Williams Susan L, Ronan Kevin
Institute for Health and Social Science Research, Central Queensland University, Rockhampton, Queensland 4702, Australia
Institute for Health and Social Science Research, Central Queensland University, Rockhampton, Queensland 4702, Australia.
Health Promot Int. 2014 Dec;29(4):608-20. doi: 10.1093/heapro/dat010. Epub 2013 Feb 27.
A limited number of studies have examined the 'miniaturization of community' model which is based on belief that 'new' individualistic, and narrower forms of social participation, do not promote generalized trust in others. Little is known about miniaturization of community and self-reported health, physical health and psychological health in Australia. Data from a 2009 computer-assisted-telephone-interview survey was used to investigate generalized trust, social participation and health-related quality of life in a regional Australian population (n = 1273; mean age 51.2 years). Logistic regression analyses were performed to investigate the associations between generalized trust, social participation and poor self-reported health (global self-rated, psychological and physical), and included four social participation/trust categories. A majority (67%) reported high generalized trust of others, 54% were categorized as high social participators. Miniaturization of community was a risk factor for poor self-rated psychological health across genders, and a risk factor for poor self-rated health for males. For women, low social participation (irrespective of trust level) was associated with poor self-reported health. Given current and previous findings, there is a need for further research in a range of contexts which explores the underlying concept of miniaturization of community, that is, the changes in social participation and social networks which may negatively impact community health.
为数不多的研究考察了“社区小型化”模式，该模式基于这样一种信念，即“新的”个人主义及更狭隘的社会参与形式不会促进对他人的普遍信任。在澳大利亚，人们对社区小型化以及自我报告的健康状况、身体健康和心理健康知之甚少。利用2009年计算机辅助电话访谈调查的数据，对澳大利亚某地区人群（n = 1273；平均年龄51.2岁）的普遍信任、社会参与和与健康相关的生活质量进行了调查。进行了逻辑回归分析，以研究普遍信任、社会参与与自我报告的不良健康状况（总体自我评分、心理和身体方面）之间的关联，并纳入了四个社会参与/信任类别。大多数人（67%）报告对他人有高度的普遍信任，54%被归类为高社会参与者。社区小型化是各性别自我报告心理健康不佳以及男性自我报告健康不佳的一个风险因素。对于女性来说，低社会参与（无论信任程度如何）与自我报告的健康不佳有关。鉴于当前和以往的研究结果，有必要在一系列背景下进行进一步研究，以探讨社区小型化的潜在概念，即社会参与和社会网络的变化可能对社区健康产生负面影响。
