Fogel Joshua, Ewen Ashaney
Brooklyn College, Brooklyn, NY USA.
Dela J Public Health. 2023 Jun 12;9(2):122-128. doi: 10.32481/djph.2023.06.023. eCollection 2023 Jun.
Social capital is positively associated with healthcare access such as healthcare practitioner visits. There does not appear to be any literature on social capital through online social media and its association with healthcare access such as healthcare practitioner visits. This paper studies the relationship between social capital through online social media use and healthcare practitioner visits. Data were analyzed from 663 participants in New York City in 2017 with exposure to social media prescription medication advertisements from social media (e.g., Facebook, Twitter, LinkedIn, Instagram, YouTube). The main predictor variable was visiting a healthcare practitioner at least once a year. Outcome variables were bonding social capital and bridging social capital from online social media. Those who visited a healthcare practitioner at least once a year had greater mean bonding social capital and bridging social capital from online social media than those who did not visit a healthcare practitioner at least once a year. Multivariate linear regression analyses showed a similar pattern for not visiting a healthcare practitioner at least once a year (bonding social capital: b=-5.31, SE=1.68, p=0.002; bridging social capital: b=-3.27, SE=1.55, p=0.04). Government organizations, healthcare practitioners, and healthcare organizations should continue marketing and disseminating health education for young adults through online social media. This public health online social media health education is likely to be considered bonding social capital and/or bridging social capital by young adults and this may be associated with more young adults visiting healthcare practitioners at least once a year.
社会资本与获得医疗服务（如看医生）呈正相关。目前似乎没有关于通过在线社交媒体形成的社会资本及其与获得医疗服务（如看医生）之间关系的文献。本文研究通过使用在线社交媒体形成的社会资本与看医生之间的关系。分析了2017年纽约市663名接触过社交媒体（如脸书、推特、领英、照片墙、优兔）上处方药广告的参与者的数据。主要预测变量是每年至少看一次医生。结果变量是来自在线社交媒体的凝聚性社会资本和桥接性社会资本。每年至少看一次医生的人，其来自在线社交媒体的平均凝聚性社会资本和桥接性社会资本高于每年看医生次数少于一次的人。多变量线性回归分析显示，每年看医生次数少于一次的情况呈现出类似模式（凝聚性社会资本：b=-5.31，标准误=1.68，p=0.002；桥接性社会资本：b=-3.27，标准误=1.55，p=0.04）。政府组织、医疗从业者和医疗机构应继续通过在线社交媒体为年轻人开展健康教育的营销和传播。这种公共卫生在线社交媒体健康教育可能会被年轻人视为凝聚性社会资本和/或桥接性社会资本，这可能会使更多年轻人每年至少看一次医生。
