Bonding, Bridging, and Linking Social Capital and Self-Rated Health among Chinese Adults: Use of the Anchoring Vignettes Technique.
Bonding, Bridging, and Linking Social Capital and Self-Rated Health among Chinese Adults: Use of the Anchoring Vignettes Technique.
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中国成年人的社会资本和自我评价健康的纽带、桥梁和联系：锚定小插图技术的使用
DOI：
10.1371/journal.pone.0142300
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发表时间：
2015
期刊：
影响因子：
3.7
通讯作者：
Meng T
中科院分区：
文献类型：
--
作者：
Chen H;Meng T
在社会资本如何与人口健康相关的问题上，存在三个主要的对立阵营，即社会支持视角、不平等论点和政治经济学方法。联系、搭桥和联系社会资本之间的区别可能有助于结束这三个阵营之间的辩论，这在现有文献中很少被研究。此外，尽管自我评估健康是社会资本和健康之间关系研究中经常使用的健康指标，但这一指标的人际不可比较性在很大程度上被忽视了。这项研究有两个主要目的。首先，我们旨在调查中国成年人社会资本与自测健康之间的关系。第二，我们的目标是提高自我健康测量中的人际可比性。我们使用的数据来自具有全国代表性的中国调查。使用锚定小片段技术调整自我评估的健康，以提高可比性。在个人和社区层面上，采用两水平有序Logistic回归来模拟社会资本和自测健康之间的关系。包括居住和社会资本之间的相互作用，以审查城乡关系中的差异。我们发现，大多数社会资本指标与中国成年人调整后的自测健康有显著的关系，但这种关系是混合的。个体层面的联结、社会资本的联结、社区层面的桥梁社会资本与健康呈正相关。在社区层面的联系、社会资本的联系和调整后的自我评估健康之间的关联中，出现了显著的城乡差异。例如，生活在社会资本结合度较高的社区的人，在城市地区倾向于报告较差的调整后自我评估健康，但在农村地区则相反。此外，多变量分析结果的比较表明，如果不解决可比性问题，社区层面的社会资本与自测健康之间的关系可能会扭曲。总而言之，社会资本的纽带、桥梁和联系框架有助于我们更好地理解社会资本和自我评估健康之间的机制。在设计利用社会资本的健康干预政策时，应考虑文化和社会经济因素。此外，我们建议更多的研究通过使用锚定小片段技术来提高自我评估健康的可比性。
Three main opposing camps exist over how social capital relates to population health, namely the social support perspective, the inequality thesis, and the political economy approach. The distinction among bonding, bridging, and linking social capital probably helps close the debates between these three camps, which is rarely investigated in existing literatures. Moreover, although self-rated health is a frequently used health indicator in studies on the relationship between social capital and health, the interpersonal incomparability of this measure has been largely neglected. This study has two main objectives. Firstly, we aim to investigate the relationship between bonding, bridging, and linking social capital and self-rated health among Chinese adults. Secondly, we aim to improve the interpersonal comparability in self-rated health measurement. We use data from a nationally representative survey in China. Self-rated health was adjusted using the anchoring vignettes technique to improve comparability. Two-level ordinal logistic regression was performed to model the association between social capital and self-rated health at both individual and community levels. The interaction between residence and social capital was included to examine urban/rural disparities in the relationship. We found that most social capital indicators had a significant relationship with adjusted self-rated health of Chinese adults, but the relationships were mixed. Individual-level bonding, linking social capital, and community-level bridging social capital were positively related with health. Significant urban/rural disparities appeared in the association between community-level bonding, linking social capital, and adjusted self-rated health. For example, people living in communities with higher bonding social capital tended to report poorer adjusted self-rated health in urban areas, but the opposite tendency held for rural areas. Furthermore, the comparison between multivariate analyses results before and after the anchoring vignettes adjustment showed that the relationship between community-level social capital and self-rated health might be distorted if comparability problems are not addressed. In conclusion, the framework of bonding, bridging, and linking social capital helps us better understand the mechanism between social capital and self-rated health. Cultural and socioeconomic factors should be considered when designing health intervention policies using social capital. Moreover, we recommend that more studies improve the comparability of self-rated health by using the anchoring vignettes technique.