Tanggaard Andersen Pernille, Holst Algren Maria, Fromsejer Heiberg Regina, Joshi Ranjila, Kronborg Bak Carsten
Unit for Health Promotion Research, Department of Public Health, Esbjerg, Denmark.
Department of Public Health, Centre of Maritime Health and Society, University of Southern Denmark, Niels Bohrs Vej 9-10, Esbjerg, Denmark.
Health Promot Int. 2018 Dec 1;33(6):999-1009. doi: 10.1093/heapro/dax051.
Research has demonstrated that living in a deprived neighborhood contributes to the occurrence and development of poor health. Furthermore evidence shows that social networks are fundamental resources in preventing poor mental health. Neighborhood relationships and networks are vital for sustaining and improving quality of life. However, to determine potentials for public health action, the health impact of various types of network resources need to be explored and the association between socioeconomic position and self-rated health needs to be analysed to determine whether it is partially explained by social network resources. This is the main aim of this article. Cross-sectional data from one deprived neighborhood located in Denmark were collected in 2008 and 2013 using a postal health survey. The target group was defined as adults older than 16 years. In 2008, 408 residents participated in the survey, and 405 residents participated in 2013. Our main explanatory variables were indicators of socioeconomic positions and social network resources. The analyses were conducted using univariate and bivariate analyses and multiple logistic regressions. The results showed that there was a significant decrease in respondents being involuntarily alone during the period from 2008 to 2013. An impact of the association between disposable income and self-rated health was found, showing that low income residents with a better social network also have slightly higher odds of having good self-rated health compared with residents with higher income. This investigation is the first Danish study that repeats a health survey in the same neighborhood to measure possible improvement in health among residents. More longitudinal research is needed in the future to explore the complex relationship between social network resources, social capital and health in neighborhoods.
研究表明，生活在贫困社区会促使健康问题的发生和发展。此外，有证据显示，社交网络是预防心理健康问题的重要资源。邻里关系和网络对于维持和提高生活质量至关重要。然而，为了确定公共卫生行动的潜力，需要探索各类网络资源对健康的影响，并分析社会经济地位与自评健康之间的关联，以确定其是否部分由社会网络资源所解释。这是本文的主要目的。2008年和2013年，通过邮政健康调查收集了丹麦一个贫困社区的横断面数据。目标群体定义为16岁以上的成年人。2008年，408名居民参与了调查，2013年有405名居民参与。我们的主要解释变量是社会经济地位和社会网络资源的指标。分析采用单变量和双变量分析以及多元逻辑回归。结果显示，2008年至2013年期间，受访者非自愿独处的情况显著减少。研究发现可支配收入与自评健康之间存在关联，表明与高收入居民相比，拥有较好社会网络的低收入居民自评健康状况良好的几率也略高。这项调查是丹麦第一项在同一社区重复进行健康调查以衡量居民健康可能改善情况的研究。未来需要更多纵向研究来探索社区中社会网络资源、社会资本与健康之间的复杂关系。
