Healthier Geographies: Mediating the Gaps between the Needs of People Living with HIV and AIDS and Health Care in Chiang Mai,Thailand

In this article, I contribute to our understanding of the plurality of approaches that construct the geographies of health care through an examination of the distribution of health care services for people living with HIV/AIDS (PLWHA) in Chiang Mai Province, Thailand. In particular, I focus on the development of a network of support groups for PLWHA in order to examine the differences in the sociospatial organization of these groups, the practices of social actors participating in the groups' activities, and how these activities are mediated through place‐based social relations. The first section of the article analyzes the spatial distribution of PLWHA support groups in relation to the distribution of AIDS cases over two time periods, 1994 and 1997. The second section goes below the surface of the spatial distribution, examining similarities and differences in PLWHA support groups through an analysis of survey data collected on thirty‐five groups in 1997. The final section deepens this examination through an analysis of ethnographic data collected on the outreach efforts of one nongovernmental organization (NGO) and one PLWHA support group with which it worked. Each section offers opportunities for the extension of our understanding of the development of PLWHA support groups, their distribution in relation to the spread of AIDS cases, and their place‐based meanings.     

Qualitative Health Research: Negotiating Life with HIV/AIDS

In this paper, I look at the use of qualitative methods in health geography. I focus on two projects using in-depth interviews with people with HIV/AIDS. Drawing from feminist work on qualitative methodologies and the production of knowledge, two questions are posed. First, what insights do interviews offer about people's daily experiences with HIV/AIDS? Second, given that interviews involve direct contact between interviewer and respondent, what are the implications of using this methodology? Projects reveal that living with HIV/AIDS involves a complex series of negotiations. These include negotiating one's own identity within medical discourse, dealing with health care professionals, and choosing how to use medication. The projects also indicate that qualitative research itself involves a process of negotiation. Researchers' preconceptions, interview settings and formats, and relationships established during research can effect research outcomes andresearch participants. I argue that a willingness to reflect critically on the use of qualitative methods is needed to safeguard against these unintended consequences.     

Qualitative Health Research: Negotiating Life with HIV/AIDS

In this paper, I look at the use of qualitative methods in health geography. I focus on two projects using in-depth interviews with people with HIV/AIDS. Drawing from feminist work on qualitative methodologies and the production of knowledge, two questions are posed. First, what insights do interviews offer about people's daily experiences with HIV/AIDS? Second, given that interviews involve direct contact between interviewer and respondent, what are the implications of using this methodology? Projects reveal that living with HIV/AIDS involves a complex series of negotiations. These include negotiating one's own identity within medical discourse, dealing with health care professionals, and choosing how to use medication. The projects also indicate that qualitative research itself involves a process of negotiation. Researchers' preconceptions, interview settings and formats, and relationships established during research can effect research outcomes andresearch participants. I argue that a willingness to reflect critically on the use of qualitative methods is needed to safeguard against these unintended consequences.     

A Vulnerability Interpretation of the Geography of HIV/AIDS in Ghana, 1986–1995

Ten years after the human immuno-deficiency virus (HIV) was first reported in Ghana, it continues to spread throughout the country following patterns that are rare in other African countries. HIV is seen in twice as many females as males, more frequently in rural than urban regions, and regions with high rates of polygamy have significantly lower rates. The evidence presented in this paper shows that HIV diffusion patterns probably reflect the spatial distribution and social networks of vulnerable social groups. While information-based campaigns are still necessary in the fight against HIV/AIDS, they fail to enable or empower vulnerable people to protect themselves against infection.     

Fluid Households,Complex Families: The Impacts of Children's Migration as a Response to HIV/AIDS in Southern Africa*

Abstract

The fluidity of southern African families is related to a long history of internal and external migration. Currently, HIV/AIDS is having a dramatic impact on extended family structures, with the migration of individual members employed as a coping strategy. Children's migration is one aspect of this that is often distinct from that undertaken by other household members. This article is based on qualitative research conducted in Lesotho and Malawi with young migrants and the households that receive them. It examines the processes of fragmentation and re-formation of households through the movements of children that are taking place in response to HIV/AIDS, and explores the impacts these processes have on young migrants and the households they join.     

Economic vulnerability, beer and HIV/AIDS: The struggle to sustain farmer livelihoods and indigenous sorghum varieties in eastern Uganda

Drawing on a case study from eastern Uganda, this paper describes how social and environmental factors combine to affect the sustainability of both sorghum landraces and the farmers who depend on it for food and income security. It delineates how changing regional patterns of agricultural production and consumption, institutional neglect, economic hardship, natural resource degradation and a labour supply crisis precipitated by the HIV/AIDS pandemic, may be conspiring to place sorghum landraces at risk of extinction and, thus, undermine already precarious livelihoods. The paper therefore challenges the common assumption that marginalized rural women – by virtue of having diverse varieties and species under their care – can be expected to conserve that diversity.     

Social geography of risk: The role of time,place and antiretroviral therapy in conceptions about the sexual risk of HIV in Kahe,Kilimanjaro, Tanzania

The epidemiological pattern of HIV/AIDS in Africa and Tanzania is characterized by geographical variations in HIV prevalence. Despite the geographical variations, heterosexual contact remains the predominant mode of HIV transmission. The article examines the interrelationships of social, spatial and temporal issues in explaining the sexual risk of HIV/AIDS amongst youths in rural Tanzania. Drawing on discussions with young people, the authors employ a comparative approach to establish categories of social practices that explain HIV risk. HIV risk is largely influenced by social interaction as youths engage in routine day-to-day activities in different geographical locales. The availability of antiretroviral treatment ushered in new dynamics in locally available strategies to manage the risk of HIV infection. Gender relations appear to have an underlining influence in determining the timing and place of risk as well as ways of controlling risk. The study participants emphasized both social and biomedical interventions to manage and control sexual activity and risk. Youth-focused and community-wide interventions addressing HIV prevention, care and treatment need to recognize the fact that the HIV epidemic in Tanzania is increasingly becoming a rural phenomenon structured by a wide range of local, national and global processes.     

Fluid Households,Complex Families: The Impacts of Children's Migration as a Response to HIV/AIDS in Southern Africa*

The fluidity of southern African families is related to a long history of internal and external migration. Currently, HIV/AIDS is having a dramatic impact on extended family structures, with the migration of individual members employed as a coping strategy. Children's migration is one aspect of this that is often distinct from that undertaken by other household members. This article is based on qualitative research conducted in Lesotho and Malawi with young migrants and the households that receive them. It examines the processes of fragmentation and re‐formation of households through the movements of children that are taking place in response to HIV/AIDS, and explores the impacts these processes have on young migrants and the households they join.     

Health, sexuality and place: the different geographies of HIV-positive gay men in Auckland, New Zealand

This paper employs interview narratives alongside participant-led photography and caption writing to examine the different daily geographies of 15 HIV-positive gay men in Auckland, New Zealand. Difference for these men is rooted in both their HIV status and their sexuality, and this difference has implications for their engagement with the world at a range of spatial and temporal scales. Giving voice to such experiences begins to answer calls for geographers to consider more deeply the connections between health, sexuality and place.     

珠三角地区保健微博用户的空间特征及影响因素

选择以信息流通互动水平突出的新浪微博为样本获取平台,以珠三角地区保健微博用户为样本来源地,通过相关标签检索、筛选、编码获得保健资讯生产者与关注者样本。运用社会网络分析方法、空间自相关和逐步线性回归方法,对生产者之间的社会网络交互特征、关注者的空间分布格局及其影响因素进行分析。研究结论为：1）保健微博生产者之间能够构建本地社会网络,各类型间存在显著分异,但是地区差异特征较弱;2）通讯设施和地方医疗水平是保健微博关注者出现空间分异的主要因素;3）关注者的分布仍然受到地理要素的限制。     

Application of enhanced satellite-borne images to the relationships between fractures and mineralization in the nam Mae moei-nam Mae Ping area,northern Thailand

The study area is located in the Chiang Mai, Tak, and Mae Hong Son provinces of northern Thailand. Digitally enhanced Landsat TM5 and SPOT images and data on economic minerals deposits were used in the investigation. High-pass filtering and principal component analyses were determined to be the most appropriate enhancement methods.Space-borne image interpretation indicates two major faults: the north-trending Mae Hong Son and the northwest-trending Mae Ping. Both large-scale faults are inferred to be closely related to substantial, nearly parallel folds and thrusts. The four main sets of lineaments observed (north-south, northeast-southwest, northwest-southeast, and east-west) are considered to have an essential role in the occurrences of various mineral deposits. Mineral exploration has emphasized areas where several sets of lineaments cross-cut each other, since the possibility of finding concealed ore bodies or potential target areas is considered quite high. Some sets of lineaments probably control post-Triassic granitoid emplacements both directly and indirectly. Three major granitoid series are recognized in the study area: the Mae Lama (ca. 70 Ma), the Tae Song Yang (ca. 45 Ma), and the Mae Sariang (205–210 Ma) Granites. These peraluminous, S-type granites are closely related to tin, tungsten, and fluorite deposits. Fluorite, barite, manganese, and antimony deposits may be related to the northtrending lineaments. Stibnite deposits may be related to the northeast-trending lineaments. The tin/tungsten deposits are likely related to the east- and northwest-trending lineaments. Ovoid-shaped lineaments, found only at a few locations, are interpreted to indicate the granitoid emplacement and are thought to be important in the generation of concealed mineral deposits. We conclude that the existence of such lineaments is related to the post-Triassic abutment and collision of the Shan-Thai, Indochina, and Western Burma microcontinental blocks.     

东南亚华人族群融入移入国主流社会的比较研究——以印尼与泰国作对比分析

东南亚是海外华人华侨社会历史最悠久、人口最多、经济角色十分突出的地区。总体上,华人华侨与所在国原住民和睦相处,已逐步融入主流社会,为当地社会进步做出了贡献。但由于各国历史发展不同,华人与所在国原住民融合程度大不相同。本文以印尼与泰国相比较,探讨华人与原住民融合状况,并从政治经济和社会文化因素等方面对造成悬殊差别的原因进行了分析     

广州市城中村农民工医疗行为及其空间特征——以新凤凰村为例

运用结构式访谈和深度访谈的调查方法,以城中村的农民工为研究对象,分析其医疗行为及空间特征,并探讨其形成原因。研究发现:城中村的农民工医疗保健水平低,医疗机构的使用率低;在医疗制度不完善的背景下,农民工能动地通过各种途径解决医疗需求,形成三种类型的医疗行为模式,即"自力更生"型、"社会资本"依赖型及"经济实力"型。结合医疗机构的空间分布,农民工医疗行为的空间特征符合距离衰减规律,同时表现出明显的波动性,表现为一个跳跃式五圈层结构。本研究试图为改善农民工的健康行为模式提供科学基础,并在一定程度上补充国内城市保健地理及行为地理的研究。     

Conflation and aggregation of spatial data improve predictive models for species with limited habitats: A case of the threatened yellow-billed cuckoo in Arizona,USA

Riparian vegetation provides important wildlife habitat in the southwestern United States, but limited distributions and spatial complexity often leads to inaccurate representation in maps used to guide conservation. We test the use of data conflation and aggregation on multiple vegetation/land-cover maps to improve the accuracy of habitat models for the threatened western yellow-billed cuckoo (Coccyzus americanus occidentalis). We used species observations (n = 479) from a state-wide survey to develop habitat models from 1) three vegetation/land-cover maps produced at different geographic scales ranging from state to national, and 2) new aggregate maps defined by the spatial agreement of cover types, which were defined as high (agreement = all data sets), moderate (agreement ≥ 2), and low (no agreement required). Model accuracies, predicted habitat locations, and total area of predicted habitat varied considerably, illustrating the effects of input data quality on habitat predictions and resulting potential impacts on conservation planning. Habitat models based on aggregated and conflated data were more accurate and had higher model sensitivity than original vegetation/land-cover, but this accuracy came at the cost of reduced geographic extent of predicted habitat. Using the highest performing models, we assessed cuckoo habitat preference and distribution in Arizona and found that major watersheds containing high-probably habitat are fragmented by a wide swath of low-probability habitat. Focus on riparian restoration in these areas could provide more breeding habitat for the threatened cuckoo, offset potential future habitat losses in adjacent watershed, and increase regional connectivity for other threatened vertebrates that also use riparian corridors.