Spatial Health Inequalities


Book Description

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.




Communities in Action


Book Description

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.




Spatial and Social Disparities


Book Description

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.




The Atlas of Health Inequalities in Japan


Book Description

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.




Spatial Health Inequalities


Book Description

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.




Health and Inequality


Book Description

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.




U.S. Health in International Perspective


Book Description

The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.




Geospatial Health Data


Book Description

Geospatial health data are essential to inform public health and policy. These data can be used to quantify disease burden, understand geographic and temporal patterns, identify risk factors, and measure inequalities. Geospatial Health Data: Modeling and Visualization with R-INLA and Shiny describes spatial and spatio-temporal statistical methods and visualization techniques to analyze georeferenced health data in R. The book covers the following topics: Manipulate and transform point, areal, and raster data, Bayesian hierarchical models for disease mapping using areal and geostatistical data, Fit and interpret spatial and spatio-temporal models with the Integrated Nested Laplace Approximations (INLA) and the Stochastic Partial Differential Equation (SPDE) approaches, Create interactive and static visualizations such as disease maps and time plots, Reproducible R Markdown reports, interactive dashboards, and Shiny web applications that facilitate the communication of insights to collaborators and policy makers. The book features fully reproducible examples of several disease and environmental applications using real-world data such as malaria in The Gambia, cancer in Scotland and USA, and air pollution in Spain. Examples in the book focus on health applications, but the approaches covered are also applicable to other fields that use georeferenced data including epidemiology, ecology, demography or criminology. The book provides clear descriptions of the R code for data importing, manipulation, modeling and visualization, as well as the interpretation of the results. This ensures contents are fully reproducible and accessible for students, researchers and practitioners.




Spatial Microsimulation: A Reference Guide for Users


Book Description

This book is a practical guide on how to design, create and validate a spatial microsimulation model. These models are becoming more popular as academics and policy makers recognise the value of place in research and policy making. Recent spatial microsimulation models have been used to analyse health and social disadvantage for small areas; and to look at the effect of policy change for small areas. This provides a powerful analysis tool for researchers and policy makers. This book covers preparing the data for spatial microsimulation; a number of methods for both static and dynamic spatial microsimulation models; validation of the models to ensure the outputs are reasonable; and the future of spatial microsimulation. The book will be an essential handbook for any researcher or policy maker looking to design and create a spatial microsimulation model. This book will also be useful to those policy makers who are commissioning a spatial microsimulation model, or looking to commission work using a spatial microsimulation model, as it provides information on the different methods in a non-technical way.




Mapping Society


Book Description

From a rare map of yellow fever in eighteenth-century New York, to Charles Booth’s famous maps of poverty in nineteenth-century London, an Italian racial zoning map of early twentieth-century Asmara, to a map of wealth disparities in the banlieues of twenty-first-century Paris, Mapping Society traces the evolution of social cartography over the past two centuries. In this richly illustrated book, Laura Vaughan examines maps of ethnic or religious difference, poverty, and health inequalities, demonstrating how they not only serve as historical records of social enquiry, but also constitute inscriptions of social patterns that have been etched deeply on the surface of cities. The book covers themes such as the use of visual rhetoric to change public opinion, the evolution of sociology as an academic practice, changing attitudes to physical disorder, and the complexity of segregation as an urban phenomenon. While the focus is on historical maps, the narrative carries the discussion of the spatial dimensions of social cartography forward to the present day, showing how disciplines such as public health, crime science, and urban planning, chart spatial data in their current practice. Containing examples of space syntax analysis alongside full colour maps and photographs, this volume will appeal to all those interested in the long-term forces that shape how people live in cities.