Social capital and mental health in Japan: a multilevel analysis.
Social capital and mental health in Japan: a multilevel analysis.
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DOI：
10.1371/journal.pone.0013214
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发表时间：
2010-10-06
期刊：
影响因子：
3.7
通讯作者：
Shiwaku K
中科院分区：
文献类型：
--
作者：
Hamano T;Fujisawa Y;Ishida Y;Subramanian SV;Kawachi I;Shiwaku K
日本进行了一项全国性的横断面调查。这是因为对健康的社会决定因素的日益认识刺激了对社会资本和心理健康的研究。近年来，系统的回顾发现，社会资本可能是预防精神疾病的一个有用因素。尽管有这些研究，但关于社会资本和心理健康之间的联系的证据有限，因为很少有实证讨论采用多层次的框架来评估生态层面的社会资本是否与个人心理健康有关。本研究的目的是在考虑到潜在的个体混杂因素后，使用多水平的方法来调查邻里社会资本与心理健康之间的关系。我们对199个社区内的5956只个体进行了多层次的分析。用SF-36的一个维度测量自我报告心理健康的结果变量，并将其相加，计算出0到100的分数。这项研究表明，在调整了年龄、性别、家庭收入和教育程度后，高水平的认知社会资本(回归系数 = 9.56)和高水平的结构性社会资本(回归系数 = 8.72)与较好的心理健康相关。此外，在对个人层面的社会资本认知进行调整后，我们发现社会资本与心理健康之间的关联仍然存在。我们的发现表明，生态层面的认知和结构性社会资本都可能影响心理健康，即使在调整了包括社会资本知觉在内的个人潜在混杂因素之后也是如此。提升社会资本可能有助于增强日本人的心理健康。
A national cross-sectional survey was conducted in Japan. This is because the growing recognition of the social determinants of health has stimulated research on social capital and mental health. In recent years, systematic reviews have found that social capital may be a useful factor in the prevention of mental illness. Despite these studies, evidence on the association between social capital and mental health is limited as there have been few empirical discussions that adopt a multilevel framework to assess whether social capital at the ecological level is associated with individual mental health. The aim of this study was to use the multilevel approach to investigate the association between neighborhood social capital and mental health after taking into account potential individual confounders. We conducted a multilevel analysis on 5,956 individuals nested within 199 neighborhoods. The outcome variable of self-reported mental health was measured by the one dimension of SF-36 and was summed to calculate a score ranging from 0 to 100. This study showed that high levels of cognitive social capital, measured by trust (regression coefficient = 9.56), and high levels of structural social capital, measured by membership in sports, recreation, hobby, or cultural groups (regression coefficient = 8.72), were associated with better mental health after adjusting for age, sex, household income, and educational attainment. Furthermore, after adjusting for social capital perceptions at the individual level, we found that the association between social capital and mental health also remained. Our findings suggest that both cognitive and structural social capital at the ecological level may influence mental health, even after adjusting for individual potential confounders including social capital perceptions. Promoting social capital may contribute to enhancing the mental health of the Japanese.
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