Mental health and social capital in Cali, Colombia
Mental health and social capital in Cali, Colombia
复制标题
DOI：
10.1016/j.socscimed.2003.08.013
复制
发表时间：
2004-06-01
影响因子：
5.4
通讯作者：
Rodriguez, C
中科院分区：
文献类型：
--
作者：
Harpham, T;Grant, E;Rodriguez, C
在发展中国家，精神疾病日益成为疾病负担的重要组成部分。人们对心理健康的社会风险因素的兴趣与日俱增，这与社会资本研究的发展是一致的，这可能进一步揭示心理健康的社会模式。这项研究的目的是在考虑到一系列人口和暴力变量的情况下，发现社会资本和心理健康之间是否存在独立的关联。哥伦比亚卡利一个低收入社区的1168名青年(15-25岁)接受了调查。心理健康采用20个条目的自填式问卷进行测量。用来衡量社会资本的工具包括结构性社会资本和认知性社会资本。样本中24%的人可能患有精神疾病。女性的患病率是男性的三倍。使用一个将人口和社会资本指标视为精神疾病潜在风险因素的模型，重要的风险因素出现在女性、受教育程度低、在非正规部门工作、移民和对人的低信任度。传统的贫困类型变量(教育和就业不佳)比社会资本更重要，因为女性通常是导致精神疾病的主要风险因素。当暴力因素被加入到模型中时，“信任”因素就消失了，最重要的风险因素变成了(按重要性降序)：女性；没有受过教育/小学未完成；以及成为暴力的受害者。与社会资本相反，与贫穷有关的因素占主导地位，促使人们重新关注将收入不平等与心理健康不良联系起来的解释机制。(C)2003年，爱思唯尔有限公司出版。
Mental ill health forms an increasingly significant part of the burden of disease in developing countries. The growing interest in social risk factors for mental health coincides with the development of social capital research which may further inform the social model of mental health. The objective of the study reported here was to discover if there is an independent association between social capital and mental health when taking into account an array of demographic and violence variables.A total of 1168 youth (15-25 years) in a low income community in Cali, Colombia were surveyed. Mental health was measured by a 20 item self-report questionnaire. The instrument used to measure social capital covered structural and cognitive social capital. Twenty-four per cent of the sample were probable cases of mental ill health. Females had a prevalence rate three times higher than males. Using a model which considered demographic and social capital measures as potential risk factors for mental ill health, the significant risk factors emerged as being female, having limited schooling, working in the informal sector, being a migrant, and having low trust in people. The 'classic' poverty type variables (poor education and employment) were more important than social capital, as was the commonly dominant risk factor for mental ill health-being a woman. When violence factors were added to the model, the 'trust' factor fell out and the most important risk factors became (in descending order of importance): being female; no schooling/incomplete primary; and being a victim of violence. The dominance of poverty related factors, as opposed to social capital, prompts renewed attention to the explanatory mechanisms that link income inequality and poor mental health. (C) 2003 Published by Elsevier Ltd.