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首页> 外文期刊>Annals of epidemiology >U.S. state-level social capital and health-related quality of life: multilevel evidence of main, mediating, and modifying effects.
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U.S. state-level social capital and health-related quality of life: multilevel evidence of main, mediating, and modifying effects.

机译：美国州一级的社会资本和与健康相关的生活质量：主要，中介和调节作用的多级证据。

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PURPOSE: The aim of this study was to investigate the relation between state-level social capital and adult health-related quality of life (HRQOL) in the United States. METHODS: Using data from the 2001 Behavioral Risk Factor Surveillance System survey and other surveys and administrative sources, we conducted a two-level, multivariable analysis of 173,236 adults in 48 U.S. states to estimate the associations of state-level social capital (along two scales) with individual-level self-rated general health and the numbers of recent days of poor physical health, poor mental health, and activity limitation. RESULTS: For each social capital scale, living in a state intermediate or high (vs. low) in social capital was each associated with 10% to 11% lower odds of fair/poor health. Higher state-level social capital also predicted fewer recent days of poor physical and mental health and activity limitation. Differential returns of social capital to HRQOL according to state-level mean income and individual-level age and race/ethnicity were observed. Furthermore, evidence was found compatible with mediation by social capital of income inequality effects on HRQOL. CONCLUSIONS: This study yields new evidence consistent with protective effects of state-level social capital on individual HRQOL. Promoting social capital may provide a means of improving the health-related quality of life of Americans.
机译：目的：本研究的目的是调查美国州级社会资本与成人健康相关生活质量（HRQOL）之间的关系。方法：使用2001年行为风险因素监视系统调查以及其他调查和行政来源的数据，我们对美国48个州的173,236名成年人进行了两级，多变量分析，以评估州级社会资本的关联（包括两个量表） ）的个人健康状况，以及最近几天身体状况不佳，心理状况不佳和活动受限的天数。结果：对于每个社会资本规模，生活在社会资本处于中级或较高（相对较低）的州，其享有的公平/不良健康几率均降低10％至11％。较高的州级社会资本也预示了近日出现的身心健康和活动受限的情况将有所减少。观察到根据州平均收入和个人年龄以及种族/民族，社会资本向HRQOL的不同回报。此外，发现证据与收入不平等对HRQOL的影响的社会资本调解兼容。结论：本研究产生了与国家层面的社会资本对个人HRQOL的保护作用相一致的新证据。促进社会资本可能提供改善美国人健康相关生活质量的手段。

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