Health geography in Canada: where are we headed?

This paper overviews the emergence of medical/health geography in Canada. The paper discusses the key questions that Canadian health geographers have explored in the past two decades, how these enquiries have featured in the field and how they contribute to the wider discourse of human geography. It also addresses questions on emerging themes and where Canadian health geography will go in the years ahead. With shifting health landscapes in terms of changes in social, political and physical environments, and changes in health care restructuring, Canadian health geographers are entering a new phase of research, teaching and policy. The complexity of the questions that health geographers seek to address means it is necessary to continue to highlight the policy implications of their findings. Health geographers need to emphasize the public agenda through interdisciplinary research and by continuing to work with geographers in other subfields.     

Food,feeding and the material everyday geographies of infants: possibilities and potentials

This paper forges an agenda for researching geographies of infants. Scholars have tended to overlook the everyday geographies of very young children. However, outside of geography, infancy is seen as a specifically dynamic period of life, and is subject to sustained research and policy intervention. In particular, early childhood is viewed as a key point in which to intervene to transform enduring, interconnected, societal, educational, and health-based inequalities. Food and feeding are seen as critical both to the health of infants now and of the children and adults they become . However, much policy and research under-theorizes the importance of socio-spatial contexts and the subjectivity/agency of infants. There is, then, an urgent need for geographers to put infants onto the agenda, to inform and challenge these dominant accounts. Researching with infants necessitates not just critiquing modern, liberal notions of an autonomous subject/agent, but developing a new way of understanding subjectivity and agency. Drawing upon Lupton’s (2013) notion of infant–carer interembodiment, I suggest a way forward with reference to the material geographies of infant feeding.     

国外对城市康体保护空间的研究

对城市康体保护空间的研究涉及医学地理学、健康地理学(或保健地理学)。前者重在探讨如地方病、癌症等的地理生态、地理流行特点、环境病因和疾病制图等领域。中国在此方面的研究已处于世界前列,特别是地理化学因素与地方病和癌症等的病因研究更为突出[2]。后者探讨社群总体健康水平与环境的关系。城市社会地理学出于对城市生活空间质量的探源,研究城市不同区位(或社区)康体保护的水平以及对社区的管制。国外对此方面的研究也可称为城市保健地理。由于国外发达国家已进入高消费阶段,对城市空间的康体性有了很高的期望,因此,在此方面的研究处于领先地位。其创新之处在于,摆脱了传统的与健康有关的城市宏观物资条件的分析,综合与康体有关的社群、行为、管理与社会经济因素的研究,引发了对城市保健地理方面的全面审视。本文在总结国外最新的文献和资料的基础上,从探讨城市生活空间质量水平的角度,全面对城市康体保护空间研究的内容进行总结,并力图用模式的形式表述出来。     

复杂理论视角下城市健康地理学探析

城市公共健康问题是根植于所依托的地域空间背景下的复杂问题,因而,目前学界主要以还原论的模型假设来分析影响城市健康的复杂多因子关系时存在一定局限。本文在分析城市健康地理问题的"地方"复杂性基础上,提出用复杂理论认识城市的健康问题,将城市健康地理系统看作为具有开放性、组分的知识局限性、自组织性、路径依赖、涌现性、正反馈和锁定特征的复杂系统。从复杂理论视角探讨了当前城市健康地理学研究的三个主要议题,进而提出复杂理论视角下城市健康地理学研究框架及未来研究展望。     

An Australian geography of unhealthy housing

Housing problems, such as affordability, poor quality of condition, or damp, are key determinants of health and wellbeing. Importantly, though, a growing body of research has shown that unhealthy housing is the combined result of multiple housing problems acting together. Although the spatial distribution of discrete housing problems is well established, little is known of Australia's geography of unhealthy housing. We have previously defined and validated an Australian Index of Housing Insults, which captures the multiple ways in which housing adversely influences individual health—including, but not limited to, people's tenure security, affordability, quality, and neighbourhood characteristics. Using the Household Income and Labour Dynamics in Australia (HILDA) dataset, a nationally representative longitudinal survey of Australian households, this paper describes Australia's geography of unhealthy housing. The analysis examines the prevalence, characteristics, and distribution of the population who are vulnerable to unhealthy housing. Our findings reveal both a worsening landscape of households at risk because of their accommodation and a changing pattern of unhealthy housing in Australia over time. The paper considers how these findings may impact future policy settings and the potential to improve the health of Australia's population through targeted housing interventions.     

THE ECOSYSTEM HEALTH METAPHOR IN SCIENCE AND POLICY

Ecosystem health' is an increasingly common metaphor in the langauge of science and policy. Given the prominence of both the ecosystem and health concepts within geography, this paper examines the meanings generated by the adoption of the metaphor for scientific research and for environmental policy on the North American Great Lakes. 'Ecosystem' can be characterized as an entity, an abstract concept, or a perspective. As perspective, ecosystem shares many features of postmodern science, emphasizing complexity and holism and calling for the inclusion of human beings in our considerations of nature. The ecosystem health metaphor is politically powerful in its ability to evoke action and concern for the environment with an appeal to the universal experiences of human ill-health. The organismic ecosystem health metaphor provides a new, relevant way of thinking about the natural world. In policy discourse, however, metaphor can be problematic in that there is potential for the author or speaker to hide behind the nonliteral language. Moreover, the acceptance of the ecosystem health metaphor which can draw upon widely held beliefs and norms implies that other ways of knowing the world are necessarily omitted. We highlight some of these issues in a case study of a policy document prepared by the Ecological Committee of the Great Lakes International Joint Commission. To continue to know how to study nature in new ways, metaphors must be encouraged, but their meanings must also be widely explored     

Planning strategies and practices in non-core regions: a critical response

ABSTRACT

The development of non-core regions has attracted growing interest within the current debates of economic geography, regional studies and spatial planning. The divergence between economically successful core regions and less privileged non-core regions continues despite policy interventions aimed at tackling spatial disparities and income inequalities. While traditional growth-oriented policies raise concerns over their effectiveness and relevance beyond large cities and metropolitan regions, there is growing interest in exploring new research paths and policy options that are better able to address development challenges in non-core regions. Contributors to this special issue engage with these debates by reflecting on planning policies and practices in five European countries, paying special attention to identifying planning strategies for non-core regions. This paper argues that alternatives to growth-oriented models require additional conceptualization and analysis to translate values into policies and institutions.     

国外健康地理学研究进展

传统医学地理学研究从自然生态学角度出发,着重探讨自然环境对人类身体健康的影响。随着社会经济的发展,自然环境对人类健康的作用逐渐减小,社会文化环境成为影响人类健康,特别是城市居民身体健康的主要因素。本文回顾了20世纪70年代社会文化转型以来,医学地理学研究的重点转向以社会文化视角探究社会文化环境对人们身体健康,特别是心理健康的影响,以及医学地理学向一门新的健康地理学转变的过程,并梳理了新的健康地理学理论和研究内容的变化,总结了当前学科存在的一些问题,最后对新时期我国健康地理学的发展提出了展望。     

旨趣和方法的异同:论钱大昕与王鸣盛的地理考辨

乾嘉学者钱大昕与王鸣盛治学以考据见长,二者在历史地理领域的研究各有特点。钱大昕擅长运用缜密的考辨方法,致力于建置沿革的考证纠谬,成果丰硕。王鸣盛则重视地理考察,贯通古今史事,辨析形势险要,探究地理条件与历代兴亡、战争胜负的关系;同时又以《禹贡》为中心,将儒家经典中的重要篇章纳入地理考辨的范围,反映其学术研究的丰富性和多样性。钱大昕与王鸣盛的考证成果及历史分析对近现代历史地理研究具有重要的参考价值,其细密考证与归纳、概括的综合分析也具有方法论上的借鉴意义。     

A geography of residents' worry about the disruptive effects of contaminated sites

While the links between contaminated sites and adverse effects on human health and well‐being are being increasingly recognised, some argue that the magnitude of the health problem is inadequately addressed because it is largely invisible. Health geographies literature has sought to highlight this invisibility by focusing on the link between contaminated sites and health. This study adds to health geographies by presenting unique insights into the geography of residents' worry about the disruptive effect of environmental contamination on health and well‐being. It analyses a sample of residents (n = 485) living near 13 contaminated sites across Australia. Ordinal logistic regression analysis of closed‐format survey questions was combined with coding of open‐ended survey questions to reveal the geography of residents' worry about contamination from nearby sites. First, the study explores some of the main relationships between residents, their environs, and contaminants from nearby source sites, which determines their levels of worry: residents' demographics, residents' proximity to sites, contaminant boundaries and borders, and type of contaminant. Second, the study investigates how worry affects residents' health and well‐being, ranging from effects on their personal functioning through to their sense of ontological security, which depends in part upon their perceptions of contaminants' impacts. Despite having identified a range of diverse and negative effects of worry about contamination on residents, we found that worry for contamination can also prompt coping strategies and problem‐solving, reinforcing the need for more research on this subject.     

Gendering environmental geography

Despite sharing common interests in being advocates for social change, feminist and environmental geographers have yet to acknowledge interests they share in common. Environmental geographers, particularly those focused on policy and institutional analysis, have not embraced feminist theories or methodologies, while few feminist geographers have engaged issues associated with environmental policy-making. Our purpose is to initiate a dialogue about how linkages might be forged between feminist and environmental geography, particularly among Canadian environmental geographers working on institutional and policy analysis. We begin by illustrating that environmental geographers working on Canadian problems have neglected to introduce gender as an analytical category or feminist conceptual frameworks to guide their research. Second, we identify four feminist research approaches that should also be pursued in environmental geography. Third, we consider examples of how feminist perspectives might be incorporated in three themes of environmental geography: institutional and policy analysis, participatory environmental and management systems and alternative knowledge systems. Fourth, we consider two research frameworks—political ecology and environmental justice—and suggest that these may be useful starting points for integrating feminist analysis into environmental geography. Last, we summarise our suggestions for how future research of feminist and environmental geographers could benefit from a closer association.     

Retheorizing urban geography: mutual relationships between English- and German-speaking communities

This paper takes a comparative look at urban geography in the German- and English-speaking academic communities, based on a critical reflection of publication activities, sub-disciplinary discourses and conceptual developments. It is argued that Anglophone discourses tend to embed urban research into a broad range of conceptual and theoretical frameworks, whereas many writings in German-speaking urban geography are committed to pursuing empirical studies and applied research, thereby producing planning studies and policy recommendations; only recently, studies inspired by the cultural turn have evolved that are also addressing urban topics. In both language communities, a certain body of geographical work can be detected that deals with core urban themes without evolving from a distinct ‘urban geography’ community. In this context, a mutual trans-national dialogue between cultural, social and urban geographies is considered helpful for better linking the two different language and academic communities. Accordingly, the paper provides suggestions on how to reconceptualize urban geography at the intersections of recent debates in both language contexts by highlighting specific theoretical approaches, policy linkages and methodologies.     

Self-rated Health of older persons in Indonesia

This study contributes to expanding the knowledge of the health of older persons living in Indonesia, a country with limited welfare benefits. The research employs a variable, ‘self-rated health’ (SRH), to investigate socio-cultural factors linked to the health of older Indonesians. The data presented in this study are based on fieldwork collected using a mixed-method approach. Sex-difference in SRH in older age is shown to be predominantly a result of enduring inequalities across the life course, manifested in cultural practices, education, employment and programs for health. An older person's status within the family is a significant determinant of SRH, but the direction of the relationship depends on the sex and ethnicity of the person. Other variables related to SRH are age, lifestyle, education, residential area and intergenerational transfers.     

Mapping feminist geographies in Spain

Abstract

Based on our experience of years of research, teaching and academic administration, this text gathers reflections on the past, present and future developments of feminist geography in Spain. We first show how a gendered perspective was introduced into geography in the late eighties. We then reflect on what we call ‘the stage of consolidation’ alongside territorial inequalities at the turn of the century. And we finally present some notes what the current situation is and identify future challenges. Despite the difficulties, we offer a positive vision of a long journey that has no turning back.     

China's Response to Pandemics: From Inaction to Overreaction

Two U.S. specialists (on the governance and foreign policy aspects of China's public health issues as well as its human and medical geography) examine how two different sets of policies implemented by the government of China have affected both the geography and political ecology of pandemic disease outbreaks (HIV/AIDS, SARS, and H1N1) over the past two decades. More specifically, they argue that: (1) broad development and reform policies largely responsible for China's rapid modernization/urbanization and increasingly successful perfomance in the global economic arena have generated unexpected side-effects in terms of the location, incidence, and spread of pandemics as well as the state's capacity to mount an adequate health care response; and (2) politically motivated public health policies implemented in response to the spread of specific pandemics in China have had unanticipated impacts on the progression of disease outbreaks and their outcomes. Journal of Economic Literature, Classification Numbers: H510, H750, I180. 3 figures, 2 tables, 76 references.     

Parental smoking and children's anxieties: an appropriate strategy for health education?

While the prevalence of smoking has declined in the UK in recent years, class differentials in smoking behaviour have become more marked and smoking is increasingly recognised as a causal factor in inequalities in health. Health education initiatives to support both smoking cessation and to teach children about the health risks of smoking remain key initiatives in reducing health inequalities. However, teaching children about the risks of smoking and the impact of parental smoking on their health is not straightforward for children from backgrounds who are more likely to encounter smoking at home and in their local communities. These children have to reconcile the key messages taught at school and reinforced in smoking cessation campaigns with the knowledge that their parents and other family members smoke. In this article we consider how children from smoking homes make sense of these education and health campaigns as observed by their parents, and the impact that this has on both parental smoking and relationships within the home. The article thus seeks to challenge assumptions about the delivery of health education and the need to acknowledge family diversity.     

Examining social isolation by gender and geography: conceptual and operational challenges using population health data in Canada

In 2003, the Canadian Federal/Provincial/Territorial Task Force on Seniors identified social isolation as an important issue for further study and policy development given that socially isolated persons are considered to be more vulnerable to both inappropriate use of the health care system and poorer health outcomes. In order to provide adequate support to this vulnerable population, it is critical to untangle the complex web of relationships that influence the need for care, and the health status and service utilization patterns of socially isolated older adults. Using data from the 2000–01 Canadian Community Health Survey (CCHS), this article explores social isolation as a multidimensional social construct examining in particular the axes of gender and geography to try to tease out some of this complexity and its relationship to health status and service utilization. When individual characteristics like gender are considered together with broader contextual variables like place of residence, a more comprehensive and layered portrait of vulnerability among socially isolated persons begins to emerge with insights into their unique patterns of health and service use. For example, home care may be an extremely critical resource for keeping older women in their homes and out of hospital. On the other hand, among socially isolated older men, those living in rural communities may be particularly ‘invisible’, neither benefiting from home care nor having strong social supports. It seems plausible then that both men and women may be in need of special interventions or targeted programmes to help them to remain, or to become, more socially integrated in their communities as they age in place. In addition, this article addresses some of the limitations of using both a quantitative analytic approach and the CCHS dataset itself in grappling with such complexity.     

Female representation in the higher education of geography in Hungary

This paper charts the changing female representation in the higher education of geography, connecting it with the faltering development of feminist geography in Hungary. The transition from socialism to capitalism has compounded gender inequalities while many of the relevant statistical data display gender blindness. Gender issues fail to form a coherent part of national political debates while women's opportunities in Hungarian higher education and research have only recently been examined. Constraints on issues of equal opportunities within Hungarian geography are discussed.     

李旭旦先生的学术思想和贡献及其他——纪念李旭旦先生诞辰100周年

李旭旦先生是人文地理学家、区域地理学家和地理教育家,毕生致力于地理教育和科学研究,培养了几代地理学人才,桃李满天下。他才思敏捷,知识渊博,治学严谨、执着,有较高的学术造诣。学术上他强调人地协调论和统一地理学,提倡区域研究,致力于地理教育理论的建设,创办《地理知识》杂志,曾任德国《GeoJournal》杂志编委,主编《人文地理学》(中国大百科全书分册)、《人文地理学论丛》、《人文地理学概说》,提出白龙江是我国西部南北地理分界线的科学论断,主张把解决现实问题作为人文地理学的主攻方向,重视野外调查,晚年他提出复兴人文地理学的倡议,把我国人文地理学的发展推向一个新的阶段。他是我国现代人文地理学的奠基人。     

Consumption,Environmental Sustainability and Human Geography in Australia: a Missing Research Agenda?

‘Consumption’ is a central concept in the global environmental sustainability agenda. However, one important argument from Agenda 21 — that all social actors must now practise ‘sustainable consumption’— has been publicly and politically marginalised in high‐income countries such as Australia. Geographers potentially have a role in bringing consumption back onto the agenda by constructing a critical geography of consumption. Such research can help understand how the contextual use of natural resources is perceived and practised, and how consumption helps to shape contemporary social relations. This body of knowledge is vital for building sustainable development into everyday lives. Yet a focus on urban consumption perceptions and practices appears somewhat lacking in Australian geography. Ways forward can be drawn from international geography, such as in the United Kingdom where a substantial body of work has drawn a complex picture of contemporary consumption and environmental understanding. It has also challenged prevailing ‘ecological modernisation’ policy approaches, which ignore consumption's cultural facets. In sum, considering consumption in Australia can offer insights into cultural practices expressed through consumption; can challenge and add to European geographical literatures, and can also contribute to sustainability debates by offering alternatives to currently ineffective policy discourses.