Beyond Geography: Social Quality Environments and Health

The concept of social quality has garnered increasing attention as a composite indicator of the well-being of societies as well as individuals embedded within them. Prior research suggests four domains of social quality: socio-economic security, social cohesion, social inclusion, and social empowerment, based on the assumption that these domains influence health and well-being. In this paper, we investigate whether and to what extent social quality environments defined with reference to the cross-cutting social quality domains reliably predict various types of health, using data collected in a municipality in Switzerland as part of a participatory action research project. We found that social inclusion had the highest predictive power for mental health and functional health, while economic security had the highest predictive power for physical capacity and overall self-rated health. Results indicate interaction among various domains of social quality for a subset of health measures. Findings suggest that environments defined as combinations of social quality domains effectively distinguish between population segments with varying levels of health. Social quality represents a promising avenue for policy and intervention development, particularly from the social determinants of health perspective, as it jointly captures the multiple domains of social well-being relevant to population health.