Department of Community and Global Health, Graduate School of Medicine, the University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan.
BMC Public Health. 2011 Apr 1;11:206. doi: 10.1186/1471-2458-11-206.
Social capital has been recognized as a major social determinant of health, but less attention has been given to social capital of persons with musculoskeletal impairments. The present study aimed to explore the associations between social capital and life satisfaction of persons with musculoskeletal impairments in Hanoi, Vietnam.
A cross-sectional study was conducted in Hanoi, Vietnam. From June to July 2008, we collected data from 136 persons with musculoskeletal impairments who belonged to disabled people's groups. Social capital was measured using a short version of the Adapted Social Capital Assessment Tool that included group membership, support from groups, support from individuals, citizenship activities, and cognitive social capital. Life satisfaction was measured using the Satisfaction with Life Scale. As possible confounding factors, we measured socio-economic factors and disability-related factors such as activities of daily living.
After controlling for confounding effects, group membership remained significantly associated with the level of life satisfaction reported by the persons with musculoskeletal impairments. In particular, being an active member of two or more groups was associated with higher life satisfaction. In contrast, other components of social capital such as citizenship activities and cognitive social capital were not significant in the multiple regression analysis of this study.
The findings suggest the importance of considering an active participation in multiple groups toward the enhancement of the life satisfaction among persons with musculoskeletal impairments. To encourage persons with musculoskeletal impairments to have multiple active memberships, their access to groups should be facilitated and enhanced.
社会资本已被公认为健康的主要社会决定因素之一，但对于骨骼肌肉损伤者的社会资本关注较少。本研究旨在探索越南河内骨骼肌肉损伤者的社会资本与生活满意度之间的关系。
本研究为横断面研究，于 2008 年 6 月至 7 月在越南河内进行。我们收集了属于残疾人组织的 136 名骨骼肌肉损伤者的数据。使用改良的社会资本评估工具的简短版本来衡量社会资本，其中包括团体成员身份、团体支持、个人支持、公民活动和认知社会资本。使用生活满意度量表来衡量生活满意度。作为可能的混杂因素，我们测量了社会经济因素和与残疾相关的因素，如日常生活活动。
在控制混杂效应后，团体成员身份与骨骼肌肉损伤者报告的生活满意度水平仍然显著相关。特别是，积极参与两个或更多团体与更高的生活满意度相关。相比之下，本研究的多元回归分析中，其他社会资本组成部分，如公民活动和认知社会资本并不显著。
研究结果表明，考虑积极参与多个团体对于提高骨骼肌肉损伤者的生活满意度非常重要。为了鼓励骨骼肌肉损伤者有多个积极的会员身份，应促进和加强他们参与团体的机会。
