尼日利亚西南部农村成年人的社会资本、功能健康状况和生活质量
Social capital, functional health status and quality of life among adults in rural Southwest Nigeria.
作者信息
Okoroafor Promise Izuchukwu, Akinyemi Joshua Odunayo, Salawu Mobolaji Modinat, Fawole Olufunmilayo Ibitola
机构信息
Department of Epidemiology and Medical Statistics, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Epidemiology and Biostatistics Research Unit, Institute for Advanced Medical Research and Training, College of Medicine, University of Ibadan, Ibadan, Nigeria.
出版信息
BMC Public Health. 2025 Apr 8;25(1):1317. doi: 10.1186/s12889-025-22429-5.
BACKGROUND
The health and well-being of adults is important for attainment of the third sustainable development goal. Both social capital and health are essential for development, hence research is needed to explore this relationship in low income countries. Therefore, this study explored the association(s) between structural social capital, functional health status, and quality of life among adults in rural southwest Nigeria.
METHODS
Cross-sectional data was collected from 922 residents of rural communities in three states of southwest Nigeria. Questions on adult health, subjective well-being, and quality of life were adapted from the WHO Global Ageing and Adult Health Study. For the assessment of social capital, the questions focused on group membership, sources of support, and the extent of trust/relationship with neighbours in the community. The association between structural social capital, functional health status, and quality of life was investigated using Structural Equation Models.
RESULTS
The respondents had a mean age of 37.0 years (SD = 15.8). Females constituted 58.6% of the sample, and 46.5% had attained secondary education. The majority were traders (33.2%) and artisans (29.9%). Additionally, 672 respondents (72.9%) were married. There was a positive relationship between social capital and quality of life (β = 0.198, p = 0.002). Education level was found to be a significant factor in the relationship between social capital and health status (p = 0.047) as well as between health status and quality of life (p = < 0.001). The relationship between health status and quality of life was moderated by the respondent's age (p = 0.028). Social capital did not influence the relationship between health status and quality of life (β = 0.002, p = 0.471).
CONCLUSION
Social capital significantly influenced the quality of life in rural southwest Nigeria. Interventions aimed at improving the quality of life in these communities should leverage social networks, promote health education, and enhance access to healthcare. Targeted programs such as community-based health initiatives, peer-support networks for younger adults, and literacy programs for individuals with lower education levels can strengthen social capital and improve health outcomes. Younger adults and those with lower levels of education should be the primary targets of such interventions.
背景
成年人的健康和幸福对于实现第三个可持续发展目标至关重要。社会资本和健康都是发展的关键要素，因此需要开展研究以探索低收入国家中的这种关系。所以，本研究探讨了尼日利亚西南部农村地区成年人的结构社会资本、功能健康状况和生活质量之间的关联。
方法
从尼日利亚西南部三个州的农村社区922名居民中收集横断面数据。关于成年人健康、主观幸福感和生活质量的问题改编自世界卫生组织全球老龄化与成人健康研究。为评估社会资本，问题聚焦于群体成员身份、支持来源以及与社区邻居的信任/关系程度。使用结构方程模型研究结构社会资本、功能健康状况和生活质量之间的关联。
结果
受访者的平均年龄为37.0岁（标准差 = 15.8）。女性占样本的58.6%，46.5%的人接受过中等教育。大多数人是商人（33.2%）和工匠（29.9%）。此外，672名受访者（72.9%）已婚。社会资本与生活质量之间存在正相关关系（β = 0.198，p = 0.002）。教育水平被发现是社会资本与健康状况之间关系（p = 0.047）以及健康状况与生活质量之间关系（p = < 0.001）的一个重要因素。健康状况与生活质量之间的关系受受访者年龄的调节（p = 0.028）。社会资本并未影响健康状况与生活质量之间的关系（β = 0.002，p = 0.471）。
结论
社会资本显著影响了尼日利亚西南部农村地区的生活质量。旨在改善这些社区生活质量的干预措施应利用社会网络、促进健康教育并增加获得医疗保健的机会。诸如社区健康倡议、针对年轻人的同伴支持网络以及针对低教育水平个体的扫盲计划等有针对性的项目可以加强社会资本并改善健康结果。年轻人和教育水平较低的人应是此类干预措施的主要目标对象。
Zotero 插件