Matsaganis Matthew D, Wilkin Holley A
a Department of Communication , University at Albany, State University of New York , Albany , New York , USA.
J Health Commun. 2015 Apr;20(4):377-86. doi: 10.1080/10810730.2014.927037. Epub 2014 Dec 20.
This article contributes to the burgeoning literature on the social determinants of health disparities. The authors investigate how communication resources and collective efficacy, independently and in combination, shape residents' access to health enhancing resources (including healthcare services, sources of healthier food options, and public recreation spaces) in their communities. Using random digit dial telephone survey data from 833 residents of South Los Angeles communities the authors show that communicative social capital-that is, an information and problem-solving resource that accrues to residents as they become more integrated into their local communication network of neighbors, community organizations, and local media-plays a significant role in access to health resources. This relationship is complicated by individuals' health insurance and health status, as communicative social capital magnifies the sense of absence of resources for those who are in worse health and lack insurance. Communicative social capital builds collective efficacy, which is positively related to access to health-enhancing resources, but it also mediates the negative relationship between communicative social capital and access to health resources. Residents with richer stores of communicative social capital and collective efficacy report better access to health resources. The authors conclude with a discussion of implications of these findings and suggestions for future research.
本文为关于健康差距社会决定因素的新兴文献做出了贡献。作者研究了沟通资源和集体效能如何独立及共同作用，影响居民在其社区获取促进健康的资源（包括医疗服务、更健康食品选择的来源以及公共休闲空间）。作者利用来自南洛杉矶社区833名居民的随机数字拨号电话调查数据表明，沟通性社会资本——即随着居民更多地融入邻居、社区组织和当地媒体的本地沟通网络而积累的一种信息和解决问题的资源——在获取健康资源方面发挥着重要作用。这种关系因个人的健康保险和健康状况而变得复杂，因为沟通性社会资本会放大健康状况较差且缺乏保险者对资源匮乏的感受。沟通性社会资本建立集体效能，集体效能与获取促进健康的资源呈正相关，但它也调节了沟通性社会资本与获取健康资源之间的负相关关系。拥有更丰富沟通性社会资本和集体效能储备的居民报告称能更好地获取健康资源。作者最后讨论了这些发现的意义以及对未来研究的建议。
