scholarly journals The relationship among social capital, eHealth literacy and health behaviours in Chinese elderly people: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Guang-Hui Cui ◽  
Shao-Jie Li ◽  
Yong-Tian Yin ◽  
Li-Jun Chen ◽  
Jia-Qin Li ◽  
...  

Abstract Background Social capital has been linked to health behaviours, but the underlying mechanism is unclear. Previous studies have found that health literacy played the role of a mediator in the relationships among social capital, individual physical activity and nutrition. But it is not clear whether eHealth literacy mediates the impact of social capital on health behaviours. Therefore, our research aimed to explore the relationships among social capital (structural and cognitive social capital), eHealth literacy, and the health behaviours of elderly people, and to analyse the mediating effect of eHealth literacy, while providing a theoretical basis for a health behaviour intervention for elderly people. Methods From January to February 2019, we conducted a cross-sectional survey of 1201 Chinese people aged over 60 years using the Chinese Shortened Social Capital Scale (contains two subscales of structural social capital and cognitive social capital), eHealth Literacy Scale, and Health-Promoting Lifestyle Profile. We used structural equation modelling to test a hypothetical mediation model. Results The mean scores of social capital was 72.07 (SD = 13.03), 17.24 (SD = 9.34) for eHealth literacy, and 112.23 (SD = 23.25) for health behaviours. Social capital and eHealth literacy were significantly correlated with health behaviours, and social capital and structural social capital were significantly correlated with eHealth literacy. Lastly, eHealth literacy mediated the relationship between structural social capital and health behaviours. Conclusions eHealth literacy was an important mediating factor for elderly people’s structural social capital and health behaviours. Therefore, social capital and eHealth literacy must be considered when designing and implementing health behaviour intervention programmes for elderly people.

2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Romualdas Malinauskas ◽  
Audrone Dumciene ◽  
Saule Sipaviciene ◽  
Vilija Malinauskiene

This study investigated the role of gender as a potential predictor of health behaviour and potential moderator of the relationship between emotional intelligence and health behaviour. This cross-sectional study included 1214 students (597 males and 617 females). Data were collected using the Schutte Self-Report Inventory and the Health Behaviour Checklist. Stepwise multiple regression analysis was executed with the components of health behaviour as the dependent variables to examine the predictive value of the emotional intelligence indicators as the independent variables. Gender predicted all categories of health behaviours. Only one indicator of emotional intelligence, appraisal, predicted the Accident Control and Traffic Risk Taking categories. The emotional intelligence indicator of social skills emerged only as a predictor of Wellness Maintenance and Enhancement in university students. Gender moderates the relationship between all emotional intelligence indicators and health behaviour components except the relationship between Appraisal and Substance Risk Taking and the relationship between Utilization and traffic risk taking.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S637-S637
Author(s):  
Changmin Peng ◽  
Jeffery A Burr ◽  
Kyungmin Kim ◽  
Nan Lu

Abstract Home- and Community-Based Services (HCBS) are increasingly important for older adults who want to maintain their independence and remain in their communities. Although HCBS systems have been developed widely in many western countries and in some countries in Asia, China is just beginning to grapple with its rapidly aging population by offering HCBS in a limited fashion. The purpose of this study was to investigate the relationship between structural (e.g., citizenship activities, volunteering) and cognitive (e.g., social trust, a sense of belonging) social capital and HCBS utilization among older Chinese adults. The study also examined the mediating effect of structural social capital for the the relationship between cognitive social capital and HCBS utilization. We frame the study within the Andersen behavioral model of health services utilization and argue that within this framework social capital is an enabling factor. We analyzed survey data from 456 community-dwelling older adults living in the Gusu district of the city of Suzhou, China in 2015. Structural equation modeling was used to test the hypothesized relationships. The results showed that both cognitive and structural social capital were significantly associated with HCBS utilization. Structural social capital also served as a mediator between cognitive social capital and HCBS utilization, even after controlling for sociodemographic characteristics and other relevant covariates. The findings supported the utility of employing Andersen’s behavioral model and social capital theory for better understanding older Chinese adults’ utilization of HCBS. Interventions for increasing social capital may be useful for improving HCBS utilization in Chinese urban communities.


Author(s):  
Azam Tariq ◽  
Tian Beihai ◽  
Sajjad Ali ◽  
Nadeem Abbas ◽  
Aasir Ilyas

Cognitive social capital is crucial for mental wellbeing and physical disability in order to avoid late-life depression. The objective of this study was to investigate the mediating effect of cognitive social capital (interpersonal trust and reciprocity) on the relationship between physical disability and depression in elderly people of rural Pakistan. For this purpose, 146 respondents aged 60 years or above and residents of rural areas of district Muzaffargarh (Punjab, Pakistan) were approached for data collection. The questionnaire includes socio-demographic variables (gender, age, education, marital status, family system, living status, household income, and number of chronic diseases); the geriatric depressive symptoms scale (GDS-15) was used to measure depression, physical disability was evaluated through ADL and IADL scales, and cognitive social capital, which includes interpersonal trust and reciprocity, was measured using single-item questions. It was found that interpersonal trust, reciprocity, depression, and physical disability were significantly correlated with each other and physical disability was directly associated with depression. In mediation analysis, reciprocity mediated the relationship between physical disability and depression. Our findings highlight the need to enhance cognitive social capital interventions and develop policies to promote mental and physical health of rural elderly.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zhen Yang ◽  
Cheng-hua Jiang

Abstract Background China is making efforts to promote the equalization of National Essential Public Health Services (NEPHS) for internal migrants. Studies have demonstrated that the impacts of social capital on health services are different among subgroups of people. Clarifying these differences will help China accurately promote the equalization of NEPHS for the internal migrants and provide reference for other countries. Methods Data from the China Migrant Dynamic Survey of 2017, involving 130,642 migrants in 31 provinces were used to clarify the complex relationship between social capital and the utilization of NEPHS. Social capital was divided into regional cognitive social capital (RCSC), regional structural social capital (RSSC), individual cognitive social capital (ICSC), and individual structural social capital (ISSC). Then, multi-level logistic regression was conducted to analyze their impacts on the utilization of NEPHS of the migrants, and whether such impacts are moderated by sex and education. Results (1) There are significant differences in the levels of CSC, SSC, and NEPHS utilization between different sexs and educational subgroups of the migrants, among which the educational difference is more prominent. (2) An interaction exists between the levels and dimensions of social capital and NEPHS projects. Also, the impact of SSC on NEPHS is always greater than that of CSC at the same level. (3) The effects of RCSC, RSSC, ICSC, and ISSC on NEPHS utilization by migrants are not moderated by sex. However, a high education could weaken the relationship between RCSC and health education, ISSC and health education, and RSSC and health records but strengthen the correlation between RSSC and health education. Conclusion Social capital plays an important role in the access of migrants to NEPHS. Governments should vigorously promote the construction of regional social capital, encourage migrants to actively participate in community activities, especially pay attention to the enhancement of the migrants with low SES to the destination identity.


2020 ◽  
Vol 10 (2) ◽  
Author(s):  
DEWITA DEWITA ◽  
Emi Roslinda ◽  
Siti Masitoh Kartikawati

AbstrakModal sosial adalah kemampuan masyarakat untuk bekerjasama demi mencapai suatu tujuan bersama didalam suatu kelompok. Hutan Adat Pikul memiliki potensi tengkawang yang sangat melimpah yang dimanfaatkan masyarakat sekitar hutan untuk memenuhi kebutuhan hidup. Penelitian ini bertujuan mengetahui modal sosial masyarakat yang terdiri dari modal sosial kognitif dan struktural dan hubungan modal sosial terhadap pemanfaatan buah tengkawang di hutan Adat Pikul. Penelitian ini menggunakan konsep uphoff, dengan metode survei, teknik pengumpulan data dengan wawancara menggunakan kuesioner dan wawancara mendalam kepada responden kunci. Responden dalam penelitian ini adalah masyarakat Dusun Melayang yang memanfaatkan buah tengkawang yang dipilih secara sengaja (purposive sampling) yang terdiri dari 30 orang. Besarnya tingkat modal sosial masyarakat analisis menggunakan persamaan selang nilai dan hubungan modal sosial dianalisis menggunakan uji koefisien Peringkat Sperman. Hasil penelitian menunjukan bahwa modal sosial dalam pemanfaatan buah tengkawang pada masyarakat Dusun Melayang tergolong tinggi. Modal sosial kognitif yang terdiri dari kepercayaan, kerjasama dan solidaritas serta Modal sosial struktural yang terdiri dari aturan, peranan, dan jaringan keduanya tergolong tinggi. Hubungan modal sosial terhadap pemanfaatan tengkawang memiliki hubungan yang searah dan kuat, kedua unsur modal sosial Kognitif dan struktural berhubungan sangat nyata terhadap pemanfaatan tengkawang. Korelasi nyata yang terjadi berupa korelasi positif yang menunjukkan semakin tinggi tingkat modal sosial struktural dan modal sosial kognitif yang terbentuk, semakin baik pula pemanfaatan buah tengkawang di hutan Adat Pikul.Kata kunci: Modal Sosial, Buah Tengkawang, Hutan Adat PikulAbstractThe Social capital is the ability of the community which work together to achieve a common goal within group. Pikul costomary forest has the potential of tengkawang that was abundant and utilized by the community around the forest to fulfill their daily needs. This study aimed to determine community social capital consists of cognitive and structural social capital and the relationship of social capital how to use of tengkawang fruit in the Pikul indigenous forest. This study used the concept of upoff, with survey methods, data collection techniques with interviews used questionnaires and in-depth interviews with key respondents. Respondents in this study were Melayang Hamlet community who used tengkawang fruit intentionally (purposive sampling) which consist of 30 people. The magnitude level of social capital used the value interval equation and the relationship of social capital was analyzed of Sperman rating coefficient test. The results showed the social capital in used tengkawang fruit in Melayang sub-village was classified as "high". The cognitive social capital consists of trust, cooperation and solidarity. The structural social capital consists of rules, roles, and networks were both classified as "high". The relationship of social capital which used of tengkawang has a direct and strong relationship, the two elements of Cognitive and structural social capital were very significan and relate with the way how to use tengkawang. The real correlation was occurred in the form of positive correlation that showed the higher level of structural social capital and cognitive social capital formed, which better used of tengkawang fruit in the Pikul costomary forest.Keywords: social capital, tengkawang fruit, Pikul costomary forest


2017 ◽  
Vol 19 (3) ◽  
Author(s):  
Gasto Frumence ◽  
Tumaini M. Nyamhanga

Background: It is almost two decades since various research works started documenting the debate surrounding the role of social capital on individual health outcomes in different contexts. However, in Tanzania there is a dearth of empirical evidence showing how social capital influences health outcomes. The objective of this study was to investigate the links between individual social capital and self-rated health by selected socio-demographic factors.Methods: We conducted a population-based cross-sectional study in Makete district in the south-western Tanzania. A semi-structured questionnaire was used to collect data using face to face interviews with the study participants. We collected information on individual structural social capita, which include memberships in organizations, giving social support, receiving social support and participation in voluntary activities. We also collected information on individual cognitive social capital including visiting neighbour, trusting neighbour, interaction with neighbour and ability to influence in decisions.Results: A total of 862 individuals from four villages participated in the study with the mean age of 31.3 years. Factor analysis (using principal components analysis) with varimax determined four domains of structural social capital: participation in collective activities, giving social support, membership in formal and informal organizations and receiving social support (factor loadings: 0.65 to 0.55). Four domains of cognitive social capital were also identified: visiting a sick neighbour, trusting a neighbour, and interacting with neighbour and ability to influence decisions (Factors loadings: 0.78 to 0.52). The multivariable logistic regression analysis shows that individuals with access to medium and high levels of structural social capital were almost 2 and 3 times more likely to report good health than individuals with low social capital [OR 2.3 (CI: 1.6-3.4)] and [OR 3.4 (CI: 2.3-5.1)], respectively.Conclusion: Our study findings support the argument that high level of structural social capital has positive health outcomes in rural Tanzania’ setting. Therefore, village leaders in particular and community members in general should promote social capital in their communities as one of the health interventions towards improving individual health. 


2020 ◽  
Author(s):  
Richard Huan Xu ◽  
Ling-Ming Zhou ◽  
Eliza Lai-Yi Wong ◽  
Dong Wang

BACKGROUND Although previous studies have shown that a high level of health literacy can improve patients’ ability to engage in health-related shared decision-making (SDM) and improve their quality of life, few studies have investigated the role of eHealth literacy in improving patient satisfaction with SDM (SSDM) and well-being. OBJECTIVE This study aims to assess the relationship between patients’ eHealth literacy and their socioeconomic determinants and to investigate the association between patients’ eHealth literacy and their SSDM and well-being. METHODS The data used in this study were obtained from a multicenter cross-sectional survey in China. The eHealth Literacy Scale (eHEALS) and Investigating Choice Experiments Capability Measure for Adults were used to measure patients’ eHealth literacy and capability well-being, respectively. The SSDM was assessed by using a self-administered questionnaire. The Kruskal-Wallis one-way analysis of variance and Wilcoxon signed-rank test were used to compare the differences in the eHEALS, SSDM, and Investigating Choice Experiments Capability Measure for Adults scores of patients with varying background characteristics. Ordinary least square regression models were used to assess the relationship among eHealth literacy, SSDM, and well-being adjusted by patients’ background characteristics. RESULTS A total of 569 patients completed the questionnaire. Patients who were male, were highly educated, were childless, were fully employed, were without chronic conditions, and indicated no depressive disorder reported a higher mean score on the eHEALS. Younger patients (SSDM<sub>≥61 years</sub>=88.6 vs SSDM<sub>16-30 years</sub>=84.2) tended to show higher SSDM. Patients who were rural residents and were well paid were more likely to report good capability well-being. Patients who had a higher SSDM and better capability well-being reported a significantly higher level of eHealth literacy than those who had lower SSDM and poorer capability well-being. The regression models showed a positive relationship between eHealth literacy and both SSDM (<i>β</i>=.22; <i>P</i>&lt;.001) and well-being (<i>β</i>=.26; <i>P</i>&lt;.001) after adjusting for patients’ demographic, socioeconomic status, lifestyle, and health status variables. CONCLUSIONS This study showed that patients with a high level of eHealth literacy are more likely to experience optimal SDM and improved capability well-being. However, patients’ depressive status may alter the relationship between eHealth literacy and SSDM. CLINICALTRIAL


2021 ◽  
pp. 002076402110454
Author(s):  
William Tamayo-Aguledo ◽  
Alida Acosta-Ortiz ◽  
Aseel Hamid ◽  
Carolina Gómez-García ◽  
María Camila García-Durán ◽  
...  

Background: The effect of the Colombian armed conflict on the mental health of adolescents is still poorly understood. Aims: Given social interventions are most likely to inform policy, we tested whether two potential intervention targets, family functioning and social capital, were associated with mental health in Colombian adolescents, and whether this was moderated by experience of violence and displacement. Methods: We examined the cross-sectional association between family functioning, cognitive social capital, structural social capital and 12-month prevalence of Composite International Diagnostic Interview (CIDI) diagnosed psychiatric disorder, using data on 12 to 17-year-old adolescents ( N = 1,754) from the 2015 National Mental Health Survey of Colombia, a nationally representative epidemiological study. We tested whether associations survived cumulative adjustment for demographic confounders, experience of non-specific violence and harm and displacement by armed conflict. Results: Neither structural nor cognitive social capital were associated with better mental health. Better family functioning was associated with reduced risk of poor mental health in an unadjusted analysis (OR 0.90 [0.85–0.96]), and after cumulative adjustments for demographic confounders (OR 0.91 [0.86–0.97]), non-specific violence and harm (OR 0.91 [0.86–0.97]) and social capital variables (OR 0.91 [0.85–0.97]). In the final model, each additional point on the family APGAR scale was associated with a 9% reduced odds of any CIDI diagnosed disorder in the last 12 months. Conclusions: Better family functioning was associated with better mental health outcomes for all adolescents. This effect remained present in those affected by the armed conflict even after accounting for potential confounders.


2018 ◽  
Vol 59 (2) ◽  
pp. 215-230 ◽  
Author(s):  
Mesay A. Tegegne

The literature on immigrant health has by and large focused on the relationship between acculturation (often measured by a shift in language use) and health outcomes, paying less attention to network processes and the implications of interethnic integration for long-term health. This study frames English-language use among immigrants in the United States as a reflection of bridging social capital that is indicative of social network diversity. Using longitudinal data on self-rated health and the incidence of chronic conditions from the New Immigrant Survey (2003, 2007), I examine the contemporaneous and longitudinal associations between interethnic social capital and health. The results show evidence for a positive long-term effect of linguistic integration on health status, but no cross-sectional associations were observed. Overall, these results highlight the possible role of network processes in linking English-language use with immigrant health and the time-dependent nature of the relationship between linguistic integration and health status.


2021 ◽  
Author(s):  
Huiping Sun ◽  
Lin Qian ◽  
Mengxin Xue ◽  
Ting Zhou ◽  
Jiling Qu ◽  
...  

BACKGROUND With the popularization of the Internet, it has become possible to widely disseminate health information via social media. Medical staff’s health communication through social media can improve the public’s health literacy, and improving the intention of health communication among nursing undergraduates is of great significance for them to actively carry out health communication after entering clinical practice. OBJECTIVE To explore the relationship among eHealth literacy, social media self-efficacy, and health communication intention and to determine the mediating role of social media self-efficacy in the relationship between eHealth literacy and health communication intention. METHODS A cross-sectional descriptive correlation design was used in this study.Stratified cluster sampling was used to select 958 nursing students from four nursing colleges in Jiangsu Province, China, from June to July 2021.Data were collected using the eHealth Literacy Scale, the Social Media Self-efficacy Scale, and the Health Communication Intention Questionnaire. Sociodemographic data were also collected. Correlation analysis and regression analysis were used to determine the relationship between eHealth literacy, social media self-efficacy, and health communication intention. RESULTS Health communication intention is positively correlated with eHealth literacy and social media self-efficacy. eHealth literacy directly affects the intention of health communication significantly (p < 0.001), and social media self-efficacy played a mediating role in the influence of eHealth literacy on health communication intention (the mediating effect accounted for 37.2% of the total effect). CONCLUSIONS Improving the eHealth literacy of nursing undergraduates can directly affect or promote health communication intention and can also indirectly improve health communication intention through improving social media self-efficacy. In view of these results, targeted educational programs must be developed to improve eHealth literacy and social media self-efficacy among nursing undergraduates, thereby promoting their health information transmission.


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