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首页> 外文期刊>Social science and medicine >The importance of gender and conceptualization for understanding the association between collective social capital and health: a multilevel analysis from northern Sweden.
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The importance of gender and conceptualization for understanding the association between collective social capital and health: a multilevel analysis from northern Sweden.

机译:性别和概念化对于理解集体社会资本与健康之间关系的重要性:瑞典北部的多层次分析。

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Growing research on social capital and health has fuelled the debate on whether there is a place effect on health. A central question is whether health inequality between places is due to differences in the composition of people living in these places (compositional effect) or differences in the local social and physical environments (contextual effects). Despite extensive use of multilevel approaches that allows controlling for whether the effects of collective social capital are confounded by access to social capital at the individual level, the picture remains unclear. Recent studies indicate that contextual effects on health may vary for different population subgroups and measuring "average" contextual effects on health for a whole population might therefore be inappropriate. In this study from northern Sweden, we investigated the associations between collective social capital and self-rated health for men and women separately, to understand if health effects of collective social capital are gendered. Two measures of collective social capital were used: one conventional measure (aggregated measures of trust, participation and voting) and one specific place-related (neighbourhood) measure. The results show a positive association between collective social capital and self-rated health for women but not for men. Regardless of the measure used, women who live in very high social capital neighbourhoods are more likely to rate their health as good-fair, compared to women who live in very low social capital neighbourhoods. The health effects of collective social capital might thus be gendered in favour for women. However, a more equal involvement of men and women in the domestic sphere would potentially benefit men in this matter. When controlling for socioeconomic, sociodemographic and social capital attributes at the individual level, the relationship between women's health and collective social capital remained statistically significant when using the neighbourhood-related measure but not when using the conventional measure. Our results support the view that a neighbourhood-related measure provides a clearer picture of the health effects of collective social capital, at least for women.
机译:关于社会资本和健康的研究不断增加,引发了关于是否对健康产生地方影响的辩论。一个中心问题是,地点之间的健康不平等是由于居住在这些地点的人们的构成差异(构成影响)还是当地社会和自然环境的差异(环境影响)引起的。尽管广泛使用了多级方法,可以控制集体社会资本的效果是否与个人层面上获得社会资本的产生相混淆,但情况尚不清楚。最近的研究表明,不同人群对健康的背景影响可能会有所不同,因此测量整个人群对健康的“平均”背景影响可能是不合适的。在这项来自瑞典北部的研究中,我们分别研究了集体社会资本与男女自我评估健康之间的联系,以了解集体社会资本对健康的影响是否具有性别差异。使用了两种集体社会资本度量:一种常规度量(信任,参与和投票的总计度量)和一种特定于场所的(邻里)度量。结果表明,女性的集体社会资本与自我评价的健康之间呈正相关,而男性则没有。不管采用何种措施,与生活在社会资本很少的社区的妇女相比,生活在社会资本非常高的社区的妇女更有可能将其健康评价为良好。因此,集体社会资本对健康的影响可能会按性别分列,以有利于妇女。但是,男女在家庭领域的更平等参与可能会在这个问题上使男人受益。当控制个人层面的社会经济,社会人口统计学和社会资本属性时,在使用与邻里有关的措施时,妇女健康状况与集体社会资本之间的关系在统计上仍然很重要,而在使用常规措施时则没有。我们的结果支持这样一种观点,即与邻里有关的措施至少对于妇女而言,提供了更清晰的集体社会资本对健康的影响的图景。

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