Biosocial health geography New ‘exposomic’ geographies of health and place Lucy Prior.pdf

该【Biosocial health geography New ‘exposomic’ geographies of health and place Lucy Prior 】是由【探春文档】上传分享，文档一共【22】页，该文档可以免费在线阅读，需要了解更多关于【Biosocial health geography New ‘exposomic’ geographies of health and place Lucy Prior 】的内容，可以使用淘豆网的站内搜索功能，选择自己适合的文档，以下文字是截取该文章内的部分文字，如需要获得完整电子版，请下载此文档到您的设备，方便您编辑和打印。:..ArticleProgressinHumanGeography1–22Biosocialhealthgeography:aTheAuthor(s)2018Reprintsandpermission:‘exposomic’geographiesDOI:./home/phgofhealthandplaceLucyPriorUniversityofBristol,UKDavidManleyUniversityofBristol,UK,andDelftUniversityofTechnology,herlandsCliveESabelAarhusUniversity,-icsispro-vidingaplatformforappreciatingthedynamicembeddingofsocialrelationsinbodiesoverthelifecourse,,,placingideasofdynamicexposure,,exposome,healthgeography,healthinequalities,lifecourse,placeIIntroductionfocusedonspecific?intemporalandspatialAthemeofexposureandexposuresunderliessenses?riskfactors,toxinsorsocialfeatures,theemphasisbeingonthisorthatplace,greenplexitiesofgeo---tureinvestigatingrelationshipsbetweenhealthandplace(al.,2010,2017;umulatingexposure,fore-Elliott,2009)andavarietyofplace-basedexpo-groundedbyaHa¨gerstrandiantimegeographyoflifepaths,canbeachievedthroughabiosocialsureshavebeenlinkedwitharangeofhealthes,includingforexample,cardiovascu-lardiseaseincidence,riskyhealthbehavioursanddepression(DiezRouxetal.,2016;DiezCorrespondingauthor:LucyPrior,SchoolofGeographicalSciences,UniversityofRouxandMair,2010;Malamboetal.,2016;Bristol,UniversityRoad,Bristol,BS81SS,.,2015).ResearchisoftenEmail:******@:..2ProgressinHumanGeographyXX(X),,theinfluenceoflocalGapscurrentlyexistinourunderstandingofcontext,andhealthrelationshipsthathavethemeansthroughwhichplacestransmittoemergedinthegeographicandepidemiologicalindividualsandtheactionoftheseprocessesliteraturesoverthepast30orsoyears,high--binationasanave-(Lekkasetal.,2017;Mishraetal.,2009;Ruijs-exploitedtothinkaboutextensionstoexposo-broeketal.,2016;Sabeletal.,2009).However,micgeographiesandtheuseoftheexposomeaspre--hendhealthandplaceremainsbaseduponplexhowandwhenofhealthandplacerelation-cross-sectionalanalysesorshort-,over70%oftheUS-basedstudiesreviewedbyArcayaetal.(2016)IIGeographiesofhealthandplacewerecross--Geography,thecontextinwhichpeopleliveandbilityinmanycases,e,haslongbeenunderstoodasimportanttohealth(JonesandMoon,1992).Aconcernintothelong-term,-Thebiologicalmechanismsfortheembodi-riseanddebatetheroleoflocalcontextinmentofplacerepresentasecondvoidintheinfluencinghealthandwellbeing,-more-than-individualperspectivesthatappreci-lishedepidemiologicalliteraturethathastakenatethemulti-scalarandsocialconstructionofupthe?bio?intheformofbiomarkerassess-life(JonesandMoon,1993).ments,recognisingtheusefulnessofbio-(Ben-shlomoandKuh,a?new?geographyofhealththatwouldoffer2002;al.,2010;Ploubidisetal.,moresociallyinformeddiscussionsofhealth2014;Tehranifaretal.,2017).However,todate(Kearns,1993).This?healthgeography?wastherehavebeenrelativelyfewattemptstointe-formulatedasaprogressionfrommedicalgeo-gratebiosocialideaswithinsightsfromthegraphiesutilisingbiomedicalmodelsfocusedhealthandplaceliterature,meaninggeogra--interests(seealsoPhilo,2016).Medicalgeogra-cifically,althoughbiosocialideasspeaktothephywascritiquedforitsdetachedperspective,plasticityofbiologicaldevelopmentandthewherecontexttendedtobereducedtoaspatialpermeabilityofbodies,anintegrationwithsenseoflocationanduncriticallyemployedasdevelopmentsinthetheorizationofplace??container?(JonesandMoon,1993;Kearns,notablyworkonrelationalgeographies?is1993).Furthermore,:..-healthinequalities(KearnsandMoon,2002).vantagewithpoorhealthovertimeandacrossAnincreasedawarenessofplace,andthestruc-studydesignsandcontexts(Arcayaetal.,2016;turalsystemsinwhichplaceisembedded,DiezRouxandMair,2010;PickettandPearl,reflectedanenhancedsensitivitytodifference2001;Rivaetal.,2007;Schu¨leandBolte,2015).(Hayes,1999;JonesandMoon,1993;Kearns,Whilstmanyofthesestudiestakeuptheuseof1995;KearnsandMoon,2002).Therefore,a?neighbourhood?asterminologytorefertolocalconcernwithplacewasacentralunifyingthemecontext,therelationshipsidentifiedareactivetoareformedhealthgeographythatreflectedacrossarangeofscalesandarenotrestrictedgrowingsocio-ecologicalmodels,theactivetotheurbansetting?neighbourhood?tradition-(Kearns,1993;KearnsandMoon,Whilsttheexistenceofanassociation2002;Rosenberg,1998).betweenarealdisadvantageandpoorerhealthDrivenbythesedebates,therewasamarkediswidelyacknowledged,,therewasansignificantcontextualvariations,whilstthesizeexplosionofinvestigationsthatsoughttoandnatureofeffectscanvaryconsiderablybyemeasuredandthecontextuallifechances(KawachiandBerkman,2003;Vanmeasuresutilised(Rivaetal.,2007;Schu¨leandHametal.,2012).posi-Bolte,2015).Additionally,selectioneffectstiondebatewasarecurringthemeinthesestud-andthehistoricalsortingof?healthy?andies,thequestionbeingwhetherfound?unhealthy?populationsremainslargelyunac-associationsweretheresultof?true?contextualcountedforduetoalackoflongitudinalstudies,mentariescharacteristicsoftheindividualsresidinginthatontheneighbourhoodliterature(-andMair2010;HedmanandVanHam2012).leveltechniqueshelpedtoinformthisdiscus-Thereremainsongoinguncertaintyinthesearchsionbyprovidingameanstosimultaneouslyforadefinitiveanswertothecontextversuspositiondebateandthesubstantiveimpor-Fromtheplethoraofmulti-levelstudiesfeed-,positiondebateisoneassociationsofarealorneighbourhoodsocio-,thedualisticdivideimposedbythepositiondichotomyhasbeenmeasuresandbehaviours,forexample:mortal-criticisedforhinderingknowledgeoftheity(Bosmaetal.,2001),self-ratedhealth(Cum-dynamicentanglementsofpeopleandplacesminsetal.,2005),physicalhealth(Voigtla¨nder(Cumminsetal.,2007;Macintyreetal.,etal.,2010),limitingandlong-termillness2002).Thedebateinpartencouragedapredilec-(GouldandJones,1996;Malmstrometal.,tionforidentifyingdirectandindependentareal2001),cardiovasculardiseasesandriskfactorsassociations(Rivaetal.,2007).Inresponse,(Sundquistetal.,2004),mentalhealth(Mairresearcherswereurgedtoembracethehetero-etal.,2008;Skapinakisetal.,2005),aswellgeneityandmultiscalarnatureofhealthrela-assmokingandalcoholuse(al.,tions(Cumminsetal.,2007;Smalland1999;al.,2012).ReviewstudiesFeldman,2012).Ratherthansearchingfor:..4ProgressinHumanGeographyXX(X)elusive,overalleffectsadinfinitum,research2015).plexaddressinghowdifferentsocialandphysicaldynamicoperatingbetweenplace,socialcapitalenvironmentsacrossthelifecoursemayvar-anddisorder,individualexperienceandhealthiouslyimpactthehealthofpopulationswasovertime(Cattell,2001;Hooperetal.,2015;calledfor(MacintyreandEllaway,2003).InKuipersetal.,2012;RossandMirowsky,otherwords,researchwasinpartrefocusedon2001;SteenbeekandHipp,2011).thequestionofprocess,withtheorisingandtest-Thisdiversityofstudieshasprovidedinsightingplausiblepathwayslinkingplacesandhealthintopotentialmechanismsofplaceandhealthacentralaim(Rivaetal.,2007;VanHamandrelationships;deprivationanddisadvantageinManley,2012).esstoThecalltoinvestigatethemechanismsofresources,disorderedenvironments,lowsocialplacehasproducedanextensiveliterature,bothcapitalanddiscriminationareroutinelyidenti-quantitativeandqualitative,,-focusedhealthgeogra-toservices,particularlyhealthservices,areofphyarethecontinuinglackofattentiontothelong-standinginteresttohealthgeographers,theoreticalframeworksunderpinningresearch,coveringarangeoffacilitiesfromprimaryparticularlyregarding:theprocessesbywhichhealthcare,screeningandpreventiontoser-worksofdis-onditionssuchasmen-advantage;thevaryingspatial-temporalshapetalhealth(teetal.,2012;Ngaminiofrelations;andthemechanismsthatoperateNguietal.,2012;Rosenberg,2014).Theroleattheporousinterchangeofpeopleandplacesofgreenspaceandfeaturesofthephysicalenvi-(DiezRouxandMair,2010;Rosenberg,2017).,healthgeographersbetweenfood,activityandthebuiltenviron-shouldengagewithbiosocialtheoriesandnewment(Rosenberg,2016,2017),wherestudiesunderstandingsofbio--haveexaminedthephenomenonoffooddeserts,essingtheprocessesofaccesstorecreationalfacilitiesandgreenbiologicalembodimentcanalignhealthgeogra-spaces,physicalactivityandwalkabilityphywiththeoreticaldevelopmentsinunder-(Bridle-Fitzpatrick,2015;Ivoryetal.,2015;standingsofplaceandcanfurtherexistingKurkaetal.,2015;Schu¨leetal.,2017;Wei-.,2015).Theconceptoftherapeuticlandscapesisimportantinrevealingthewell-IIIProcessandplasticitybeingthatcanbedrawnfromplaces,emphasis-ingtheroleoflivedexperienceandthe1RelationalgeographyandbiosocialtheoryembodiednatureoflandscaperelationshipsToprogressthehealthgeographyliterature,we(Belletal.,2017;Finlayetal.,2015;Gesler,looktowardsanengagementwiththeoretical1992;Hordyketal.,2015).-Thisisparticularlyrelevanttoquantitativephers,withresearchevidencingthebenefitofhealthgeographers,whohavetendedtorelysocialcapital(Bourdieu,1986;Putnam,2000)otionsofexposure,anduncriticales(Aminzadehassumptionsofthecausalpowerofspace(Guth-etal.,2013;Kimetal.,2008;Murayamaetal.,manandMansfield,2012;Kwan,2013;:..,2017).eporouspertinentthoroughfaretoadvancinghealthgeo-to?outside?influences;the?global?isalwaysgraphyastheyalignwithafocusonexposureentwinedwiththeproductionofthe?local?andembodiment,onplaceandhealth.(Massey,1994).EmployingthisformulationA?relationalturn?hasgainedtractionacrossofspaceandplace,therefore,-Themovementreflectsad