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Thompson MP, Hudson-Flege M, Hancock K. Long-term Impacts of Civic Engagement during Emerging Adulthood: A Nationally-representative Study. Am J Health Promot 2024; 38:641-647. [PMID: 38233344 DOI: 10.1177/08901171241227298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2024]
Abstract
PURPOSE We examined if civic engagement during emerging adulthood positively impacted a broad array of outcomes in middle adulthood, and if associations varied based on race, gender, age, and urban-rural status. DESIGN Prospective design used to determine if civic engagement during emerging adulthood (M age = 21.81) predicted outcomes 15 years later. SETTING Restricted data from the National Longitudinal Study of Adolescent to Adult Health. SUBJECTS Wave 1 participants who completed surveys 7 years (77% follow-up rate), 14 years (80% follow-up rate), and 22 years later (follow-up rate 72%) and who had valid sampling weight to ensure national representativeness (n = 9349). MEASURES Predictor - civic engagement; Outcomes-mental health, substance use, criminal behaviors, and healthy behavior. ANALYSIS Linear regression using MPLUS 7.2. RESULTS Civic engagement predicted lower levels of depressive symptoms (b = -1.05, SE = .28), criminal behaviors (b = -.47, SE = .12), and substance use (b = -.66, SE = .13), and higher levels of healthy behaviors (b = 1.26, SE = .19), after controlling for demographics, family, peer, neighborhood, and school-related background variables. Moderation analyses revealed that civic engagement benefited females and white participants more. CONCLUSION Civic engagement during emerging adulthood has a positive impact on a broad array of outcomes in middle adulthood. Implications and future research recommendations will be discussed.
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Affiliation(s)
- Martie P Thompson
- Department of Public Health and Exercise Science, Appalachian State University, Boone, NC, USA
| | - Matthew Hudson-Flege
- Institute for Health and Human Services, Appalachian State University, Boone, NC, USA
| | - Kayla Hancock
- Department of Public Health and Exercise Science, Appalachian State University, Boone, NC, USA
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S De Main A, Powers DA, Xie B, Choi N. Longitudinal associations between mental health and social environment in older adults: a multilevel growth modeling. Aging Ment Health 2023; 27:2278-2288. [PMID: 37293783 DOI: 10.1080/13607863.2023.2220304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Accepted: 05/26/2023] [Indexed: 06/10/2023]
Abstract
OBJECTIVES This study aimed to assess longitudinal relationships between social environment indicators (social connectedness, social engagement, social contribution) and mental health indicators (depression and anxiety) among community-dwelling adults age 55 years and older. METHODS Data were drawn from 3-waves of the national longitudinal survey of Midlife Development in the United States (MIDUS) (N = 2,020; age range = 55-94 years). We developed multilevel growth models to ascertain the relationships of interest, controlling for sociodemographic and physical health factors. RESULTS Over the 20-year period of study, lower levels of emotional social support, social integration and social contribution significantly predicted depression and anxiety, whereas social network and social engagement were not significant predictors of these mental health outcomes in older adults. The models also indicated a moderation effect of the number of chronic conditions on the slopes of depression and anxiety. DISCUSSION Considering our findings, interventions to enhance social contribution and social connectedness could be effective to help older adults maintain positive mental health, as well as programs that facilitate older adults' connections with their families, communities and health care providers. These interventions must also account for multiple chronic conditions since functional limitations drive declining integration in the community and participation in social activities.
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Affiliation(s)
- Atami S De Main
- Weill Cornell Medicine Division of Geriatrics and Palliative Medicine, New York, NY, USA
| | - Daniel A Powers
- Department of Sociology, The University of Texas at Austin, Austin, TX, USA
| | - Bo Xie
- Department of Sociology, The University of Texas at Austin, Austin, TX, USA
- School of Information, The University of Texas at Austin, Austin, TX, USA
| | - Namkee Choi
- School of Social Work, The University of Texas at Austin, Austin, TX, USA
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Wiium N, Kristensen SM, Årdal E, Bøe T, Gaspar de Matos M, Karhina K, Larsen TMB, Urke HB, Wold B. Civic engagement and mental health trajectories in Norwegian youth. Front Public Health 2023; 11:1214141. [PMID: 37927862 PMCID: PMC10625422 DOI: 10.3389/fpubh.2023.1214141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2023] [Accepted: 09/28/2023] [Indexed: 11/07/2023] Open
Abstract
Introduction Applying variable-centered analytical approaches, several studies have found an association between civic engagement and youth mental health. In the present study, we used a person-centered approach to explore whether civic engagement was related to optimal trajectories of mental health compared to other trajectories. We also examined how sociodemographic factors, such as socioeconomic status (SES), gender and age were related to youth mental health trajectories. Methods Our sample comprised 675 students (aged 16-22) who had participated in three waves of data collection (Mage = 18.85, SD = 0.55; 43% males) in the COMPLETE project, a cluster-randomized controlled trial that involved Norwegian upper secondary schools. Results The results revealed three trajectories of mental health (reflecting a combination of mental distress and mental well-being): optimal, intermediate, and sub-optimal. Contrary to our expectations, higher levels of civic engagement were not related to the optimal trajectory of mental health vs. other trajectories. However, we found that students who reported higher levels of SES and males were more likely to follow the optimal trajectory compared to other trajectories. Discussion While the findings on civic engagement could be due to our measurement's inability to capture the concept of "dugnad," a well-established civic activity in the Norwegian society, the findings regarding the influence of SES and gender suggest that there is still more work to be done concerning the assessment and advancement of factors that can address mental health inequalities across SES and gender.
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Affiliation(s)
- Nora Wiium
- Department of Psychosocial Science, University of Bergen, Bergen, Norway
| | | | - Elisabeth Årdal
- Department of Health Promotion and Development, University of Bergen, Bergen, Norway
| | - Tormod Bøe
- Department of Psychosocial Science, University of Bergen, Bergen, Norway
| | | | - Kateryna Karhina
- Department of Psychosocial Science, University of Bergen, Bergen, Norway
| | | | - Helga Bjørnøy Urke
- Department of Health Promotion and Development, University of Bergen, Bergen, Norway
| | - Bente Wold
- Department of Health Promotion and Development, University of Bergen, Bergen, Norway
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Fenn N, Yang M, Pearson-Merkowitz S, Robbins M. Civic engagement and well-being among noncollege young adults: Investigating a mediation model. JOURNAL OF COMMUNITY PSYCHOLOGY 2023; 51:2667-2685. [PMID: 36943410 PMCID: PMC10629573 DOI: 10.1002/jcop.23033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Revised: 02/08/2023] [Accepted: 03/10/2023] [Indexed: 06/18/2023]
Abstract
Young adults may benefit from civic engagement as a health promotion tool, as civic engagement is generally associated with positive well-being. However, more information is needed to examine civic engagement among lesser-educated young adults who are least likely to civically engage, and more likely to demonstrate mental health needs. We surveyed noncollege young adults (N = 621) to measure their civic engagement, meaning, civic efficacy, well-being, and sociodemographic factors. Using an a priori model, direct, indirect, and full effects path analyses were conducted across men and women, and then the entire sample. The full effects model best fit the data with mediation by civic efficacy and meaning (χ2 (2) = 0.59, p = 0.74; comparative fit index = 1.0; root mean square error of approximation = 0.00, 90% confidence interval [0.00-0.06]; R2 = 0.42). Types of engagement (civic, electoral, activism, and online) demonstrated differing relationships with well-being. Stakeholders should resource young adults with civic skills and coping strategies to address the many challenges that civic experiences often elicit.
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Affiliation(s)
- Natalie Fenn
- Department of Psychology, University of Rhode Island
- Department of Psychiatry & Human Behavior, Warren Alpert Medical School of Brown University
| | - Manshu Yang
- Department of Psychology, University of Rhode Island
| | | | - Mark Robbins
- Department of Psychology, University of Rhode Island
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Schoenweger P, Kirschneck M, Biersack K, Di Meo AF, Reindl-Spanner P, Prommegger B, Ditzen-Janotta C, Henningsen P, Krcmar H, Gensichen J, Jung-Sievers C. Community indicators for mental health in Europe: a scoping review. Front Public Health 2023; 11:1188494. [PMID: 37538274 PMCID: PMC10396773 DOI: 10.3389/fpubh.2023.1188494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Accepted: 06/19/2023] [Indexed: 08/05/2023] Open
Abstract
Background Community indicators may predict and influence individuals` mental health, and support or impede mental health management. However, there is no consensus on which indicators should be included in predictions, prognostic algorithms, or management strategies for community-based mental health promotion and prevention approaches. Therefore, this scoping review provides an overview of relevant community-level indicators for mental health in the general as well as risk populations in a European context. Methods We conducted a scoping review in the following electronic databases: PubMed, Embase, and PsycInfo. Eligible studies focused on context factors such as either the physical or social environment, reporting at least one mental health outcome and referring to a European population. Publications between 2012 and March 8, 2022 are considered. Results In total, the search yielded 12,200 identified records. After the removal of duplicates, 10,059 records were screened against the eligibility criteria. In total, 169 studies were included in the final analysis. Out of these included studies, 6% focused on pan-European datasets and 94% on a specific European country. Populations were either general or high-risk populations (56 vs. 44%, respectively) with depressive disorder as the main reported outcome (49%), followed by general mental health (33%) and anxiety (23%). Study designs were cross-sectional studies (59%), longitudinal (27%), and others (14%). The final set of indicators consisted of 53 indicators, which were grouped conceptually into 13 superordinate categories of community indicators. These were divided into the domains of the physical and social environment. The most commonly measured and reported categories of community indicators associated with mental health outcomes were social networks (n = 87), attitudinal factors toward vulnerable groups (n = 76), and the characteristics of the built environment (n = 56). Conclusion This review provides an evidence base of existing and novel community-level indicators that are associated with mental health. Community factors related to the physical and social environment should be routinely recorded and considered as influencing factors or potentially underestimated confounders. The relevance should be analyzed and included in clinical outcomes, data, monitoring and surveillance as they may reveal new trends and targets for public mental health interventions.
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Affiliation(s)
- Petra Schoenweger
- Institute of Medical Data Processing, Biometrics and Epidemiology (IBE), Faculty of Medicine, LMU Munich, Munich, Germany
- Pettenkofer School of Public Health, Munich, Germany
| | - Michaela Kirschneck
- Institute of Medical Data Processing, Biometrics and Epidemiology (IBE), Faculty of Medicine, LMU Munich, Munich, Germany
- Pettenkofer School of Public Health, Munich, Germany
| | - Katharina Biersack
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital, Technical University of Munich, Munich, Germany
| | - Anna-Francesca Di Meo
- Institute of Medical Data Processing, Biometrics and Epidemiology (IBE), Faculty of Medicine, LMU Munich, Munich, Germany
- Pettenkofer School of Public Health, Munich, Germany
| | - Philipp Reindl-Spanner
- TUM School of Computation, Information and Technology, Technical University of Munich, Munich, Germany
| | - Barbara Prommegger
- TUM School of Computation, Information and Technology, Technical University of Munich, Munich, Germany
| | - Claudia Ditzen-Janotta
- Institute of Medical Data Processing, Biometrics and Epidemiology (IBE), Faculty of Medicine, LMU Munich, Munich, Germany
- Pettenkofer School of Public Health, Munich, Germany
| | - Peter Henningsen
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital, Technical University of Munich, Munich, Germany
| | - Helmut Krcmar
- TUM School of Computation, Information and Technology, Technical University of Munich, Munich, Germany
| | - Jochen Gensichen
- Institute of General Practice and Family Medicine, University Hospital of Ludwig-Maximilians-University Munich, Munich, Germany
| | - Caroline Jung-Sievers
- Institute of Medical Data Processing, Biometrics and Epidemiology (IBE), Faculty of Medicine, LMU Munich, Munich, Germany
- Pettenkofer School of Public Health, Munich, Germany
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Nutakor JA, Zhou L, Larnyo E, Gavu AK, Chohan IM, Addai-Dansoh S, Tripura D. The Relationship Between Social Capital and Sleep Duration Among Older Adults in Ghana: A Cross-Sectional Study. Int J Public Health 2023; 68:1605876. [PMID: 37457843 PMCID: PMC10338686 DOI: 10.3389/ijph.2023.1605876] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Accepted: 06/20/2023] [Indexed: 07/18/2023] Open
Abstract
Objective: This study aims to investigate the connection between social capital and sleep duration among older adults in Ghana, as limited research has been conducted to explore this relationship. Methods: This study utilized Wave 2 data from a sample of Ghanaian older adults from the World Health Organization Study on Global AGEing and Adult Health (SAGE). Self-reported data on social capital and sleep duration were compiled. Using ordered logistic regression, the relationship between social capital and sleep duration was examined. Results: Older adults who did not participate in social activities showed the strongest association with the risk of short sleep (p < 0.05). Our study found that older adults who sleep for shorter periods tend to report better sleep quality. There was no correlation between medium and long sleep durations and social capital. Conclusion: This study underscores the importance of more research to truly understand the complex connections between older adults' social participation, sleep, and health. It also has important implications for the promotion of good sleep in aging populations.
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Affiliation(s)
| | - Lulin Zhou
- School of Management, Jiangsu University, Zhenjiang, China
| | - Ebenezer Larnyo
- Center for Black Studies Research, University of California, Santa Barbara, CA, United States
| | - Alexander Kwame Gavu
- Department of Educational Administration, College of Education, University of Saskatchewan, Saskatoon, SK, Canada
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Rowland BC, Mohebbi M, Kelly AB, Benstead ML, Herde JA, Clancy EM, Bailey JA, Hallam B, Sharkey P, Horner R, Toumbourou JW. School Influences on Adolescent Depression: A 6-Year Longitudinal Study Amongst Catholic, Government and Independent Schools, in Victoria, Australia. JOURNAL OF RELIGION AND HEALTH 2023; 62:1136-1156. [PMID: 35286561 PMCID: PMC10042755 DOI: 10.1007/s10943-022-01515-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 01/22/2022] [Indexed: 06/14/2023]
Abstract
This study examined associations between school sector (Government, Catholic or Independent) and depressive symptomology over the secondary school years. Six waves of data collected annually from a representative Australian sample were examined. Multilevel piecewise linear and logistic regression controlling for a variety of demographic variables and protective factors was undertaken. In all sectors, depressive symptomology decreased between 10 and 13 years of age, but significantly increased for girls at age 13. Adolescents in Catholic schools reported significantly fewer symptoms of depression compared to those in Government and Independent schools. Adolescents in Catholic schools were less likely to report clinical levels of depressed mood compared to adolescents in Government schools.
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Affiliation(s)
- Bosco C Rowland
- Centre of Social, Early and Emotional Development, School of Psychology, Faculty of Health, Deakin University, Geelong, VIC, 3125, Australia.
| | - Mohammadreza Mohebbi
- Faculty of Health, Biostatistics Unit, Deakin University, Geelong, VIC, Australia
| | - Adrian B Kelly
- Queensland University of Technology, Brisbane City, QLD, 4000, Australia
| | - Michelle L Benstead
- Centre of Social, Early and Emotional Development, School of Psychology, Faculty of Health, Deakin University, Geelong, VIC, 3125, Australia
| | - Jess A Herde
- School of Social Work, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, 3010, Australia
- Centre for Adolescent Health, Royal Children's Hospital, Melbourne, VIC, Australia
- Murdoch Children's Research Institute, Melbourne, VIC, Australia
| | - Elizabeth M Clancy
- Centre of Social, Early and Emotional Development, School of Psychology, Faculty of Health, Deakin University, Geelong, VIC, 3125, Australia
| | | | - Bill Hallam
- Centre of Social, Early and Emotional Development, School of Psychology, Faculty of Health, Deakin University, Geelong, VIC, 3125, Australia
| | - Paul Sharkey
- Melbourne Archdiocese Catholic Schools, East Melbourne, VIC, 3002, Australia
- Australian Catholic University, Fitzroy, VIC, 3065, Australia
| | - Robyn Horner
- Australian Catholic University, Fitzroy, VIC, 3065, Australia
| | - John W Toumbourou
- Centre of Social, Early and Emotional Development, School of Psychology, Faculty of Health, Deakin University, Geelong, VIC, 3125, Australia
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Tao Z, Feng Y, Liu J, Tao L. Trends and disparities in sleep quality and duration in older adults in China from 2008 to 2018: A national observational study. Front Public Health 2023; 11:998699. [PMID: 36875376 PMCID: PMC9982158 DOI: 10.3389/fpubh.2023.998699] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Accepted: 01/31/2023] [Indexed: 02/19/2023] Open
Abstract
Background Poor sleep status as a common concern is a risk factor for many health problems among older people. China with an aging society lacks relevant nationwide data on the sleep status among older people. Therefore, the purpose of this study was to investigate trends and disparities in sleep quality and duration among older adults, and exploring influencing factors of poor sleep in China between 2008 and 2018. Method We used the four-waves data of the Chinese Longitudinal Healthy Longevity Survey (CLHLS) from 2008 to 2018. Sleep quality and average sleep hours per day was investigated by using questionnaires in the CLHLS. We categorized sleep duration as three groups including ≤5 h (short duration), 5-9 h (normal duration), or ≥9 h (long duration) per day. Multivariate logistic regression models were used to examine trends and risk factors of poor sleep quality, short sleep duration, and long sleep duration. Results The prevalence of poor sleep quality significantly increased from 34.87% in 2008 to 47.67% in 2018 (p < 0.05). Short sleep duration significantly increased from 5.29 to 8.37%, whereas long sleep duration decreased from 28.77 to 19.27%. Multivariate analysis showed that female sex, poor economic status, a greater number of chronic diseases, underweight, poor self-reported quality of life, and poor self-reported health were associated with poor sleep quality and short sleep duration (p < 0.05). Conclusion Our findings revealed that older adults had increased prevalence of poor sleep quality and short sleep duration from 2008 to 2018. More attention should be paid to the increased sleep problems among older adults and early interventions should be made to improve sleep quality and guarantee enough sleep time.
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Affiliation(s)
- Zihao Tao
- Research Center of Clinical Epidemiology, Peking University Third Hospital, Beijing, China.,School of Basic Medical Sciences, Peking University, Beijing, China
| | - Yuting Feng
- School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China
| | - Jue Liu
- School of Public Health, Peking University, Beijing, China
| | - Liyuan Tao
- Research Center of Clinical Epidemiology, Peking University Third Hospital, Beijing, China.,Medical Examination Centre, Peking University Third Hospital, Beijing, China
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Fenn N, Sacco A, Monahan K, Robbins M, Pearson-Merkowitz S. Examining the relationship between civic engagement and mental health in young adults: a systematic review of the literature. JOURNAL OF YOUTH STUDIES 2022; 27:558-587. [PMID: 38706784 PMCID: PMC11068018 DOI: 10.1080/13676261.2022.2156779] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Accepted: 12/05/2022] [Indexed: 05/07/2024]
Abstract
Researchers have examined civic engagement as a health promotion tool among older adults and adolescents, yet less is known about its mental health implications for young adults. This systematic review identified 53 articles on civic engagement and well-being in young adults. Five key themes emerged: (1) varying associations between type of civic engagement and well-being, (2) duration and frequency of civic behaviors, (3) directionality in the civic-to-well-being pathway, (4) mediation and moderation factors affecting the civic-to-well-being pathway, and (5) civic engagement as a tool for coping with adversity or systemic oppression. Civic engagement demonstrates a heterogeneous relationship to well-being; future research should focus on the explanatory pathways for positive, negative, and null correlations particularly among historically marginalized young adults.
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Affiliation(s)
- Natalie Fenn
- Department of Psychology, University of Rhode Island, Kingston, RI, USA
- Department of Psychiatry & Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA
| | - Allegra Sacco
- Department of Psychology, University of Rhode Island, Kingston, RI, USA
| | - Kathleen Monahan
- Department of Psychology, University of Rhode Island, Kingston, RI, USA
| | - Mark Robbins
- Department of Psychology, University of Rhode Island, Kingston, RI, USA
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Sagiv IB, Goldner L, Carmel Y. The civic engagement community participation thriving model: A multi-faceted thriving model to promote socially excluded young adult women. Front Psychol 2022; 13:955777. [PMID: 36186320 PMCID: PMC9521641 DOI: 10.3389/fpsyg.2022.955777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2022] [Accepted: 08/25/2022] [Indexed: 11/24/2022] Open
Abstract
Social policies to promote socially excluded young adult women generally concentrate on education, employment, and residence but tend to neglect thriving. The current article puts forward a Civic Engagement Community Participation Thriving Model (CECP-TM) that views thriving as a social policy goal in and of itself. It posits that civic engagement, beyond its contribution to social justice, serves as a vehicle for thriving through self-exploration and identity formation. Both are considered key components of successful maturation and thriving. Nonetheless, civic engagement and self-exploration tend not to be nurtured in socially excluded young adult women, a unique group experiencing intersecting discrimination. The model shows how active civic engagement in the context of a community of peers contributes to developing a sense of belonging and connectedness and promotes new self-reflection, identity formation, and agency capabilities. When situated within the context of intersectionality, these encourage the development of critical consciousness and new understandings of “who I am and how I fit into the social world in which we live.” These can provide a sense of meaning, contribute to identity formation, and promote the thriving of the self and the community. Several examples illustrate the model.
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Affiliation(s)
- Irit Birger Sagiv
- School of Creative Arts Therapies, Faculty of Welfare and Health Sciences, The Emili Sagol CATs Research Center, University of Haifa, Haifa, Israel
- *Correspondence: Irit Birger Sagiv,
| | - Limor Goldner
- School of Creative Arts Therapies, Faculty of Welfare and Health Sciences, The Emili Sagol CATs Research Center, University of Haifa, Haifa, Israel
- Limor Goldner,
| | - Yifat Carmel
- School of Creative Arts Therapies, Faculty of Welfare and Health Sciences, The Emili Sagol CATs Research Center, University of Haifa, Haifa, Israel
- Department of Educational Counseling, Faculty of Education, Beit Berl College, Kfar Saba, Israel
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Na PJ, Tsai J, Southwick SM, Pietrzak RH. Provision of social support and mental health in U.S. military veterans. NPJ MENTAL HEALTH RESEARCH 2022; 1:4. [PMID: 38609471 PMCID: PMC10938859 DOI: 10.1038/s44184-022-00004-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/01/2022] [Accepted: 03/30/2022] [Indexed: 04/14/2024]
Abstract
While social support has been linked to better health, most research has focused on the receipt of social support. In this study, we evaluated associations between provided support and mental health in a nationally representative cohort of 4069 US veterans. The majority (60-72%) of veterans reported providing support on a consistent basis. Veterans who scored higher on certain aspects of personality (i.e., agreeableness, conscientiousness, and extraversion) and received greater support were more likely to provide support. Further, each standard deviation increase in provided support was independently associated with 22-32% reduced odds of internalizing psychiatric disorders and suicidal ideation, and veterans who scored higher on both provided and received support had 3.5- to 14-fold lower odds of these outcomes relative to those with high received support but low provided support. Results suggest that interventions to promote the provision of support may help mitigate risk for adverse mental health outcomes in veterans.
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Affiliation(s)
- Peter J Na
- VA Connecticut Healthcare System, West Haven, CT, USA.
- Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
| | - Jack Tsai
- U.S. Department of Veterans Affairs National Center on Homelessness Among Veterans, Tampa, FL, USA
- School of Public Health, University of Texas Health Science Center at Houston, San Antonio Campus, San Antonio, TX, USA
| | | | - Robert H Pietrzak
- Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA
- National Center for PTSD, VA Connecticut Healthcare System, West Haven, CT, USA
- Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, USA
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12
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Ziaei S, Hammarström A. What social determinants outside paid work are related to development of mental health during life? An integrative review of results from the Northern Swedish Cohort. BMC Public Health 2021; 21:2190. [PMID: 34847924 PMCID: PMC8638423 DOI: 10.1186/s12889-021-12143-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Accepted: 10/29/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Despite global increase in burden of mental health conditions, longitudinal studies on factors related to development of mental health are scarce. Particularly integrated understanding of how factors at each level of ecological system interact to influence mental health of individuals during their life is missing. Both work and outside work (life beyond work) spheres are two important areas in human life which can have independent effects on mental health of individuals. In this integrative review, we aimed to synthesis findings about social determinants outside paid work that are related to development of mental health during life in a 27-year prospective Swedish Cohort study by using Bronfenbrenner's Ecological Systems Theory. METHODS The material for this paper consists of all mental health related papers within Northern Swedish Cohort. Papers related to outside paid work exposures of life circumstances were selected. An integrative review was conducted on 27 papers and deductive qualitative content analysis in relation to Bronfenbrenner ecological framework was performed to identify the main themes. RESULTS The results of this review showed that class structures and gender order at macro-level permeated into all other levels and finally became embodied in the individuals as symptoms of mental health during life. At the "exo-level" neighbourhood disadvantage was related to mental ill-health of individuals. The importance of parental interaction with other settings, like school, for mental health of individuals was highlighted at "meso-level". At "micro-level" poor social relationships; social and material adversities and inequality in gender relations during adult life were related to mental ill-health. CONCLUSION We found mental health of individuals to be related to both unique and common factors manifesting at different socio-ecological levels. Social structures at the macro-level namely class structures and gender order permeate all other levels and eventually become embodied in the individuals as symptoms of mental health during life. Interventions addressing gender and class related inequalities might be of importance for improving mental health of individuals during their life.
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Affiliation(s)
- Shirin Ziaei
- Unit of Occupational Medicine, Institute of Environmental Medicine, Karolinska Institutet, Solnavägen 4, 113 65, Stockholm, Stockholm, Sweden.
| | - Anne Hammarström
- Unit of Occupational Medicine, Institute of Environmental Medicine, Karolinska Institutet, Solnavägen 4, 113 65, Stockholm, Stockholm, Sweden.,Department of Epidemiology and Global Health, Umea University, 901 87, Umea, Sweden
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Kiely KM, Sutherland G, Butterworth P, Reavley NJ. Age and gender differences in the reciprocal relationship between social connectedness and mental health. Soc Psychiatry Psychiatr Epidemiol 2021; 56:1069-1081. [PMID: 33011822 DOI: 10.1007/s00127-020-01960-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/25/2020] [Accepted: 09/23/2020] [Indexed: 11/25/2022]
Abstract
PURPOSE To examine (i) reciprocal longitudinal associations between social connectedness and mental health, and (ii) how these associations vary by age and gender. METHODS Three waves of nationally representative data were drawn from the HILDA survey (n = 11,523; 46% men). The five-item Mental Health Inventory (MHI-5) assessed symptoms of depression and anxiety. The Australian Community Participation Questionnaire provided measures of informal social connectedness, civic engagement and political participation. Multivariable adjusted cross-lagged panel regression models with random intercepts estimated bidirectional within-person associations between mental health and each of the three types of social connectedness. Multi-group analyses were used to quantify differences between men and women, and between three broad age groups (ages: 15-30; 31-50; 51+). RESULTS Reliable cross-lagged associations between prior informal social connections and future mental health were only evident among adults aged 50 years and older (B = 0.101, 95% CI 0.04, 0.16). Overall, there was no significant association between prior civic engagement and improvements in mental health (p = 0.213) though there was weak evidence of an association for men (B = 0.051, 95% CI 0.01, 0.09). Similarly, there was no significant association in the overall sample between political participation and improvements for mental health (p = 0.337), though there was weak evidence that political participation was associated with a decline in mental health for women (B = - 0.045, CI - 0.09, 0.00) and those aged 31-50 (B = - 0.057, CI - 0.10, - 0.01). Conversely, prior mental health was associated with future informal social connectedness, civic engagement, and political participation. CONCLUSION Interventions promoting social connectedness to improve community mental health need to account for age- and gender-specific patterns, and recognise that poor mental health is a barrier to social participation.
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Affiliation(s)
- Kim M Kiely
- Neuroscience Research Australia (NeuRA), Sydney, Australia. .,School of Psychology, University of New South Wales, Sydney, NSW, 2031, Australia. .,UNSW Ageing Futures Institute, University of New South Wales, Sydney, Australia.
| | - Georgina Sutherland
- Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia
| | - Peter Butterworth
- Research School of Population Health, The Australian National University, Canberra, Australia.,Melbourne Institute of Social and Economic Research, University of Melbourne, Melbourne, Australia
| | - Nicola J Reavley
- Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia
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14
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Souto EP, Moreno AB, Chor D, Melo ECP, Barreto SM, Nunes MA, Griep RH. Social Capital and Depressive Episodes: Gender Differences in the ELSA-Brasil Cohort. Front Public Health 2021; 9:657700. [PMID: 34079785 PMCID: PMC8165187 DOI: 10.3389/fpubh.2021.657700] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2021] [Accepted: 04/12/2021] [Indexed: 11/13/2022] Open
Abstract
Introduction: The association between social capital and depression is a frequent research topic in developed countries, often with inconclusive results. Furthermore, for both social capital and depression, there are gender differences established in the literature. This study investigates gender differences in the association of social capital with the incidence and maintenance of depressive episodes. Methods: Baseline and second wave data (4 years of follow-up) from the Longitudinal Study of Adult Health (ELSA-Brasil), a multicenter cohort of civil servants with 15,105 workers aged 35–74 years, were used. Social capital was assessed using the Resource Generator, a scale composed of two different dimensions: “social support” and “prestige and education.” Depressive episodes were assessed using the Clinical Interview Schedule - Revised (CIS-R). The statistical analysis was performed using multinomial regression with adjustments for possible confounding factors. Results: Among men, low social capital in the “social support” dimension was associated with the incidence of depressive episodes (RR = 1.66; 95% CI: 1.01–2.72). Among women, social support was associated with the maintenance of depressive episodes (RR = 2.66; 95% CI: 1.61–4.41). Social capital was not associated with the incidence or maintenance of depressive episodes in the “prestige and education” dimension in both genders. Conclusion: The results highlight the importance of the dimension “social support” in both genders in its association with mental health. The resource-based social capital approach proved to be adequate for investigating mental health and confirms the idea that social networks can be useful in the treatment and prevention of depressive episodes.
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Affiliation(s)
- Ester Paiva Souto
- Department of Epidemiology and Quantitative Methods in Health, National School of Public Health, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
| | - Arlinda B Moreno
- Department of Epidemiology and Quantitative Methods in Health, National School of Public Health, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
| | - Dóra Chor
- Department of Epidemiology and Quantitative Methods in Health, National School of Public Health, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
| | - Enirtes C Prates Melo
- Department of Epidemiology and Quantitative Methods in Health, National School of Public Health, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
| | - Sandhi M Barreto
- Postgraduate Program in Epidemiology, Faculty of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Maria Angélica Nunes
- Postgraduate Program in Epidemiology, Faculty of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Rosane Harter Griep
- Laboratory of Health and Environment Education, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
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15
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Fenn N, Robbins ML, Harlow L, Pearson-Merkowitz S. Civic Engagement and Well-Being: Examining a Mediational Model Across Gender. Am J Health Promot 2021; 35:917-928. [PMID: 33739159 DOI: 10.1177/08901171211001242] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
PURPOSE The relationship between civic engagement and mental health is generally positive, yet particularly complex among those from low socioeconomic backgrounds and women. The current study examined pathways between civic engagement and well-being to clarify its merit as a health promotional tool for young adults. DESIGN Cross-sectional design using an online questionnaire. SETTING Participants were recruited at a mid-sized Northeastern US university. SAMPLE Participants (N = 438) were primarily White (78%) and female (72%). MEASURES Demographics, socioeconomic status, civic engagement behavior, well-being, meaning in life, self-efficacy toward service, and social support. ANALYSIS Structural equation modeling to test an a priori model of civic engagement behavior and well-being in young adults. Models were conducted across men and women, covarying for social support. RESULTS The full effects model fit well, demonstrating positive relationships between civic engagement and well-being for both men and women with mediation by service self-efficacy and meaning in life (χ2(2) = 1.05, p = .59; CFI = 1.0; RMSEA = .00, 90%CI [.00, .07]; R2 = .46). Type of engagement (civic, electoral, sociopolitical) showed mixed results in relation to well-being. CONCLUSION Civic activity was associated with well-being when mediated by service self-efficacy while sociopolitical voice correlated to stronger well-being when mediated by meaning in life. Future longitudinal studies should be conducted among more socioeconomically diverse populations to verify the role of civic engagement in health promotion.
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Affiliation(s)
- Natalie Fenn
- Department of Psychology, 4260University of Rhode Island, Chafee Hall, Kingston, RI, USA
| | - Mark L Robbins
- Department of Psychology, 4260University of Rhode Island, Chafee Hall, Kingston, RI, USA
| | - Lisa Harlow
- Department of Psychology, 4260University of Rhode Island, Chafee Hall, Kingston, RI, USA
| | - Shanna Pearson-Merkowitz
- Department of Political Science, 4260University of Rhode Island, Washburn Hall, Kingston, RI, USA
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16
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Oh H, Park SK. Gender and stress-buffering of social capital toward depression among precarious workers in South Korea. Work 2021; 66:53-62. [PMID: 32417813 DOI: 10.3233/wor-203150] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023] Open
Abstract
BACKGROUND Precarious work is featured with disadvantaged job conditions such as to employment contract, job description, and occupational environment, and has been recognized as an emerging social risk for mental health. Social capital deserves further attention, believed to buffer stress produced by precarious employment. Yet, recent evidence suggests that the mental health benefits of social capital vary by gender, as gender norms that oblige women to assume a caregiving burden may nullify the benefits of a richer social capital. OBJECTIVE Our study focused on two types of social capital, bonding and bridging, testing their stress-buffering effects, as focusing on the posited gender-moderated effects of social capital. METHODS We analyzed 333 precarious workers in South Korea. Chi-square tests and t-tests are used to compare socio-demographic factors, depressive symptoms, and daily stressors by gender. Multiple regression analyses were used to test significance of an interaction term between daily stress and sub-domains of social capital by gender. RESULTS Male workers with higher bonding and higher bridging social capital reported lower depressive symptoms. Yet, female workers gained no direct benefit from higher bonding social capital and those with higher bridging social capital reported even higher depressive symptoms when their daily stress was lower. CONCLUSIONS Our findings support the notion that social capital is not universally beneficial and female precarious workers lacking resources seem to suffer despite increased social participation.
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Affiliation(s)
- Hyunsung Oh
- School of Socail Work, Arizona State University, Phoenix, AZ, USA
| | - Soo Kyung Park
- Department of Social Welfare, Yonsei University, Seoul, Korea
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17
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Lebenbaum M, Laporte A, de Oliveira C. The effect of mental health on social capital: An instrumental variable analysis. Soc Sci Med 2021; 272:113693. [PMID: 33508656 DOI: 10.1016/j.socscimed.2021.113693] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 01/05/2021] [Accepted: 01/07/2021] [Indexed: 10/22/2022]
Abstract
Although a large body of literature has examined the effect of social capital on health and theoretical models suggest a reciprocal relationship between the two variables, there are relatively few studies that have investigated the effect of mental health on social capital. This paper evaluates the impact of mental health on the stock of social capital using data from the cross-sectional 2012 (N = 21,844) and 2002 (N = 31,089) Canadian Community Health Survey - Mental Health editions. Mental health was measured retrospectively as self-rated mental health, past year mental health conditions, and past 30-day psychological distress. Given the reciprocal relationship, we used an instrumental variable approach with family history of mental health problems as the instrument and examined forms of social capital - sense of belonging and workplace social support - that are largely measures of social capital provided by non-family members in the community and workplace. The analysis suggests there are large and significant associations between measures of mental health and both outcomes, which persist in the instrumental variable analyses. These findings highlight the urgent need for policy makers to implement greater prevention and treatment of poor mental health, and provide greater support for individuals with poor mental health so they can build and maintain their social capital.
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Affiliation(s)
- Michael Lebenbaum
- Institute for Health Policy, Management and Evaluation (IHPME), University of Toronto, Canadian Centre for Health Economics (CCHE), Canada.
| | - Audrey Laporte
- IHPME, University of Toronto, Canadian Centre for Health Economics (CCHE), Canada.
| | - Claire de Oliveira
- IHPME, University of Toronto, Centre for Health Economics and Hull York Medical School, University of York, UK.
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18
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Gotfredsen AC, Goicolea I, Landstedt E. Carving out space for collective action: a study on how girls respond to everyday stressors within leisure participation. Int J Qual Stud Health Well-being 2020; 15:1815486. [PMID: 32954966 PMCID: PMC7534354 DOI: 10.1080/17482631.2020.1815486] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Purpose: Stress and achievement pressure constitute factors affecting young people’s mental health, especially among girls. Leisure participation holds the potential to be a collective space where young people can respond to stressors together. This study explores how girls collectively construct responses to daily stressors within the context of leisure participation. Methods: Nine focus groups were conducted with 16 girls aged 14–21 who were active members in two sport organizations in northern Sweden. Data was collected by using participatory observations and photo-elicited focus group discussions. Results: Our findings from the inductive thematic analysis were interpreted by combining the stress process model with social practice theory, resulting in three subthemes or responses: sharing sites of responsibility, resisting norms related to (gendered) youth and focused distraction. The subthemes were abstracted into the central theme of trustful belonging as a resource for collective responses, representing what pre-conditions need to be in place to make the responses possible. Conclusion: Leisure participation is an important relational space for young people to respond to stressors by making use of everyday routines, and the agency these social practices hold. However, the effort needed to respond to these stressors brought additional pressure in terms of responsibilities, and achievements.
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Affiliation(s)
- Anne Christina Gotfredsen
- Department of Epidemiology and Global Health, Umeå University , Umeå, Sweden.,Umeå Centre for Gender Studies, Umeå University , Umeå, Sweden
| | - Isabel Goicolea
- Department of Epidemiology and Global Health, Umeå University , Umeå, Sweden
| | - Evelina Landstedt
- Department of Social and Psychological Studies, Karlstad University , Karlstad, Sweden
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19
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The Association between Social Integration and Utilization of Essential Public Health Services among Internal Migrants in China: A Multilevel Logistic Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17186524. [PMID: 32911649 PMCID: PMC7559733 DOI: 10.3390/ijerph17186524] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/18/2020] [Revised: 08/30/2020] [Accepted: 09/04/2020] [Indexed: 12/26/2022]
Abstract
This study investigated the association between social integration and utilization of essential public health services among internal migrants. Data were from the 2017 China Migrants Dynamic Survey. Social integration was measured through four dimensions: economic integration, structural integration, sociocultural adaptation, and self-identity. Multilevel logistic regressions were used taking into account heterogeneity in the level of regional development. The utilization of health records and health education was less than 40% and varied widely across regions. Social integration was related to a higher likelihood of utilization of health records and health education. Moreover, sociocultural adaptation had a stronger effect on the utilization of health records in developed regions than in developing regions, and structural integration was strongly and positively related to the utilization of health education in developed regions. Hence, it appears that the relationship of some dimensions of social integration and utilization of essential public health services is moderated by the level of economic development. Promoting structural integration and sociocultural adaptation could strongly improve utilization of essential public health services in developed regions.
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20
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Xin Y, Ren X. Social Capital as a Mediator through the Effect of Education on Depression and Obesity among the Elderly in China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17113977. [PMID: 32512694 PMCID: PMC7312359 DOI: 10.3390/ijerph17113977] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 05/28/2020] [Accepted: 05/30/2020] [Indexed: 02/06/2023]
Abstract
Objectives: Global aging is an increasingly serious problem. The health problems faced by the elderly, such as depression and obesity, require serious consideration. Education, depression and obesity are inextricably linked; for the elderly, education is constant, and the factors which can mediate the relationship between education, depression and obesity are still being discussed by scholars. The mediating effect of social capital is rarely studied. The objective of this study was to assess the mediating role of cognitive social capital and structural social capital, as well as the effect of education on depression and obesity among the elderly using China Family Panel Studies (CFPS) data. Methods: In total, 4919 respondents were included in the final analysis. Education was measured by years of schooling. Trust and participation were used as measures of cognitive social capital and structural social capital. Depression symptoms and BMI were used as outcomes. Structural equation models were developed to examine the direct and indirect effect of social capital and education on health outcomes. Results: Education was negatively correlated with depression symptom (r = −0.15, p < 0.001), while education was positively correlated with BMI (r = 0.08, p < 0.001). Older adults with a higher education level have higher cognitive social capital (r = 0.11, p < 0.001) and structural social capital (r = 0.20, p < 0.001). Social capital plays a mediatory role. Older adults with higher social capital have a lower risk of depression (cognitive: r = −0.23, p < 0.001; structural: r = −0.03, p < 0.01) but a higher risk of obesity (cognitive: r = 0.06, p < 0.01; structural: r = 0.03, p < 0.01). For depression, the mediating function of cognitive social capital (a1b1= −0.025) is stronger than that of structural social capital (a2b2 = −0.006). While, for obesity, the effects of both cognitive and structural social capital are the same (a1c1 = a2c2 = 0.005). Conclusions: Social capital as a mediator through the effect of education on depression and obesity among the elderly in China. Meanwhile, using the positive effects of social capital to avoid negative effects should also be seriously considered.
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21
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Downward P, Rasciute S, Kumar H. The effect of health on social capital; a longitudinal observation study of the UK. BMC Public Health 2020; 20:466. [PMID: 32264853 PMCID: PMC7137318 DOI: 10.1186/s12889-020-08577-w] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2019] [Accepted: 03/24/2020] [Indexed: 12/02/2022] Open
Abstract
Background UK health policy increasingly focusses on health as an asset. This represents a shift of focus away from specific risk factors towards the more holistic capacity by which integrated care assets in the community support improvements in both health and the wider flourishing of individuals. Though the social determinants of health are well known, relatively little research has focussed on the impact of an individual’s health on their social outcomes. This research investigates how improved health can deliver a social return through the development of social capital. Methods An observational study is undertaken on 25 years of longitudinal data, from 1991, drawn from the harmonised British Household Panel Survey (BHPS) and Understanding Society Survey (USS). Fixed effects instrumental variable panel data regression analysis is undertaken on individuals. The number of memberships of social organisations, as a measure of structural social capital, is regressed on subjectively measured general health and GHQ12 (Likert) scores. Distinction is drawn between males and females. Results Improved general health increases social capital though differences exist between males and females. Interaction effects, that identify the impacts of health for different age groups, reveal that the effect of increased health on social capital is enhanced for males as they age. However, in the case of females increases in general health increase social capital only in connection with their age group. In contrast mental illness generally reduces social capital for males and females, and these effects are reduced through aging. Conclusions Investing in health as an asset can improve the social outcomes of individuals. Increasing the outcomes requires tailoring integrated care systems to ensure that opportunities for social engagement are available to individuals and reflect age groups. Targeting improvements in mental health is required, particularly for younger age groups, to promote social capital. The results suggest the importance of ensuring that opportunity for engagement in social and civic organisation be linked to general and mental health care support.
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Affiliation(s)
- Paul Downward
- School of Sport, Exercise and Health Sciences, Loughborough University, Ashby Road, Loughborough, LE11 3TU, UK.
| | - Simona Rasciute
- School of Business and Economics, Loughborough University, Ashby Road, Loughborough, LE11 3TU, UK
| | - Harish Kumar
- School of Sport, Exercise and Health Sciences, Loughborough University, Ashby Road, Loughborough, LE11 3TU, UK
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22
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Carr KA. A cohort longitudinal study of individual level social capital and depressive symptoms in the Wisconsin Longitudinal Study. SSM Popul Health 2020; 10:100544. [PMID: 32405527 PMCID: PMC7211899 DOI: 10.1016/j.ssmph.2020.100544] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2019] [Revised: 01/12/2020] [Accepted: 01/14/2020] [Indexed: 12/02/2022] Open
Abstract
This study examined the association between two dimensions of social capital, structural and cognitive, and depression, as well as investigating their within- and between-effects. Using the Wisconsin Longitudinal Study, I applied a multi-level 2-wave longitudinal analysis, over a 7-year period, to examine these two dimensions of social capital influence on individual's depressive symptoms at both the between- and within-person levels. Results suggest both dimensions of social capital are negatively related with levels of depressive symptoms. The within-person changes for both self-efficacy and sense of belonging were larger than the estimates of between-effects, while trust and structural social capital effects were equal. These findings add to the growing body of literature examining depressive symptoms in late life, while also providing evidence for policymakers to hone in on key areas that can address depressive symptoms with social capital interventions.
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Affiliation(s)
- Kyle A. Carr
- Department of Sociology, Boston College, 140 Commonwealth Ave., Chestnut Hill, MA, 02467, USA
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23
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Harley AE, Frazer D, Weber T, Edwards TC, Carnegie N. No Longer an Island: A Social Network Intervention Engaging Black Men Through CBPR. Am J Mens Health 2020; 14:1557988320913387. [PMID: 32202194 PMCID: PMC7092655 DOI: 10.1177/1557988320913387] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
Abstract
The aim of this study was to assess outcomes from a multilevel social network intervention to promote the health of Black men. Through a community–academic collaboration and using a participatory research approach, we implemented the intervention over 4 years in a 110-block area of an urban neighborhood. The project aimed to implement a neighborhood peer outreach and leadership network to strengthen social support of Black men and increase community and family engagement. Intervention activities included three 12-month intergenerational peer support groups (N = 46), a door-to-door outreach campaign (N = 186), media and communication efforts, and a community partner network. Primary outcomes for the peer support groups were measured using a pretest/posttest cohort design and included social support, perceived stress, social capital, and global self-esteem. Primary outcomes for the door-to-door outreach campaign were measured using a repeated cross-sectional design and included a sense of community, neighborhood social interaction, perceived neighborhood control, and self-rated health status. Significant findings from the peer support groups included an increase in social support overall (p = .027), driven by improvements in guidance, reliable alliance, and reassurance of worth; and an improvement in perceived stress (p = .047). Significant findings from the door-to-door outreach campaign included increases in neighborhood social interaction (p < .0001) and perceived neighborhood control (p = .036). This project provides evidence that a participatory approach to planning and delivering a health promotion intervention aimed at creating positive social spaces and enhancing social connections can result in significant outcomes and successful engagement of Black men.
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Affiliation(s)
- Amy E Harley
- Joseph J. Zilber School of Public Health, University of Wisconsin, Milwaukee, USA
| | - David Frazer
- Center for Urban Population Health, Milwaukee, WI, USA
| | - Tyler Weber
- Walnut Way Conservation Corps, Milwaukee, WI, USA
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24
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Gender Difference in Social Capital, Common Mental Disorders and Depression: ELSA-Brasil Study. PSYCH 2020. [DOI: 10.3390/psych2010009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Association studies between social capital and health point out that a high level of social capital can act as a protector for mental health. The growing interest in social risk factors for mental health coincides with the development of social capital research. Higher levels of social capital available through social networks can act as a protector for mental health. This study investigates gender differences in the association between social capital and common mental disorders (CMD) and depression. We analyzed 15,052 participants in the baseline of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). CMD and depression were assessed by Clinical Interview Schedule-Revised (CIS-R) and social capital by the Resource Generator scale. We used Logistic regression models stratified by sex. Women with lower social capital in the social support dimension had a greater chance of presenting CMD (OR = 1.36; CI 95%: 1.16–1.60) and depression (OR = 2.07; CI 95%: 1.57–2.72) when compared to women with higher social capital. No association was identified among men, or among women in the “prestige and education” dimension. The differences found between the dimensions of social capital support its multidimensionality, as well as the differences found between sexes, confirm the need to approach gender in its association with mental health.
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25
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Murphy LE, Jack HE, Concepcion TL, Collins PY. Integrating Urban Adolescent Mental Health Into Urban Sustainability Collective Action: An Application of Shiffman & Smith's Framework for Global Health Prioritization. Front Psychiatry 2020; 11:44. [PMID: 32153435 PMCID: PMC7044235 DOI: 10.3389/fpsyt.2020.00044] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/10/2019] [Accepted: 01/17/2020] [Indexed: 12/19/2022] Open
Abstract
The majority (55%) of the world's population lives in urban environments. Of relevance to global mental health, the rapid growth in urban populations around the world and the attendant risks coincide with the presence of the largest population of adolescents the global community has seen to date. Recent reviews on the effects of the urban environment on mental health report a greater risk of depression, anxiety, and some psychotic disorders among urban dwellers. Increased risk for mental disorders is associated with concentrated poverty, low social capital, social segregation, and other social and environmental adversities that occur more frequently in cities. To address these problems, urban adolescent mental health requires attention from decision makers as well as advocates who seek to establish sustainable cities. We examine opportunities to increase the prominence of urban adolescent mental health on the global health and development agenda using Shiffman and Smith's framework for policy priorities, and we explore approaches to increasing its relevance for urban health and development policy communities. We conclude with suggestions for expanding the community of actors who guide the field and bridging the fields of mental health and urban development to meet urban adolescent mental health needs.
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Affiliation(s)
- Lauren E. Murphy
- Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, United States
| | - Helen E. Jack
- Department of Internal Medicine, University of Washington, Seattle, WA, United States
| | - Tessa L. Concepcion
- Department of Global Health, University of Washington, Seattle, WA, United States
| | - Pamela Y. Collins
- Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, United States
- Department of Global Health, University of Washington, Seattle, WA, United States
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26
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Empowerment for civic engagement and well-being in emerging adulthood: Evidence from cross-regional and cross-lagged analyses. Soc Sci Med 2020; 244:112703. [DOI: 10.1016/j.socscimed.2019.112703] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2019] [Revised: 10/05/2019] [Accepted: 11/26/2019] [Indexed: 11/16/2022]
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27
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Maniccia DM, Leone JM. Theoretical framework and protocol for the evaluation of Strong Through Every Mile (STEM), a structured running program for survivors of intimate partner violence. BMC Public Health 2019; 19:692. [PMID: 31164113 PMCID: PMC6549320 DOI: 10.1186/s12889-019-6991-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2019] [Accepted: 05/16/2019] [Indexed: 11/28/2022] Open
Abstract
Background Intimate partner violence can have a devastating impact on victims’ psychological and physical health and ability to maintain and preserve interpersonal relationships. The aim of the current study is to empirically test the effectiveness of Strong Through Every Mile (STEM), a 10-week structured running (exercise) program designed to increase psychological, social, and physical well-being among survivors of intimate partner violence. To the authors’ knowledge, STEM is the only community-based structured running program designed to improve the quality of life of survivors of intimate partner violence. This paper will describe the STEM program and present the theoretical basis of the program and the program evaluation design. Methods The current study will utilize an interdisciplinary lens to evaluate a community-based intervention aimed at decreasing the negative effects of intimate partner violence on women’s lives. The study will use a mixed method approach (qualitative and quantitative), including a pre- and post-test evaluation of the STEM running program. Primary data will be collected using paper and pencil surveys which assess women’s psychological, social, and physical well-being prior to participation in the program and following the completion of the program. Qualitative data from focus groups will also be collected and allow for a more rich understanding of the changes that women experience over the course of the program and specific mechanisms underlying these changes. Discussion The current study will employ an interdisciplinary lens to examine the extent to which a structured exercise program, specifically running, impacts the psychological, social and physical well-being of women survivors of intimate partner violence. Findings of this study can influence the development and implementation of similar programs for survivors of intimate partner violence and other types of trauma by identifying mechanisms central in achieving positive outcomes for participants.
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Affiliation(s)
- Dayna M Maniccia
- School of Management, The Sage Colleges, 140 New Scotland Avenue, Albany, New York, 12208, USA.
| | - Janel M Leone
- Department of Interdisciplinary Studies, The Sage Colleges, 140 New Scotland Avenue, 12208, Albany, New York, USA
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Robbins R, Jean-Louis G, Gallagher RA, Hale L, Branas CC, Gooneratne N, Alfonso-Miller P, Perlis M, Grandner MA. Examining social capital in relation to sleep duration, insomnia, and daytime sleepiness. Sleep Med 2019; 60:165-172. [PMID: 31175050 DOI: 10.1016/j.sleep.2019.03.019] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2018] [Revised: 03/26/2019] [Accepted: 03/27/2019] [Indexed: 12/12/2022]
Abstract
OBJECTIVE Sleep, which plays an important role in health and well-being, is socially patterned such that certain demographic groups have worse sleep health than others. One possible mechanism driving sleep disparities is social capital. The current study examines the association between social capital and self-reported sleep variables (eg, duration, insomnia symptoms, and daytime sleepiness) among a sample of 1007 participants from the Sleep Health and Activity, Diet and Environment Study (SHADES). METHODS Logistic regressions were used to estimate whether the sleep variables were associated with social capital measures. All models control for age, sex, race/ethnicity (Non-Hispanic White, Black/African-American, Hispanic/Latino, Asian, and multicultural/other), income, and education (less than high school, high school graduate, some college, and college graduate). RESULTS Lower likelihood of membership in groups was seen for long sleepers (>9hrs, p-value<0.05) and beliefs that neighbors rarely/never help each other was more likely among short sleepers (5-6hrs, p-value<0.05), relative to 7-8 h sleepers. A decreased sense of belonging was seen among short sleepers (5-6hrs, p-value<0.05). Decreased likelihood of trust was reported by those with moderate-severe insomnia (p-value<0.05). Similarly, neighborhood improvement efforts were less likely among individuals with moderate-to-severe insomnia (p-value<0.05). CONCLUSIONS Results of our study show that short and long sleep duration, as well as insomnia, were inversely related to measures of social capital, such as group memberships and a sense of neighborhood belonging. Future research may explore the directionality of the relationship between social capital and sleep and perhaps consider future interventions to improve low social capital and/or poor sleep in community samples.
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Affiliation(s)
- Rebecca Robbins
- Department of Population Health, Center for Healthful Behavior Change, NYU School of Medicine, 180 Madison Avenue, 10016, New York, NY, USA.
| | - Girardin Jean-Louis
- Department of Population Health, Center for Healthful Behavior Change, NYU School of Medicine, 180 Madison Avenue, 10016, New York, NY, USA
| | - Rebecca A Gallagher
- Department of Medicine, University of Pennsylvania School of Medicine, 3624 Market Street, Philadelphia, PA, 19104, USA
| | - Lauren Hale
- Department of Family, Population, & Preventive Medicine, Stony Brook Medicine, Health Sciences Center, Level 3, Room 071, 11794-8338, Stony Brook, NY, USA
| | - Charles C Branas
- Department of Epidemiology, Columbia University, Mailman School of Public Health, 722 West 168th Street, Rm 1508, 10032, New York, NY, USA
| | - Nalaka Gooneratne
- Department of Medicine, University of Pennsylvania School of Medicine, 3624 Market Street, Philadelphia, PA, 19104, USA
| | - Pamela Alfonso-Miller
- Sleep and Health Research Program, Department of Psychiatry, University of Arizona College of Medicine, 2800 E. Ajo Way, 85713, Tucson, AZ, USA
| | - Michael Perlis
- Behavioral Sleep Medicine Program, Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Suite 670, 19104, Philadelphia, PA, USA
| | - Michael A Grandner
- Sleep and Health Research Program, Department of Psychiatry, University of Arizona College of Medicine, 2800 E. Ajo Way, 85713, Tucson, AZ, USA
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Moore S, Carpiano RM. Measures of personal social capital over time: A path analysis assessing longitudinal associations among cognitive, structural, and network elements of social capital in women and men separately. Soc Sci Med 2019; 257:112172. [PMID: 30803828 DOI: 10.1016/j.socscimed.2019.02.023] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2018] [Revised: 02/10/2019] [Accepted: 02/13/2019] [Indexed: 11/19/2022]
Abstract
Studies on personal social capital and health have relied on several key measures of social capital - trust, participation, network capital - all with the aim of capturing the resources to which individuals or groups might have access through their social networks. As this work has evolved, researchers have sought to differentiate among key measures, often arguing that each represents a different type of social capital. Despite the importance of this work, few studies have examined (a) whether these measures are in fact distinct constructs, particularly over time, (b) if these relationships are causal, and (c) whether gender patterns the ways these measures are related. Using a probability-based sample of adults with 1-3 observations per respondent, we apply generalized structural equation modeling to assess in women and men separately whether generalized trust, trust in neighbors, network diversity, social isolation, and social participation are associated with each other, hypertension, and self-reported health over a five-year period. The initial response rate was 38.7%, with cooperation rates of 60.4% and 56.3% at waves two and three. Findings highlight stability in the longitudinal relationship of the same measure across waves. They also suggest that social capital measures operate differently for men and women, with key measures of one type of social capital more often associated with another type in women than men. Nevertheless, the strengths of the associations remain weak in women and men, particularly over time, suggesting that these measures (especially generalized trust) may be inadequate proxies for each other. Lastly, social capital seemed more salient for women's than men's health. Future research on social capital might consider more deeply the role and meaning of gender in interpreting the results of studies linking social capital to health. Further consideration of trust, participation, and network capital as distinct constructs is also warranted.
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Affiliation(s)
- Spencer Moore
- Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, 29208, USA; School of Kinesiology and Health Studies, Queen's University, Kingston ON, K7L7N9, Canada.
| | - Richard M Carpiano
- School of Public Policy, University of California, Riverside, CA, 92521, USA; Department of Sociology, University of California, Riverside, CA, USA; Center for Healthy Communities, University of California, Riverside, CA, USA
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Birth size is not associated with depressive symptoms from adolescence to middle-age: results from the Northern Swedish Cohort study. J Dev Orig Health Dis 2018; 10:376-383. [PMID: 30378531 DOI: 10.1017/s2040174418000818] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Low birth weight has been shown to be related to increased risk of depression later in life - but the evidence is not conclusive. We examined the association of size at birth with repeatedly measured depressive symptoms in 947 individuals from the Northern Swedish Cohort, a community-based age-homogeneous cohort born in 1965, and followed with questionnaires between ages 16 and 43 (participation rate above 90% in all the surveys). Information on birth size was retrieved from archived birth records. Length of gestation was known for a subsample of 512 individuals (54%). We studied the association of birth weight and ponderal index with self-reported depressive symptoms at ages 16, 21, 30 and 43; with the life-course average of depressive symptoms score and with longitudinal trajectories of depressive symptoms retrieved by latent class growth analysis. Socioeconomic background, mental illness or alcohol problems of a parent, exposure to social adversities in adolescence and prematurity were accounted for in the analyses. We did not find any relationship between weight or ponderal index at birth and our measure of depressive symptoms between ages 16 and 43 in a series of different analyses. Adjustment for length of gestation did not alter the results. We conclude that size at birth is not associated with later-life depressive symptoms score in this cohort born in the mid-1960s in Sweden. The time and context need to be taken into consideration in future studies.
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Prevailing over Adversity: Factors Counteracting the Long-Term Negative Health Influences of Social and Material Disadvantages in Youth. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15091842. [PMID: 30150519 PMCID: PMC6164040 DOI: 10.3390/ijerph15091842] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/27/2018] [Revised: 08/21/2018] [Accepted: 08/24/2018] [Indexed: 01/28/2023]
Abstract
Disadvantaged circumstances in youth tend to translate into poor health development. However, the fact that this is not always the case has been seen as indicative of differential resilience. The current study highlights factors outside the context of the family with the potential to counteract the long-term negative influences of social and material adversity in adolescence on general health status. This study was based on two waves of questionnaire data from the Northern Swedish Cohort. From the wave in 1981 (age 16), indicators of social and material conditions as well as factors related to school, peers, and spare time were derived. From the wave in 2008 (age 43), information about self-rated health was used. Ordinal logistic regression models (n = 908) showed that adversity in youth was associated with poorer self-rated health in midlife among men and women alike, net of health status at baseline. However, having an advantaged situation with regard to school, peers, or spare time appeared to protect against the detrimental influences of disadvantaged circumstances in the family context on subsequent health. This suggests that health-promoting interventions may benefit from focusing on contexts outside the family in their effort to strengthen processes of resilience among disadvantaged youths.
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Limbu YB, Jayachandran C, McKinley C, Choi J. Exploring how structural and cognitive social capital influence preventive health behavior. HEALTH EDUCATION 2018. [DOI: 10.1108/he-09-2017-0045] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
Purpose
People living on poverty-level incomes in developing nations face unique health challenges as compared to those in developed nations. New insights emerge from a bottom of the pyramid context (India) where culture-based health notions, preventive orientation and health resources differ from developed western health orientations and resources. The purpose of this paper is to explore how structural and cognitive social capital indirectly influence preventive health behavior (PHB) through perceived health value.
Design/methodology/approach
The participants for this study include rural people from Tamil Nadu, a state of India who are classified as those living below poverty level based on a per capita/per day consumption expenditure of Rupees 22.50 (an equivalent of US$0.40 a per capita/per day) (Planning Commission, Government of India, 2012). The study included a total number of 635 participants (312 males and 323 females). Relatively a high response rate (79 percent) was achieved through personal contacts and telephone solicitation, cash incentive and multiple follow-ups. Participants completed a questionnaire assessing structural and cognitive social capital, preventative health behavior, perceived health value, and health locus of control (HLC).
Findings
The results show that perceived health value mediates the relationship between cognitive social capital and PHB. Specifically, cognitive social capital influences BoP people’s assessment of benefits of engaging in PHB, that, in turn, influences PHB. In addition, the findings showed that HLC moderates the effect of social capital on PHB. Social capital positively related to enhanced PHB only among those who believe that health outcomes are controllable.
Originality/value
The authors findings indicate that cognitive social capital has enormous potential in promoting health intervention and the health of poor communities, a sentiment shared by prior researchers (Glenane-Antoniadis et al., 2003; Fisher et al., 2004; Martin et al., 2004; Weitzman and Kawachi, 2000). Overall, from a theoretical, empirical and methodological perspective, the current study offers a unique contribution to the social capital and PHB literature. First, drawing from the HBM and HLC, the findings provide a more nuanced explanation of how distinct aspects of social capital predict PHB. Specifically, the relationship between social capital and PHB is qualified by the extent one perceives personal control over her health. In addition, the cognitive component of social capital influences PHB through perceptions of health value.
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Li C, Jiang S, Fang X. Effects of multi-dimensional social capital on mental health of children in poverty: An empirical study in Mainland China. J Health Psychol 2017; 25:853-867. [PMID: 29069940 DOI: 10.1177/1359105317737608] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
Using the data of 1314 underprivileged children in Xiushui, China, this study adopted an ecological framework to explore how social capital embedded in family, peer, school, and community interplay and affect the mental health of poor children. Structural equation modeling was employed to verify the hypothesized model. The results demonstrated that higher levels of family, peer, and school social capital were all associated with better mental health outcomes of children in poverty. Moreover, family, peer, and school social capital fully mediated the effect of community social capital on children's mental health. Theoretical and practical implications were discussed.
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Arpino B, Solé-Auró A. Education Inequalities in Health Among Older European Men and Women: The Role of Active Aging. J Aging Health 2017; 31:185-208. [PMID: 28823184 DOI: 10.1177/0898264317726390] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVE We assessed whether education inequalities in health among older people can be partially explained by different levels of active aging among educational groups. METHOD We applied logistic regression and the Karlson, Holm, & Breen (KHB) decomposition method using the 2010 and 2012 waves of the Survey of Health, Ageing and Retirement in Europe on individuals aged 50+ years ( N = 27,579). Active aging included social participation, paid work, and provision of grandchild care. Health was measured by good self-perceived health, low number of depressive symptoms, and absence of limitations because of health in activities people usually do. RESULTS We found a positive educational gradient for each of the three health measures. Up to a third of the health gaps between high and low educated were associated with differences in engagement in active aging activities. DISCUSSION Policies devoted at stimulating an active participation in society among older people should be particularly focused on lower educated groups.
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Hou Z, Lin S, Zhang D. Social capital, neighbourhood characteristics and utilisation of local public health services among domestic migrants in China: a cross-sectional study. BMJ Open 2017; 7:e014224. [PMID: 28821507 PMCID: PMC5724155 DOI: 10.1136/bmjopen-2016-014224] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVES We examined the association between structural social capital and public health services use, and explored the modifiable effect of neighbourhood factors on this association among domestic migrants in China. METHODS Data were from a 2014 nationally representative cross-sectional sample of domestic migrants aged 15-59 years in China. Survey-weighted logistic regression models were applied to assess the association between structural social capital, measured by participation in social organisations and social activities, and use of public health services. Interaction terms between neighbourhood urban status, neighbourhood composition and social capital were further assessed in the models. RESULTS Migrants who participated in social organisations were more likely to establish health records (OR 1.467, 95% CI 1.201 to 1.793) and receive health education information (OR 1.729, 95% CI 1.484 to 2.016) than those who did not. Participation in social activities was positively associated with establishing health records only in urban communities (OR 1.853, 95% CI 1.060 to 3.239), and it was positively linked to receiving health education information among those living with a higher percentage of local neighbours (OR 1.451, 95% CI 1.044 to 2.017). CONCLUSIONS Structural social capital was related to an increased utilisation of local public health services among migrants. The findings of this study provided new evidence for the differential influences of social capital by neighbourhood characteristics in China, which suggested the importance to enhance social capital in rural/suburban communities and communities where the majority of the residents were migrants.
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Affiliation(s)
- Zhiyuan Hou
- Department of Social Medicine, School of Public Health, National Key Laboratory of Health Technology Assessment (Ministry of Health), Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai, China
| | - Senlin Lin
- Department of Social Medicine, School of Public Health, National Key Laboratory of Health Technology Assessment (Ministry of Health), Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai, China
| | - Donglan Zhang
- Department of Health Policy and Management, College of Public Health, University of Georgia, Athens, Georgia, USA
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