Social capital, socio-economic status and psychological distress among Australian adults
Social capital, socio-economic status and psychological distress among Australian adults
复制标题
DOI：
10.1016/j.socscimed.2006.06.021
复制
发表时间：
2006-11-01
影响因子：
5.4
通讯作者：
Silove, Derrick
中科院分区：
文献类型：
--
作者：
Phongsavan, Philayrath;Chey, Tien;Silove, Derrick
高水平的社会资本可能与成年人积极的心理健康相关。然而，对社会资本各个维度进行量化一直是一项挑战，部分原因是所使用的定义和衡量方法多种多样。利用对16岁及以上澳大利亚成年人进行的具有代表性的全民调查数据，来研究社会资本各维度与心理健康疾病之间的联系。社会资本包含三个结构，并在个体层面进行衡量：信任和安全感、社区参与以及邻里联系和互惠。心理健康通过10项凯斯勒（K10）量表进行衡量，并评估前一个月的心理困扰（即抑郁和焦虑）症状。社区参与与困扰呈现弱相关，邻里联系和互惠与困扰呈现中等程度相关。在对社会人口特征和健康状况进行调整后，较高水平的信任和安全感始终与较低水平的心理困扰相关。结果清楚地表明，对他人的信任、在社区中的安全感以及社会互惠与较低的心理健康困扰风险相关。讨论了对社会资本的个体和集体（情境）维度进行概念化和衡量的意义。研究结果还表明，对于社区居住的成年人，研究社会经济地位、社会资本和心理健康之间的相互关系非常重要。（c）2006爱思唯尔有限公司。保留所有权利。
High levels of social capital may be associated with positive mental health in adults. However, quantifying the various dimensions of social capital has presented a challenge due in part to the diverse definitions and measures used. Data from a representative, population-wide survey of Australian adults aged 16 years and older were used to investigate the links between dimensions of social capital and mental health morbidity. Social capital comprised three constructs and was measured at the individual level: feelings of trust and safety, community participation and neighbourhood connections and reciprocity. Mental health was measured by the 10-item Kessler (K10) instrument and assessed symptoms of psychological distress (i.e., depression and anxiety) over the previous month. Community participation showed a weak, and neighbourhood connections and reciprocity a moderate association with distress. Having higher levels of trust and feeling safe were consistently associated with low levels of psychological distress, after adjusting for socio-demographic characteristics and health conditions. The results clearly demonstrate that having trust in people, feeling safe in the community and having social reciprocity are associated with lower risk of mental health distress. The implications for conceptualising and measuring the individual and collective (contextual) dimensions of social capital are discussed. The findings also suggest the importance of examining the interrelationships between socio-economic status, social capital and mental health for community-dwelling adults. (c) 2006 Elsevier Ltd. All rights reserved.