Social support, volunteering and health around the world: Cross-national evidence from 139 countries
Social support, volunteering and health around the world: Cross-national evidence from 139 countries
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DOI：
10.1016/j.socscimed.2011.11.017
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发表时间：
2012-03-01
影响因子：
5.4
通讯作者：
Berkman, Lisa F.
中科院分区：
文献类型：
--
作者：
Kumar, Santosh;Calvo, Rocio;Berkman, Lisa F.
在许多发达国家，高水平的社会资本和社会融合与自测健康相关。然而，不知道这种联系是否延伸到非西方和经济欠发达的国家。我们研究了139个低收入、中等收入和高收入国家的社会支持、志愿服务和自测健康之间的关联。数据来自盖洛普世界民意调查，这是一项国际可比调查，从2005年到2009年每年对15岁及以上的人进行调查。志愿服务是通过过去一个月志愿服务于一个组织的自我报告来衡量的。社会支持是基于获得支持的亲戚和朋友的自我报告。我们首先估计随机系数（多水平）模型，然后使用多元逻辑回归将健康建模为社会支持和志愿服务的函数，控制年龄，性别，教育，婚姻状况和宗教信仰。我们发现了社会资本变量和自评健康之间的关联的跨国差异的统计学显着证据。在多变量Logistic模型中，自测健康与来自朋友和亲戚的社会支持和志愿服务显著相关。分层分析的结果表明，这些关联在各国之间惊人地一致。我们的研究结果表明，社会资本与健康之间的联系不仅限于高收入国家，而且跨越了许多地理区域，无论其国民收入水平如何。(C)2012爱思唯尔有限公司保留所有权利。
High levels of social capital and social integration are associated with self-rated health in many developed countries. However, it is not known whether this association extends to non-western and less economically advanced countries. We examine associations between social support, volunteering, and self-rated health in 139 low-, middle- and high-income countries. Data come from the Gallup World Poll, an internationally comparable survey conducted yearly from 2005 to 2009 for those 15 and over. Volunteering was measured by self-reports of volunteering to an organization in the past month. Social support was based on self-reports of access to support from relatives and friends. We started by estimating random coefficient (multi-level) models and then used multivariate logistic regression to model health as a function of social support and volunteering, controlling for age, gender, education, marital status, and religiosity. We found statistically significant evidence of cross-national variation in the association between social capital variables and self-rated health. In the multivariate logistic model, self-rated health were significantly associated with having social support from friends and relatives and volunteering. Results from stratified analyses indicate that these associations are strikingly consistent across countries. Our results indicate that the link between social capital and health is not restricted to high-income countries but extends across many geographical regions regardless of their national-income level. (C) 2012 Elsevier Ltd. All rights reserved.