Abstract
It has been shown that community-level social capital may affect residents’ health. The present mixed ecological study assesses the evidence for an association between the community-level social capital and the individual level of self-rated health. The Hakui City Health Interview Survey targeted 15,242 people aged 40 years and older from 11 communities. Among them, 6578 residents responded to the questionnaire (response rate, 43.2%). We examined whether the community-level social capital (general trust, norm, and civic participation) was associated with the individual level of self-rated health. Overall, 1919 (29.1%) answers of self-rated poor health were identified. Community-level civic participation was negatively associated with poor self-rated health after adjusting for individual demographic factors, individual social capitals, and community-level economic status, whereas community-level general trust, and norm were not significant. The findings suggest the importance of fostering communities with high civic participation to reduce the poor health status of residents.
Highlights
Social capital has been considered an important determinant of population health [1]
We demonstrated that community-level civic participation was negatively associated with selfrated poor health in a rural town where the population was declining and aging
Living in high civic participation communities may result in a decreased risk for poor self-rated health independent of individual-level civic participation
Summary
Social capital has been considered an important determinant of population health [1]. A considerable number of studies has shown associations between social capital and health at an individual level [2]. On a community-level, the relationships between social capital and health were inconsistent, especially in the rural areas [2,3,4,5,6,7,8,9,10,11,12].
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