Does greater individual social capital improve the management of hypertension? Cross-national analysis of 61 229 individuals in 21 countries.
Does greater individual social capital improve the management of hypertension? Cross-national analysis of 61 229 individuals in 21 countries.
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DOI：
10.1136/bmjgh-2017-000443
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发表时间：
2017
影响因子：
8.1
通讯作者：
McKee M
中科院分区：
文献类型：
--
作者：
Palafox B;Goryakin Y;Stuckler D;Suhrcke M;Balabanova D;Alhabib KF;Avezum A;Bahonar A;Bai X;Chifamba J;Dans AL;Diaz R;Gupta R;Iqbal R;Ismail N;Kaur M;Keskinler MV;Khatib R;Kruger A;Kruger IM;Lanas F;Lear SA;Li W;Liu J;Lopez-Jaramillo P;Peer N;Poirier P;Rahman O;Pillai RK;Rangarajan S;Rosengren A;Swaminathan S;Szuba A;Teo K;Wang Y;Wielgosz A;Yeates KE;Yusufali A;Yusuf S;McKee M
以信任、互惠和合作为特征的社会资本与若干健康结果呈正相关。我们检验了在高血压个体中，社会资本越高的人高血压越容易被发现、治疗和控制。在前瞻性城乡流行病学研究中，收集了来自21个国家的横断面数据，涵盖61 229名年龄在35-70岁之间的高血压患者、他们的家庭和他们居住的656个社区。结果包括高血压患者的病情是否得到检测、治疗和/或控制。采用调整社区固定效应的多元统计模型来评估三个社会资本指标的关联：(1)任何社会组织的成员，(2)对他人的信任，(3)对组织的信任，并按高收入和低收入国家样本分层。在低收入国家，任何社会组织的成员资格都与高血压被发现和控制的可能性增加3%有关，而对组织的信任程度越高，发现高血压的可能性就会显著增加4%。在高收入国家的参与者中没有观察到这些关联。虽然观察到的关联不大，但在卫生系统往往薄弱的低收入国家，社会资本的某些方面与更好地管理高血压有关。考虑到高血压在这些国家影响着数百万人，即使在治疗途径的各个方面取得微小的进展，也可以改善许多人的管理，并转化为每年预防数千例心血管事件。
Social capital, characterised by trust, reciprocity and cooperation, is positively associated with a number of health outcomes. We test the hypothesis that among hypertensive individuals, those with greater social capital are more likely to have their hypertension detected, treated and controlled. Cross-sectional data from 21 countries in the Prospective Urban and Rural Epidemiology study were collected covering 61 229 hypertensive individuals aged 35–70 years, their households and the 656 communities in which they live. Outcomes include whether hypertensive participants have their condition detected, treated and/or controlled. Multivariate statistical models adjusting for community fixed effects were used to assess the associations of three social capital measures: (1) membership of any social organisation, (2) trust in other people and (3) trust in organisations, stratified into high-income and low-income country samples. In low-income countries, membership of any social organisation was associated with a 3% greater likelihood of having one’s hypertension detected and controlled, while greater trust in organisations significantly increased the likelihood of detection by 4%. These associations were not observed among participants in high-income countries. Although the observed associations are modest, some aspects of social capital are associated with better management of hypertension in low-income countries where health systems are often weak. Given that hypertension affects millions in these countries, even modest gains at all points along the treatment pathway could improve management for many, and translate into the prevention of thousands of cardiovascular events each year.
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影响因子：
0.9
作者：
King, Elisabeth;Samii, Cyrus;Snilstveit, Birte
通讯作者：
Snilstveit, Birte
影响因子：
158.5
作者：
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影响因子：
2.6
作者：
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通讯作者：
Eriksson M
影响因子：
2.1
作者：
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通讯作者：
Suhrcke, Marc
影响因子：
7.7
作者：
Barlow P;McKee M;Reeves A;Galea G;Stuckler D
通讯作者：
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