Are Family, Neighbourhood and School Social Capital Associated with Higher Self-rated Health Among Croatian High School Students? A Population-based Study

Overview

Journal BMJ Open

Specialty General Medicine

Date 2015 Jun 10

PMID 26056122

Citations 17

Authors

Dario Novak

Etsuji Suzuki

Ichiro Kawachi

Affiliations

Soon will be listed here.

Abstract

Objectives: We investigated the associations between self-rated health and social capital among Croatian high school students.

Design: A cross-sectional survey among high school students was carried out in the 2013-2014 school year.

Setting: High schools in Croatia.

Participants: Subjects were 3427 high school students (1688 males and 1739 females), aged 17-18 years.

Main Outcome Measure: Self-rated health was assessed by the single item: "How do you perceive your health?". Possible responses were arranged along a five-item Likert-type scale: 1 very poor, 2 poor, 3 fair, 4 good, 5 excellent. The outcome was binarised as 'good health' (excellent, good or fair) versus 'poor health' (poor or very poor).

Methods: We calculated ORs and 95% CIs for good self-rated health associated with family, neighbourhood and school social capital, while adjusting for gender, self-perceived socioeconomic status, psychological distress, physical activity and body mass index. We used generalised estimating equations using an exchangeable correlation matrix with robust SEs.

Results: Good self-rated health was significantly associated with higher family social capital (OR 2.43; 95% CI 1.55 to 3.80), higher neighbourhood trust (OR 2.02; 95% CI 1.48 to 2.76) and higher norms of reciprocity at school (OR 1.79; 95% CI 1.13 to 2.84). When all of the social capital variables were entered simultaneously, good self-rated health remained significantly associated with higher family social capital (OR 1.98; 95% CI 1.19 to 3.30), neighbourhood trust (OR 1.77; 95% CI 1.25 to 2.51) and reciprocity at school (OR 1.71; 95% CI 1.08 to 2.73).

Conclusions: Higher levels of social capital were independently associated with higher self-rated health among youth. Intervention and policies that leverage community social capital might serve as an avenue for health promotion in youth.

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References

Fylkesnes K . Determinants of health care utilization--visits and referrals. Scand J Soc Med. 1993; 21(1):40-50. DOI: 10.1177/140349489302100107. View

Subramanian S, Kim D, Kawachi I . Social trust and self-rated health in US communities: a multilevel analysis. J Urban Health. 2002; 79(4 Suppl 1):S21-34. PMC: 3456618. DOI: 10.1093/jurban/79.suppl_1.s21. View

Idler E, Benyamini Y . Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav. 1997; 38(1):21-37. View

Wang Z, Byrne N, Kenardy J, Hills A . Influences of ethnicity and socioeconomic status on the body dissatisfaction and eating behaviour of Australian children and adolescents. Eat Behav. 2004; 6(1):23-33. DOI: 10.1016/j.eatbeh.2004.05.001. View

Drukker M, Buka S, Kaplan C, McKenzie K, van Os J . Social capital and young adolescents' perceived health in different sociocultural settings. Soc Sci Med. 2005; 61(1):185-98. DOI: 10.1016/j.socscimed.2004.11.041. View

Kim D, Subramanian S, Kawachi I . Bonding versus bridging social capital and their associations with self rated health: a multilevel analysis of 40 US communities. J Epidemiol Community Health. 2006; 60(2):116-22. PMC: 2566138. DOI: 10.1136/jech.2005.038281. View

Sadiq Mohammad Ali , Lindstrom M . Psychosocial work conditions, unemployment, and leisure-time physical activity: a population-based study. Scand J Public Health. 2006; 34(2):209-16. DOI: 10.1080/14034940500307515. View

Newman B, Lohman B, Newman P . Peer group membership and a sense of belonging: their relationship to adolescent behavior problems. Adolescence. 2007; 42(166):241-63. View

Lindstrom M, Moghaddassi M, Merlo J . Social capital and leisure time physical activity: a population based multilevel analysis in Malmö, Sweden. J Epidemiol Community Health. 2002; 57(1):23-8. PMC: 1732271. DOI: 10.1136/jech.57.1.23. View

10.

Kessler R, Barker P, Colpe L, Epstein J, Gfroerer J, Hiripi E . Screening for serious mental illness in the general population. Arch Gen Psychiatry. 2003; 60(2):184-9. DOI: 10.1001/archpsyc.60.2.184. View

11.

Koivusilta L, Rimpela A, Vikat A . Health behaviours and health in adolescence as predictors of educational level in adulthood: a follow-up study from Finland. Soc Sci Med. 2003; 57(4):577-93. DOI: 10.1016/s0277-9536(02)00405-7. View

12.

Drukker M, Kaplan C, Feron F, van Os J . Children's health-related quality of life, neighbourhood socio-economic deprivation and social capital. A contextual analysis. Soc Sci Med. 2003; 57(5):825-41. DOI: 10.1016/s0277-9536(02)00453-7. View

13.

Craig C, Marshall A, Sjostrom M, Bauman A, Booth M, Ainsworth B . International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003; 35(8):1381-95. DOI: 10.1249/01.MSS.0000078924.61453.FB. View

14.

Due P, Lynch J, Holstein B, Modvig J . Socioeconomic health inequalities among a nationally representative sample of Danish adolescents: the role of different types of social relations. J Epidemiol Community Health. 2003; 57(9):692-8. PMC: 1732594. DOI: 10.1136/jech.57.9.692. View

15.

Tobi H, Meijer W, Tuinstra J, de Jong-van den Berg L . Socio-economic differences in prescription and OTC drug use in Dutch adolescents. Pharm World Sci. 2003; 25(5):203-6. DOI: 10.1023/a:1025836704150. View

16.

Pastor Y, Balaguer I, Pons D, Garcia-Merita M . Testing direct and indirect effects of sports participation on perceived health in Spanish adolescents between 15 and 18 years of age. J Adolesc. 2003; 26(6):717-30. DOI: 10.1016/j.adolescence.2003.07.001. View

17.

Duke N, Skay C, Pettingell S, Borowsky I . From adolescent connections to social capital: predictors of civic engagement in young adulthood. J Adolesc Health. 2009; 44(2):161-168. DOI: 10.1016/j.jadohealth.2008.07.007. View

18.

Morgan A, Haglund B . Social capital does matter for adolescent health: evidence from the English HBSC study. Health Promot Int. 2009; 24(4):363-72. DOI: 10.1093/heapro/dap028. View

19.

Green J, Gruber M, Sampson N, Zaslavsky A, Kessler R . Improving the K6 short scale to predict serious emotional disturbance in adolescents in the USA. Int J Methods Psychiatr Res. 2010; 19 Suppl 1:23-35. PMC: 3686478. DOI: 10.1002/mpr.314. View

20.

Furuta M, Ekuni D, Takao S, Suzuki E, Morita M, Kawachi I . Social capital and self-rated oral health among young people. Community Dent Oral Epidemiol. 2011; 40(2):97-104. DOI: 10.1111/j.1600-0528.2011.00642.x. View