Social capital and health (plus wealth, income inequality and regional health governance)
Social capital and health (plus wealth, income inequality and regional health governance)
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DOI：
10.1016/s0277-9536(01)00049-1
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发表时间：
2002-03-01
影响因子：
5.4
通讯作者：
Veenstra, G
中科院分区：
文献类型：
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作者：
Veenstra, G
本文描述了对加拿大萨斯喀彻温省三十个卫生区各方面之间关系的实证探索。这些方面包括社会资本、收入不平等、财富、地区卫生当局的治理以及主要因变量人口健康。社会资本指数纳入了协会和公民参与，平均和中位数家庭收入作为财富的代表，家庭收入分配的偏斜程度评估了收入不平等，而地区卫生委员会（DHB）的有效治理模型则侧重于反映健康需求、政策制定和实施、财政责任以及服务的整合和协调。 1 没有发现任何证据表明卫生区的社会资本与地区卫生局的绩效之间存在关系。在健康的决定因素中，财富似乎与年龄标准化死亡率无关，而收入不平等与死亡率呈正相关，社会资本与死亡率呈负相关。在控制了社会资本后，收入不平等与年龄标准化死亡率的相关性并不那么强，反之亦然，这表明两者在人口健康方面可能以某种方式混合在一起，尽管它们彼此之间没有显着相关性。在社会资本的预测因素中，地区的年龄分布似乎是最显着的。在年龄标准化死亡率的预测因素中，地区的性别构成最为显着。 (C) 2002 Elsevier Science Ltd. 保留所有权利。
This article describes an empirical exploration of relationships among aspects of thirty health districts in Saskatchewan, Canada. These aspects include social capital, income inequality, wealth, governance by regional health authorities and population health, the primary dependent variable. The social capital index incorporated associational and civic participation, average and median household incomes served as proxies for wealth, the degree of skew in the distribution of household incomes assessed income inequality while the model for effective governance by District Health Boards (DHBs) focused on reflection of health needs, policy making and implementation, fiscal responsibility and the integration and co-ordination of services. 1 found no evidence of a relationship between social capital in health districts and the performance of DHBs. Among the determinants of health, wealth appeared unrelated to age-standardised mortality rates while income inequality was positively and social capital was negatively related to mortality. Income inequality was not as strongly related to age-standardised mortality after controlling for social capital, and vice versa, suggesting the two may be comingled somehow when it comes to population health, although they were not significantly related to one another. Of the predictors of social capital the distribution of age in districts appeared to be the most salient; of the predictors of age-standardised mortality rates the gender composition of a district was most salient. (C) 2002 Elsevier Science Ltd. All rights reserved.