Individual-level relationships between social capital and self-rated health in a bilingual community
Individual-level relationships between social capital and self-rated health in a bilingual community
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DOI：
10.1006/pmed.2000.0782
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发表时间：
2001-02-01
影响因子：
5.1
通讯作者：
Mäki, J
中科院分区：
文献类型：
--
作者：
Hyyppä, MT;Mäki, J
背景以前的登记研究表明，在芬兰同一双语地区，与讲芬兰语的邻居相比，讲瑞典语的人的死亡率和残疾养老金统计数据更有利。本问卷调查的目的是确定瑞典语社区是否有更多的社会资本，如果社会资本与健康在个人层面。研究人群由随机选择的讲芬兰语的样本（N 1，000，回复率66%）和讲瑞典语的样本（N 1，000，回复率63%）组成，代表居住在双语东博滕自治市的所有成年人（75，000名讲芬兰语的人和78，000名讲瑞典语的人）。为探讨社会资本与健康指标之间的关系，编制了一份双语问卷，涵盖社会人口学、健康状况、健康行为和社会资本（人际信任和公民参与）等变量和指标。采用多元logistic回归分析两个二元结果变量的数据：语言组（芬兰语vs瑞典语）和自评健康（良好vs几乎良好/一般/差/差）。当健康相关变量头巾居住，移民，年龄，BMI，家庭收入，吸烟，唱诗班唱歌，任何志愿协会的成员资格，参与社区活动和长期疾病得到控制时，说芬兰语的人（P = 0.0001）和不信任（P = 0.0001），在社区活动（P = 0.0016）和唱诗班唱歌（P = 0.02）比瑞典语为母语。在控制了语言和上述健康相关变量后，在整个样本中，辅助（愿意帮助）朋友的数量（P = 0.001）、不信任（P = 0.037）和任何宗教协会的成员资格（P = 0.0096）与良好的自评健康显著独立相关。瑞典语社区似乎拥有相当数量的社会资本，这与良好的健康有关。由于两个语言社区的生态和社会经济环境是平等的，因此大量的健康不平等可以用社会资本的差异来解释。(C)2001年美国健康基金会和学术出版社。
Background Previous register studies have shown that mortality rates and disability pension statistics favor Swedish-speakers when compared to their Finnish-speaking neighbors in the same bilingual region in Finland. The purpose of the present questionnaire survey was to determine whether the Swedish-speaking community has more social capital and if the social capital is associated with health at the individual level.Methods. The study population consisted of randomly selected samples of Finnish-speakers (N 1,000, response rate 66%) and Swedish-speakers (N 1,000, response rate 63%) representing all adults living in bilingual Ostrobothnian municipalities (75,000 Finnish-speakers and 78,000 Swedish-speakers). To inquire into social capital and health indicators, a bilingual questionnaire was composed to cover variables and indicators of sociodemography, health status, health behavior, and social capital (interpersonal trust and civic engagement). Data were analyzed with multiple logistic regression for two binary outcome variables: language group (Finnish vs Swedish) and self-rated health (good vs almost good/fair/poor/bad).Results. When health-related variables turban residence, migration, age, BMI, household income, smoking, singing in a choir, membership in any voluntary association, participation in community events, and long-term diseases were controlled for, the Finnish-speakers were more often migrated (P = 0.0001) and mistrusting (P = 0.0001) and less active in community events (P = 0.0016) and in singing in a choir (P = 0.02) than the Swedish-speakers. After controlling for language and the above-mentioned health-related variables, the number of auxiliary (willing to help) friends (P = 0.001), mistrust (P = 0.037), and membership in any religious association (P = 0.0096) were significantly and independently associated with good self-rated health in the whole sample.Conclusions. The Swedish-speaking community seems to hold a fair quantity of social capital, which is associated with good health. Since the ecological and socioeconomic circumstances are equal for both language communities, a great deal of health inequality can be explained by differences in social capital. (C) 2001 American Health Foundation and Academic Press.