Health inequalities and place: A theoretical conception of neighbourhood

Paul Bernard, Rana Charafeddine, Katherine L. Frohlich, Mark Daniel, Yan Kestens, Louise Potvin

Research output: Contribution to journalArticle

206 Citations (Scopus)

Abstract

In the past 10 years, interest in studying the relationship between area of residence and health has grown. During this period empirical relations between place and health have been observed at a variety of spatial scales, from census tracts to administrative units in metropolitan areas to whole regions, and for a variety of health outcomes. Despite the richness of the data, there are relatively few publications offering theoretical explanations for these observations, and a sound conception of place itself is still lacking. Using place as a relational space linked to where people live, work and play, this paper conceptualises the nature of neighbourhoods as they contribute to the local production of health inequalities in everyday life. In reference to Giddens' structuration theory, we propose that neighbourhoods essentially involve the availability of, and access to, health-relevant resources in a geographically defined area. Taking inspiration from the work of Godbout on informal reciprocity, we further propose that such availability and access are regulated according to four different sets of rules: proximity, prices, rights, and informal reciprocity. Our theoretical framework suggests that these rules give rise to five domains, the physical, economic, institutional, local sociability, and community organisation domains which cut across neighbourhood environments through which residents may acquire resources that shape their lifecourse trajectory in health and social functioning.

Original languageEnglish
Pages (from-to)1839-1852
Number of pages14
JournalSocial Science and Medicine
Volume65
Issue number9
DOIs
Publication statusPublished - 1 Nov 2007
Externally publishedYes

Fingerprint

Health
health
reciprocity
Health Resources
Censuses
institutional economics
structuration
sociability
Publications
resources
everyday life
Economics
Conception
Organizations
agglomeration area
census
resident
community
Resources

Cite this

Bernard, Paul ; Charafeddine, Rana ; Frohlich, Katherine L. ; Daniel, Mark ; Kestens, Yan ; Potvin, Louise. / Health inequalities and place: A theoretical conception of neighbourhood. In: Social Science and Medicine. 2007 ; Vol. 65, No. 9. pp. 1839-1852.
@article{66b317b6c6434b0c978fa872b852d19f,
title = "Health inequalities and place: A theoretical conception of neighbourhood",
abstract = "In the past 10 years, interest in studying the relationship between area of residence and health has grown. During this period empirical relations between place and health have been observed at a variety of spatial scales, from census tracts to administrative units in metropolitan areas to whole regions, and for a variety of health outcomes. Despite the richness of the data, there are relatively few publications offering theoretical explanations for these observations, and a sound conception of place itself is still lacking. Using place as a relational space linked to where people live, work and play, this paper conceptualises the nature of neighbourhoods as they contribute to the local production of health inequalities in everyday life. In reference to Giddens' structuration theory, we propose that neighbourhoods essentially involve the availability of, and access to, health-relevant resources in a geographically defined area. Taking inspiration from the work of Godbout on informal reciprocity, we further propose that such availability and access are regulated according to four different sets of rules: proximity, prices, rights, and informal reciprocity. Our theoretical framework suggests that these rules give rise to five domains, the physical, economic, institutional, local sociability, and community organisation domains which cut across neighbourhood environments through which residents may acquire resources that shape their lifecourse trajectory in health and social functioning.",
keywords = "Environments, Neighbourhood, Obesity, Place, Resources, Theoretical model",
author = "Paul Bernard and Rana Charafeddine and Frohlich, {Katherine L.} and Mark Daniel and Yan Kestens and Louise Potvin",
year = "2007",
month = "11",
day = "1",
doi = "10.1016/j.socscimed.2007.05.037",
language = "English",
volume = "65",
pages = "1839--1852",
journal = "Social Science Medicine Social Science Medicine",
issn = "0277-9536",
publisher = "Elsevier Limited",
number = "9",

}

Bernard, P, Charafeddine, R, Frohlich, KL, Daniel, M, Kestens, Y & Potvin, L 2007, 'Health inequalities and place: A theoretical conception of neighbourhood', Social Science and Medicine, vol. 65, no. 9, pp. 1839-1852. https://doi.org/10.1016/j.socscimed.2007.05.037

Health inequalities and place: A theoretical conception of neighbourhood. / Bernard, Paul; Charafeddine, Rana; Frohlich, Katherine L.; Daniel, Mark; Kestens, Yan; Potvin, Louise.

In: Social Science and Medicine, Vol. 65, No. 9, 01.11.2007, p. 1839-1852.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Health inequalities and place: A theoretical conception of neighbourhood

AU - Bernard, Paul

AU - Charafeddine, Rana

AU - Frohlich, Katherine L.

AU - Daniel, Mark

AU - Kestens, Yan

AU - Potvin, Louise

PY - 2007/11/1

Y1 - 2007/11/1

N2 - In the past 10 years, interest in studying the relationship between area of residence and health has grown. During this period empirical relations between place and health have been observed at a variety of spatial scales, from census tracts to administrative units in metropolitan areas to whole regions, and for a variety of health outcomes. Despite the richness of the data, there are relatively few publications offering theoretical explanations for these observations, and a sound conception of place itself is still lacking. Using place as a relational space linked to where people live, work and play, this paper conceptualises the nature of neighbourhoods as they contribute to the local production of health inequalities in everyday life. In reference to Giddens' structuration theory, we propose that neighbourhoods essentially involve the availability of, and access to, health-relevant resources in a geographically defined area. Taking inspiration from the work of Godbout on informal reciprocity, we further propose that such availability and access are regulated according to four different sets of rules: proximity, prices, rights, and informal reciprocity. Our theoretical framework suggests that these rules give rise to five domains, the physical, economic, institutional, local sociability, and community organisation domains which cut across neighbourhood environments through which residents may acquire resources that shape their lifecourse trajectory in health and social functioning.

AB - In the past 10 years, interest in studying the relationship between area of residence and health has grown. During this period empirical relations between place and health have been observed at a variety of spatial scales, from census tracts to administrative units in metropolitan areas to whole regions, and for a variety of health outcomes. Despite the richness of the data, there are relatively few publications offering theoretical explanations for these observations, and a sound conception of place itself is still lacking. Using place as a relational space linked to where people live, work and play, this paper conceptualises the nature of neighbourhoods as they contribute to the local production of health inequalities in everyday life. In reference to Giddens' structuration theory, we propose that neighbourhoods essentially involve the availability of, and access to, health-relevant resources in a geographically defined area. Taking inspiration from the work of Godbout on informal reciprocity, we further propose that such availability and access are regulated according to four different sets of rules: proximity, prices, rights, and informal reciprocity. Our theoretical framework suggests that these rules give rise to five domains, the physical, economic, institutional, local sociability, and community organisation domains which cut across neighbourhood environments through which residents may acquire resources that shape their lifecourse trajectory in health and social functioning.

KW - Environments

KW - Neighbourhood

KW - Obesity

KW - Place

KW - Resources

KW - Theoretical model

UR - http://www.scopus.com/inward/record.url?scp=34848889684&partnerID=8YFLogxK

U2 - 10.1016/j.socscimed.2007.05.037

DO - 10.1016/j.socscimed.2007.05.037

M3 - Article

VL - 65

SP - 1839

EP - 1852

JO - Social Science Medicine Social Science Medicine

JF - Social Science Medicine Social Science Medicine

SN - 0277-9536

IS - 9

ER -