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Does community capacity influence self-rated health? Multilevel contextual effects in Seoul, Korea

Listed author(s):
  • Jung, Minsoo
  • Viswanath, K.
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    This study examined the relationship between community-level contextual effects and self-rated health (SRH) based on the perspective of community capacity rather than social capital. Community capacity for mobilization is broad cooperation for networking among indigenous social agents and grassroots organizations that may serve as potential resources. The idea of community capacity is rooted in the philosophy that a community not only faces problems but also possesses the necessary resources to solve its problems. We used nationally representative data from South Korea, 2010, drawing on 14,228 residents in 404 communities. Community capacity was measured at two levels: an individual-level indicator of community satisfaction, and community-level indicators of participation rate in community organizations, number of community-based organizations (CBOs), and number of volunteer work camps (VWCs). The outcome variable was SRH, which was categorized into two groups: the low-SRH and high-SRH groups. Confounders included gender, age, and income at the individual level, and aggregate length of residency, financial independence ratio, and aggregate income at the community level. We estimated the effects of community capacity on SRH using hierarchical generalized linear models. The likelihood of belonging to the group having low-SRH is significantly high among those respondents living in places with lower community capacity at the community level, that report lower community satisfaction, and that have lower income at the individual level. After controlling for socio-economic confounders, the odds ratios were attenuated but remained significant in the final model, which included the gender-specific model. This study revealed that SRH is related to the level of community capacity for mobilization. It is probably because CBOs and VWCs not only provide necessary information and complementary services but also play an active role in identifying and resolving health problems therein. Thus, community capacity building warrants serious consideration for a community-based health promotion.

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    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 77 (2013)
    Issue (Month): C ()
    Pages: 60-69

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    Handle: RePEc:eee:socmed:v:77:y:2013:i:c:p:60-69
    DOI: 10.1016/j.socscimed.2012.11.005
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    1. Hawe, Penelope & Shiell, Alan, 2000. "Social capital and health promotion: a review," Social Science & Medicine, Elsevier, vol. 51(6), pages 871-885, September.
    2. Prata, Ndola & Ejembi, Clara & Fraser, Ashley & Shittu, Oladapo & Minkler, Meredith, 2012. "Community mobilization to reduce postpartum hemorrhage in home births in northern Nigeria," Social Science & Medicine, Elsevier, vol. 74(8), pages 1288-1296.
    3. 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.
    4. Fagg, James & Curtis, Sarah & Stansfeld, Stephen A. & Cattell, Vicky & Tupuola, Ann-Marie & Arephin, Muna, 2008. "Area social fragmentation, social support for individuals and psychosocial health in young adults: Evidence from a national survey in England," Social Science & Medicine, Elsevier, vol. 66(2), pages 242-254, January.
    5. Snelgrove, John W. & Pikhart, Hynek & Stafford, Mai, 2009. "A multilevel analysis of social capital and self-rated health: Evidence from the British Household Panel Survey," Social Science & Medicine, Elsevier, vol. 68(11), pages 1993-2001, June.
    6. Draper, Alizon Katharine & Hewitt, Gillian & Rifkin, Susan, 2010. "Chasing the dragon: Developing indicators for the assessment of community participation in health programmes," Social Science & Medicine, Elsevier, vol. 71(6), pages 1102-1109, September.
    7. Giordano, Giuseppe Nicola & Björk, Jonas & Lindström, Martin, 2012. "Social capital and self-rated health – A study of temporal (causal) relationships," Social Science & Medicine, Elsevier, vol. 75(2), pages 340-348.
    8. Verhaeghe, Pieter-Paul & Tampubolon, Gindo, 2012. "Individual social capital, neighbourhood deprivation, and self-rated health in England," Social Science & Medicine, Elsevier, vol. 75(2), pages 349-357.
    9. Carpiano, Richard M., 2006. "Toward a neighborhood resource-based theory of social capital for health: Can Bourdieu and sociology help?," Social Science & Medicine, Elsevier, vol. 62(1), pages 165-175, January.
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