Story William T
Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27516-2524, USA.
Health Place. 2014 Jul;28:73-84. doi: 10.1016/j.healthplace.2014.03.011. Epub 2014 Apr 23.
This study examines the association between social capital and the utilization of antenatal care, professional delivery care, and childhood immunizations using a multilevel analytic sample of 10,739 women who recently gave birth and 7403 children between one and five years of age in 2293 communities and 22 state-groups from the 2005 India Human Development Survey. Exploratory factor analysis was used to create and validate six social capital measures that were used in multilevel logistic regression models to examine whether each form of social capital had an independent, contextual effect on health care use. Results revealed that social capital operated at the community level in association with all three care-seeking behaviors; however, the results differed based on the type of health care utilized. Specifically, components of social capital that led to heterogeneous bridging ties were positively associated with all three types of health care use, whereas components of social capital that led to strong bonding ties were negatively associated with the use of preventive care, but positively associated with professional delivery care.
本研究利用2005年印度人类发展调查中2293个社区和22个邦组的10739名近期分娩的妇女以及7403名1至5岁儿童的多层次分析样本，考察社会资本与产前护理、专业分娩护理及儿童免疫接种利用情况之间的关联。探索性因素分析用于创建和验证六项社会资本指标，这些指标被用于多层次逻辑回归模型，以检验每种形式的社会资本是否对医疗保健利用具有独立的背景效应。结果显示，社会资本在社区层面与所有三种就医行为相关联；然而，结果因所利用的医疗保健类型而异。具体而言，导致异质桥接关系的社会资本成分与所有三种医疗保健利用均呈正相关，而导致紧密结合关系的社会资本成分与预防性护理的利用呈负相关，但与专业分娩护理呈正相关。
