• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>SSM - Population Health >Promoting health equity through social capital in deprived communities: a natural policy experiment in Trieste, Italy
【24h】

Promoting health equity through social capital in deprived communities: a natural policy experiment in Trieste, Italy

机译：通过剥夺社区的社会资本促进健康股权：意大利里雅斯特的自然政策实验

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

The Trieste Habitat Micro-area Programme (HMP), an innovative social-health service policy, has offered a natural experiment to empirically evaluate the social mechanisms through which social capital may have an impact on health inequalities. To date, literature clarifying this causal chain is scanty. This empirical study tested the following hypotheses: H1) innovative social-health practices can activate social mechanisms intentionally and systematically so as to generate social capital; H2) such social mechanisms increase specific properties of social capital, in particular those influencing more vulnerable individuals’ relationships; H3) investing in these properties can enhance capabilities and, consequently, control over the health of more vulnerable individuals.The study was carried out during 2016–2018 and used both qualitative and quantitative methods. The qualitative part investigated the field experience of the HMP through interviews, focus groups and workshops with HMP professionals. The quantitative part assessed the effect HMP might have on these properties and the capacity to face health risks of more vulnerable individuals. Three samples, each of 200 individuals, residing in the target and in control areas were interviewed using a semi-structured questionnaire. One control sample was matched to the 200 treated subjects using a Propensity Score Matching.The results of the study suggest that the HMP intervention stimulated the development of empowerment, collaboration and interdependence among vulnerable people. This produced an increase in their social capital under several aspects, including enhanced trust, network extension and participation, cooperation and reciprocal help with neighbours, as well as improving their judgement on quality, timing and efficacy of the help received from institutions, relatives or friends. These findings show that socially shared relationships can create innovative local models of a universalistic generative welfare system, which would be both inclusive and able to enhance individual capabilities. These models could be disseminated and carried over to other contexts.
机译：这是一个创新的社会卫生服务政策的里雅斯特栖息地微区域计划（HMP）已经提供了一种自然的实验，以凭经验评估社会资本可能对健康不平等产生影响的社会机制。迄今为止，澄清这种因果链的文献很少。该实证研究测试了以下假设：H1）创新的社会健康实践可以故意和系统地激活社会机制，以产生社会资本; H2）这种社会机制增加了社会资本的具体性质，特别是那些影响更脆弱的个人关系的人; H3）投资这些性质可以增强能力，从而控制更脆弱的人的健康。在2016 - 2018年期间进行了研究，并使用了定性和定量方法。定性部分通过采访，焦点小组和惠普专业人士的讲习班调查了氟氯烃的现场经验。评估HMP的定量部分可能对这些性质以及面对更脆弱的人的健康风险的能力。使用半结构化问卷对象，居住在目标和控制区域中的三个样本，每个200个人，居住在目标和控制区域中。使用倾向得分匹配与200个治疗的受试者匹配一个对照样品。该研究的结果表明，HMP干预刺激了脆弱人群的赋权，合作和相互依存的发展。这在若干方面产生了社会资本的增加，包括增强的信托，网络延伸和参与，合作和互惠帮助，以及提高他们对机构，亲戚或朋友的帮助的质量，时间和功效的判断。这些调查结果表明，社会共享的关系可以创造一个普遍的生成福利系统的创新本地模型，这都是包容性的，可以增强个别能力。这些模型可以传播和携带到其他环境。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号