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Melissa Giesbrecht Jonathan Cinnamon Charles Fritz Rory Johnston 《The Canadian geographer》2014,58(2):160-167
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Given the importance of contextual factors—physical, social and institutional environments—for understanding health landscapes, this article examines the situation in the province of Québec and suggests a spatial typology at the scale of the health and social services centres (CSSS). These CSSS provide services for 95 areas which are the finest territorial delineation in terms of health policies since a reform instituted in 2003. While delivery of primary health and social services is defined at this local scale, overall health policy is decided at the provincial scale. The challenge for stakeholders is to supplement their local knowledge with that of the broader context. In this article, we use principal components analysis and hierarchical cluster analysis to identify eight profiles of CSSS. The final results of the cluster analysis demonstrate that two‐thirds of the health and social services centres correspond with two marginally differentiated profiles and the remaining third shows specificities that are highly spatially anchored. 相似文献
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Research around the world has been nearly unanimous about the positive impacts of Indigenous‐led health organizations on Indigenous peoples' qualitative experiences in health care, in the face of often negative experiences in non‐Indigenous‐led health care settings. Urban environments, including health care environments, are areas of increasing attention with regard to Indigenous peoples' health in Canada. In this study, which took place in the northern city of Prince George, British Columbia, 65 Indigenous community members and health services workers participated in interviews and focus groups, describing their experiences with urban Indigenous‐led health organizations—defined in this study as non‐governmental organizations that prioritize the values and practices of local Indigenous communities. Employing perspectives on place and relationships drawn from Indigenous critical theory and Indigenous community resurgence to analyze the findings of this qualitative study leads to a focus on how relationships impact and can even constitute places, enabling new understandings of the roles of Indigenous‐led health organizations in urban Indigenous community resurgence. 相似文献
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We conducted focus groups in Toronto with 44 recent skilled worker immigrants from Bangladesh to explore whether their decisions to migrate to Canada may have been influenced by environmental problems. Previous research has documented how floods, cyclones, droughts, and seasonal precipitation variations affect rural‐urban migration patterns within Bangladesh, and to its neighbours. Most participants had not experienced such environmental hazards, having lived in Dhaka prior to migrating. However, Dhaka's ongoing problems with air and water pollution, sanitation, lack of green space, and food adulteration were cited by 70% as being relevant considerations for the decision to migrate. The degree of influence varied considerably among participants. Roughly 16% said pollution was their primary motivation for leaving, household members having suffered from illnesses traceable to air pollution or poor sanitation. Another 54% stated that Dhaka's environmental problems were part of a wider range of quality‐of‐life concerns that had some influence on their decision. The findings suggest that current migration to Canada is not connected with environmental migration that takes place within Bangladesh, but that urban environmental problems combined with other social, economic, and political factors can help drive migration. 相似文献
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Chantelle Richmond Rachel Bezner Kerr Hannah Neufeld Marylynn Steckley Kathi Wilson Brian Dokis 《The Canadian geographer》2021,65(1):97-109
Indigenous families are overrepresented among those within Canada who experience food insecurity. Studies have largely focused on northern populations, with less attention paid to southern and urban communities, including the social, cultural, and geographic processes that challenge food security. In this study, we present findings from a decade‐long community‐based study with the Southwest Ontario Aboriginal Health Access Centre (London, Ontario) to examine family perspectives related to the social determinants of food security. These topics were explored through qualitative interviews (n = 25) and focus groups (n = 2) with First Nation mothers with young children from the city of London, and a nearby reserve community. Interviewees from both geographies identified a number of socio‐economic challenges including household income and transportation. However, some interviewees also shed light on barriers to healthy eating unique to these Indigenous contexts including access issues such as a lack of grocery stores on‐reserve; loss of knowledge related to the utilization of traditional foods; and the erosion of community, familial, and social supports. Resolving these unique determinants of food security for urban and reserve‐based First Nation families will require a range of economic and culturally specific interventions, particularly those that support development and uptake of Indigenous foodways. 相似文献
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In Mexico, as in many other parts of the world, industrial agriculture is dramatically changing rural landscapes and altering relationships with the land. This paper draws on community‐based research from a collaborative international research project that examined the perceived health implications of the agricultural industry for Indigenous peoples in the state of Jalisco, Mexico. Thirty interviews were conducted in a Nahuas community experiencing expanding agribusiness industries. The results of this study show that the implications of export‐oriented agricultural industry for this Nahuas community are complex and, at times, contradictory: employment in the agricultural industry provides community members with much‐needed sources of income, but it is precarious work. At the same time, community members are concerned about the long‐term health and environmental implications, such as increased exposure to chemicals, depletion of the soil and water, and loss of traditional food and lifeways. These results suggest that to better understand the costs and benefits of large‐scale agriculture for Indigenous health, a broad lens of health that is situated in the context of colonial legacies and the particularities of relationships with the land is required. 相似文献
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HUHUA CAO 《The Canadian geographer》2008,52(3):331-350
China has experienced considerable economic growth following the economic reforms of 1978, while simultaneously facing dramatic increases in regional inequality. China is becoming a polarized society—a phenomenon that is at the heart of a multitude of serious problems that are threatening sustainable development, as well as social cohesion within the country. Among the key reasons for this polarization are the quality of and accessibility to basic education for children. Since the establishment of the law for nine‐year compulsory education in 1986, children's education has progressed remarkably in most parts of China. It has, however, remained persistently problematic in the western provinces, particularly in remote regions, rural areas and minority communities. Even though some studies on child education in China have been carried out, very little existing research examines spatial inequality in children's schooling or accounts for the importance of sociocultural and geographic contexts. Using the example of Gansu, one of the poorest provinces in Western China, our research emphasizes the two main aspects that have led to high nonschooling rates for children: an unfavourable sociocultural milieu and inadequate educational resources. 相似文献
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Cet article a pour but de contribuer à la littérature en émergence portant sur la santé des Autochtones en milieu urbain, en comparant l’état de santé et les déterminants de la santé de la population autochtone et non‐autochtone en milieu urbain au Canada. L’étude s’appuie sur des données tirées de l’Enquête auprès des peuples autochtones (EPA) de 2001 et de l’Enquête sur la santé dans les communautés canadiennes (ESCC), cycle 1.1. Préconisant une approche axée sur la santé de la population, nous explorons les différences de l’état de santé et des déterminants de la santé entre les populations autochtones et non‐autochtones en milieu urbain. Trois variables sont utilisées pour décrire l’état de santé : l’auto‐évaluation de l’état de santé, les maladies chroniques et la limitation d’activités. Si l’existence de disparités en matière de santé entre la population autochtone et non‐autochtone en milieu urbain est démontrée, celles‐ci ne sont pas aussi importantes que les disparités qui caractérisent la population non‐autochtone et autochtone vivant dans une réserve. Les déterminants sociaux de la santé sont comparables pour les deux populations, mais les résultats illustrent à quel point des facteurs culturels peuvent également intervenir en faveur ou au détriment de la santé parmi la population autochtone en milieu urbain. Cette étude exploratoire fait ressortir la nécessité de tenir compte des facteurs culturels propres aux déterminants de la santé dans les recherches ultérieures afin d’identifier des pistes d’explication des disparités en matière de santé entre les individus autochtones et non‐autochtones en milieu urbain. 相似文献
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The paper reports a case study of factors attracting and retaining talented and creative workers in Halifax, Nova Scotia. All categories of workers interviewed mentioned quality of place and amenities in discussing their location preferences, but that could not fully explain their choices. For some occupations (like health research), talented people followed jobs; in other sectors (like music), talented workers migrated to a sympathetic locale with the right conditions for creative engagement; creative workers in some occupations (like those in architectural, engineering or planning consulting) were more rooted in place. The social dynamics—that is, positive and collaborative social networks within key sectors and a wider community perceived as welcoming and interesting—make this mid‐sized city attractive to talented workers. Local universities and a vibrant music scene generate a mutually reinforcing context that attracted mobile talented and creative workers to the city. Respondents noted Halifax's limited cultural diversity but did not report a perceived lack of tolerance as affecting their choices. In smaller cities, the social dynamics of place and workplace and the quality of life available may play more significant roles than tolerance in attracting and retaining talented workers, challenging a basic assumption of creative cities discourse. 相似文献
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Next to agriculture, road development is one of the most significant sources of stress to wetlands in Prairie Canada. However, there currently exists limited guidance for incorporating direct, indirect, and induced effects to wetlands in impact assessment and mitigation planning for small and often routine developments, including access roads or highway improvement initiatives. Based on the Louis Riel Trail, Highway 11 North twinning project in Saskatchewan, Canada, this article demonstrates a methodological approach and decision support framework for assessing and managing direct, indirect, and induced effects to wetlands from linear developments. No regulatory‐based environmental assessment was required for the highway project; effects were deemed to be insignificant under current wetland mitigation practices. However, our results show that 1115 ha of potentially affected wetlands are located within a 500 m impact zone on either side of the proposed highway. More than 50 percent of these wetlands are seasonal, less than 1 ha in size, and typically not included in mitigation planning. An expert‐based multi‐criteria evaluation of impact and mitigation options for wetlands in the study area indicated “no net loss” as a planning priority, and a preference for a spatially ambitious mitigation plan focused on direct, indirect, and potentially induced impacts. In practice, however, mitigation is often restrictive, focused on mitigating only direct impacts within the project's right‐of‐way, in this case less than 50 ha of wetlands, resulting in the potential for significant net loss of wetland habitat and function. If the risk to wetlands is to be given due consideration in project planning and development for roads and road improvement initiatives, then structured assessment methods and decision support frameworks should be sensitive to the time and resource constraints of small projects and screening‐type assessments. This requires also that wetland mitigation policies are developed and implementation plans formulated as part of project planning and assessment initiatives for linear developments. 相似文献