Maternal social capital and child health in Vietnam

Maternal social capital and child health in Vietnam
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DOI:
10.1136/jech.2005.044883
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发表时间:
2006-10-01
影响因子:
6.3
通讯作者:
Tuan, Tran
Tuan, Tran
中科院分区:
医学2区
文献类型:
--
作者:
Harpham, Trudy;De Silva, Mary J.;Tuan, Tran

文献摘要

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研究目的:探讨越南母亲社会资本与儿童身心健康之间的关系。设计:横断面调查。母亲结构性社会资本的衡量标准包括群体成员身份、公民身份和社会支持。认知社会资本的衡量标准包括信任、社会和谐、公平感和归属感。通过人体测量学和母亲对急慢性身体健康问题和儿童心理健康的报告来衡量儿童健康状况。 参与者:来自越南五个省份的 2907 名母亲及其 1 岁或 8 岁儿童。 主要结果: 研究发现,与 1 岁儿童相比,8 岁儿童的群体成员资格和公民意识水平较低,而认知社会资本和支持水平较高,而且 8 岁儿童母亲的社会资本水平普遍较高。除一个关联外,所有关联均符合假设的方向(即较高水平的社会资本与儿童健康问题风险降低相关)。与 8 岁儿童相比,母亲社会资本与 1 岁儿童健康之间的关系,以及社会支持和认知社会资本与儿童健康之间的关系,与群体成员资格和参与公民活动之间的关系,在统计学上均显着相关。结论:本研究首次探讨了发展中国家社会资本的多个维度与一系列不同儿童健康结果之间的关联。现在需要使用纵向数据来测试这些结果。
Study objective: To explore the association between maternal social capital and child physical and mental health in Vietnam.Design: Cross sectional survey. Measures of maternal structural social capital comprised group membership, citizenship, and social support. Measures of cognitive social capital comprised trust, social harmony, sense of fairness, and belonging. Child health was measured by anthropometrics and mothers' reports of acute and chronic physical health problems and child mental health.Participants: 2907 mothers and their 1 year old or 8 year old children from five provinces in Vietnam.Main results: The study found low levels of group membership and citizenship and high levels of cognitive social capital and support, and generally higher levels of social capital among the mothers of 8 year old compared with 1 year old children. All but one association was in the hypothesised direction (that is, higher levels of social capital associated with reduced risk of child health problems). There were more statistically significant relations between maternal social capital and the health of 1 year olds compared with 8 year old children, and between measures of social support and cognitive social capital and child health, than with group membership and involvement in citizenship activities.Conclusion: This study is the first to explore the association between multiple dimensions of social capital and a range of different child health outcomes in the developing world. These results now need to be tested using longitudinal data.