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The flip-side of social capital: The distinctive influences of trust and mistrust on health in rural China

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  • Wang, Hongmei
  • Schlesinger, Mark
  • Wang, Hong
  • Hsiao, William C.

Abstract

Despite increasing evidence that social capital is positively associated with health, the pathways that link social capital to health are not definitive and invite further investigation. This paper uses household survey data from 22 villages in China in 2002 to test the relationship between social capital and the self-reported health status of the rural population. Focusing on the cognitive dimension of social capital, this paper complements current social capital research by introducing an overlooked distinction between trust and mistrust. Trust and mistrust are measured at the individual and aggregate levels, and the distinct ways in which they affect general and mental health are explored. We adopt an ordered logistic regression using survey procedures in SAS version 9.1 to account for the stratified and clustered data structure. The results suggest that: (1) individual-level trust and mistrust are both associated with self-reported health in rural China - trust is positively associated with both general health and mental health, while mistrust is more powerfully associated with worse mental health; and (2) the effects of individual-level trust and mistrust are dependent on village context - village-level trust substitutes for individual-level trust, while individual-level mistrust interacts positively with village-level mistrust to affect health. However, an unexpected protective health effect of mistrust is found in certain types of villages, and this unique result has yet to be examined. Overall, this study suggests the conceptual difference between trust and mistrust and the differential mechanisms by which trust and mistrust affect health in rural China. It also suggests that effective policies should aim at enhancing trust collectively or reducing mistrust at the personal level to improve health status in rural areas of China.

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  • Wang, Hongmei & Schlesinger, Mark & Wang, Hong & Hsiao, William C., 2009. "The flip-side of social capital: The distinctive influences of trust and mistrust on health in rural China," Social Science & Medicine, Elsevier, vol. 68(1), pages 133-142, January.
  • Handle: RePEc:eee:socmed:v:68:y:2009:i:1:p:133-142
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    2. Xindong Xue & W. Robert Reed, 2015. "The Relationship Between Social Capital And Health In China," Working Papers in Economics 15/05, University of Canterbury, Department of Economics and Finance.
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    5. Airaksinen, Jaakko & Hakulinen, Christian & Elovainio, Marko & Lehtimäki, Terho & Raitakari, Olli T. & Keltikangas-Järvinen, Liisa & Jokela, Markus, 2015. "Neighborhood effects in depressive symptoms, social support, and mistrust: Longitudinal analysis with repeated measurements," Social Science & Medicine, Elsevier, vol. 136, pages 10-16.
    6. Liu, Gordon G. & Xue, Xindong & Yu, Chenxi & Wang, Yafeng, 2016. "How does social capital matter to the health status of older adults? Evidence from the China Health and Retirement Longitudinal Survey," Economics & Human Biology, Elsevier, vol. 22(C), pages 177-189.
    7. Verduin, Femke & Smid, Geert E. & Wind, Tim R. & Scholte, Willem F., 2014. "In search of links between social capital, mental health and sociotherapy: A longitudinal study in Rwanda," Social Science & Medicine, Elsevier, vol. 121(C), pages 1-9.
    8. Agampodi, Thilini Chanchala & Agampodi, Suneth Buddhika & Glozier, Nicholas & Siribaddana, Sisira, 2015. "Measurement of social capital in relation to health in low and middle income countries (LMIC): A systematic review," Social Science & Medicine, Elsevier, vol. 128(C), pages 95-104.
    9. Mohammad Javad Koohsari & Akitomo Yasunaga & Ai Shibata & Kaori Ishii & Rina Miyawaki & Kuniko Araki & Tomoki Nakaya & Tomoya Hanibuchi & Gavin R. McCormack & Koichiro Oka, 2021. "Dog ownership, dog walking, and social capital," Palgrave Communications, Palgrave Macmillan, vol. 8(1), pages 1-6, December.
    10. Ying Liang, 2015. "Correlations Between Health-Related Quality of Life and Interpersonal Trust: Comparisons Between Two Generations of Chinese Rural-to-Urban Migrants," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 123(3), pages 677-700, September.
    11. Seung-Sup Kim & Yeonseung Chung & Melissa J Perry & Ichiro Kawachi & S V Subramanian, 2012. "Association between Interpersonal Trust, Reciprocity, and Depression in South Korea: A Prospective Analysis," PLOS ONE, Public Library of Science, vol. 7(1), pages 1-8, January.
    12. Junling Gao & Scott R Weaver & Hua Fua & Zhigang Pan, 2014. "Does Workplace Social Capital Associate with Hazardous Drinking Among Chinese Rural-Urban Migrant Workers?," PLOS ONE, Public Library of Science, vol. 9(12), pages 1-13, December.
    13. Wang, Ruoxi & Chen, Zhuo & Zhou, Yongjie & Shen, Lining & Zhang, Zhiguo & Wu, Xiang, 2019. "Melancholy or mahjong? Diversity, frequency, type, and rural-urban divide of social participation and depression in middle- and old-aged Chinese: A fixed-effects analysis," Social Science & Medicine, Elsevier, vol. 238(C), pages 1-1.
    14. Wind, Tim R. & Komproe, Ivan H., 2012. "The mechanisms that associate community social capital with post-disaster mental health: A multilevel model," Social Science & Medicine, Elsevier, vol. 75(9), pages 1715-1720.

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