Social capital and health: a review of prospective multilevel studies.

Social capital and health: a review of prospective multilevel studies.
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DOI:
10.2188/jea.je20110128
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发表时间:
2012
影响因子:
4.7
通讯作者:
Kawachi I
Kawachi I
中科院分区:
医学3区
文献类型:
--
作者:
Murayama H;Fujiwara Y;Kawachi I

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本文概述了社会资本的概念,回顾了社会资本与健康关系的前瞻性多层次分析研究,并讨论了增强社会资本的干预策略。我们对PubMed数据库中发表的同行评议文献进行了系统搜索,并根据健康结果对研究进行了分类。我们确定了13篇符合纳入标准的文章。总体而言,无论研究设计、环境、随访期或健康结果类型如何,个人社会资本和地区/工作场所社会资本对健康结果都有积极影响。采用多层次方法的前瞻性研究主要在西方国家进行。虽然我们确定了在亚洲国家(包括日本)进行的一些横断面多水平研究,但尚未在亚洲进行前瞻性研究。目前,来自社会资本对健康影响的多层次分析研究的前瞻性证据非常有限。如果要将关于社会资本与健康之间关系的流行病学调查结果付诸实际应用,我们必须收集更多证据,并探索将建立社会资本作为促进健康手段的干预措施的可行性。
This article presents an overview of the concept of social capital, reviews prospective multilevel analytic studies of the association between social capital and health, and discusses intervention strategies that enhance social capital. We conducted a systematic search of published peer-reviewed literature on the PubMed database and categorized studies according to health outcome. We identified 13 articles that satisfied the inclusion criteria for the review. In general, both individual social capital and area/workplace social capital had positive effects on health outcomes, regardless of study design, setting, follow-up period, or type of health outcome. Prospective studies that used a multilevel approach were mainly conducted in Western countries. Although we identified some cross-sectional multilevel studies that were conducted in Asian countries, including Japan, no prospective studies have been conducted in Asia. Prospective evidence from multilevel analytic studies of the effect of social capital on health is very limited at present. If epidemiologic findings on the association between social capital and health are to be put to practical use, we must gather additional evidence and explore the feasibility of interventions that build social capital as a means of promoting health.
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