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首页> 外文期刊>Journal of Health Services Research & Policy >The social capital:health relationship in two disadvantaged neighbourhoods
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The social capital:health relationship in two disadvantaged neighbourhoods

机译：两个弱势社区的社会资本：健康关系

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Objectives: Research into the social determinants of health inequalities is increasingly focusing on macro-levelrnforces affecting individuals and communities. The concept of social capital has been at the centre of this research asrna potential explanatory framework for understanding these inequalities. The aim of this study was to identify therncomponents that define social capital and its relationship to self-reported health in two neighbourhoods known tornbe disadvantaged in south-western Sydney.rnMethods: This study uses data from cross-sectional household (door-knock) surveys originally developed asrnevaluation tools for neighbourhood based interventions. Secondary analyses including factor analysis and multiplernregression analysis were used to provide empirical evidence of the components defining social capital and howrnthese, as a concept, were associated with self-reported health.rnResults: The study revealed six common social capital components in each sample and an additional component inrnone neighbourhood. These included neighbourhood attachment, support networks, feelings of trust andrnreciprocity, local engagement, personal attachment to the area, feelings about safety and proactivity in the socialrncontext. The social capital model incorporating demographic and socio-economic characteristics explained 23.4%rnof health variance in one neighbourhood, and 19.3% in the other. Examining the social capital:health relationshiprnrevealed that with the exception of feelings of trust and reciprocity, no other social capital component madernsignificant contributions to explaining health variance and that macro-level factors such as housing conditions andrnemployment opportunities emerged as key explanatory factors.rnConclusion: If interventions are to use social capital as a way of addressing health inequalities, these need to lookrnclosely at the role of trust for improving health outcomes of deprived populations as well as ensuring access tornresources and infrastructure.
机译：目标：对健康不平等的社会决定因素的研究越来越集中在影响个人和社区的宏观力量上。社会资本的概念一直是本研究潜在的解释这些不平等现象的解释框架的核心。这项研究的目的是找出在悉尼西南部两个已知处于不利地位的社区中定义社会资本及其与自我报告的健康之间关系的成分。方法：该研究使用横断面家庭（门铃）调查数据最初开发了基于邻域干预的评估工具。二级分析包括因素分析和多元回归分析，用于提供定义社会资本的要素的经验证据，并将其作为一个概念与自我报告的健康状况相关。结果：该研究揭示了每个样本中有六个共同的社会资本要素其他组件inrnone社区。这些包括邻里依恋，支持网络，信任与互惠的感觉，当地参与，对该地区的个人依恋，对社交环境中的安全性和积极性的感觉。结合了人口和社会经济特征的社会资本模型解释了一个街区23.4％的居民健康差异，另一个街区的19.3％。研究的社会资本：健康关系表明，除了信任和互惠的感觉外，没有其他社会资本成分对解释健康差异做出了重要贡献，诸如住房条件和就业机会等宏观因素成为关键的解释性因素。结论：如果干预措施是利用社会资本来解决健康不平等问题，这些措施需要密切关注信任在改善贫困人口健康状况以及确保获取资源和基础设施方面的作用。

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