Department of Public Health and Occupational Medicine, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu-shi 514-8507, Japan.
Division of Surveillance and Policy Evaluation, Institute for Cancer Control, National Cancer Center, 5-1-1, Tsukuji, Chuo-ku, Tokyo 104-0045, Japan.
Int J Environ Res Public Health. 2022 Oct 27;19(21):14018. doi: 10.3390/ijerph192114018.
Social capital is positively associated with self-rated health; however, this association among workers is still unclear. Thus, this study examined the relationship between social capital and self-rated health with special attention to the employment type. A cross-sectional survey was conducted with 6160 workers aged 20-64 years from two towns in Mie Prefecture in January-March 2013. Social capital was assessed using five items in 4816 income-earning workers. The social capital scores were summed and then divided into three groups. The self-rated health responses were dichotomised into 'poor' and 'good'. The association was examined using a stepwise binomial logistic regression stratified by employment type and adjusted for potential confounders. Regular employees with low social capital had a higher significant odds ratio of poor self-rated health than medium (OR 0.58 95% CIs 0.39-0.87) and high (OR 0.39; 95% CIs 0.26-0.59) social capital levels after controlling for all potential confounders. Similar patterns were observed for non-regular employees with medium and high social capital. There was a significant relationship between some indicators of social capital and poor self-rated health among self-employees. These results highlight that social capital acts as an unequal health resource for different types of workers.
社会资本与自评健康呈正相关；然而，工人之间的这种关系尚不清楚。因此，本研究考察了社会资本与自评健康之间的关系，并特别关注了就业类型。2013 年 1 月至 3 月，在 Mie 县的两个城镇对 6160 名 20-64 岁的工人进行了横断面调查。在 4816 名有收入的工人中，使用了 5 个项目来评估社会资本。将社会资本得分相加，然后分为三组。自评健康的反应被分为“差”和“好”两类。在按就业类型分层并调整潜在混杂因素后，使用逐步二项逻辑回归检查关联。在控制了所有潜在混杂因素后，低社会资本的固定员工自评健康较差的比值比显著高于中（OR 0.58，95%CI 0.39-0.87）和高（OR 0.39，95%CI 0.26-0.59）社会资本水平的固定员工。对于中高社会资本的非固定员工，也观察到类似的模式。自营职业者的一些社会资本指标与自评健康较差之间存在显著关系。这些结果强调，社会资本是不同类型工人不平等的健康资源。
