Abstract
Background: To determine the effects of social capital on harmful drinking (HD) among Chinese community residents using a multilevel study. Methods: A cross-sectional study conducted from 2017–2018. In total, 13,610 participants were randomly interviewed from 29 districts of 3 cities in China with a multi-stage sampling procedure. Social capital, including social cohesion, membership in social organizations, and frequency of social participation, were assessed using validated scales. HD was assessed using the CAGE four-item questionnaire. Multilevel models were developed to determine whether social capital was related to HD when socioeconomic and demographic covariates were controlled. Results: In general, the prevalence of HD was 8.18%, and more specifically, 13.77% for men and 2.74% for women. After controlling for covariates and stratifying by gender, compared to residents in the low individual-level membership of social organizations, we found that the odds ratio (OR) for HD was 1.30 with a 95% confidence interval (CI) of 1.07–1.56 among men and 1.95 (95% CI: 1.29–2.97) among women. Compared to residents in the low individual-level frequency of social participation groups, the odds ratio of HD among women was 1.58 (95% CI: 1.10–2.26). There was no association between district-level social capital and HD. Conclusions: A high level of social capital may promote HD among the residents of Chinese neighborhoods. Intervention to modify social capital under the Chinese drinking culture may help reduce HD.
Highlights
Harmful drinking (HD) is the most significant public health challenge because of its serious individual and collective consequences, including poor health outcomes, loss of productivity, increased mortality, association with more than 60 diseases, and increased propensity for violence and crime [1,2,3,4].In 2016, a study indicated that adults aged 18 years and older consume approximately 3 liters (3 L) of any kind of alcohol per year (5.6 L by men and 0–3 L by women)
There was no association between district-level social capital and harmful drinking (HD)
In model 2, we found that none of three dimensions of district-level social capital were related to HD, but some individual-level covariates were significantly associated with HD: current smokers and residents with higher mental health scores
Summary
In 2016, a study indicated that adults aged 18 years and older consume approximately 3 liters (3 L) of any kind of alcohol per year (5.6 L by men and 0–3 L by women). The individual-level factors included age, gender, and socioeconomic status, and the societal-level factors included culture; drinking context; level of social and economic development; and alcohol production, distribution, and management [6]. To determine the effects of social capital on harmful drinking (HD) among. Social capital, including social cohesion, membership in social organizations, and frequency of social participation, were assessed using validated scales. Multilevel models were developed to determine whether social capital was related to HD when socioeconomic and demographic covariates were controlled. Results: In general, the prevalence of HD was 8.18%, and 13.77%
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: International Journal of Environmental Research and Public Health
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
