The association of neighbourhood and individual social capital with consistent self-rated health: a longitudinal study in Brazilian pregnant and postpartum women.
The association of neighbourhood and individual social capital with consistent self-rated health: a longitudinal study in Brazilian pregnant and postpartum women.
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DOI：
10.1186/1471-2393-13-1
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发表时间：
2013-01-16
影响因子：
3.1
通讯作者：
Vettore MV
中科院分区：
文献类型：
--
作者：
Lamarca GA;do C Leal M;Sheiham A;Vettore MV
社会条件、社会关系和邻里环境是社会资本的组成部分，是健康的重要决定因素。本研究的目的是调查邻里和个人社会资本与一致的自测健康的妇女怀孕的头三个月和产后六个月之间的关联。在巴西里约热内卢州的两个城市的产前单位招募了685名巴西妇女，在34个街区进行了多层次队列研究。在妊娠早期（基线）和分娩后6个月（随访）评估自测健康（SRH）。参与者被分为两组：1。良好的SRH -在基线和随访时良好的SRH，以及，2. SRH差-基线和随访时SRH差。在基线收集的探索性变量包括邻里社会资本（邻里水平变量），个人社会资本（社会支持和社交网络），人口和社会经济特征，健康相关行为和自我报告的疾病。分层二项多水平分析，以测试邻里和个人的社会资本和SRH之间的关联，调整协变量。良好的性健康和生殖健康组的社会支持和社交网络得分高于差的性健康和生殖健康组。虽然低邻里社会资本与不良的性健康和生殖健康在粗略的分析，该协会是不显着的，当个人的社会人口变量包括在模型中。在最终模型中，在基线和随访时报告SRH较差的女性的社会支持水平（积极的社会互动）[OR 0.82（95% CI：0.73-0.90）]和友谊社交网络的可能性[OR 0.61（95% CI：0.37-0.99）]低于良好的SRH组。与性健康和生殖健康状况不佳相关的特征仍然是受教育程度低、黑人和棕色人种、子女较多、泌尿系统感染和水管安装在屋外。低个人社会资本在怀孕期间，这里被认为是社会支持和社会网络，是独立与穷人的性健康和生殖健康的妇女，而邻里社会资本并不影响妇女的性健康和生殖健康在怀孕期间和其后的几个月。从怀孕到产后六个月，个人社会资本的影响更好地解释了SRH随着时间的推移比邻里社会资本的一致性。
Social conditions, social relationships and neighbourhood environment, the components of social capital, are important determinants of health. The objective of this study was to investigate the association of neighbourhood and individual social capital with consistent self-rated health in women between the first trimester of pregnancy and six months postpartum. A multilevel cohort study in 34 neighbourhoods was performed on 685 Brazilian women recruited at antenatal units in two cities in the State of Rio de Janeiro, Brazil. Self-rated health (SRH) was assessed in the 1st trimester of pregnancy (baseline) and six months after childbirth (follow-up). The participants were divided into two groups: 1. Good SRH – good SRH at baseline and follow-up, and, 2. Poor SRH – poor SRH at baseline and follow-up. Exploratory variables collected at baseline included neighbourhood social capital (neighbourhood-level variable), individual social capital (social support and social networks), demographic and socioeconomic characteristics, health-related behaviours and self-reported diseases. A hierarchical binomial multilevel analysis was performed to test the association between neighbourhood and individual social capital and SRH, adjusted for covariates. The Good SRH group reported higher scores of social support and social networks than the Poor SRH group. Although low neighbourhood social capital was associated with poor SRH in crude analysis, the association was not significant when individual socio-demographic variables were included in the model. In the final model, women reporting poor SRH both at baseline and follow-up had lower levels of social support (positive social interaction) [OR 0.82 (95% CI: 0.73-0.90)] and a lower likelihood of friendship social networks [OR 0.61 (95% CI: 0.37-0.99)] than the Good SRH group. The characteristics that remained associated with poor SRH were low level of schooling, Black and Brown ethnicity, more children, urinary infection and water plumbing outside the house. Low individual social capital during pregnancy, considered here as social support and social network, was independently associated with poor SRH in women whereas neighbourhood social capital did not affect women’s SRH during pregnancy and the months thereafter. From pregnancy and up to six months postpartum, the effect of individual social capital explained better the consistency of SRH over time than neighbourhood social capital.
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影响因子：
4.8
作者：
Gold, R;Kennedy, B;Kawachi, I
通讯作者：
Kawachi, I
影响因子：
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作者：
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影响因子：
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作者：
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