8
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Scaling up: The politics of health and place

      , ,
      Social Science & Medicine
      Elsevier BV

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Research into the role of place in shaping inequalities in health has focused largely on examining individual and/or localised drivers, often using a context-composition framing. Whilst this body of work has advanced considerably our understanding of the effects of local environments on health, and re-established an awareness of the importance of place for health, it has done so at the expense of marginalising and minimising the influences of macro political and economic structures on both place and health. In this paper, we argue that: (i) we need to scale up our analysis, moving beyond merely analysing local horizontal drivers to take wider, vertical structural factors into account; and (ii) if we are serious about reducing place-based health inequalities, such analysis needs be overtly linked to appropriate policy levers. Drawing on three case studies (the US mortality disadvantage, Scotland's excess mortality, and regional health divides in England and Germany) we outline the theoretical and empirical value of taking a more political economy approach to understanding geographical inequalities in health. We conclude by outlining the implications for future research and for efforts to influence policy from 'scaling up' geographical research into health inequalities.

          Related collections

          Author and article information

          Journal
          Social Science & Medicine
          Social Science & Medicine
          Elsevier BV
          02779536
          April 2019
          April 2019
          Article
          10.1016/j.socscimed.2019.04.036
          31054402
          c873b710-aa52-4585-abb5-efd0c7035945
          © 2019

          https://www.elsevier.com/tdm/userlicense/1.0/

          http://creativecommons.org/licenses/by/4.0/

          History

          Comments

          Comment on this article