环境地理与人类健康研究成果与展望

中国科学院地理科学与资源研究所倡导和建立了化学地理研究机构,是我国最早从事环境科学研究的单位之一,推动了环境质量调查、环境质量评价、环境背景、环境容量和环境治理等理论和技术的建立和发展;长期进行克山病、大骨节病等地方病的调查及其环境病因与防治的研究,为上述疾病的控制做出了重大贡献;创立和发展了中国的医学地理学研究体系。2000年以后,在持续开展西部地方病地理流行规律和稀土元素生物地球化学循环研究基础上,重点开展了重金属等污染物及全球环境变化的健康风险评价研究,拓展了区域碳、氮、磷等生命元素的生物地球化学循环与温室气体排放的关系研究,强化了环境污染治理和健康保护的技术研究。实现了从化学地理到环境地理、从医学地理到健康地理的转变。未来的环境地理与人类健康研究将以地理环境的化学属性为重点,以人口健康保护为核心,探讨环境保护、社会经济发展和人类健康安全在整体上协调的机制与途径。     

国外地理学对公共卫生问题的研究与启示

在工业化、城镇化、信息化持续发展,全球变化和全球事件轮番冲击的背景下,公共卫生研究不断深化,已发展为全球性的跨学科议程及研究热点。回顾相关文献发现,国内外地理学对公共卫生问题的研究在数量上均经历了缓慢上升、加速上升和当前的快速上升阶段,但切入角度和关注议题存在差异。本文通过梳理国外地理学对公共卫生问题的研究,对这一领域概念、理论、方法的发展及热点进行归纳总结和综合评述,探讨健康老龄化、健康不平等、融合健康考量的城市规划等议题下现有研究的主要争议、前景及其对国内研究的启示,尤其指出气候变化和传染病大流行等外部压力下暴露出的地理学研究契机,以期拓展视野、聚焦问题,为国内地理学者参与公共卫生研究提供参考。     

地理学参与健康中国建设的重点领域与行动建议

健康与环境关系是最基本的人地关系,“健康中国”建设需要地理学参与。地理学能为健康中国建设提供基于发展战略、过程评价和政策导向的路径指引,基于人地关系和谐和空间系统优化的理论指导,基于健康生活引导、健康服务优化、健康环境营造、健康保障决策、健康产业布局的实践指南。地理学参与健康中国建设,可在居民健康素养、健康生活方式与时空行为、区域人群心理健康,重点人群健康服务、重大疾病监测防控、重点区域健康促进,健康大数据与信息系统、医疗卫生资源优化配置、健康服务可达性与公平性,气候变化的健康应对、健康生态环境建设、环境健康风险治理、健康城市（环境）建设、健康乡村（环境）建设、健康文化景观建设,道地药材开发与中医药产业布局、康养旅游与健身休闲产业布局、养老服务与妇婴产业布局等18个领域发挥独特优势。地理学参与健康中国建设还存在地理科学的健康基础薄弱、地理学者的参与意识不强、地理组织的政策支持不够等问题,需要强化问题导向和目标导向的健康地理学的理论、实证和政策研究,强化地理应用技术与地理科学思维深度融合的健康促进研究,强化地理组织对地理学者参与健康中国建设的系统引领与政策支持。     

略论我国历史地理学发展的新途径——兼评台湾省出版的两部《历史地理学》

从中国大陆出版的教材及通论性着作的内容来看,我国的历史地理学研究主要以中国历史地理为研究对象,对国外历史地理学理论方法及学术进展的了解乃至研究较为薄弱。我国台湾省的历史地理学研究与大陆有所差异,陈芳惠所着《历史地理学》主要从一般原理意义上整合世界历史地理研究成果进行内容编撰,姜道章所着《历史地理学》重点论述历史地理学的理论与方法并介绍世界各国历史地理学的进展情况。启示如下:建设中国的历史地理学,除了需要继续推进中国历史地理研究外,更应系统开展世界历史地理研究和进一步加强历史地理学理论与方法等学科问题研究,进而在整体推进我国的历史地理学研究的基础上,期待有通论性的“历史地理学”教材及着作的早日问世。     

医学地理学发展趋势及当前热点

本文从医学地理学两个主要分支——生态医学地理和保健地理领域入手,系统总结医学地理学研究内容与进展,并在文献阅读的基础上结合软件平台建立医学地理学的文献数据库,对高引用文献、高频词汇、作者国别和所属机构进行排名和识别。结果发现,医学地理学从关注“疾病”拓展到与“健康”相关的地理问题,研究的空间尺度从全球、国家、地方到社区再到建筑内部向更广泛和更细致发展,研究手段进一步丰富,更多空间分析技术和方法被应用。研究内容热点包括人类自身发展和社会经济活动对健康的影响,保健服务的空间关系、人们的保健行为对健康的影响,邻里环境尤其是社会经济因素对健康的影响,卫生与健康公平尤其是特殊群体的医疗服务问题。医学地理研究的学者来自医学和公共卫生相关研究机构的最多,其次是地理研究机构。大量的医学地理研究主要来自于美洲、欧洲等发达国家和中国、巴西等快速发展中的国家。本文认为医学地理学未来将向更广泛层面的福祉研究发展,研究的空间尺度将一步深化和细化,并加大对网络医疗等虚拟空间的深入研究,学科融合更广泛。     

健康维度下可持续性研究框架解读与重构

我国快速城镇化导致的环境危机引发了诸多公共健康问题,渐成为实现可持续发展过程中的新常态问题。基于2000年后西方学者对城市环境、健康、可持续发展及其关系的论述,从医学地理学、公共卫生学、城市规划学3个视角对健康与环境的关系进行述评;并在现有可持续发展研究维度的基础上,提出引入健康维度的必要性、合理性及其理论基础,整合并重构健康与可持续性研究框架。我国应以广义城市环境系统为平台,以健康与可持续性的两重性为出发点,基于健康维度重构可持续性的研究框架,为新常态下实现城市可持续发展提供新的理论视角。     

Landscape Change and Environmental Histories

Historical geography was once a popular element of university curricula in New Zealand. It was also a conspicuous focus of research. Today however there is only one identifiable course in historical geography in New Zealand's university calendars – at Massey – and few writers have maintained an active research interest rooted in the sub‐discipline. This Comment suggests some reasons why now is a good time for New Zealand's geographers to reassess this state of affairs, and outlines five themes that might be pursued in the construction of more explicit historical geographies at the start of the third millennium.     

Advancing Human Geography at the Commencement du Siècle*

Human geography today exhibits unprecedented vitality and diversity. This survey first charts some major lines of research in the field in light of the ascendancy of critical theory, political economy, and poststructuralist thought, including feminism, the cultural turn, consumption, urban geography, and globalization. Next, it focuses on several “cutting‐edge” issues, such as race, postcolonialism, the social construction of nature, representations of space, and cyberspace. Finally, the article turns an eye toward the future, offering comments on the discipline's likely trajectories with regard to the blurring of traditional dualisms, methodological integration, and the lacunae of public policy and geographic education.     

The Geography of Malnutrition

The purpose of this article is to provide an overview of an emerging theme within the subfield of nutritional geography we call the geography of malnutrition. Work relating to malnutrition is a high-priority research topic, with growing relevance to geographical concepts, but there is no overview of geographical approaches to this theme. Using keyword searches in Google Scholar and Web of Science to obtain relevant publications, we identified the major foci of work within this theme: undernutrition, diseases that cause malnutrition, the nutrition transition, and critical and feminist approaches to malnutrition. We review these foci, provide examples of prominent work, and identify areas of research concerning malnutrition that are highly spatial but have yet to be effectively studied using geographic techniques.     

‘Not every body's cup of tea’? Theoretical perspectives in school geography

Geography teaching that highlights theoretical perspectives may help develop students’ critical disciplinary thinking, despite foundational knowledge being described to New Zealand geography teachers as ‘not every body's cup of tea’. This article extends the tea metaphor by contrasting two cultivations of theoretical perspectives in school geography. Unlike the two major cultivars of the Camellia shrub, however, this paper argues that perspectives have been minimally grown through one cultivar that focuses on the views of case study individuals and organisations. A maximal cultivation of perspectives is advanced in order to progress school‐aged understanding of the diverse nature of geographical knowledge.     

On Geographic and geography

New Zealand Geographic is one of a number of geographical magazines published in the English‐speaking world that make little or no reference to work by academic geographers. It recently launched a New Zealand Geographic Trust to promote research into ‘New Zealand's life, culture and sciences’ and collaborated with four other publishers of geographical magazines to raise awareness of climate change: the work of academic geographers is again ignored. This exclusion of academic and school geography from such enterprises raises important issues regarding the discipline's public profile in New Zealand and suggests the need for greater public engagement activity by the country's geographers.     

The market(able) place of school geography scholarship, 2007–2016

This report analyses a decade of geography scholarship student entry and achievement data (n = 10,205) to reveal patterns and trends of high‐achieving school students. The study is an exploratory analysis, the aim of which is to describe where the greatest scholarship success has occurred, as well as attendant demographic characteristics of New Zealand's most capable geography students and their schools. Emerging from the regions is a localised story of students from an extremely narrow number of schools achieving disproportionate scholarship success. This raises questions in the wider geography teaching community about the possibility of a broader constituency achieving scholarship awards.     

地理学的政治

中国地理学的发展当前正处于十字路口,面临诸多方向的选择。如外生地理学和内生地理学的分化,实用主义和科学主义的混行,系统地理学和区域地理学的脱节,经济地理学和人文地理学的互为归属。这些问题悬而不决使地理学的向心力逐渐弱化,地理学者不得不面对诸多学科发展方向上的困扰,以及对学科规范和学术认同上的困惑。笔者以为,此时“搁置争议”并不是办法。为了学科的长远发展,中国的地理学家和地理学会必须做出一些选择。坚持一元还是认同分化,这即是地理学的政治。     

Place and Health: Towards a Reformed Medical Geography*

An engagement with public health concerns and aspects of social theory such as the structure/agency debate is crucial to medical geography. The imperatives underlying this engagement center on place, a geographical concept which is prominent in both social theory and recent health philosophy. Without detracting from its distinguished heritage, this reformed medical geography will analyze issues such as the consequences of illness and health service provision for both personal well-being and the collective experience of place by communities.     

Using Qualitative Methods in Medical Geography: Deconstructive Moments in a Subdiscipline?

As medical geography reinvents itself as health geography, the linkages between social theory and the deconstruction of central categories organizing its medical orientation are being explored. This paper discusses the contribution of qualitative research to this process. In providing access to alternative ways of understanding health concerns, and emphasizing issues of power in the production of knowledge, qualitative methodology carries the potential for reconceptualizing key issues framing investigation of the relationships between place, people, and their health. In pursuing current issues in social theory, qualitative research also contributes to the blurring of the subdiscipline's boundaries and revitalizes its agenda.     

An Analysis of the Relationship Between Housing Foreclosures,Lending Practices,and Neighborhood Ecology: Evidence from a Distressed County

Residential foreclosures increased sharply during the 1990s and in the first years of the twenty-first century. These foreclosures have profound impacts on the households and neighborhoods involved. Although foreclosures occur everywhere, the geography of foreclosures displays a pattern tied to a metropolitan area's social, fiscal, and economic geography. We examine these correspondences as they exist within Summit County (Akron), Ohio, between 2001 and 2003. Foreclosures themselves often result from unfortunate financial events that can affect any household, but we found that the geography of foreclosures corresponds primarily to Summit County's racial distribution, above and beyond any correspondence with income levels and housing fiscal stress. There also exists a clear coincidence of foreclosures with subprime lending, itself associated with Summit County's racial patterns. Concentrations of foreclosures in particular neighborhoods can be tremendously harmful to the social and economic health of the neighborhood. These comparisons help us to better understand the neighborhood ecology of foreclosure rates and subprime lending.     

THE RECENT INTELLECTUAL STRUCTURE OF GEOGRAPHY*

ABSTRACT. An active learning project in an introductory graduate course used multidimensional scaling of the name index in Geography in America at the Dawn of the 21st Century, by Gary Gaile and Cort Willmott, to reveal some features of the discipline's recent intellectual structure relevant to the relationship between human and physical geography. Previous analyses, dating to the 1980s, used citation indices or Association of American Geographers specialty‐group rosters to conclude that either the regional or the methods and environmental subdisciplines bridge human and physical geography. The name index has advantages over those databases, and its analysis reveals that the minimal connectivity that occurs between human and physical geography has recently operated more through environmental than through either methods or regional subdisciplines.     

国际地理学发展趋向述要

地理学作为一种理论思维是历史的产物,它的中心研究课题是随着时代的进展而不断变化的。因此要从发展观点来认识地理学。再则各国由于国情不同,地理学的发展也具有地域差异性。本文从古代、近代和现代三个发展阶段和西方及苏联两大中心的主要地理思潮加以分析,说明了以上论点。     

Placing geographies of public health

Following the move to a 'post–medical' geography, a large amount of research has come to focus on public health issues. This paper explores these current geographies of public health and argues for the development of a more critical perspective. In particular, it draws on commentary that has emerged out of debates that have taken place within a body of literature usually identified as the critical 'new' public health. The paper goes on to argue that such scholarship offers crucial insights for the production of a critical geography of public health.