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Understanding and representing 'place' in health research: A relational approach

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  • Cummins, Steven
  • Curtis, Sarah
  • Diez-Roux, Ana V.
  • Macintyre, Sally

Abstract

Epidemiology, sociology, and geography have been successful in re-establishing interest in the role of place in shaping health and health inequalities. However, some of the relevant empirical research has relied on rather conventional conceptions of space and place and focused on isolating the "independent" contribution of place-level and individual-level factors. This approach may have resulted in an underestimate of the contribution of 'place' to disease risk. In this paper we argue the case for extensive (quantitative) as well as intensive (qualitative) empirical, as well as theoretical, research on health variation that incorporates 'relational', views of space and place. Specifically, we argue that research in place and health should avoid the false dualism of context and composition by recognising that there is a mutually reinforcing and reciprocal relationship between people and place. We explore in the discussion how these theoretical perspectives are beginning to influence empirical research. We argue that these approaches to understanding how place relates to health are important in order to deliver effective, 'contextually sensitive' policy interventions.

Suggested Citation

  • Cummins, Steven & Curtis, Sarah & Diez-Roux, Ana V. & Macintyre, Sally, 2007. "Understanding and representing 'place' in health research: A relational approach," Social Science & Medicine, Elsevier, vol. 65(9), pages 1825-1838, November.
    • Handle: RePEc:eee:socmed:v:65:y:2007:i:9:p:1825-1838
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    1. R.P. Hortulanus, 2000. "The Development of Urban Neighbourhoods and the Benefit of Indication Systems," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 50(2), pages 209-224, May.
    2. Boyle, Paul J. & Gatrell, Anthony C. & Duke-Williams, Oliver, 1999. "The effect on morbidity of variability in deprivation and population stability in England and Wales: an investigation at small-area level," Social Science & Medicine, Elsevier, vol. 49(6), pages 791-799, September.
    3. Löytönen, Markku & Arbona, Sonia I., 1996. "Forecasting the AIDS epidemic in Puerto Rico," Social Science & Medicine, Elsevier, vol. 42(7), pages 997-1010, April.
    4. Wilkinson, Richard G & Pickett, Kate E., 2006. "Income inequality and population health: A review and explanation of the evidence," Social Science & Medicine, Elsevier, vol. 62(7), pages 1768-1784, April.
    5. Jonathan Murdoch & Terry Marsden & Jo Banks, 2000. "Quality, Nature, and Embeddedness: Some Theoretical Considerations in the Context of the Food Sector," Economic Geography, Taylor & Francis Journals, vol. 76(2), pages 107-125, April.
    6. Berkman, Lisa F. & Glass, Thomas & Brissette, Ian & Seeman, Teresa E., 2000. "From social integration to health: Durkheim in the new millennium," Social Science & Medicine, Elsevier, vol. 51(6), pages 843-857, September.
    7. Fagg, James & Curtis, Sarah & Stansfeld, Stephen & Congdon, Peter, 2006. "Psychological distress among adolescents, and its relationship to individual, family and area characteristics in East London," Social Science & Medicine, Elsevier, vol. 63(3), pages 636-648, August.
    8. Addy, C.L. & Wilson, D.K. & Kirtland, K.A. & Ainsworth, B.E. & Sharpe, P. & Kimsey, D., 2004. "Associations of Perceived Social and Physical Environmental Supports with Physical Activity and Walking Behavior," American Journal of Public Health, American Public Health Association, vol. 94(3), pages 440-443.
    9. Stafford, M. & Cummins, S. & Macintyre, S. & Ellaway, A. & Marmot, M., 2005. "Gender differences in the associations between health and neighbourhood environment," Social Science & Medicine, Elsevier, vol. 60(8), pages 1681-1692, April.
    10. Macintyre, Sally & Ellaway, Anne & Cummins, Steven, 2002. "Place effects on health: how can we conceptualise, operationalise and measure them?," Social Science & Medicine, Elsevier, vol. 55(1), pages 125-139, July.
    11. Popay, Jennie & Thomas, Carol & Williams, Gareth & Bennett, Sharon & Gatrell, Anthony & Bostock, Lisa, 2003. "A proper place to live: health inequalities, agency and the normative dimensions of space," Social Science & Medicine, Elsevier, vol. 57(1), pages 55-69, July.
    12. Carpiano, Richard M., 2006. "Toward a neighborhood resource-based theory of social capital for health: Can Bourdieu and sociology help?," Social Science & Medicine, Elsevier, vol. 62(1), pages 165-175, January.
    13. Frohlich, Katherine L. & Potvin, Louise & Chabot, Patrick & Corin, Ellen, 2002. "A theoretical and empirical analysis of context: : neighbourhoods, smoking and youth," Social Science & Medicine, Elsevier, vol. 54(9), pages 1401-1417, May.
    14. Subramanian, S.V. & Acevedo-Garcia, Dolores & Osypuk, Theresa L., 2005. "Racial residential segregation and geographic heterogeneity in black/white disparity in poor self-rated health in the US: a multilevel statistical analysis," Social Science & Medicine, Elsevier, vol. 60(8), pages 1667-1679, April.
    15. Diez-Roux, A.V., 1998. "Bringing context back into epidemiology: Variables and fallacies in multilevel analysis," American Journal of Public Health, American Public Health Association, vol. 88(2), pages 216-222.
    16. Giles-Corti, B. & Donovan, R.J., 2003. "Relative Influences of Individual, Social Environmental, and Physical Environmental Correlates of Walking," American Journal of Public Health, American Public Health Association, vol. 93(9), pages 1583-1589.
    17. Curtis, Sarah & Southall, H. & Congdon, P. & Dodgeon, B., 2004. "Area effects on health variation over the life-course: analysis of the longitudinal study sample in England using new data on area of residence in childhood," Social Science & Medicine, Elsevier, vol. 58(1), pages 57-74, January.
    18. Duncan, Craig & Jones, Kelvyn & Moon, Graham, 1993. "Do places matter? A multi-level analysis of regional variations in health-related behaviour in Britain," Social Science & Medicine, Elsevier, vol. 37(6), pages 725-733, September.
    19. Hugh Matthews & Melanie Limb & Barry Percy‐Smith, 1998. "Changing Worlds: the Microgeographies of Young Teenagers," Tijdschrift voor Economische en Sociale Geografie, Royal Dutch Geographical Society KNAG, vol. 89(2), pages 193-202, May.
    20. Kearns, Robin A. & Joseph, Alun E., 1993. "Space in its place: Developing the link in medical geography," Social Science & Medicine, Elsevier, vol. 37(6), pages 711-717, September.
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