Contextual social capital as a risk factor for poor self-rated health: A multilevel analysis
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.
If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
Volume (Year): 66 (2008)
Issue (Month): 11 (June)
|Contact details of provider:|| Web page: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description|
|Order Information:|| Postal: http://www.elsevier.com/wps/find/supportfaq.cws_home/regional|
References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Drukker, Marjan & Buka, Stephen L. & Kaplan, Charles & McKenzie, Kwame & Van Os, Jim, 2005. "Social capital and young adolescents' perceived health in different sociocultural settings," Social Science & Medicine, Elsevier, vol. 61(1), pages 185-198, July.
- Kennelly, Brendan & O'Shea, Eamon & Garvey, Eoghan, 2003. "Social capital, life expectancy and mortality: a cross-national examination," Social Science & Medicine, Elsevier, vol. 56(12), pages 2367-2377, June.
- Lochner, Kimberly A. & Kawachi, Ichiro & Brennan, Robert T. & Buka, Stephen L., 2003. "Social capital and neighborhood mortality rates in Chicago," Social Science & Medicine, Elsevier, vol. 56(8), pages 1797-1805, April.
- Veenstra, Gerry, 2002. "Social capital and health (plus wealth, income inequality and regional health governance)," Social Science & Medicine, Elsevier, vol. 54(6), pages 849-868, March.
- Wen, Ming & Browning, Christopher R. & Cagney, Kathleen A., 2003. "Poverty, affluence, and income inequality: neighborhood economic structure and its implications for health," Social Science & Medicine, Elsevier, vol. 57(5), pages 843-860, September.
- Kennedy, Bruce P. & Kawachi, Ichiro & Brainerd, Elizabeth, 1998. "The role of social capital in the Russian mortality crisis," World Development, Elsevier, vol. 26(11), pages 2029-2043, November.
- Franzini, Luisa & Caughy, Margaret & Spears, William & Eugenia Fernandez Esquer, Maria, 2005. "Neighborhood economic conditions, social processes, and self-rated health in low-income neighborhoods in Texas: A multilevel latent variables model," Social Science & Medicine, Elsevier, vol. 61(6), pages 1135-1150, September.
- Drukker, Marjan & Kaplan, Charles & Feron, Frans & van Os, Jim, 2003. "Children's health-related quality of life, neighbourhood socio-economic deprivation and social capital. A contextual analysis," Social Science & Medicine, Elsevier, vol. 57(5), pages 825-841, September.
- Oakes, J. Michael, 2004. "The (mis)estimation of neighborhood effects: causal inference for a practicable social epidemiology," Social Science & Medicine, Elsevier, vol. 58(10), pages 1929-1952, May.
- Poortinga, Wouter, 2006. "Social relations or social capital? Individual and community health effects of bonding social capital," Social Science & Medicine, Elsevier, vol. 63(1), pages 255-270, July.
- Mohan, John & Twigg, Liz & Barnard, Steve & Jones, Kelvyn, 2005. "Social capital, geography and health: a small-area analysis for England," Social Science & Medicine, Elsevier, vol. 60(6), pages 1267-1283, March.
- Subramanian, S. V. & Kawachi, Ichiro & Kennedy, Bruce P., 2001. "Does the state you live in make a difference? Multilevel analysis of self-rated health in the US," Social Science & Medicine, Elsevier, vol. 53(1), pages 9-19, July.
- Harpham, Trudy & Grant, Emma & Rodriguez, Carlos, 2004. "Mental health and social capital in Cali, Colombia," Social Science & Medicine, Elsevier, vol. 58(11), pages 2267-2277, June.
- Hawe, Penelope & Shiell, Alan, 2000. "Social capital and health promotion: a review," Social Science & Medicine, Elsevier, vol. 51(6), pages 871-885, September.
- Poortinga, Wouter, 2006. "Social capital: An individual or collective resource for health?," Social Science & Medicine, Elsevier, vol. 62(2), pages 292-302, January.
- Veenstra, Gerry, 2000. "Social capital, SES and health: an individual-level analysis," Social Science & Medicine, Elsevier, vol. 50(5), pages 619-629, March.
- Ziersch, Anna M., 2005. "Health implications of access to social capital: findings from an Australian study," Social Science & Medicine, Elsevier, vol. 61(10), pages 2119-2131, November.
- Robert Stimson & John Western & Scott Baum & Yolanda Van Gellecum, 2003. "Measuring Community Strength and Social Capital," ERSA conference papers ersa03p521, European Regional Science Association.
When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:66:y:2008:i:11:p:2268-2280. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Shamier, Wendy)
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.