Maass Ruca, Kloeckner Christian A, Lindstrøm Bengt, Lillefjell Monica
Department of Health Science, Faculty of Health and Social Science, Norwegian University of Science and Technology (NTNU), Trondheim 7491, Norway; Center for Health Promotion Research, Norwegian University of Science and Technology (NTNU), Trondheim 7491, Norway.
Department of Psychology, Faculty of Social Sciences and Technology Management, Norwegian University of Science and Technology (NTNU), Trondheim 7491, Norway.
Health Place. 2016 Nov;42:120-128. doi: 10.1016/j.healthplace.2016.09.011. Epub 2016 Oct 19.
Neighborhood social capital has repeatedly been linked to favorable health-outcomes and life satisfaction. However, it has been questioned whether it's impact on health has been over-rated. We aim to investigate relationships between neighborhood social capital and self-rated health (SRH) and life satisfaction (LS) respectively, both directly and indirectly mediated via Sense of Coherence and self-esteem. Based on a cross-sectional population-survey (N=865) in a medium size Norwegian municipality, we specified a structural equation model (SEM) including the above-listed variables, while controlling for gender, age, education, income, and employment status. The applied model explains more variance in LS (46%) than in SRH (23%). Social capital has a stronger impact on life satisfaction than on health. The indirect pathway via SOC had the highest impact on life satisfaction, but no significant relationship to SRH. Self-rated health was more tightly linked to personal background variables. Enhancing social capital in the neighborhood might be a beneficial strategy to promote life satisfaction, as well as strengthening sense of coherence even in healthy communities.
邻里社会资本一直与良好的健康结果和生活满意度相关联。然而，其对健康的影响是否被高估一直受到质疑。我们旨在分别研究邻里社会资本与自评健康（SRH）和生活满意度（LS）之间的关系，包括直接关系以及通过连贯感和自尊间接介导的关系。基于挪威一个中等规模市镇的横断面人口调查（N = 865），我们指定了一个结构方程模型（SEM），其中包括上述变量，同时控制性别、年龄、教育程度、收入和就业状况。应用的模型对生活满意度（46%）的方差解释比对自评健康（23%）的方差解释更多。社会资本对生活满意度的影响比对健康的影响更强。通过连贯感的间接途径对生活满意度的影响最大，但与自评健康没有显著关系。自评健康与个人背景变量联系更紧密。在邻里中增强社会资本可能是促进生活满意度以及增强连贯感的有益策略，即使在健康社区也是如此。
