Taylor Anne W, Williams Carmel, Dal Grande Eleonora, Herriot Michelle
Population Research and Outcome Studies, SA Department of Health, PO Box 287, Rundle Mall, Adelaide, 5000, Australia.
Aust New Zealand Health Policy. 2006 Apr 21;3:2. doi: 10.1186/1743-8462-3-2.
To assess the social capital profile of a known disadvantaged area a large cross-sectional survey was undertaken. The social capital profile of this area was compared to data from the whole of the state. The overall health status of the disadvantaged area was assessed in relation to a wide variety of social capital related variables. Univariate and multivariate analysis were undertaken.
In the univariate analysis many statistically significant differences were found between the respondents in the disadvantaged area and the state estimates including overall health status, perceived attributes of the neighbourhood, levels of trust, community involvement and social activities. In the multivariate analysis very few variables were found to be statistically significantly associated with poorer health status. The variables that jointly predicted poorer health status in the disadvantaged area were older age, lower income, low sport participation, non-seeking help from neighbours and non-attendance at public meetings.
Measuring social capital on a population level is complex and the use of epidemiologically-based population surveys does not produce overly valuable results. The inter-relational/dependence dichotomy of social capital is not yet fully understood making meaningful measurement in the broader population extremely difficult and hence is of questionable value for policy decision making.
为评估一个已知的贫困地区的社会资本状况,开展了一项大型横断面调查。将该地区的社会资本状况与全州的数据进行了比较。根据一系列与社会资本相关的变量评估了贫困地区的总体健康状况。进行了单变量和多变量分析。
在单变量分析中,发现贫困地区的受访者与全州估计值之间存在许多统计学上的显著差异,包括总体健康状况、对邻里的感知属性、信任水平、社区参与和社会活动。在多变量分析中,发现很少有变量与较差的健康状况存在统计学上的显著关联。在贫困地区共同预测较差健康状况的变量是年龄较大、收入较低、体育参与度低、不向邻居求助以及不参加公众会议。
在人群层面测量社会资本很复杂,基于流行病学的人群调查并不能产生非常有价值的结果。社会资本的相互关系/依赖二分法尚未得到充分理解,这使得在更广泛人群中进行有意义的测量极其困难,因此对政策决策的价值值得怀疑。