Khawaja Marwan, Mowafi Mona
Center for Research on Population and Health, Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
Scand J Public Health. 2007;35(5):475-80. doi: 10.1080/14034940701256958.
This study extends research on the social determinants of health by exploring the association between a new, potentially very significant dimension, cultural capital by type, and self-rated health among low-income women living in outer Beirut, Lebanon.
Self-rated general health was assessed using household data from a cross-sectional survey of 1869 women, conducted in 2003. Three types of cultural capital were included: watching cultural TV programs, producing art (e.g. drawing, theatre performance), and consuming art or literature (e.g. attending exhibitions, reading literary books). Associations between self-rated health status and types of cultural capital were assessed using odds ratios from binary logistic regression models.
With the exception of art production, lack of cultural capital increased the odds of self-perceived poor health status adjusting for sociodemographics and other risk factors. The adjusted odds ratios were 1.86 (95% CI 1.07-3.22) for not watching cultural TV programs and 1.52 (95% CI 1.12-2.06) for not consuming art. As expected, health-risk factors, age, social support, and community of residence were also associated with health status.
Two types of cultural capital were strong predictors of self-perceived health status among women living in poor urban communities, regardless of social capital, income, and other relevant risk factors.
本研究通过探讨一种新的、可能非常重要的维度——按类型划分的文化资本，与居住在黎巴嫩贝鲁特郊区的低收入女性的自评健康之间的关联，扩展了对健康的社会决定因素的研究。
使用2003年对1869名女性进行的横断面调查的家庭数据评估自评总体健康状况。纳入了三种类型的文化资本：观看文化类电视节目、进行艺术创作（如绘画、戏剧表演）以及消费艺术或文学作品（如参观展览、阅读文学书籍）。使用二元逻辑回归模型的比值比评估自评健康状况与文化资本类型之间的关联。
除了艺术创作外，在对社会人口统计学和其他风险因素进行调整后，缺乏文化资本会增加自我感觉健康状况不佳的几率。不观看文化类电视节目的调整后比值比为1.86（95%置信区间1.07 - 3.22），不消费艺术作品的调整后比值比为1.52（95%置信区间1.12 - 2.06）。正如预期的那样，健康风险因素、年龄、社会支持和居住社区也与健康状况相关。
对于生活在贫困城市社区的女性，无论社会资本、收入和其他相关风险因素如何，两种类型的文化资本都是自我感觉健康状况的有力预测因素。
