Vốn xã hội như một yếu tố quyết định sức khỏe tự đánh giá và phúc lợi tâm lý

International Journal of Public Health - Tập 55 - Trang 531-542 - 2010
Tarja Nieminen1, Tuija Martelin2, Seppo Koskinen1, Hillevi Aro3, Erkki Alanen4, Markku T. Hyyppä4
1Department of Health, Functional Capacity and Welfare, National Institute for Health and Welfare (THL), Helsinki, Finland
2Thematic Programmes Unit, National Institute for Health and Welfare (THL), Helsinki, Finland
3Department of Mental Health and Substance Abuse Services, National Institute for Health and Welfare (THL), Helsinki, Finland
4Department of Chronic Disease Prevention, National Institute for Health and Welfare (THL), Turku, Finland

Tóm tắt

Nghiên cứu nhằm xem xét liệu các khía cạnh cụ thể của vốn xã hội có liên quan đến sức khỏe tự đánh giá và phúc lợi tâm lý hay không. Dữ liệu cắt ngang từ một cuộc khảo sát sức khỏe đại diện cho dân số người lớn Phần Lan (N = 8,028) đã được sử dụng. Phân tích hồi quy logistic được sử dụng để phát hiện và định lượng các mối liên hệ có thể có giữa ba khía cạnh của vốn xã hội (hỗ trợ xã hội; tham gia xã hội và mạng lưới; niềm tin và sự hồi báo) và hai chỉ số sức khỏe chung (sức khỏe tự đánh giá và phúc lợi tâm lý). Các yếu tố như tuổi tác, giới tính, trình độ học vấn, điều kiện sống, thu nhập, loại khu vực, khả năng chức năng, và bệnh mãn tính cũng được đánh giá. Sức khỏe tự đánh giá tốt có liên quan đến mức độ tham gia xã hội và mạng lưới cao cùng với niềm tin và sự hồi báo, nhưng hỗ trợ xã hội không còn duy trì ý nghĩa thống kê sau khi điều chỉnh cho các yếu tố xã hội-dân số, bệnh mãn tính, và khả năng chức năng. Mối liên hệ giữa hỗ trợ xã hội và phúc lợi tâm lý được giải thích bởi hai khía cạnh còn lại của vốn xã hội. Mối liên hệ tích cực mạnh mẽ giữa niềm tin và phúc lợi tâm lý vẫn tồn tại sau khi kiểm soát cho tất cả các yếu tố khác trong mô hình của chúng tôi. Những phát hiện của chúng tôi gợi ý rằng niềm tin và sự hồi báo cùng với việc tham gia xã hội và mạng lưới có ảnh hưởng tích cực đến sức khỏe tự đánh giá và phúc lợi tâm lý.

Từ khóa

#vốn xã hội #sức khỏe tự đánh giá #phúc lợi tâm lý #hỗ trợ xã hội #tham gia xã hội #niềm tin #sự hồi báo

Tài liệu tham khảo

Almedom AM (2005) Social capital and mental health: An interdisciplinary review of primary evidence. Soc Sci Med 61:943–964 Aromaa A, Koskinen S (eds) (2004) Health and functional capacity in Finland. Baseline results of the Health 2000 health examination survey. Publications of the National Public Health Institute B12, Helsinki. http://www.terveys2000.fi. Accessed 11 March 2010 Bolin K, Lindgren B, Lindström M, Nystedt P (2003) Investments in social capital-implications of social interactions for the production of health. Soc Sci Med 56:2379–2390 Bourdieu P (1986) The forms of capital. In: Richardsson JG (ed) Handbook of theory and research for the sociology of education. Greenwood Press, New York, pp 241–258 Brehm J, Rahn W (1997) Individual-level evidence for the causes and consequences of social capital. Am J Pol Sci 41:999–1023 Bygren LO, Konlaan BB, Johansson SE (1996) Attendance at cultural events, reading books or periodicals, and making music or singing in a choir as determinants for survival: Swedish interview survey of living conditions. BMJ 313:1577–1580 Callaghan P, Morrissey J (1993) Social support and health: a review. J Adv Nurs 18:203–210 Cobb S (1976) Social support as a moderator of life stress. Psychosom Med 38:300–314 Dalgard OS, Håheim LL (1998) Psychosocial risk factors and mortality: prospective study with special focus on social support, social participation and locus control in Norway. J Epidemiol Community Health 52:476–481 De Silva MJ, McKenzie K, Harpham T, Huttly SR (2005) Social capital and mental illness: a systematic review. J Epidemiol Community Health 59:619–627 De Silva MJ, Huttly SR, Harpham T, Kenward MG (2007) Social capital and mental health: a comparative analysis of four low income countries. Soc Sci Med 64:5–20 Djerf K, Laiho J, Lehtonen R, Härkänen T, Knekt P (2008) Weighting and statistical analysis. In Heistaro S (ed) Methodology report, Health 2000 Survey. Publications of the National Public Health Institute B26/2008, Helsinki, pp 182–200 Eller M, Holle R, Landgraf R, Mielck A (2008) Social network effect on self-rated in type 2 diabetic patients—results from a longitudinal population-based study. Int J Public Health 53:188–194 Goldberg DP (1972) The detection of psychiatric illness by questionnaire. Maudsley Monograph No 21. Oxford University Press, Oxford Harpham T, Grant E, Thomas E (2002) Measuring social capital within health surveys: key issues. Health Policy Plan 17:106–111 Heistaro S (ed) (2008) Methodology report, Health 2000 Survey. Publications of the National Public Health Institute B26/2008, Helsinki. http://www.terveys2000.fi/doc/methodologyrep.pdf. Accessed 11 March 2010 Hodiamont PP, Rijnders CA, Mulder J, Furer JW (2005) Psychiatric disorders in a Dutch health area: a repeated cross-sectional survey. J Affect Disord 84:77–83 Hyyppä MT, Mäki J (2001) Individual-level relationships between social capital and self-related health in a bilingual community. Prev Med 32:148–155 Hyyppä MT, Mäki J, Impivaara O, Aromaa A (2007) Individual-level measures of social capital as predictors of all-cause and cardiovascular mortality: a population-based prospective study of men and women in Finland. Eur J Epidemiol 22:589–597 Iisakka L (ed) (2006) Social capital in Finland—statistical review. Statistics Finland, Helsinki Joutsenniemi K, Martelin T, Martikainen P, Pirkola S, Koskinen S (2006) Living arrangements and mental health in Finland. J Epidemiol Community Health 60:468–475 Kawachi I, Kennedy BP (1997) Health and social cohesion: why care about income inequality? BMJ 314:1037–1040 Kawachi I, Kennedy BP, Lochner K, Prothrow-Stith D (1997) Social capital, income inequality and mortality. Am J Public Health 87:1491–1498 Kawachi I, Kennedy BP, Glass R (1999) Social capital and self-rated health: a contextual analysis. Am J Public Health 89:1187–1193 Kennelly B, O’Shea E, Garvey E (2003) Social capital, life expectancy and mortality: a cross-national examination. Soc Sci Med 56:2367–2377 Kim D, Subramanian SV, Kawachi I (2008) Social capital and physical health. A systematic review of the literature. In: Kawachi I, Subramanian SV, Kim D (eds) Social capital and health. Springer, New York, p 150 Laiho J, Djerf K, Lehtonen R (2008) Sampling design. In Heistaro S (ed) Methodology report, Health 2000 Survey. Publications of the National Public Health Institute B26/2008, Helsinki, pp 13–15 Leavy RL (1983) Social support and psychological disorder: a review. J Community Psychol 11:3–21 Lin N (1999) Building a network theory of social capital. Connections 22:28–51 Lindström M (2004) Social capital, the miniaturization of community and self-reported global and psychological health. Soc Sci Med 59:595–607 Liu G, Zhang Z (2004) Socio-demographic differentials of the self-rated health of the oldest-old Chinese. Popul Res Policy Rev 23:117–133 Lochner K, Kawachi I, Kennedy BP (1999) Social capital: a guide to its measurement. Health Place 5:259–270 Macintyre S (1992) The effects of family position and status on health. Soc Sci Med 35:453–464 Mackenbach JP, Van den Bos J, Joung IMA, van de Mheen H, Stronks K (1994) The determinants of excellent health: different from the determinants of ill-health. Int J Epidemiol 23:1273–1281 Manderbacka K (1998a) Examining what self-rated health question is understood to mean by respondents. Scand J Soc Med 26:145–153 Manderbacka K (1998b) Questions on survey questions on health. Dissertation, Swedish Institute for social research 30, Stockholm, Swedish Institute for social research McOrmond T, Babb P (2005) Conseptualising and defining social capital with a policy relevant focus. Paper in Siena Group meeting in Finland. http://www.stat.fi/sienagroup2005/trish.pdf. Accessed 11 March 2010 Nieminen T, Martelin T, Koskinen S, Simpura J, Alanen E, Härkänen T, Aromaa A (2008) Measurement and socio-demographic variation of social capital in a large population-based survey. Soc Indic Res 85:405–423 Nummela O, Sulander T, Karisto A, Uutela A (2009) Self-rated health and social capital among aging people across the urban-rural dimension. Int J Behav Med 16:189–194 Onyx J, Bullen P (2000) Sources of social capital. In: Winter I (ed) Social capital and public policy in Australia. Australian Institute of Family Studies, Melbourne, pp 105–134 Paxton P (1999) Is social capital declining in the United States? A multiple indicator assessment. Am J Sociol Suppl 105:88–127 Pevalin DJ (2000) Multiple applications of the GHQ-12 in a general population sample: an investigation of long-term retest effects. Soc Psychiatry Psychiatr Epidemiol 35:508–512 Pevalin DJ, Rose D (2003) Social capital for health. Investigating the links between social capital and health using the British Household Panel Survey. Health Development Agency. Institute for Social and Economic Research University of Essex Phongsavan P, Chey T, Bauman A, Brooks R, Silove D (2006) Social capital, socio-economic status and psychological distress among Australian adults. Soc Sci Med 63:2546–2561 Poortinga W (2006a) Social capital: an individual or collective resource for health? Soc Sci Med 62:292–302 Poortinga W (2006b) Social relations or social capital? Individual and community health effects of bonding social capital. Soc Sci Med 62:292–302 Poortinga W (2006c) Do health behaviours mediate the association between social capital and health? Prev Med 43:488–493 Portes A (1998) Social capital: its origins and application in modern sociology. Ann Rev Sociol 24:1–24 Putnam R (2000) Bowling alone—the collapse and revival of American community. Simon & Schuster, New York Research Triangle Institute (2001) SUDAAN User’s Manual, Release 8.0. Research Triangle Institute, Research Triangle Park Rostila M (2006) Social capital and health in the Swedish welfare state. In: Frizell J, Lundberg O (eds) Health inequalities and welfare resources—continuity and change in Sweden. Policy Press, Bristol, pp 157–177 Sirven N (2006) Endogenous social capital and self-rated health: cross-sectional data from rural areas of Madagascar. Soc Sci Med 63:1489–1502 Sundquist K, Lindström M, Malmström M, Johansson S-E, Sundquist J (2004) Social participation and coronary heart disease: a follow-up study of 6,900 women and men in Sweden. Soc Sci Med 58:615–622 Turner RJ, Turner JB (1999) Social integration and support. In: Aneshensel CS, Phelan JC (eds) Handbook of the sociology of mental health. Kluwer/Plenum Publishers, New York Veenstra G (2000) Social capital, SES and health: an individual-level analysis. Soc Sci Med 50:619–629 von dem Knesebeck O, Verde PE, Dragano N (2006) Education and health in 22 European countries. Soc Sci Med 63:1344–1351 Zukewich N, Norris D (2005). National experiences and international harmonization in social capital measurement: a beginning. Paper in Siena Group meeting in Finland. http://www.stat.fi/sienagroup2005/douglas1.pdf. Accessed 11 March 2010