Академический Документы
Профессиональный Документы
Культура Документы
F. FORSTER
Research Scholar, Department of Social Medicine, University of Edinburgh
The purpose of this article is to offer a develop- Sutherland (1962) developed a form of demo-
ment of the demographic map as an alternative to the graphic diagram, using the same principle of area
geographical base-map for the presentation of areal proportional to population, called an isodemic
data in epidemiology. The results of geographical representation. As a basis he split Scotland into its
investigations into disease morbidity or mortality five hospital regions and showed them separated.
are often presented cartographically and invariably He thus lost geographical contiguity between the
the base-nap used is the normal geographical administrative units, a condition it would seem
one, showing the relevant administrative areas. The desirable to preserve.
relating of disease rates to area is useful, in that the An attempt has been made in developing the age-
recognition of areas characterized by high or low sex specific cartograms illustrated below (Figs 1,
rates may lead to clues of aetiological significance. 3, and 4) to relate disease rates to both the popula-
When considering areal patterns of disease, tion at risk and to geographical position in the 57
however, the epidemiologist requires information public health districts of Scotland.* A basic aim was
about the size of the population at risk in the areas also to try to produce cartograms similar to each
concerned. Sutherland (1962) drew attention to the other in local outline as well as in overall shape to
principal deficiency of the geographical base-map make them readily comparable and hence of greater
in this respect. Referring to Scotland, he showed potential utility. Efforts to simplify their construc-
that on the normal map correct weighting could not tion and final shape have also been made. To date
be given to the large urban populations which occupy demographic maps have presented complicated
small areas, whilst small rural populations, often construction problems and their final appearance
sparsely distributed over large areas, could appear has often been of considerable complexity. These
to be over-represented. Thus, base-maps which factors may well have obscured their advantages and
would relate disease rates to the local populations contributed to their limited application so far.
at risk as well as to geographical position might
prove useful epidemiological tools. Development of METHOD
the demographic map, in which the area of each Levison and Haddon (1965) outlined their
administrative unit is made proportional to its procedure for constructing a demographic map or,
population whilst contiguity of geographical boun- as they called it, an "area adjusted map" of New
daries and the relative geographical positions of the York State. As there is no unique solution for a
units are maintained as far as is possible (Hollings- given area and population, and because conventions
worth, 1966) offers interesting possibilities in this are developed as one proceeds which require ex-
direction. planation, an account of the method of construction
The use of such maps in epidemiology is not new, used here is given below. Reference to the locational
Levison and Haddon (1965), for example, having cartogram (Fig. 1, overleaf) based on the 1961 female
used the technique for plotting cases of Wilm's
tumour in New York State. To date, however, * The insular portions of Inverness and Ross and Cromarty Counties,
these maps have not been used to present data at the treated as have separate public health districts by the Registrar General for
been considered as part of their parent counties here,
Scotland,
national level. thus reducing the number of districts from 59 to 57.
165
166 F. FORSTER
HdC.
Oy C.
COUNTY OF CITY
AND LARGE BURGH
BOUNDARY
Sutherlan|d C.ICaith
r-~~~~~~~
gess C. r-
NON-CONTIGUOUS Ross and
BOUNDARY Cromarty l
Aberdeen C.ofC.
1. MORAY FIRTH
nverness Bans
ACberd.een
Moray
L _L.B. C C. C
2. FIRTH OFTAY
3. FIRTHOFFORTH -J
A FIRTLHOFCLYDE
& r .% . r. w -% -vL
I nverness C.
IKincordinelC.
C.ot C. COUNTY OF Bue Perth C. t L B- Angus C Arbro8th LB6
CITY LJArgyll C. Perth L.B. -
C. COUNTY
L.B. LARGE BURGH Dunbarton C. Stirling C. L Dundee C.ot C.
CIa kmar non
I C. C.-
~~~~~~Fife
Paisley
L.B.
I
Lanark C. o
- - - - - - - - Midlothian C. B ick C.
Rentrew C.
Pee bI e s
1
Ki narnock
L.S.
r--L.I
IAyr
10,000 PERSONS
L -r
2,500 ...
OVER 600
550<600
500< 550
450<500 A400
a &
[I - 400< 450
[fl] UNDER 400 6% 40
0 30
MILES
Fia. 2.-Average mortality rates 1959-63, all causes of death. Females aged 45 to 54 years. (Conventional map).
DEMOGRAPHIC BASE MAP 169
RATES/ 100,000
OVER 600
550 < 600
AI---I
500 < 550 ......-
450< 500
400 E< 450
U NDER 400
.17 -= -
= ---=,
--L. ..
10.000 PERSONS
2.500 ..M.
100 Ad
Fso. 3.-Average mortality rates 1959-63, all causes of death. Females aged 45 to 54 years. (Cartogram).
170 F. FORSTER
I | IrI~- LJ
{
J X --L-J
-
-- - - - -
-_- -
I I I
LI
J |_ I -
I _ _ _ -- _
I
_ _ L --
L - _- - - _ _ _.T
- _ _ _ __