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Reconsidering movement and exposure: Towards a more dynamic health geography
Geography Compass ( IF 4.141 ) Pub Date : 2021-05-07 , DOI: 10.1111/gec3.12566
Malcolm Campbell 1, 2 , Lukáš Marek 1 , Matthew Hobbs 1, 3
Affiliation  

Acknowledging a paucity of emerging research, and some variation by sub-field, the geographical measures of exposure used in health and medical geography have largely stagnated often focusing on residence-based (‘static’) conceptualisations to define an individuals mobility or exposure. Detailed spatiotemporal data, such as smartphone data, allow richer understandings of the influence of the environment, or more broadly of place, on individual health outcomes and behaviours. However, while researchers are increasingly aware of such ‘dynamic’ definitions of place these are seldom employed in empirical evidence. Moreover, there may be differences in mobility by population groups which has not to our knowledge been examined fully. The main aim of this article is to provide a critical review of progress in the conceptualisation of location in health-related geospatial research to understand the evolution of key concepts and to provoke the reader into considering the utility of a (more) dynamic health geography. We explore the origins of time geography, activity spaces, before moving to recent developments in the area of the exposome and the linked dynamic conceptualisations of exposure in health geography. To illuminate and operationalise findings from our review for readers, we provide a small case study to demonstrate how ‘static’ and ‘dynamic’ approaches differ. Moreover, we consider why understanding heterogeneity in mobility could be particularly salient in the field of health geography, and to the discipline of geography more broadly. To conclude, we help readers understand the practical considerations of data privacy, the process of data collection, data processing, and interpretation, and dissemination of findings to offer practical assistance for those who are grappling with ‘dynamic’ definitions of mobility and conceptualisations of exposure.

中文翻译:

重新考虑运动和暴露:迈向更具活力的健康地理

承认新兴研究的缺乏,以及子领域的一些变化,健康和医学地理学中使用的地理暴露措施在很大程度上停滞不前,通常侧重于基于居住地(“静态”)的概念化来定义个人的流动性或暴露。详细的时空数据(例如智能手机数据)可以更深入地了解环境或更广泛的地点对个人健康结果和行为的影响。然而,尽管研究人员越来越意识到这种对地方的“动态”定义,但在经验证据中却很少采用这些定义。此外,据我们所知,人口群体的流动性可能存在差异。本文的主要目的是对健康相关地理空间研究中位置概念化的进展进行批判性回顾,以了解关键概念的演变,并促使读者考虑(更多)动态健康地理学的效用。我们探索了时间地理学、活动空间的起源,然后转向暴露组领域的最新发展以及健康地理学中暴露的相关动态概念化。为了向读者阐明和实施我们审查中的发现,我们提供了一个小型案例研究来展示“静态”和“动态”方法的不同之处。此外,我们考虑了为什么理解流动性的异质性在健康地理学领域和更广泛的地理学学科中可能特别突出。总结一下,
更新日期:2021-06-17
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