Social capital, the miniaturisation of community and self-reported global and psychological health (original) (raw)
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Social capital, political trust and self rated-health: A population-based study in southern Sweden
Scandinavian Journal of Public Health, 2008
Aim: To investigate the association between political trust (an aspect of institutional trust) and self-rated health, taking generalized (horizontal) trust in other people into account. Methods: The 2004 public health survey in Skåne is a cross-sectional postal questionnaire study answered by 27,963 respondents aged 18—80 years, yielding a 59% response rate. A logistic regression model was used to investigate the associations between political trust in the Riksdag (national parliament) and self-rated health. Multivariate analyses of political trust and self-rated health were performed in order to investigate the importance of possible confounders. Results: Poor health was reported by 28.7% of the men and 33.2% of the women. In total, 17.3% and 11.6% of the male and female respondents, respectively, reported that they had no trust at all in the Riksdag. The addition of generalized (horizontal) trust in the multivariate models reduced the odds ratios of poor self-rated health in the `...
Health Economics, 2008
Social capital is a concept that attempts to describe the quantity and quality of social interactions in a community. This study explores the relationship between individual measures of social capital and alternative measures of health status within the context of a large national survey of population health. Using data for 13 753 adult participants in the 2003 Health Survey for England, linear regression with weighted least-squares estimation and Tobit regression with upper censoring were used to model the relationship between individual measures of social capital and EQ-5D utility scores. In addition, logistic regression was used to model the relationship between individual measures of social capital and a dichotomous self-reported health status variable. The study demonstrated that low stocks of social capital across the domains of trust and reciprocity, perceived social support and civic participation are significantly associated with poor measures of health status. The implications for health economists and, potentially, for policymakers are discussed.
From Social Capital to Health - and Back
Health Economics, 2014
We assess the causal relationship between health and social capital, measured by generalized trust, both at the individual and the community level. The paper contributes to the literature in two ways: it tackles the problems of endogeneity and reverse causation between social capital and health by estimating a simultaneous equation model, and it explicitly accounts for mis-reporting in self reported trust. The relationship is tested using data from the first four waves of the European Social Survey for 26 European countries, supplemented by regional data from the Eurostat. Our estimates show that a causal and positive relationship between selfperceived health and social capital does exist and that it acts in both directions. In addition, the magnitude of the structural coefficients suggests that individual social capital is a strong determinant of health, while community level social capital plays a considerably smaller role in determining health.
Types of social capital resources and self-rated health among the Norwegian adult population
International Journal for Equity in Health, 2010
Background: Social inequalities in health are large in Norway. In part, these inequalities may stem from differences in access to supportive social networks -since occupying disadvantaged positions in affluent societies has been associated with disposing poor network resources. Research has demonstrated that social networks are fundamental resources in the prevention of mental and physical illness. However, to determine potentials for public health action one needs to explore the health impact of different types of network resources and analyze if the association between socioeconomic position and self-rated health is partially explained by social network factors. That is the aim of this paper. Methods: Cross-sectional data were collected in 2007, through a postal survey from a gross sample of 8000 Norwegian adults, of which 3,190 (about 40%) responded. The outcome variable was self-rated health. Our main explanatory variables were indicators of socioeconomic positions and social capital indicators that was measured by different indicators that were grouped under 'bonding', 'bridging' and 'linking' social capital. Demographic data were collected for statistical control. Generalized ordered logistic regression analysis was performed. Result: Results indicated that those who had someone to talk to when distressed were more likely to rate their health as good compared to those deprived of such person(s) (OR: 2.17, 95% CI: 1.55, 3.02). Similarly, those who were active members in two or more social organisations (OR: 1.73, 95% CI: 1.34, 2.22) and those who count a medical doctor among their friends (OR: 1.51, 95% CI: 1.13, 2.00) report better health. The association between selfrated health and socio-economic background indicators were marginally attenuated when social network indicators were added into the model. Conclusion: Among different types of network resources, close and strong friendship-based ties are of importance for people's health in Norway. Networks linking people to high-educated persons are also of importance. Measures aiming at strengthening these types of network resources for socially disadvantaged groups might reduce social inequalities in health.
Social Science & Medicine, 2008
Using data from the 2006 Social Capital Community Survey in Duluth, Minnesota, and Superior, Wisconsin, USA, we investigate associations between individual social capital measures (attitudes on trust, formal group involvement, informal socializing, organized group interaction, social support and volunteer activity) and self-rated health after controlling for individual and economic characteristics. In particular, we address issues of social capital as an endogenous determinant of self-reported health using instrumental variables probit estimation. After accounting for the endogeneity of these various measures of individual social capital, we find that individual social capital is a significant predictor of self-rated health.
Journal of Urban Health, 2006
Communities may be rich or poor in a variety of stocks of social capital. Studies that have investigated relations among these forms and their simultaneous and combined health effects are sparse. Using data on a sample of 24,835 adults (more than half of whom resided in core urban areas) nested within 40 U.S. communities from the Social Capital Benchmark Survey, correlational and factor analyses were applied to determine appropriate groupings among eight key social capital indicators (social trust, informal social interactions, formal group involvement, religious group involvement, giving and volunteering, diversity of friendship networks, electoral political participation, and non-electoral political participation) at each of the community and individual levels. Multilevel logistic regression models were estimated to analyze the associations between the grouped social capital forms and individual self-rated health. Adjusting the three identified community-level social capital groupings/scales for one another and community-and individual-level sociodemographic and socioeconomic characteristics, each of the odds ratios of fair/poor health associated with living in a community one standard deviation higher in the respective social capital form was modestly below one. Being high on all three (vs. none of the) scales was significantly associated with 18% lower odds of fair/poor health (odds ratio = 0.82, 95% confidence interval = 0.69-0.98). Adding individual-level social capital variables to the model attenuated two of the three community-level social capital associations, with a few of the former characteristics appearing to be moderately significantly protective of health. We further observed several significant interactions between community-level social capital and one's proximity to core urban areas, individual-level race/ethnicity, gender, and social capital. Overall, our results suggest primarily beneficial yet modest health effects of key summary forms of community social capital, and heterogeneity in some of these effects by urban context and population subgroup. ) Recent years have witnessed a burgeoning empirical literature linking social capital at the collective and individual levels to better health outcomes. 5 The vast majority of these studies have applied indicators of interpersonal trust, norms of reciprocity, and associational memberships (at the individual, community, or state level), such that the operationalization of social capital has largely corresponded to a small subset of domains. Moreover, few studies have simultaneously investigated social capital at the community and individual levels. 5 Using data from the Social Capital Benchmark Survey (SCBS), the most comprehensive U.S. survey of social capital to date among adults across 40 communities, Helliwell and Putnam 7 estimated the associations between two community social capital indicators (average levels of trust and associational memberships) and individual self-rated health, controlling for community-level median income and individual-level associational memberships, trust, importance of God/religion, frequency of religious service attendance, and sociodemographic and socioeconomic factors. At the community level, only social trust was significantly related to better health, while at the individual level, associational memberships, trust, and religious service attendance were all significantly associated with better health.
Social Science & Medicine, 2010
Individual aspects of social capital have been shown to have significant associations with health outcomes. However, research has seldom tested different elements of social capital simultaneously, whilst also adjusting for other well-known health determinants over time. This longitudinal individuallevel study investigates how temporal changes in social capital, together with changes in material conditions and other health determinants affect associations with self-rated health over a six year period. We use data from the British Household Panel Survey, a randomly selected cohort which is considered representative of the United Kingdom's population, with the same individuals (N ¼ 9303) providing responses to identical questions in 1999 and 2005. Four measures of social capital were used: interpersonal trust, social participation, civic participation and informal social networks. Material conditions were measured by total income (both individual and weighted household income), net of taxation. Other health determinants included age, gender, smoking, marital status and social class. After the baseline sample was stratified by health status, associations were examined between changes in health status and changes in all other considered variables. Simultaneous adjustment revealed that inability to trust demonstrated a significant association with deteriorating self-rated health, whereas increased levels of social participation were significantly associated with improved health status over time. Low levels of household and individual income also demonstrated significant associations with deteriorating self-rated health. In conclusion, it seems that interpersonal trust and social participation, considered valid indicators of social capital, appear to be independent predictors of self-rated health, even after adjusting for other well-known health determinants. Understandably, how trust and social participation influence health outcomes may help resolve the debate surrounding the role of social capital within the field of public health.
Social capital, trust in institutions, discrimination and self-rated health
Social capital, trust in institutions, discrimination and self-rated health. An epidemiological study in southern Sweden. Mohseni, Mohabbat 2008 Link to publication Citation for published version (APA): Mohseni, M. (2008). Social capital, trust in institutions, discrimination and self-rated health. An epidemiological study in southern Sweden. [Doctoral Thesis (compilation), Social Epidemiology].
Social capital and change in psychological health over time
Social Science & Medicine, 2011
The positive association between social capital and general health outcomes has been extensively researched over the past decade; however, studies investigating social capital and psychological health show less consistent results. Despite this, policy-makers worldwide still employ elements of social capital to promote and improve psychological health. This United Kingdom study investigates the association between changes in psychological health over time and three different individual-level proxies of social capital, measures of socio-economic status, social support and the confounders age and gender. All data are derived from the British Household Panel Survey data, with the same individuals (N ¼ 7994) providing responses from 2000e2007.
Lund University Faculty of Medicine Doctoral Dissertation Series, 2012
Since Durkheim's seminal work over a century ago, research has repeatedly shown that individuals with higher levels of social integration, social networks and social support have better health status. However, the recent introduction of a contextual phenomenon known as social capital to the field of public health has sparked lively debate as to how it may also influence the health of individuals, if at all.