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Place and the Social-Spatial Determinants of Health

  • Open Access
  • 2026
  • Open Access
  • Buch
Herausgegeben von
Marynia A. Kolak
Imelda K. Moise
Buchreihe
Global Perspectives on Health Geography
Verlag
Springer Nature Switzerland
Enthalten in
Springer Professional "Wirtschaft+Technik"
Springer Professional "Technik"
Springer Professional "Wirtschaft"
insite
SUCHEN

Über dieses Buch

Dieser Open-Access-Beitrag ist der erste, der soziale Determinanten der Gesundheit (SDoH) aus einer ortsbezogenen Perspektive mit transdisziplinärer, globaler Perspektive behandelt. In diesem Open-Access-Buch reagieren Experten aus den Bereichen Geografie, öffentliche Gesundheit, Stadtplanung, Soziologie, Architektur und mehr auf die wachsenden Forderungen nach Maßnahmen im Bereich SDoH, um die Gesundheitsergebnisse zu verbessern und die Gesundheitsgerechtigkeit zu fördern. Anhand theoretischer Überlegungen und Fallstudien untersucht das Buch, wie eine räumliche Perspektive das Verständnis von SDoH über verschiedene Skalen und Anwendungen hinweg beeinflusst, erweitert und bereichert. Die unzureichende Berücksichtigung struktureller Gesundheitsfaktoren durch einen explizit räumlichen Ansatz kann zu verzerrten, fehlinterpretierten oder unvollständigen Analysen führen. Die Übernahme einer geografischen, ortsbezogenen Perspektive bleibt für SDoH-Studien aus theoretischer, analytischer und technologischer Sicht von entscheidender Bedeutung. Die Kapitel in diesem Buch beleuchten Bereiche, die weiterer Aufmerksamkeit bedürfen, wie die räumliche Diskrepanz im Gesundheitswesen, die Komplexität sozialer und räumlicher Netzwerke und die Auswirkungen der Regierungspolitik auf gesundheitliche Ungleichheiten. Das Buch gliedert sich in die Abschnitte Konzeptualisierung sozial-räumlicher Determinanten der Gesundheit (S & SDoH), Integration von S & SDoH in die Praxis, methodische Ansätze und Techniken zur Messung von S & SDoH und empirische Abbildungen von S & SDoH.
Mit KI übersetzt

Inhaltsverzeichnis

Frontmatter
PDF

Introduction

Frontmatter

Open Access

Chapter 1. Introducing the Social-Spatial Determinants of Health
Abstract
This book provides a comprehensive exploration of Social and Structural Determinants of Health (SSDoH) through a multidisciplinary lens. It addresses the integration of SSDoH concepts into practice, such as electronic health records, and examines their impacts on various subgroups. The volume includes well-conceived case studies that are empirically, methodologically, and theoretically grounded. By fostering interdisciplinary discussions, it challenges researchers to deepen their understanding of health mechanisms across space and time. This book is a vital resource for policymakers, practitioners, and scholars, aiming to enhance community health, well-being, and equity globally. It also serves as a complementary reader for related academic courses.
Imelda K. Moise, Marynia A. Kolak
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Conceptualizing Social-Spatial Determinants of Health

Frontmatter

Open Access

Chapter 2. Re-Rooting the Social Determinants of Health within a Trauma-Informed, Integrated Health Geography
Abstract
The social determinants of health (SDoH) have long been recognized as critical factors in understanding health outcomes across populations. This chapter explores the integration of trauma-informed principles within a health geography framework, emphasizing the need to “re-root” SDoH within spatial, socioecological, and fundamental causes perspectives. Through a historical overview of health geography, this work underscores the importance of place and spatial analysis in examining health disparities. It critiques the simplification of current SDoH frameworks and advocates for more nuanced models that incorporate the complexities of human-environment interactions, particularly in addressing health inequities rooted in historical and collective traumas. By incorporating trauma-informed approaches, the chapter highlights the necessity of prioritizing safety, trustworthiness, and empowerment in public health research and practice.
Marynia A. Kolak, Kamaria Barronville
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Open Access

Chapter 3. Defining the Social-Spatial Determinants of Health Through Transformative Critical Praxis
Abstract
An extensive body of evidence demonstrates that social and environmental factors are important to understand disease acquisition, distribution, and health inequalities. Regrettably, due to misuse and loss of theoretical integrity, the term has lost its meaning, raising the need to understand the underlying forces that give shape to these conditions in the first place. This chapter attempts to challenge our framing of determinants of social-spatial health and its “roots” through critical praxis. We conclude with a proposed analytical lens to use as a systematic theorization about what is or is not being seen, and how to interpret social-spatial health outcomes and its determinants.
Bryce Puesta Takenaka, Ijeoma Opara, Trace Kershaw
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Open Access

Chapter 4. Residual Effects of Historical Place-Based Discrimination on Health
Abstract
This chapter examines the health impacts of historical place-based discrimination (H-PBD) on minority populations from a critical geography perspective, drawing evidence from various countries. It highlights the adverse effects of spatial segregation on health, particularly life expectancy. The article argues for comprehensive approaches addressing structural and institutional factors perpetuating health inequalities. Case studies from the cities of Philadelphia, Baltimore, and Trenton in the United States demonstrate how redlining contributed to racial and residential segregation and poverty. The article underscores the importance of recognizing intersectionality in addressing H-PBD’s role in spatial-social determinants of health.
Ayodeji Iyanda
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Open Access

Chapter 5. Resources for Health Within Latinx Communities: A Social-Spatial Determinants of Health Perspective
Abstract
There is substantial spatial variation in healthcare access among the US Latinx population. In this chapter, we present social-spatial determinants of health framework to examine the interplay of Latinx community attributes and availability of federally qualified health centers (FQHCs). The main constructs within this framework that we operationalize are indicators of Latinx destination type (measured at the county level) and Latinx-White residential segregation (measured at the county and census tract levels). We find that FQHC supply is lower in new versus established Latinx destination counties, but there are more FQHCs in counties and tracts where Latinx segregation is higher.
Elizabeth Ackert, Sigrid Van Den Abbeele, Hannah Malak
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Open Access

Chapter 6. Toward a Transdisciplinary Theory of Access: Medical Geography, Intersectionality, and the Human Right to Health
Abstract
I propose a transdisciplinary theory of access to healthcare informed by the socio-spatial determinants of health, medical geography, health and human rights, and intersectionality. The socio-spatial determinants of health foreground how space and place structure health at every scale, while health and human rights offer a framework for implementing the right to health through the lens of availability, accessibility, acceptability, and quality. When coupled with the methods for empirical analysis from medical geography and an intersectional critique of how life chances are unevenly distributed based on social power, a new theory emerges.
Avery R. Everhart
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Integrating Social-Spatial Determinants of Health in Practice

Frontmatter

Open Access

Chapter 7. Operationalization of Social-Spatial Determinants of Health
Abstract
The focus on value-based care models has sparked interest among US health systems to integrate social-spatial determinants of health measures into health care. Concurrently, there has been growth in electronic health record adoption and geocoded datasets, expanding the potential for systematic approaches to incorporating these measures into care. This chapter provides a review of how US health systems are currently using social-spatial determinants of health measures in electronic health records, risk prediction, resource allocation, and reimbursement models. The chapter presents specific examples of these applications, providing a description of the measures used, data sources, and the impact of their use.
Annemarie G. Hirsch
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Open Access

Chapter 8. Spatial Practices That Reshape the Social Determinants of Health for Families with Young Children Affected by Disadvantage
Abstract
Early childhood experiences are a key social determinant of health, according to the World Health Organization. For families with young children affected by socioeconomic disadvantage, fostering social connection and nurturing family environments can improve early childhood. However, these families can face complex, multifaceted problems which render siloed services inadequate. Integrated service delivery (ISD) offers an alternative to address complex family issues. This chapter uses spatial theorization to illustrate how practices enacted within informal, shared spaces in place-based child and family centers can accomplish depth in the moment and reshape the early childhood of young children in these families.
Yvonne Young, Nick Hopwood, Donna Rooney
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Open Access

Chapter 9. Design Guidelines for Safe Environment to Improve Aging in Place
Abstract
Successful aging means conducting basic, instrumental, and enhanced activities of daily living with autonomy and independence. To help improve safety and promote aging in place, we conducted exploratory research to create a protocol with design guidelines. We identified environmental safety features for older adults’ homes through a literature review, walkthrough, focus groups, and surveys. Our findings categorized design and guidelines for providing minimum to maximum safety recommendations while considering human factors and design features. Designers can use this protocol to create safe environments for older adults or by themselves to improve the safety of their homes.
Juliana Tasca Tissot, Lizandra Garcia Lupi Vergara, Widya A. Ramadhani, Wendy A. Rogers
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Open Access

Chapter 10. Socially Assistive Technologies for Older Adults in Their Residential Environment
Abstract
Emerging technologies are meeting the needs of older adults by identifying potential applications and barriers of socially assistive technologies for healthy aging and classifying technologies to understand the current landscape better. This work addresses the application of assistive technologies for older adults in their homes, highlighting two technologies: leading and support. The methodology involved a scoping review covering articles published between 2017 and October 2022. The main results include robotic assistance, games and virtual reality, mobile applications, and technological integration. The discussion focuses on challenges such as variability among older adults, limited sample size, and technology design. The conclusion points to the potential of these technologies to improve the quality of life of older adults, promote social interactions, and support healthy aging, aligning with the Social Determinants of Health Objectives.
Bruna Luísa Poffo Nobre, Lizandra Garcia Lupi Vergara
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Open Access

Chapter 11. Teaching and Learning About Geo-Social Determinants of Health
Abstract
This chapter, written by the students and professor of a graduate seminar entitled “Geo-Social Determinants of Health & Health Disparities,” reflects on the teaching and learning of the socio-spatial determinants of health framework. In the chapter, students apply the socio-spatial determinants framework and other core concepts from the course to health-related case studies of interest that they chose: food insecurity, heat exposure over the life course, and environmental racism. The students also reflect on how their own perspectives influenced their learning throughout the course. We conclude with lessons learned, a reflection on equity, and suggestions for optimizing approaches to teaching and learning.
Sigrid Van Den Abbeele, Daniel Grafton, Madison Avila, Esaú Casimiro Vieyra, Brianna Chan, Gabrielle Husted, Sofia Kaloper, Ben Moscona, Susan Cassels
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Methodological Approaches and Techniques

Frontmatter

Open Access

Chapter 12. When to Use What: Methods for Operationalizing Social Determinants of Health Indicators
Abstract
In this chapter, we examine the significance and complexities of operationalizing social determinants of health (SDOH) indicators. We present best practices and ethical considerations to guide this process and explore emerging trends that shape future of SDOH measurement. These indicators play a critical role in advancing inclusive public health systems and improving outcomes for underserved populations. Our insights are intended for researchers, practitioners, policymakers, and stakeholders involved in the development, implementation, and evaluation of SDOH indicators. Readers are encouraged to consult other chapters in this volume for detailed methods and tools across diverse domains. By effectively operationalizing SDOH indicators, we deepen our understanding of the social and environmental factors that influence health ultimately contributing to more responsive systems and reduced disparities.
Imelda K. Moise, Anjali Choudhury
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Open Access

Chapter 13. Gentrification and Health: Types, Mechanisms, and Operationalizations
Abstract
This chapter reviews literature on types of gentrifications, the mechanisms through which they are hypothesized to be associated with health, and their operationalization and components, using a social determinants of health framework. Findings are highly variable across methodologies, context, and groups. We pay particular attention to urban–rural differences. To that end, we examined the extent of gentrification in metropolitan and nonmetropolitan counties and average levels of mental distress among adults in gentrifiable communities that did and did not gentrify and found considerable variation. We conclude with policy implications and directions for future research.
Eileen E. Avery, Danielle C. Kuhl
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Open Access

Chapter 14. Relative Time and Social-Spatial Determinants of Health
Abstract
The places in which individuals live, work, and play significantly affect their health, and unequal exposures lead to health inequalities. However, social-spatial exposures are experienced differently depending on the characteristics of the individual, the context of the place, and the time of the exposure. We introduce the concept of relative vulnerable time of exposures, which can lead to differential health outcomes by altering the quality or magnitude of the exposure itself or by affecting the pathway from the exposure to amplify adverse health outcomes. We illustrate this concept with qualitative research on geographic mobility and health among Black and Hispanic sexual minority men.
Susan Cassels, Sean C. Reid
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Open Access

Chapter 15. A Social-Spatial Network Approach to Characterize Social Determinants of Health in Syndemics Research within an Intersectionality Framework
Abstract
Geographic locations may influence social network characteristics and structures, and social networks may change one’s spatial access and mobility pattern. Such interdependence between social networks and spatial contexts is critical to consider when examining social determinants of health factors that act through them, especially in syndemics research focusing on interdependence and synergy among co-occurring diseases and social problems. In this chapter, we illustrate the dynamic process of such interdependencies and how they contribute to health inequity through differential exposure and differential vulnerability and propose a social-spatial network approach to examine health inequity in syndemics research through the lens of intersectionality.
Ran Xu, Qinyun Lin
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Open Access

Chapter 16. Making Space: Walking as Qualitative Research with People Who Use Drugs and Experience Homelessness
Abstract
In this chapter, we engage with how space is materialized in care relations and practices. Seeking to go beyond ideas of the “social determinants” of space, we consider space as fluid and made up in everyday practices. To do this, we work with ethnographic walking interviews generated in a participatory research project with people who use drugs and experience homelessness in London, United Kingdom. We use these data to trace how space is in the making and reflect on how place-based methods do and make space, especially for people who are without stable homes and on the move.
Praveena K. Fernes, Tim Rhodes
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Empirical Illustrations of Social-Spatial Determinants of Health

Frontmatter

Open Access

Chapter 17. Applications of GIS to Spatial Patterns of Disease and Health
Abstract
Geographic information systems (GIS), a powerful tool for examining the spatial patterns of disease and health services and their underlying patterns and contributing factors, are critically important for understanding the social-spatial determinants of health. However, GIS methods have inherent limitations that are often ignored and can lead to misleading conclusions. Using several examples, this paper examines the promise and potential of GIS for the spatial analysis of disease and health care, and social determinants of health. It also highlights common methodological challenges, including autocorrelation, spatial support, and small data. We argue that robust and comprehensive surveillance data on the geography of economic stability, educational access, healthcare quality, built environments, community context, environmental conditions, disease agents, and health outcomes over time are indispensable if the full potential of GIS is to be achieved. Moreover, the role of power and vulnerability in explaining the spatial patterns of disease and healthcare must become more prominent to reflect the dynamic nature of health.
Joseph R. Oppong, Katherine A. Lester
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Open Access

Chapter 18. Understanding Malaria Transmission and Control within and Between Regions in Zambia Using a Socio-Spatial Determinants of Health Framework
Abstract
Differential exposure and effect of malaria results from blends of biophysical, geospatial, and social determinants of health (SDoH). Likewise, effective policies and programmatic interventions against malaria must consider the complex interaction of social and spatial factors, while comprehensive health promotion approaches must simultaneously tackle SDoH and the ecological dimensions that drive malaria. This chapter delves into the geographies of exposure, susceptibility, adaptability, and health risk to explain malaria transmission outcomes in Zambia’s provinces. Using the social-spatial determinants (SSDoH) framework offers practical approaches to comprehending and tackling the complexities of malaria transmission and control, especially intervention effectiveness in Zambia’s high-burden areas.
Jailos Lubinda, Oliver Mweemba
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Open Access

Chapter 19. The Interstate Highway System as a Tool of Segregation and the Subsequent Impact on Community Health
Abstract
This chapter explores the history of the Interstate Highway System, its impact on minoritized communities, and potential policy changes to improve health and living conditions. Using a social determinants of health lens, the chapter describes how interstate routes directly and deliberately targeted minority communities, effectively functioning as an extension of segregationist policies. The implications for health and well-being are discussed, focusing on both direct pollutant exposures and the destruction of many previously thriving minoritized communities. Furthermore, the chapter investigates interstate removal projects, emphasizing the need for a paradigm shift in transportation planning to equity-focused interventions to ensure community stability.
Brooke Ury, Gregory N. Gibson, Diana S. Grigsby-Toussaint
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Backmatter
PDF
Titel
Place and the Social-Spatial Determinants of Health
Herausgegeben von
Marynia A. Kolak
Imelda K. Moise
Copyright-Jahr
2026
Electronic ISBN
978-3-031-88463-4
Print ISBN
978-3-031-88462-7
DOI
https://doi.org/10.1007/978-3-031-88463-4

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