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Spatial Aspects of Health—Developing a Conceptual Framework
Numerous studies and models address the determinants of health. However, in existing models, the spatial aspects of the determinants are not or only marginally taken into account and a theoretical discussion of the association between space and the determinants of health is missing. The aim of this...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914219/ https://www.ncbi.nlm.nih.gov/pubmed/36767185 http://dx.doi.org/10.3390/ijerph20031817 |
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author | Augustin, Jobst Andrees, Valerie Walsh, David Reintjes, Ralf Koller, Daniela |
author_facet | Augustin, Jobst Andrees, Valerie Walsh, David Reintjes, Ralf Koller, Daniela |
author_sort | Augustin, Jobst |
collection | PubMed |
description | Numerous studies and models address the determinants of health. However, in existing models, the spatial aspects of the determinants are not or only marginally taken into account and a theoretical discussion of the association between space and the determinants of health is missing. The aim of this paper is to generate a framework that can be used to place the determinants of health in a spatial context. A screening of the current literature first serves to identify the relevant determinants and describes the current state of knowledge. In addition, spatial scales that are important for the spatial consideration of health were developed and discussed. Based on these two steps, the conceptual framework on the spatial determinants of health was derived and subsequently discussed. The results show a variety of determinants that are associated with health from a spatial point of view. The overarching categories are global driving forces, policy and governance, living and physical environment, socio-demographic and economic conditions, healthcare services and cultural and working conditions. Three spatial scales (macro, meso and micro) are further subdivided into six levels, such as global (e.g., continents), regional (e.g., council areas) or neighbourhood (e.g., communities). The combination of the determinants and spatial scales are presented within a conceptual framework as a result of this work. Operating mechanisms and pathways between the spatial levels were added schematically. This is the first conceptual framework that links the determinants of health with the spatial perspective. It can form the working basis for future analyses in which spatial aspects of health are taken into account. |
format | Online Article Text |
id | pubmed-9914219 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-99142192023-02-11 Spatial Aspects of Health—Developing a Conceptual Framework Augustin, Jobst Andrees, Valerie Walsh, David Reintjes, Ralf Koller, Daniela Int J Environ Res Public Health Article Numerous studies and models address the determinants of health. However, in existing models, the spatial aspects of the determinants are not or only marginally taken into account and a theoretical discussion of the association between space and the determinants of health is missing. The aim of this paper is to generate a framework that can be used to place the determinants of health in a spatial context. A screening of the current literature first serves to identify the relevant determinants and describes the current state of knowledge. In addition, spatial scales that are important for the spatial consideration of health were developed and discussed. Based on these two steps, the conceptual framework on the spatial determinants of health was derived and subsequently discussed. The results show a variety of determinants that are associated with health from a spatial point of view. The overarching categories are global driving forces, policy and governance, living and physical environment, socio-demographic and economic conditions, healthcare services and cultural and working conditions. Three spatial scales (macro, meso and micro) are further subdivided into six levels, such as global (e.g., continents), regional (e.g., council areas) or neighbourhood (e.g., communities). The combination of the determinants and spatial scales are presented within a conceptual framework as a result of this work. Operating mechanisms and pathways between the spatial levels were added schematically. This is the first conceptual framework that links the determinants of health with the spatial perspective. It can form the working basis for future analyses in which spatial aspects of health are taken into account. MDPI 2023-01-19 /pmc/articles/PMC9914219/ /pubmed/36767185 http://dx.doi.org/10.3390/ijerph20031817 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Augustin, Jobst Andrees, Valerie Walsh, David Reintjes, Ralf Koller, Daniela Spatial Aspects of Health—Developing a Conceptual Framework |
title | Spatial Aspects of Health—Developing a Conceptual Framework |
title_full | Spatial Aspects of Health—Developing a Conceptual Framework |
title_fullStr | Spatial Aspects of Health—Developing a Conceptual Framework |
title_full_unstemmed | Spatial Aspects of Health—Developing a Conceptual Framework |
title_short | Spatial Aspects of Health—Developing a Conceptual Framework |
title_sort | spatial aspects of health—developing a conceptual framework |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914219/ https://www.ncbi.nlm.nih.gov/pubmed/36767185 http://dx.doi.org/10.3390/ijerph20031817 |
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