Trust and health: testing the reverse causality hypothesis
Trust and health: testing the reverse causality hypothesis
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DOI：
10.1136/jech-2015-205822
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发表时间：
2016-01-01
影响因子：
6.3
通讯作者：
Lindstrom, Martin
中科院分区：
文献类型：
--
作者：
Giordano, Giuseppe Nicola;Lindstrom, Martin
社会资本研究一直显示，在20多年的时间里，普遍信任和健康结果之间存在正相关。试图检验因果关系的纵向研究进一步支持了信任是健康的独立预测因子的理论。然而，由于反向因果关系假设尚未得到实证检验，因此仍然存在知识差距。本研究的目的，因此，是调查健康状况预测trust.Methods在这项研究中采用的数据来自2000年至2007年（N=8114）之间的4波英国家庭面板调查。样本分层的基线信任调查的时间关系之前的自测健康（SRH）和信任的变化。我们使用逻辑回归模型的随机效应，因为信任是预期在同一个人随着时间的推移更加相似。结果从“可以信任在基线”队列，穷人的SRH在时间（t-1）预测低的信任在时间（t）（OR=1.38）。同样，良好的健康状况预示着“不能”信任队列中的高信任度（OR=1.30）。这些模式的积极关联仍然稳健性检查后，调整错误分类的结果（信任）状态和存在的其他时间pathways.Conclusions本研究提供了实证证据，支持循环的信任/健康关系。随着时间的推移，先前的健康状况和信任变化之间的关联稳定性在队列之间存在差异，暗示存在复杂的途径，而不是简单的正反馈循环。
Background Social capital research has consistently shown positive associations between generalised trust and health outcomes over 2 decades. Longitudinal studies attempting to test causal relationships further support the theory that trust is an independent predictor of health. However, as the reverse causality hypothesis has yet to be empirically tested, a knowledge gap remains. The aim of this study, therefore, was to investigate if health status predicts trust.Methods Data employed in this study came from 4 waves of the British Household Panel Survey between years 2000 and 2007 (N=8114). The sample was stratified by baseline trust to investigate temporal relationships between prior self-rated health (SRH) and changes in trust. We used logistic regression models with random effects, as trust was expected to be more similar within the same individuals over time.Results From the 'Can trust at baseline' cohort, poor SRH at time (t-1) predicted low trust at time (t) (OR=1.38). Likewise, good health predicted high trust within the 'Cannot' trust cohort (OR=1.30). These patterns of positive association remained after robustness checks, which adjusted for misclassification of outcome (trust) status and the existence of other temporal pathways.Conclusions This study offers empirical evidence to support the circular nature of trust/health relationship. The stability of association between prior health status and changes in trust over time differed between cohorts, hinting at the existence of complex pathways rather than a simple positive feedback loop.