Pabayo Roman, Grinshteyn Erin, Avila Oliva, Azrael Deborah, Molnar Beth E
University of Alberta School of Public Health, Canada.
University of San Francisco, School of Nursing and Health Professions, USA.
SSM Popul Health. 2020 Feb 5;10:100552. doi: 10.1016/j.ssmph.2020.100552. eCollection 2020 Apr.
Little is known about the determinants of collective efficacy, a neighborhood social process comprised of social cohesion and social control, which has shown to be beneficially associated with health. Our goal was to identify determinants of collective efficacy, social cohesion and social control. We used data collected from the Boston Neighborhood Survey, a cross-sectional survey conducted in 38 Boston neighborhoods in 2010 (n = 1710). We used multi-level logistic regression analyses to identify the relationship between the neighborhood-level characteristics and collective efficacy, social cohesion, and social control. High social fragmentation was associated with a decreased likelihood of reporting high collective efficacy (OR = 0.71, 95% CI = 0.54,0.95). and high social cohesion (OR = 0.63, 95% CI = 0.46, 0.86). High social fragmentation (OR = 0.80, 95% CI = 0.64, 0.99), and moderate economic deprivation (OR = 0.64, 95% CI = 0.47, 0.88) were associated with a decreased likelihood of reporting high social control, while high trust in police was associated with an increased likelihood in reporting high social control (OR = 1.86, 95% CI = 1.16, 3.00). Further research should be undertaken to better understand the direction of effect of these associations and how interventions to promote social processes can utilize these findings to improve health.
关于集体效能的决定因素知之甚少,集体效能是一种由社会凝聚力和社会控制构成的社区社会过程,已被证明与健康存在有益关联。我们的目标是确定集体效能、社会凝聚力和社会控制的决定因素。我们使用了从波士顿社区调查收集的数据,这是一项于2010年在波士顿38个社区开展的横断面调查(n = 1710)。我们使用多层次逻辑回归分析来确定社区层面特征与集体效能、社会凝聚力和社会控制之间的关系。高社会碎片化与报告高集体效能的可能性降低相关(OR = 0.71,95%CI = 0.54,0.95),以及与高社会凝聚力相关(OR = 0.63,95%CI = 0.46,0.86)。高社会碎片化(OR = 0.80,95%CI = 0.64,0.99)和中度经济剥夺(OR = 0.64,95%CI = 0.47,0.88)与报告高社会控制的可能性降低相关,而对警察的高度信任与报告高社会控制的可能性增加相关(OR = 1.86,95%CI = 1.16,3.00)。应进一步开展研究,以更好地理解这些关联的影响方向,以及促进社会过程的干预措施如何利用这些发现来改善健康状况。