Stoyanova Alexandrina, Díaz-Serrano Luis
Departament de Teoria Econòmica, Universitat de Barcelona, España.
Gac Sanit. 2009 Dec;23 Suppl 1:93-9. doi: 10.1016/j.gaceta.2009.08.003. Epub 2009 Nov 18.
This study attempts to create a bridge between the literature on immigration and on social capital and health. The objectives were two-fold: firstly, to provide new empirical evidence on the association between social capital and health, using data from Catalonia for the first time and, secondly, to explore the possible existence of a differential impact of social capital on health between native-born residents and immigrants. We also distinguished between individual and community-level social capital.
We used the 2006 Catalan Health Survey (ESCA 2006). To assess the relationship between social capital and mental health, we used multilevel models, estimated separately for native-born and immigrant residents.
The results revealed a positive link between social capital and good mental health in Catalonia. However, this effect was stronger for individual than for community-level social capital. The results did not support the hypothesis of a differential impact between immigrants and native-born Catalans, but did indicate differences with respect to Spaniards born outside Catalonia. Geographic heterogeneity in the effect of individual social capital on mental health in both immigrants and native-born residents was also detected.
We believe that enhancing social capital could potentially be an effective policy tool to achieve objectives related to health status improvement.
本研究试图在移民、社会资本与健康方面的文献之间搭建一座桥梁。目标有两个:其一,首次使用加泰罗尼亚的数据,为社会资本与健康之间的关联提供新的实证证据;其二,探讨社会资本对本地居民和移民健康的影响可能存在的差异。我们还区分了个体层面和社区层面的社会资本。
我们使用了2006年加泰罗尼亚健康调查(ESCA 2006)。为评估社会资本与心理健康之间的关系,我们使用了多层次模型,分别对本地居民和移民进行估计。
结果显示,加泰罗尼亚的社会资本与良好的心理健康之间存在积极联系。然而,这种影响在个体层面的社会资本上比在社区层面的社会资本上更强。结果不支持移民与加泰罗尼亚本地出生者之间存在差异影响的假设,但确实表明与加泰罗尼亚以外出生的西班牙人存在差异。还检测到个体社会资本对移民和本地居民心理健康影响的地理异质性。
我们认为,增强社会资本可能是实现与改善健康状况相关目标的有效政策工具。