Norrbäck Mattias, de Munter Jeroen, Tynelius Per, Ahlström Gerd, Rasmussen Finn
Child and Adolescent Public Health Epidemiology, Department of Public Health Sciences, Karolinska Institutet, Sweden.
Child and Adolescent Public Health Epidemiology, Department of Public Health Sciences, Karolinska Institutet, Sweden.
Disabil Health J. 2015 Apr;8(2):200-7. doi: 10.1016/j.dhjo.2014.09.005. Epub 2014 Oct 27.
People with mobility disability are more often overweight or obese and have lower social capital than people without mobility disability. It is unclear whether having a combination of mobility disability and overweight or obesity furthers negative development of social capital over time.
To explore whether there were differences in social capital between normal-weight, overweight and obese people with or without mobility disability over a period of 8 years.
We included 14,481 individuals (18-64 at baseline) from the Stockholm Public Health Cohort that started in 2002. Mobility disability, weight status, and social capital (structural: social activities, voting; cognitive: trust in authorities, and trust in people) were identified from self-reports. Risk ratios with 95% confidence intervals were estimated in multivariate longitudinal regression analyses.
We found no significant differences in social activities and voting between the groups over time. However, when compared with the reference group, the groups with mobility disability had less trust in authorities and public institutions over time. Notably, obese people with mobility disability showed the largest decrease in trust in the police (RR = 2.29; 1.50-3.50), the parliament (RR = 2.00; 1.31-3.05), and local politicians (RR = 2.52; 1.61-3.94).
People with mobility disability experience lower cognitive social capital over time than people without mobility disability. Being burdened by both mobility disability and obesity may be worse in terms of social capital than having just one of the conditions, especially regarding cognitive social capital. This finding is of public health importance, since social capital is related to health.
与无行动障碍的人相比，行动障碍者超重或肥胖的情况更为常见，且社会资本较低。目前尚不清楚行动障碍与超重或肥胖并存是否会随着时间的推移进一步加剧社会资本的负面发展。
探讨在8年期间，有无行动障碍的正常体重、超重和肥胖人群在社会资本方面是否存在差异。
我们纳入了始于2002年的斯德哥尔摩公共卫生队列中的14481名个体（基线时年龄在18 - 64岁）。行动障碍、体重状况和社会资本（结构方面：社会活动、投票；认知方面：对当局的信任和对他人的信任）通过自我报告来确定。在多变量纵向回归分析中估计风险比及95%置信区间。
随着时间的推移，我们发现各组之间在社会活动和投票方面没有显著差异。然而，与参照组相比，随着时间的推移，有行动障碍的组对当局和公共机构的信任较少。值得注意的是，有行动障碍的肥胖者对警察（风险比 = 2.29；1.50 - 3.50）、议会（风险比 = 2.00；1.31 - 3.05）和地方政客（风险比 = 2.52；1.61 - 3.94）的信任下降幅度最大。
随着时间的推移，有行动障碍的人比无行动障碍的人认知社会资本更低。在社会资本方面，行动障碍和肥胖并存可能比仅有一种情况更糟，尤其是在认知社会资本方面。这一发现具有公共卫生重要性，因为社会资本与健康相关。
