In this paper, we reflect on the positioning of health geography within the wider academic landscapes of geography and health-related research. Drawing on examples from a number of countries, we consider the extent to which a ‘new geography of health’ has emerged in recent years. We structure our discussion around the themes of place, theoretical engagement and critical relevancy. Changes within the subdiscipline are placed in the context of a central question: what is new about the new geography of health?
This review summarises the evidence for inequalities in community and consumer nutrition environments from ten previous review articles, and also assesses the evidence for the effect of the community and consumer nutrition environments on dietary intake. There is evidence for inequalities in food access in the US but trends are less apparent in other developed countries. There is a trend for greater access and availability to healthy and less healthy foods relating to better and poorer dietary outcomes respectively. Trends for price show that higher prices of healthy foods are associated with better dietary outcomes. More nuanced measures of the food environment, including multi-dimensional and individualised approaches, would enhance the state of the evidence and help inform future interventions.
This chapter begins by outlining the conceptual motivation behind multilevel analyses and by identifying a core set of research questions that this approach addresses. It then introduces the idea of multilevel structures and discusses simple and complex multilevel models. It emphasizes that the key strength of multilevel models lies in modeling heterogeneity at different levels and shows how multilevel models can be extended to additional contextual levels (e.g., neighborhoods nested within regions). The estimation procedures underlying such models are discussed, showing how a multilevel framework can provide a general, unified approach to data analysis and how this can be achieved by extensions to the basic hierarchical structure of individuals nested within contexts. The chapter concludes with a discussion of issues that researchers should be aware of when applying multilevel methods.
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