健康行为是否介导了社会资本与健康之间的关联？
Do health behaviors mediate the association between social capital and health?
作者信息
Poortinga Wouter
机构信息
Welsh School of Architecture, Cardiff University, Bute Building, King Edward VII Avenue, Cardiff, Wales, CF10 3NB, UK.
出版信息
Prev Med. 2006 Dec;43(6):488-93. doi: 10.1016/j.ypmed.2006.06.004. Epub 2006 Jul 24.
INTRODUCTION
There is increasing evidence that social capital is important for people's health. However, there is still considerable disagreement about the specific pathways that links social capital to health. This study investigates the hypothesis that the association between social capital and health is mediated by people's health behaviors.
METHOD
Data from the 2002 Health Survey for England (n = 7394) were used and analyzed from a multilevel perspective. The association between social capital and self-rated health were examined before and after controlling for smoking, alcohol intake, and fruit/vegetable consumption.
RESULTS
Social capital was found to be associated with self-rated health, as well as with the different health behaviors. In addition, the health behaviors were significantly related to self-rated health. However, controlling for smoking, alcohol intake, and fruit/vegetable consumption did not substantially affect the association between social capital and self-rated health.
CONCLUSIONS
The results demonstrate that social capital and support are important determinants of self-rated health and health behaviors. But only limited support was found for the hypothesis that health behaviors mediate the association between social capital and health.
引言
越来越多的证据表明社会资本对人们的健康很重要。然而，关于将社会资本与健康联系起来的具体途径仍存在相当大的分歧。本研究调查了这样一种假设，即社会资本与健康之间的关联是由人们的健康行为介导的。
方法
使用了来自2002年英格兰健康调查的数据（n = 7394），并从多层次角度进行分析。在控制吸烟、饮酒和水果/蔬菜消费前后，检验了社会资本与自评健康之间的关联。
结果
发现社会资本与自评健康以及不同的健康行为相关。此外，健康行为与自评健康显著相关。然而，控制吸烟、饮酒和水果/蔬菜消费并没有实质性地影响社会资本与自评健康之间的关联。
结论
结果表明社会资本和支持是自评健康和健康行为的重要决定因素。但对于健康行为介导社会资本与健康之间关联的假设，仅获得了有限的支持。
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