Perhaps not as critical a perspective as I may like but very interesting
work in Hamilton Ontario...
dr
-------------------------
adapted from a message from Alison Stirling of the Ontario Prevention
Clearinghouse in Toronto to a local heart health listserv.
------------
 "Deconstructing the Determinants of Health at the Local
Level," investigates neighbourhood-level variations in health and
lifestyle behaviours by comparing adults (18 yrs +) from contrasting
neighbourhoods in Hamilton, Ontario. We also examine the contribution of
individual- and neighbourhood-level characteristics to lack of regular
exercise, smoking, overweight Body Mass Index (BMI), reduced wellbeing, and
poor self-rated health.

The present research is part of a larger study--unique to Canada--that
examines broad determinants of health in Hamilton neighbourhoods (see
http://www.mcmaster.ca/mieh/research/deconstructing.html for more about
"Deconstructing the Determinants of Health at the Local Level").
Determinants of health have largely been studied at the national and
international level. By examining relationships in these local populations,
the present project extends our understanding of the determinants of
health."

also see:

(1) For example, see Macintyre, S., Ellaway, A., & Cummins, S. (2002).
Place
effects on health: how can we conceptualise,  operationalise and measure
them? Social Science and Medicine, 55, 125-139.

(2) For example, see Shaw, M., Dorling, D., & Mitchell, R. (2002). Health,
place and society. Prentice Hall: Harlow, England.

(3) For example, see Adrian, M., Ferguson, B., & Her, M. (1996). Does
allowing the sale of wine in Quebec grocery stores increase consumption?
Journal of Studies on Alcohol, 57, 434-448.

(4) For example, Reidpath, D., Burns, C., Garrard, J., Mahoney, M., &
Townsend, M. (2002). An ecological study of the relationship between social
and environmental determinants of obesity. Health and Place, 8, 141-145.
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also...

The background references, suggested readings, and the presentation
materials available on Dr. Northridge's website at
http://www.minority.unc.edu/sph/minconf/2004 provide a detailed look at
neighbourhood influences on health. The presentation is based on her
article
in the Journal of Urban Health 2003 (Dec);80(4):556:568.
Available for download, printing and distribution at:
http://jurban.oupjournals.org/cgi/reprint/80/4/556?ijkey=bSEi8NUV3T20o&keyty

pe=ref&siteid=jurban


Alison
~ * ~ * ~ * ~ * ~ * ~ * ~ * ~ *
Alison Stirling, health promotion consultant
Ontario Prevention Clearinghouse (OPC)
Suite 1900, 180 Dundas St. W. Toronto, ON M5G 1Z8
Tel. 416-408-2249 or 1-800-263-2846 x226
Fax. 416-408-2122  Email: [log in to unmask]
Internet: http://www.opc.on.ca
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