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瑞典单亲父母与双亲父母之间的社会资本与健康不平等

Social capital and inequality in health between single and couple parents in Sweden.

作者信息

Westin Marcus, Westerling Ragnar

机构信息

Department of Public Health and Caring Sciences, Uppsala University, Sweden.

出版信息

Scand J Public Health. 2007;35(6):609-17. doi: 10.1080/14034940701362806.

Abstract

AIMS

To study whether social capital is associated with health among parents and if so, whether existing inequalities in health between single and couple parents could be better understood by introducing social capital as a possible mechanism for how health is distributed.

MATERIAL AND METHODS

At total of 2,500 parents with children in the age range of 4-16 years were randomized from existing national registers and asked to participate in a nationally distributed postal questionnaire; 1,589 parents participated (277 single and 1,312 couple), giving a response rate of 64%. The questionnaire contained questions regarding sociodemographic and socioeconomic characteristics, self-rated health, emotional and instrumental social support, civic and social participation, and trust. Social capital was measured by different levels of civic and social participation and trust. A multivariate analysis was used in order to find possible associations between social capital and health, when adjusted for social support, sociodemographic and socioeconomic characteristics.

RESULTS

A low level of social capital (both social participation and trust), when adjusted for social support, socioeconomic and sociodemographic variables, was clearly and positively associated with less than good self-rated health. Social capital was unevenly distributed between single and couple mothers.

CONCLUSIONS

Social capital is positively associated with self-rated health, at an individual level. The uneven distribution of social capital between single and couple mothers may be of some importance when trying to further understand and possibly alter the inequality in health that exists between single and couple parents.

摘要

目的

研究社会资本是否与父母的健康状况相关,若相关,将社会资本作为健康状况分布的一种可能机制引入,是否能更好地理解单亲父母与双亲父母之间现有的健康不平等问题。

材料与方法

从现有的国家登记册中随机抽取2500名子女年龄在4至16岁之间的父母,并要求他们参与一份全国范围内发放的邮政调查问卷;1589名父母参与了调查(277名单亲父母和1312名双亲父母),回复率为64%。问卷包含有关社会人口统计学和社会经济特征、自评健康状况、情感和工具性社会支持、公民和社会参与以及信任的问题。社会资本通过不同层面的公民和社会参与以及信任来衡量。在对社会支持、社会人口统计学和社会经济特征进行调整后,采用多变量分析以找出社会资本与健康之间可能存在的关联。

结果

在对社会支持、社会经济和社会人口统计学变量进行调整后,低水平的社会资本(包括社会参与和信任)与自评健康状况不佳呈明显的正相关。社会资本在单亲母亲和双亲母亲之间分布不均。

结论

在个体层面,社会资本与自评健康状况呈正相关。在试图进一步理解并可能改变单亲父母与双亲父母之间存在的健康不平等现象时,单亲母亲和双亲母亲之间社会资本的不均衡分布可能具有一定重要性。

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