Abstract
This chapter briefly reviews the well-established paradigms in patient representations of health. Over the last 50 years, the view of the patient has evolved from a person affected by an infectious disease to a person who is constantly changing and adapting to changes in a social and natural environment of hosts, agents, and reservoirs. Extensive research has demonstrated that the quality of neighborhoods (i.e., their environmental and social contexts) matters to human health. The chapter moves on to examine how viewing a patient through the lens of a landscape, as an organizing principle, can improve patient care and delivery. For instance, when a patient’s medical history is combined with his or her place history in an electronic medical record (EMR), what additional insights can a physician gain to improve the quality and timeliness of a clinical diagnosis? Finally, the chapter concludes with a discussion of how combining qualitative and quantitative GIS methodologies can uncover the health conditions of minority populations more readily, such that life-saving treatments can commence before problematic symptoms appear.
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References
Courtenay WH (2000) Constructions of masculinity and their influence on men’s well-being: a theory of gender and health. Soc Sci Med 50(10):1385–1401
Craddock S, Brown T (2009) Representing the un/healthy body. In: Brown T, McLafferty S, Moon G (eds) A companion to health and medical geography. Wiley-Blackwell, Oxford, pp 301–321
Fisher JD, Smith LR, Lenz EM (2010) Secondary prevention of HIV in the United States: past, current, and future perspectives. J Acquir Immune Defic Syndr 55:S106–S115
Mathew R, Gucciardi E, De Melo M et al (2012) Self-management experiences among men and women with type 2 diabetes mellitus: a qualitative analysis. BMC Fam Pract 13:122
Grimaud O, Lapostolle A, Berr C et al (2013) Gender differences in the association between socioeconomic status and subclinical atherosclerosis. PLoS ONE 8(11):e80195. doi:10.1371/journal.pone.0080195
Landrigan PJ, Schechter CB, Lipton JM et al (2002) Environmental pollutants and disease in American children: estimates of morbidity, mortality, and costs for lead poisoning, asthma, cancer, and developmental disabilities. Environ Health Perspect 110(7):721–728
Cotterell J (2007) Social networks in youth & adolescents. Routledge, London/New York
Mennis J, Mason MJ (2011) People, places, and adolescent substance use: integrating activity space and social network data for analyzing health behavior. Ann Assoc Am Geogr 101(2):272–291. doi:10.1080/00045608.2010.534712
Bell J, Zimmerman F, Almgren G et al (2006) Birth outcomes among urban African American women: a multilevel analysis of the role of racial residential segregation. Soc Sci Med 63:3030–3045
Adams AS, Trinacty CM, Zhang F et al (2008) Medication adherence and racial differences in A1C control. Diabetes Care 31(5):916–921
Howard G, Lackland DT, Kleindorfer DO et al (2013) Racial differences in the impact of elevated systolic blood pressure on stroke risk. JAMA Intern Med 173(1):46–51
Hall EC, Segev DL, Engels EA (2013) Racial/ethnic differences in cancer risk after kidney transplantation. Am J Transplant 13(3):714–720
O’Campo P, Xue X, Wang MC et al (1997) Neighborhood risk factors for low birth weight in Baltimore: a multilevel analysis. Am J Public Health 87(7):1113–1118
Diez Roux AV, Merkin S, Arnett D et al (2001) Neighborhood of residence and incidence of coronary heart disease. N Engl J Med 345(2):99–106
Logan J (2002) Separate and unequal: the neighborhood gap for blacks and Hispanics in metropolitan America. Lewis Mumford Center for Comparative Urban and Regional Research, Albany
Krieger N, Chen J, Waterman P et al (2003) Race/ethnicity, gender, and monitoring socioeconomic gradients in health: a comparison of area-based socioeconomic measures – the public health disparities geocoding project. Am J Public Health 93(10):1655–1671
Darden JT (2007) Changes in black residential segregation in metropolitan areas of Michigan, 1990–2000. In: Darden JT, Stokes C, Thomas R (eds) The state of black Michigan, 1967–2007. Michigan State University Press, East Lansing, pp 147–160
Darden J, Rahbar M, Jezierski L et al (2010) The measurement of neighborhood socioeconomic characteristics and black and white residential segregation in Metropolitan Detroit: implications for the study of social disparities in health. Ann Assoc Am Geogr 100(1):137–158. doi:10.1080/00045600903379042
Jones K, Duncan C (1995) Individuals and their ecologies: analyzing the geography of chronic illness within a multilevel modeling framework. Health Place 1:7–30
Ellen IG, Turner MA (1997) Does neighborhood matter? Assessing recent evidence. Hous Policy Debate 8(4):833–866
Oakes JM (2004) The (mis)estimation of neighborhood effects: causal inference for a practicable, social epidemiology. Soc Sci Med 58:1929–1952
Katz LF, Kling JR, Leibman JB (2001) Moving to opportunity in Boston: early results of a randomized mobility experiment. Q J Econ 116(2):607–654
Kling J, Liebman J, Katz L et al (2004) Moving to opportunity and tranquility: neighborhood effects on adult economic self-sufficiency and health from a randomized housing voucher experiment, Faculty working paper series no. RWP04–035. John F. Kennedy School of Government, Cambridge, MA
Sampson RJ, Wilson WJ (1995) Toward a theory of race, crime and urban inequality. In: Hagan J, Peterson RD (eds) Crime and inequality. Stanford University Press, Stanford, pp 37–54
Lanctot N, Smith CA (2001) Sexual activity, pregnancy and deviance in a representative urban sample of African American girls. J Youth Adolesc 30:349–372
Sampson RJ, Raudenbush SW (1999) Systematic social observation of public spaces: a new look at disorder in urban neighborhoods. Am J Sociol 105:603–651
H¨agerstrand T (1970) What about people in regional science? Pap Reg Sci Assoc 24:7–21
Kwan M-P (1999) Gender and individual access to urban opportunities: a study using space–time measures. Prof Geogr 51:211–227
Stafford M, Martikainen P, Lahelma E et al (2004) Neighbourhoods and self-rated health: a comparison of public sector employees in London and Helsinki. J Epidemiol Community Health 58:772–778
Ross N, Wolfson M, Dunn J et al (2000) Relations between income inequality and mortality in Canada and the United States: cross sectional assessment using census data and vital statistics. Br Med J 320:898–902
Galea S, Ahern J, Rudenstine S et al (2005) Urban built environment and depression: a multilevel analysis. J Epidemiol Community Health 59(10):822–827
Houston D, Wu J, Ang P, Winer A (2004) Structural disparities of urban traffic in Southern California: implications for vehicle-related air pollution exposure in minority and high poverty neighborhoods. J Urban Aff 26(5):565–592
Savitz DA, Feingold L (1989) Association of childhood cancer with residential traffic density. Scand J Work Environ Health 15:360–363
Oosterlee A, Drijver M, Lebret E et al (1996) Chronic respiratory symptoms of children and adults living along streets with high traffic density. Occup Environ Med 53:243–257
Van Vliet P, Knape M, de Hartog J et al (1997) Motor vehicle exhaust and chronic respiratory symptoms in children living near freeways. Environ Res 74(2):122–132
Wilhelm M, Ritz B (2003) Residential proximity to traffic and adverse birth outcomes in Los Angeles County, California 1994–1996. Environ Health Perspect 111:207–216
May JM (1950) Medical geography: its methods and objectives. Geogr Rev 40:9–41
May JM (1958) The ecology of human disease: studies in medical geography. MD Publications, New York
Audy JR (1958) Medical ecology in relation to geography. Br J 12:102–110
Barrett FA (2002) The role of French-language contributors to the development of medical geography (1782–1933). Soc Sci Med 55:155–165
Dubos RJ (1987) Mirage of health: utopias, progress and biological change. Rutgers University Press, New Brunswick
Hunter JM (1974) The challenge of medical geography. In: Hunter JM (ed) The geography of health & disease. Department of Geography, University of North Carolina, Chapel Hill, pp 1–31
Meade MS, Emch M (2010) Medical geography. Guilford, New York
Mayer JD (2000) Geography, ecology and emerging infectious diseases. Soc Sci Med 50:937–952
Dubos RJ (1965) Man adapting. Yale University Press, New Haven
Carrel M, Emch M (2013) Genetics: a new landscape for medical geography. Ann Assoc Am Geogr. doi:10.1080/00045608.2013.784102
Scott CA, Robbins PG, Comrie AC (2012) The mutual conditioning of humans and pathogens: implications for integrative geographical scholarship. Ann Assoc Am Geogr 102(5):977–985. doi:10.1080/00045608.2012.657511
Aitken S (2001) Shared lives: interviewing couples, playing with their children. In: Limb M, Dwyer C (eds) Qualitative methodologies for geographers: issues and debates. Arnold, London, pp 73–86
Kobayashi A (2001) Negotiating the personal and the political in critical qualitative research. In: Limb M, Dwyer C (eds) Qualitative methodologies for geographers: issues and debates. Arnold, London, pp 55–70
Valentine G (2002) People like us: negotiating sameness and difference in the research process. In: Flowerdew R, Martin D (eds) Methods in human geography. Longman, Harlow, pp 116–126
Dwyer C, Limb M (2001) Introduction: doing qualitative research in geography. In: Limb M, Dwyer C (eds) Qualitative methodologies for geographers: issues and debates. Arnold, London, pp 1–20
Winchester HPM (2005) Qualitative research and its place in human geography. In: Hay I (ed) Qualitative research methods in human geography. Oxford University Press, South Melbourne, pp 3–18
Cope M (1998) Home–work links, labor markets, and the construction of place in Lawrence, Massachusetts, 1920–1939. Prof Geogr 50(1):126–140
Sparke M (1998) Mapped bodies and disembodied maps: (dis)placing cartographic struggle in colonial Canada. In: Nast HJ, Pile S (eds) Places through the body. Routledge, New York, pp 305–337
Creswell JW (2007) Qualitative inquiry and research design: choosing among five approaches. Sage, London
Bell S, Reed M (2004) Adapting to the machine: integrating GIS into qualitative research. Cartographica 39(1):55–66
Kwan M-P, Knigge L (2006) Doing qualitative research using GIS: an oxymoronic endeavor? Environ Plan A 38(11):1999–2002
Pavlovskaya ME (2006) Theorizing with GIS: a tool for critical geographies? Environ Plan A 38(11):2003–2020
Mugerauer R (2000) Qualitative GIS: to mediate, not dominate. In: Janelle DG, Hodge DC (eds) Information, place, and cyberspace: issues in accessibility. Springer, Berlin, pp 317–325
Kwan M-P, Ding G (2008) Geo-narrative: extending geographic information systems for narrative analysis in qualitative and mixed-method research. Prof Geogr 60:443–465. doi:10.1080/00330120802211752
Matthews SA, Detwiler J, Burton L (2005) Geo-ethnography: coupling geographic information analysis techniques and ethnographic methods in urban research. Cartographica 40(4):75–90
Knigge L, Cope M (2006) Grounded visualization: integrating the analysis of qualitative data through grounded theory and visualization. Environ Plan A 38(11):2021–2037
Boschmann EE, Cubbon E (2013) Sketch maps and qualitative GIS: using cartographies of individual spatial narratives in geographic research. Prof Geogr. doi:10.1080/00330124.2013.781490
Valentine G, Sadgrove J (2012) Lived difference: a narrative account of spatiotemporal processes of social differentiation. Environ Plan A 44(9):2049–2063
Ahas R, Silm S, Järv O et al (2010) Using mobile positioning data to model locations meaningful to users of mobile phones. J Urban Technol 17:3–27
Almanza E, Jerrett M, Dunton G et al (2012) A study of community design, greenness, and physical activity in children using satellite, GPS and accelerometer data. Health Place 18:46–54
Richardson DB, Volkow ND, Kwan M-P et al (2013) Spatial turn in health research. Science 339(6126):1390–1392
Wiehe SE, Kwan M-P, Wilson J et al (2013) Adolescent health-risk behavior and community disorder. PLoS ONE 8(11):e77667. doi:10.1371/ journal.pone.0077667
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Blatt, A.J. (2015). Geographical Representations of Patients and Their Health Conditions. In: Health, Science, and Place. Geotechnologies and the Environment, vol 12. Springer, Cham. https://doi.org/10.1007/978-3-319-12003-4_4
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