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社会资本类型与自评健康的关系:基于韩国成年人全国代表性横断面研究的性别差异。

Types of social capital in relation to self-rated health: Gender differences in a nationally representative cross-sectional study of South Korean adults.

机构信息

Department of International Health, Johns Hopkins School of Public Health, Baltimore, MD, USA.

出版信息

Glob Public Health. 2022 Jul;17(7):1365-1378. doi: 10.1080/17441692.2021.1924221. Epub 2021 May 19.

DOI:10.1080/17441692.2021.1924221
PMID:34008461
Abstract

Socio-economic and cultural transformations in South Korea have led to societal heterogeneity, potentially changing the role of social capital. We examined whether six factors (i.e. group membership, out-group trust, civic responsibility, acceptance, political activism, and institutional trust) that represent bonding, bridging, and linking social capital are associated with self-rated health (SRH), and whether these associations vary by gender. We analysed data from 8,000 adults in the Korea Social Integration Survey. We first conducted exploratory and confirmatory analyses to create and verify a social capital scale. Then, we performed multivariable logistic regression analyses to study how each type of social capital was related to SRH, adjusting for survey design and sampling weights. High levels of group membership and civic responsibility were associated with good SRH among men only, while high levels of out-group trust, acceptance, and institutional trust were associated with good SRH only for women. High levels of political activism were negatively related to good SRH for both men and women. Overall, associations between different types of social capital and SRH differed by gender in the South Korean context; thus, men and women may benefit from health interventions that enhance different forms of social capital.

摘要

韩国的社会经济和文化变革导致了社会异质性,可能改变了社会资本的作用。我们研究了代表粘结、桥接和连接社会资本的六个因素(即群体成员身份、对外群体信任、公民责任、接纳、政治行动主义和制度信任)是否与自我评估健康(SRH)相关,以及这些关联是否因性别而异。我们分析了来自韩国社会融合调查的 8000 名成年人的数据。我们首先进行了探索性和验证性分析,以创建和验证社会资本量表。然后,我们进行了多变量逻辑回归分析,以研究每种类型的社会资本与 SRH 的关系,同时调整了调查设计和抽样权重。群体成员身份和公民责任水平高仅与男性的良好 SRH 相关,而对外群体信任、接纳和制度信任水平高仅与女性的良好 SRH 相关。政治行动主义水平高与男性和女性的良好 SRH 呈负相关。总的来说,在韩国背景下,不同类型的社会资本与 SRH 之间的关联因性别而异;因此,男性和女性可能受益于增强不同形式社会资本的健康干预措施。

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