Textbook Notes (368,318)
Canada (161,809)
Geography (142)
GGRB28H3 (32)
Chapter 2

Chapter 2 Explaining geographies of Health by Gatrell

4 Pages
Unlock Document

Michelle Majeed

Chapter 2 Explaining Geographies of Health why there was placetoplace variation in disease incidence in one casePositivist Approaches to the Geography of Health Map hospitalization rates for asthma map is a visual representation of something that had been medically defined and depend on accurate recording of all cases of disease in question examine if the rates are spatially associated with one or more variables covariatesPostivist explanation o adopts the methods of natural science looking for order or spatial patterning in a set of data o mapping and spatial analysis what is observable and measurable o positivist or naturalistic approach to investigation o uncover causes or aetiological factorswith relational than cause o search for laws though make generalizations o Location and spatial arrangement matters but place is incidental o Individuallevel data may well be collected on both the disease and other characteristics of such individuals to discriminate factors o survey workwhat we can refer to as social positivismor in the laboratory where biomedical positivists look for causes in microorganisms and in anatomical and physiological abnormalities o Critics of this perspective argue that it is reductionist the individual is reduced to a collection of body parts and behaviors rely on quantitative and mostly statistical o Sample as large as possible to strengthen conclusions o Location and distanve are key variables o In research using this approach rational planning demands organization of servicesenlightenment or modernist project to impose order and eliminate disorderFurther examples of positivist approacheso HIV and cumulative incidence of AIDS cases across USA New York region o Spread in smaller cities via hierarchical diffusion patterns appearing in subsequent maps are structured by the flows of people along the major transport arteries initially among the largest urban centers and then to smaller towns o contagious diffusion physical proximity matters more than the leapfrogging of geographical space and spread down the urban hierarchycommuting flows o Reflecting massive flows of interaction at much greater geographic scales o AIDSis a classic example of a positivist geography of health one that has established a convincing association between disease incidence and an aggregate social variable o Large metropolitan region flows of commuters are very highly correlated with AIDS rates the causal mechanisms are missing o 70 of clients of Manhattan prostitutes are suburban commuters o Role of shipping is highlighter epidemic with trawler arriving in Reykjavik from Copenhagen o Spread was via hierarchical and contagious processspread in urban hierarchy
More Less

Related notes for GGRB28H3

Log In


Join OneClass

Access over 10 million pages of study
documents for 1.3 million courses.

Sign up

Join to view


By registering, I agree to the Terms and Privacy Policies
Already have an account?
Just a few more details

So we can recommend you notes for your school.

Reset Password

Please enter below the email address you registered with and we will send you a link to reset your password.

Add your courses

Get notes from the top students in your class.