Mapping the social demography and location of HIV services across Toronto neighbourhoods
Mapping the social demography and location of HIV services across Toronto neighbourhoods
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DOI：
10.1111/j.1365-2524.2005.00595.x
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发表时间：
2006-01-01
影响因子：
2.4
通讯作者：
Fulcher, C
中科院分区：
文献类型：
--
作者：
Kaukinen, C;Fulcher, C
在本文中，我们绘制了整个多伦多社区的艾滋病毒服务提供者的位置和分布。我们的分析发现，整个多伦多和一些社区的服务分布不均，难以获得艾滋病毒相关服务。随后，我们确定了居住在这些社区内的人口的三个邻里水平特征（即集中的经济劣势，集中的移民和居住不稳定）。我们的研究结果表明，艾滋病毒服务提供者的位置和社区一级的人口和社会经济因素的聚集有很大的重叠。一些交通不便的街区与一些集中的弱势群体、移民和加拿大黑人比例较高的街区重叠。可居住的社区位于多伦多的市中心，与高度密集的年轻社区（15至34岁未婚者的比例很高）重叠。我们的研究结果表明，决策者需要将空间分析技术融入到他们对社区类型的研究中，并随后对居住在这些社区内的社区成员进行研究，这些社区成员在卫生和社会服务方面可能服务不足。
In this paper we map the location and distribution of HIV service providers across Toronto neighbourhoods. Our analysis identified an uneven distribution of services across Toronto and a number of communities that are less accessible to HIV-related services. We subsequently identified three neighbourhood-level characteristics of the populations living within these communities (i.e. concentrated economic disadvantage, concentrated immigration, and residential instability). Our findings suggest a significant overlap in the location of HIV service providers and the clustering of neighbourhood-level demographic and socioeconomic factors. Some inaccessible neighbourhoods overlap with clusters of neighbourhoods with higher levels of concentrated disadvantage, immigration and percentage of black Canadians. Accessible neighbourhoods are located within the downtown core of Toronto and overlap with clusters of highly dense, younger neighbourhoods (with a high proportion of 15- to 34-year-olds who are unmarried). Our findings point to the need for policy-makers to integrate spatial analytic techniques into their examination of the types of neighbourhoods, and subsequently the community members that live within those neighbourhoods, that are potentially underserved with respect to health and social services.