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越南的孕产妇社会资本与儿童健康

Maternal social capital and child health in Vietnam.

作者信息

Harpham Trudy, De Silva Mary J, Tuan Tran

机构信息

London South Bank University, 103 Borough Road, London SE1 OAA, UK.

出版信息

J Epidemiol Community Health. 2006 Oct;60(10):865-71. doi: 10.1136/jech.2005.044883.

Abstract

STUDY OBJECTIVE

To explore the association between maternal social capital and child physical and mental health in Vietnam.

DESIGN

Cross sectional survey. Measures of maternal structural social capital comprised group membership, citizenship, and social support. Measures of cognitive social capital comprised trust, social harmony, sense of fairness, and belonging. Child health was measured by anthropometrics and mothers' reports of acute and chronic physical health problems and child mental health.

PARTICIPANTS

2907 mothers and their 1 year old or 8 year old children from five provinces in Vietnam.

MAIN RESULTS

The study found low levels of group membership and citizenship and high levels of cognitive social capital and support, and generally higher levels of social capital among the mothers of 8 year old compared with 1 year old children. All but one association was in the hypothesised direction (that is, higher levels of social capital associated with reduced risk of child health problems). There were more statistically significant relations between maternal social capital and the health of 1 year olds compared with 8 year old children, and between measures of social support and cognitive social capital and child health, than with group membership and involvement in citizenship activities.

CONCLUSION

This study is the first to explore the association between multiple dimensions of social capital and a range of different child health outcomes in the developing world. These results now need to be tested using longitudinal data.

摘要

研究目的

探讨越南母亲的社会资本与儿童身心健康之间的关联。

设计

横断面调查。母亲结构性社会资本的测量包括群体成员身份、公民身份和社会支持。认知社会资本的测量包括信任、社会和谐、公平感和归属感。儿童健康通过人体测量以及母亲对急性和慢性身体健康问题及儿童心理健康的报告来衡量。

参与者

来自越南五个省份的2907名母亲及其1岁或8岁的孩子。

主要结果

研究发现群体成员身份和公民身份水平较低,认知社会资本和支持水平较高,并且与1岁孩子的母亲相比,8岁孩子的母亲的社会资本总体水平更高。除了一个关联外,所有关联都与假设方向一致(即社会资本水平越高,儿童健康问题风险越低)。与8岁孩子相比,母亲的社会资本与1岁孩子的健康之间、社会支持和认知社会资本的测量与儿童健康之间的统计学显著关系更多,而与群体成员身份和参与公民活动的关系则较少。

结论

本研究首次在发展中世界探讨了社会资本的多个维度与一系列不同儿童健康结果之间的关联。现在需要使用纵向数据对这些结果进行检验。

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