Social capital and health among the aged: comparisons between the United States and Germany

Social capital and health among the aged: comparisons between the United States and Germany
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DOI:
10.1016/j.healthplace.2004.08.008
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发表时间:
2004-12-01
期刊:
影响因子:
4.8
通讯作者:
vondem Knesebeck, O
vondem Knesebeck, O
中科院分区:
医学2区
文献类型:
--
作者:
Pollack, CE;vondem Knesebeck, O

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通过对美国和德国的跨国调查,本研究探讨了个人层面的社会资本与老年人健康的关系。在德国(N = 682)和美国(N = 608)进行的两次全国电话调查的数据使用了60岁及以上非机构人员的概率样本。包括规范(互惠和公民信任)和行为(参与)在内的社会资本指标用三个自我报告的健康指标——整体健康、抑郁(CES-D)和功能限制——进行了测试。在研究中控制了住房变量和社会支持。在这两个国家,缺乏互惠与较差的自我评价健康有关。公民不信任与两国较差的自评健康状况有关,与美国的抑郁和功能限制有关。在德国,缺乏参与与自我评价较差的健康状况和抑郁有关。跨国研究结果表明,个人层面的社会资本分析以及宏观层面的决定因素对于了解老年人的健康状况非常重要。(C) 2004 Elsevier Ltd.版权所有。
Through a cross-national investigation of the United States and Germany, this study examines how individual level social capital relates to the health of the elderly. Data from two national telephone surveys conducted in Germany (N = 682) and the United States (N = 608) with probability samples of non-institutionalized persons aged 60 and older was used. Indicators of social capital including both norms (reciprocity and civic trust) and behaviors (participation) were tested with three self-reported health indicators - overall health, depression (CES-D) and functional limitations. Housing variables and social support were controlled for in the study. Lack of reciprocity was associated with poorer self-rated health in both countries. Civic mistrust was associated with poorer self-rated health in both countries as well as with depression and functional limitations in America. Lack of participation was, in Germany, associated with poorer self-rated health and depression. The cross-national results indicate that individual-level analysis of social capital along with marco-level determinants are important for understanding the health of the elderly. (C) 2004 Elsevier Ltd. All rights reserved.