Petrou Stavros, Kupek Emil
Health Economics Research Centre, University of Oxford, Old Road Campus, Oxford, UK.
Health Econ. 2008 Jan;17(1):127-43. doi: 10.1002/hec.1242.
Social capital is a concept that attempts to describe the quantity and quality of social interactions in a community. This study explores the relationship between individual measures of social capital and alternative measures of health status within the context of a large national survey of population health. Using data for 13 753 adult participants in the 2003 Health Survey for England, linear regression with weighted least-squares estimation and Tobit regression with upper censoring were used to model the relationship between individual measures of social capital and EQ-5D utility scores. In addition, logistic regression was used to model the relationship between individual measures of social capital and a dichotomous self-reported health status variable. The study demonstrated that low stocks of social capital across the domains of trust and reciprocity, perceived social support and civic participation are significantly associated with poor measures of health status. The implications for health economists and, potentially, for policymakers are discussed.
社会资本是一个试图描述社区中社会互动的数量和质量的概念。本研究在一项关于人口健康的大型全国性调查背景下，探讨了社会资本的个体测量指标与健康状况替代指标之间的关系。利用2003年英格兰健康调查中13753名成年参与者的数据，采用加权最小二乘法估计的线性回归和上删失的托比特回归来模拟社会资本个体测量指标与EQ-5D效用得分之间的关系。此外，采用逻辑回归来模拟社会资本个体测量指标与二分法自我报告健康状况变量之间的关系。研究表明，在信任与互惠、感知到的社会支持和公民参与等领域，社会资本存量低与健康状况不佳显著相关。文中还讨论了对健康经济学家以及潜在的政策制定者的启示。
