress, as well as personal and collective health. Given the interest in achieving meaningful, fair and lasting solutions to health inequalities, and the current lack of an analytical system, there is the need for new multidisciplinary approaches oriented toward the quality of life within a eco-social model of health. Providing an overview of the methodological approaches discussed, this book will appeal to researchers. At the same time it allows those working in local and government social care, healthcare and administrative institutions to gain insights into best practices in urban contexts.