{"id":1267,"date":"2017-03-14T16:26:55","date_gmt":"2017-03-14T16:26:55","guid":{"rendered":"https:\/\/blogs.bmj.com\/sti\/?p=1267"},"modified":"2017-03-14T16:35:20","modified_gmt":"2017-03-14T16:35:20","slug":"scoping-location-the-role-of-placespace-as-an-influence-on-hiv-outcomes-amongst-young-msm","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/sti\/2017\/03\/14\/scoping-location-the-role-of-placespace-as-an-influence-on-hiv-outcomes-amongst-young-msm\/","title":{"rendered":"\u2018Scoping\u2019  location:  the role of \u2018place\u2019\/\u2019space\u2019 as an influence on HIV outcomes amongst young MSM"},"content":{"rendered":"<p><a href=\"http:\/\/www.tandfonline.com\/doi\/abs\/10.1080\/00224499.2016.1271862?journalCode=hjsr20\">Bauermeister &amp; Stephenson<\/a> (B&amp;S) is a <a href=\"https:\/\/core.ac.uk\/download\/pdf\/56237.pdf?repositoryId=140\">scoping<\/a> review addressing the impact of location \u2013 \u2018space\u2019 and \u2018place\u2019 \u2013 on HIV prevention and care outcomes for young MSM (YMSM).\u00a0 It owes much to <a href=\"http:\/\/www.thetaskforce.org\/static_html\/downloads\/reports\/reports\/SocialDiscriminationAndHealth.pdf\">Diaz &amp; Ayala<\/a> and their concern to view human behaviour in terms of \u2018social location\u2019 \u2018within a context of social oppressive factors\u2019 rather than in terms of \u2018individual identity\u2019.\u00a0 It focuses on 17 studies, selected for inclusion much as in a systematic review, but analyzed according to <a href=\"https:\/\/core.ac.uk\/download\/pdf\/56237.pdf?repositoryId=140\">scoping<\/a> methodology (i.e. with a view to mapping out the investigative territory rather than addressing a specific question).\u00a0 <em>Social location<\/em> is translated by this study into concepts of \u2018space\u2019 and \u2018place\u2019.\u00a0 <em>Space<\/em> here refers to the physical and geographical aspects of location such as proximity to services and transportation, and <em>place<\/em> to more socially constructed aspects \u2013 \u2018the interpersonal exchanges and dynamics that result in physical and social resources in space\u2019.<\/p>\n<p>It is perhaps on account of the breadth of these goals and the methodology of <a href=\"https:\/\/core.ac.uk\/download\/pdf\/56237.pdf?repositoryId=140\">scoping<\/a> that no very conclusive findings emerge.\u00a0 Where location assumes the more geographically defined characteristics of \u2018space\u2019, the findings underscore the importance of geographic information system (GIS) approaches (see also: <a href=\"http:\/\/sti.bmj.com\/content\/90\/6\/442\">Simms &amp; Petersen (STIs editorial)<\/a>; <a href=\"http:\/\/sti.bmj.com\/content\/92\/5\/380\">Petersen &amp; Simms (STIs)<\/a>). \u00a0But elsewhere \u2013 especially where the concept of location shades into less physical definitions of context (i.e. \u2018place\u2019) \u2013 the evidence is more contradictory and sometimes appears counter-intuitive.\u00a0\u00a0 For example, there are studies that find a positive correlation between social disadvantage and higher levels of adherence to HIV prevention and care recommendations.\u00a0 Apparently, however, income inequality (as measured by Gini ratio or male-to-female ratio of earnings) stands out across studies as an indicator of poorer YMSM outcomes.<\/p>\n<p>In discussing the limitations of their study, the authors make the interesting point that in a field of investigation as hard to define and as open to fresh hypotheses as this, the tendency for studies reporting an insignificant or null finding <em>not <\/em>to make their way into the literature could contribute to a serious distortion of our understanding (i.e. \u2018publication bias\u2019).\u00a0 As is evident from their discussion of the review findings, well-conducted studies reporting non-significant findings on the influence of location can make a valuable contribution to the debate (such as, for example, \u00a0<a href=\"http:\/\/sti.bmj.com\/content\/early\/2017\/03\/07\/sextrans-2016-052889\">Haley &amp; Cooper (STIs)<\/a>, a\u00a0paper published online on the related issue of influence of location on STIs).<\/p>\n<p>A second intriguing question is raised by this review, even if it is perhaps not adequately discussed in it: whether social context is always translatable in terms of \u2018geospatial\u2019 location.\u00a0 Does the concept of \u2018place\u2019, for example, really extend to the case of \u2018virtual space\u2019 \u2013 or does virtual space effectively break free of any geospatial definition?\u00a0 The question is, of course, very pertinent, given the importance for this population in particular, of dating apps.\u00a0 Interestingly, <a href=\"http:\/\/sti.bmj.com\/content\/early\/2016\/10\/18\/sextrans-2016-052744\">Yu &amp; Shang (STIs)<\/a>, in a\u00a0paper published online, make a case for characterizing an important category of YMSM (occupying a specific \u2018place\u2019 in contemporary China society) in terms of extreme geospatial mobility.\u00a0 One would like to know how B&amp;S would accommodate the paradoxical existence of social \u2018places\u2019 defined by the loss of geospatial definition.\u00a0 Are we still really talking about place?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bauermeister &amp; Stephenson (B&amp;S) is a scoping review addressing the impact of location \u2013 \u2018space\u2019 and \u2018place\u2019 \u2013 on HIV prevention and care outcomes for young MSM (YMSM).\u00a0 It owes much to Diaz &amp; Ayala and their concern to view human behaviour in terms of \u2018social location\u2019 \u2018within a context of social oppressive factors\u2019 rather [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/sti\/2017\/03\/14\/scoping-location-the-role-of-placespace-as-an-influence-on-hiv-outcomes-amongst-young-msm\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":152,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[151,2042,13992,16499,2793],"tags":[],"class_list":["post-1267","post","type-post","status-publish","format-standard","hentry","category-epidemiology","category-hiv-care","category-hiv-prevention","category-influence-of-location","category-social-inequality"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u2018Scoping\u2019 location: the role of \u2018place\u2019\/\u2019space\u2019 as an influence on HIV outcomes amongst young MSM - Sexually Transmitted Infections<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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