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厘清结构社会资本与心理健康之间的关联方向:对性别、公民参与和抑郁症状的纵向分析。

Disentangling the directions of associations between structural social capital and mental health: Longitudinal analyses of gender, civic engagement and depressive symptoms.

作者信息

Landstedt Evelina, Almquist Ylva B, Eriksson Malin, Hammarström Anne

机构信息

Department of Public Health and Clinical Medicine, Epidemiology and Global Health, Umeå University, Norrland University Hospital, SE-901 85 Umeå, Sweden.

Centre for Health Equity Studies (CHESS), Stockholm University, Karolinska Institutet, SE-106 91 Stockholm, Sweden.

出版信息

Soc Sci Med. 2016 Aug;163:135-43. doi: 10.1016/j.socscimed.2016.07.005. Epub 2016 Jul 6.

Abstract

The present paper analysed the directions of associations between individual-level structural social capital, in the form of civic engagement, and depressive symptoms across time from age 16-42 years in Swedish men and women. More specifically, we asked whether civic engagement was related to changes in depressive symptoms, if it was the other way around, or whether the association was bi-directional. This longitudinal study used data from a 26-year prospective cohort material of 1001 individuals in Northern Sweden (482 women and 519 men). Civic engagement was measured by a single-item question reflecting the level of engagement in clubs/organisations. Depressive symptoms were assessed by a composite index. Directions of associations were analysed by means of gender-separate cross-lagged structural equation models. Models were adjusted for parental social class, parental unemployment, parental health, and family type at baseline (age 16). Levels of both civic engagement and depressive symptoms were relatively stable across time. The model with the best fit to data showed that, in men, youth civic engagement was negatively associated with depressive symptoms in adulthood, thus supporting the hypothesis that involvement in social networks promotes health, most likely through provision of social and psychological support, perceived influence, and sense of belonging. Accordingly, interventions to promote civic engagement in young men could be a way to prevent poor mental health for men later on in life. No cross-lagged effects were found among women. We discuss this gender difference in terms of gendered experiences of civic engagement which in turn generate different meanings and consequences for men and women, such as civic engagement not being as positive for women's mental health as for that of men. We conclude that theories on structural social capital and interventions to facilitate civic engagement for health promoting purposes need to acknowledge gendered life circumstances.

摘要

本文分析了瑞典男性和女性从16岁至42岁期间,以公民参与形式存在的个体层面结构性社会资本与抑郁症状之间随时间变化的关联方向。更具体地说,我们研究了公民参与是否与抑郁症状的变化有关,抑或是相反的情况,还是这种关联是双向的。这项纵向研究使用了瑞典北部1001名个体(482名女性和519名男性)长达26年的前瞻性队列研究数据。公民参与通过一个反映在俱乐部/组织中的参与程度的单项问题来衡量。抑郁症状通过一个综合指数进行评估。关联方向通过按性别划分的交叉滞后结构方程模型进行分析。模型在基线(16岁时)对父母社会阶层、父母失业情况、父母健康状况和家庭类型进行了调整。公民参与和抑郁症状的水平在不同时间相对稳定。与数据拟合度最佳的模型表明,在男性中,青年时期的公民参与与成年后的抑郁症状呈负相关,从而支持了这样一种假设,即参与社交网络最有可能通过提供社会和心理支持、感知影响力和归属感来促进健康。因此,促进青年男性公民参与的干预措施可能是预防其晚年心理健康不佳的一种方式。在女性中未发现交叉滞后效应。我们从公民参与的性别化经历方面讨论了这种性别差异,这种经历反过来会给男性和女性带来不同的意义和后果,比如公民参与对女性心理健康的积极程度不如对男性。我们得出结论,关于结构性社会资本的理论以及为促进健康目的而推动公民参与的干预措施需要考虑到性别化的生活环境。

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