Contextual social capital as a risk factor for poor self-rated health:: A multilevel analysis
Contextual social capital as a risk factor for poor self-rated health:: A multilevel analysis
复制标题
DOI：
10.1016/j.socscimed.2008.01.019
复制
发表时间：
2008-06-01
影响因子：
5.4
通讯作者：
Hallqvist, Johan
中科院分区：
文献类型：
--
作者：
Engstrom, Karin;Mattsson, Fredrik;Hallqvist, Johan
在这项研究中，我们批判性地研究了情境社会资本（CSC）是否与自评健康相关，重点关注混杂问题。我们还研究了 CSC 的不同组成部分及其与自评健康的关联。最后，我们研究了不同社会人口群体之间的易感性差异。我们使用了 2002 年进行的斯德哥尔摩公共卫生队列的横断面基线研究。随机抽取的斯德哥尔摩县 31,182 名 18-84 岁公民回答了邮寄问卷。我们使用了四种社会资本衡量标准：横向（公民信任和参与）、纵向（政治信任和参与）、认知（公民和政治信任）和结构（公民和政治参与）。 CSC 是根据汇总的个人数据在教区级别进行测量的，并采用了多级回归程序。我们发现，与 CSC 非常高的地区相比，CSC 非常低的地区自评健康状况不佳的风险高出两倍。对个人社会人口因素、背景经济因素和个人社会资本的调整降低了超额风险。同时调整所有三种形式的混杂因素进一步削弱了这种关联并使其变得微不足道。认知和结构性社会资本与自评健康表现出相对相似的关联，而横向CSC似乎比纵向CSC与自评健康的相关性更强。 总之，CSC与自评健康之间是否没有关联或存在中等关联，取决于个人社会资本被视为中介或混杂因素的程度。与自评健康的关联是相似的，与所使用的 CSC 测量无关。不同社会人口群体的情况也相似。 (C) 2008 Elsevier Ltd. 保留所有权利。
In this study, we critically examine whether contextual social capital (CSC) is associated with self-rated health, with an emphasis on the problem of confounding. We also examine different components of CSC and their association with self-rated health. Finally, we look at differences in susceptibility between different socio-demographic groups.We use the cross-sectional base line study of the Stockholm Public Health Cohort, conducted in 2002. A postal questionnaire was answered by 31,182 randomly selected citizens, 18-84 years old, in Stockholm County. We used four measures of social capital: horizontal (civic trust and participation), vertical (political trust and participation), cognitive (civic and political trust) and structural (civic and political participation). CSC was measured at parish level from aggregated individual data, and multilevel regression procedures were employed.We show a twofold greater risk of poor self-rated health in areas with very low CSC compared with areas with very high CSC. Adjustments for individual socio-demographic factors, contextual economic factors and individual social capital lowered the excess risk. Simultaneous adjustment for all three forms of confounding further weakened the association and rendered it insignificant. Cognitive and structural social capital show relatively similar associations with self-rated health, while horizontal CSC seems to be more strongly related to self-rated health than vertical CSC.In conclusion, whether there is none or a moderate association between CSC and self-rated health, depends on the extent to which individual social capital is seen as a mediator or confounder. The association with self-rated health is similar independent of the measure of CSC used. It is also similar in different socio-demographic groups. (C) 2008 Elsevier Ltd. All rights reserved.