scholarly journals Contextual Effects of Social Integration and Disintegration on Health Status: Evidence from South Korea

2020 ◽  
Author(s):  
Eun-Bi Jo ◽  
Rang Hee Kwon ◽  
Minsoo Jung
Keyword(s):  
Social Capital ◽  
Health Status ◽  
Social Integration ◽  
Local Governments ◽  
Contextual Effects ◽  
Community Level ◽  
Rapid Decline ◽  
Individual Level ◽  
Social Disintegration ◽  
The Individual

Abstract Background: Many studies have shown that various social integration variables represented by social capital are beneficial to communities, including collective health. However, the rapid decline in fertility rates and the breakup of familyism in developed countries require a new approach to social disintegration, but the literature is insufficient. Here, we explored the contextual effects of social integration and social disintegration on the health of individuals.Methods: The research data consist of merged datasets of 6909 respondents who were quota-sampled by approximately 30 people from 229 local governments in Korea. The individual-level independent variable is a social integration measure consisting of 26 questions in four areas. The community-level independent variables are five integral and aggregate variables extracted from 81 indicators. The dependent variable is self-rated health status. Potential confounders are gender, age, annual income, educational attainment, district type, and the number of beds in medical institutions per 1,000 people.Results: The results showed that at the individual level, the higher the inclusive attitude of in- and out-of-networks, after adjusting for potential confounders, the less likely the respondent belongs to the unhealthy group (p <0.001). At the community level, the higher the proportion of single-person households in a community after adjusting for potential confounders, the less likely the respondent belongs to the unhealthy group (p <0.05). The effect size was 0.22.Conclusion: Thus far, social integration has been preferred, with the positive aspects of social capital being emphasized. However, this study shows that in some cases, social disintegration can instead positively influence an individual's health. Therefore, further studies of the various conditions of social context effects on health are necessary.Keywords: Social integration, Social disintegration, Contextual

scholarly journals Contextual Effects of Social Integration and Disintegration on Health Status: Evidence from South Korea

2020 ◽  
Author(s):  
Eun-Bi Jo ◽  
Rang Hee Kwon ◽  
Minsoo Jung
Keyword(s):  
Social Capital ◽  
Health Status ◽  
Social Integration ◽  
Local Governments ◽  
Contextual Effects ◽  
Community Level ◽  
Rapid Decline ◽  
Individual Level ◽  
Social Disintegration ◽  
The Individual

Abstract Background : Many studies have shown that various social integration variables represented by social capital are beneficial to communities, including collective health. However, the rapid decline in fertility rates and the breakup of familyism in developed countries require a new approach to social disintegration, but the literature is insufficient. Here, we explored the contextual effects of social integration and social disintegration on the health of individuals. Methods : The research data consist of merged datasets of 6909 respondents who were quota-sampled by approximately 30 people from 229 local governments in Korea. The individual-level independent variable is a social integration measure consisting of 26 questions in four areas. The community-level independent variables are five integral and aggregate variables extracted from 81 indicators. The dependent variable is self-rated health status. Potential confounders are gender, age, annual income, educational attainment, district type, and the number of beds in medical institutions per 1,000 people. Results : The results showed that at the individual level, the higher the inclusive attitude of in- and out-of-networks, after adjusting for potential confounders, the less likely the respondent belongs to the unhealthy group (p <0.001). At the community level, the higher the proportion of single-person households in a community after adjusting for potential confounders, the less likely the respondent belongs to the unhealthy group (p <0.05). The effect size was 0.22. Conclusion : Thus far, social integration has been preferred, with the positive aspects of social capital being emphasized. However, this study shows that in some cases, social disintegration can instead positively influence an individual's health. Therefore, further studies of the various conditions of social context effects on health are necessary.

scholarly journals Contextual Effects of Social Integration and Disintegration on Health Status: Evidence from South Korea

2020 ◽  
Author(s):  
Minsoo Jung ◽  
Eun-Bi Jo ◽  
Rang Hee Kwon
Keyword(s):  
Social Capital ◽  
Health Status ◽  
Social Integration ◽  
Local Governments ◽  
Contextual Effects ◽  
Community Level ◽  
Rapid Decline ◽  
Individual Level ◽  
Social Disintegration ◽  
The Individual

Abstract Background: Many studies have shown that various social integration variables represented by social capital are beneficial to communities, including collective health. However, the rapid decline in fertility rates and the breakup of familism in developed countries require a new approach to social disintegration, but the literature is insufficient. We explored the contextual effects of social integration and social disintegration on the health of individuals.Methods: The research data consist of merged datasets of 6909 respondents who were quota-sampled by approximately 30 people from 229 local governments in Korea. The individual-level independent variable is a social integration measure consisting of 26 questions in four areas. The community-level independent variables are five integral and aggregate variables extracted from 81 indicators. The dependent variable is self-rated health status.Results: The results showed that at the individual level, the higher the inclusive attitude of in- and out-of-networks, after adjusting for potential confounders, the less likely the respondent belongs to the unhealthy group (p <0.001). At the community level, the higher the proportion of single-person households in a community after adjusting for potential confounders, the less likely the respondent belongs to the unhealthy group (p <0.05).Conclusion: Thus far, social integration has been preferred, with the positive aspects of social capital being emphasized. However, this study shows that in some cases, social disintegration can instead positively influence an individual's health. Therefore, further studies of the various conditions of social context effects on health are necessary.

scholarly journals Social Capital and Mental Health in Rural and Urban China: A Composite Hypothesis Approach

2019 ◽  
Vol 16 (4) ◽  
pp. 665 ◽  
Author(s):  
Xiaoming Lin ◽  
Ruodan Lu ◽  
Liang Guo ◽  
Bing Liu
Keyword(s):  
Mental Health ◽  
Social Capital ◽  
Civic Participation ◽  
Political Trust ◽  
Urban China ◽  
Community Level ◽  
Outcome Variable ◽  
Individual Level ◽  
Rural And Urban ◽  
The Individual

The objective of this study is to follow the composite theory approach to analyze the effect of social capital on self-rated mental health in rural and urban China. Our nationally representative sample includes 10,968 respondents from 130 county-level communities. Two-level random-coefficient linear regressions, which model individual and community variations in subjective mental health, were estimated by taking the hierarchical structure of the dataset into account. We found that a significant proportion of the total variations in self-rated mental health were explained at the community level. We also found an association between low contextual civic trust and poor self-rated mental health after adjusting for individual social capital and individual socioeconomic-demographic variables. The study also revealed that: (1) in rural areas a positive relationship between civic and political trust and mental health existed both at the individual and the community level, respectively; and (2) in urban areas, only political trust at the individual level contributed to better mental health. In addition, the individual and community level political participation exhibited a positive impact on mental health measures in both rural and urban China. The individual level civic participation was positively associated to the outcome variable. However, the community-level civic participation seemed to negatively impact mental health in urban area. Our findings emphasize the importance of both individual and community-level healthcare interventions in China. Finally, this study also found that human capital covariates remained important predictors of self-rated mental health status even after controlling social capital both at individual and community levels. This study suggested that the composite thesis could provide a more convincing narrative than other theories in explaining the effects of both human and social capital on health.

The Contextual Effects of Gender Norms, Communication, and Social Capital on Family Planning Behaviors in Uganda: A Multilevel Approach

2006 ◽  
Vol 35 (4) ◽  
pp. 461-477 ◽  
Author(s):  
Hye-Jin Paek ◽  
Byoungkwan Lee ◽  
Charles T. Salmon ◽  
Kim Witte
Keyword(s):  
Social Capital ◽  
Family Planning ◽  
Interpersonal Communication ◽  
Hierarchical Linear Modeling ◽  
Gender Norms ◽  
Contextual Effects ◽  
Linear Modeling ◽  
Individual Level ◽  
Health Related ◽  
The Individual

This study hypothesized a multilevel model to examine the contextual effects of gender norms, exposure to health-related radio programs, interpersonal communication, and social capital on family planning behavior in Uganda. The results of hierarchical linear modeling showed that all of the four variables were significant predictors of family planning behavior. The authors found that gender norms as a contextual factor significantly interacted with the individual-level perceived benefit. The significant cross-level interaction effect was also observed between individuals' interpersonal communication and contextual variation in listening to a health-related radio program. Practical implications for family planning communication campaigns are discussed.

scholarly journals Less than one-fifth of the mothers practised exclusive breastfeeding in the emerging regions of Ethiopia: a multilevel analysis of the 2016 Ethiopian demographic and health survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tsegaye Gebremedhin ◽  
Demiss Mulatu Geberu ◽  
Asmamaw Atnafu
Keyword(s):  
Health Survey ◽  
Exclusive Breastfeeding ◽  
Household Wealth ◽  
Community Level ◽  
Wealth Status ◽  
Individual Level ◽  
Factors Associated ◽  
Breastfeeding Practices ◽  
The Individual ◽  
Low Coverage

Abstract Background The burden of low coverage of exclusive breastfeeding (EBF) has a significant impact on the health of a newborn and also on the family and social economy in the long term. Even though the prevalence of EBF practices in Ethiopia is low, the practices in the pastoral communities, in particular, are significantly low and affected by individual and community-level factors. Besides, its adverse outcomes are mostly unrecognised. Therefore, this study aimed to assess the individual and community-level factors of low coverage of EBF practices in the emerging regions of Ethiopia. Methods In this analysis, data from 2016 Ethiopian Demographic and Health Survey (EDHS) were used. A two-stage stratified sampling technique was used to identify 1406 children aged 0 to 23 months in the emerging regions of Ethiopia. A multilevel mixed-effect binary logistic regression analysis was used to determine the individual and community level factors associated with exclusive breastfeeding practices. In the final model, variables with a p-value of < 0.05 and Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) were found to be statistically significant factors that affect exclusive breastfeeding practices. Results Overall, 17.6% (95% CI: 15.6–19.6) of the children aged 0 to 23 months have received exclusive breastfeeding. Employed mothers (AOR: 0.33, 95% CI: 0.21–0.53), richer household wealth status (AOR: 0.39, 95% CI: 0.16–0.96), mothers undecided to have more children (AOR: 2.29, 95% CI: 1.21–4.29), a child with a history of diarrhoea (AOR: 0.31, 95% CI: 0.16–0.61) were the individual-level factors, whereas Benishangul region (AOR: 2.63, 95% CI: 1.44–4.82) was the community-level factors associated with the exclusive breastfeeding practices. Conclusions Less than one-fifth of the mothers have practised exclusive breastfeeding in the emerging regions of Ethiopia. The individual-level factors such as mother’s employment status, household wealth status, desire for more children, presence of diarrhoea and community-level factors such as region have contributed to the low coverage of exclusive breastfeeding. Therefore, the federal and regional health bureaus and other implementers should emphasise to those emerging regions by creating awareness and strengthening the existing community-based health extension program to enhance exclusive breastfeeding practices.

scholarly journals Does workplace social capital protect against long-term sickness absence? Linking workplace aggregated social capital to sickness absence registry data

2017 ◽  
Vol 46 (3) ◽  
pp. 290-296 ◽  
Author(s):  
Anne-Sophie K. Hansen ◽  
Ida E. H. Madsen ◽  
Sannie Vester Thorsen ◽  
Ole Melkevik ◽  
Jakob Bue Bjørner ◽  
...  
Keyword(s):  
Social Capital ◽  
Private Sector ◽  
Sickness Absence ◽  
Collective Good ◽  
Standard Deviation Increase ◽  
Individual Level ◽  
The Individual ◽  
Adjusted Model ◽  
Workplace Social Capital

Aims: Most previous prospective studies have examined workplace social capital as a resource of the individual. However, literature suggests that social capital is a collective good. In the present study we examined whether a high level of workplace aggregated social capital (WASC) predicts a decreased risk of individual-level long-term sickness absence (LTSA) in Danish private sector employees. Methods: A sample of 2043 employees (aged 18–64 years, 38.5% women) from 260 Danish private-sector companies filled in a questionnaire on workplace social capital and covariates. WASC was calculated by assigning the company-averaged social capital score to all employees of each company. We derived LTSA, defined as sickness absence of more than three weeks, from a national register. We examined if WASC predicted employee LTSA using multilevel survival analyses, while excluding participants with LTSA in the three months preceding baseline. Results: We found no statistically significant association in any of the analyses. The hazard ratio for LTSA in the fully adjusted model was 0.93 (95% CI 0.77–1.13) per one standard deviation increase in WASC. When using WASC as a categorical exposure we found a statistically non-significant tendency towards a decreased risk of LTSA in employees with medium WASC (fully adjusted model: HR 0.78 (95% CI 0.48–1.27)). Post hoc analyses with workplace social capital as a resource of the individual showed similar results. Conclusions: WASC did not predict LTSA in this sample of Danish private-sector employees.

Social Capital and Diversity Generalized Trust, Social Cohesion and Regimes of Diversity

2007 ◽  
Vol 40 (3) ◽  
pp. 709-732 ◽  
Author(s):  
Marc Hooghe
Keyword(s):  
Social Capital ◽  
Ethnic Diversity ◽  
Negative Relationship ◽  
Group Differences ◽  
Capital Social ◽  
Generalized Trust ◽  
Absolute Level ◽  
Individual Level ◽  
Level 3 ◽  
The Individual

Abstract.In recent years an impressive amount of evidence has been collected documenting a negative relationship between levels of ethnic diversity and social capital indicators, in particular generalized trust. In this article we raise a number of theoretical arguments that should be addressed before these findings can be generalized. First, it has to be remembered that most of these studies focus on generalized trust as a social capital indicator, while trust probably is most vulnerable for the effects of weakening homogeneity. Second, it is argued that in order to arrive at a better understanding of the relation between diversity and social capital, at least three intermediary variables need to be taken into account: 1) the question whether diversity entails segregation of networks at the individual level; 2) the increase in diversity rather than the absolute level; 3) the regimes societies use to govern diversity, and especially the variation with regard to the openness of these regimes. We close by exploring the suggestion that in more diverse societies, recognition of group differences and identities, and group relations based on equality-based concepts of reciprocity should be considered as potentially more meaningful strategies.Résumé.Dans les dernières années, une quantité impressionnante de preuves ont été rassemblées, qui documentent une relation négative entre le niveau de diversité ethnique et les indicateurs de capital social, en particulier la confiance généralisée. Dans cet article, nous soulevons un certain nombre d'arguments théoriques qu'il faut examiner avant de pouvoir généraliser ces résultats. D'abord il faut noter que la plupart de ces études se sont concentrées sur la confiance généralisée comme indicateur de capital social alors que la confiance est probablement particulièrement vulnérable aux effets d'une érosion de l'homogénéité. Deuxièmement, nous avançons que, pour mieux comprendre la relation entre diversité et capital social, trois variables intermédiaires au moins doivent être prises en considération : 1) l'existence d'une ségrégation des réseaux au niveau individuel du fait de la diversité; 2) l'augmentation de la diversité plutôt que son niveau absolu; 3) les régimes que les sociétés utilisent pour gouverner la diversité et surtout le degré d'ouverture de ces régimes. Pour finir, nous explorons la suggestion que, dans des sociétés plus diverses, la reconnaissance des différences et identités des groupes, et des relations inter-groupes basées sur des concepts d'égalité et de réciprocité devraient être considérées comme des stratégies potentiellement plus significatives.

scholarly journals The Role of Individual- and Contextual-Level Social Capital in Product Boycotting: A Multilevel Analysis

2019 ◽  
Vol 11 (4) ◽  
pp. 949 ◽  
Author(s):  
Grzegorz Zasuwa
Keyword(s):  
Social Capital ◽  
Sustainable Consumption ◽  
European Social Survey ◽  
Consumer Participation ◽  
Social Rules ◽  
Individual Level ◽  
Consumer Activism ◽  
Country Level ◽  
The Individual

Product boycotts represent an important form of sustainable consumption, as withholding purchasing can restrain firms from damaging the natural environment or breaking social rules. However, our understanding of consumer participation in these protests is limited. Most previous studies have focused on the psychological and economic determinants of product boycotting. Drawing on social capital literature, this study builds a framework that explains how individual- and contextual-level social capital affects consumer participation in boycotts of products. A multilevel logistic regression analysis of 29 country representative samples derived from the European Social Survey (N = 54221) shows that at the individual level product boycotting is associated with a person’s social ties, whereas at the country level, generalized trust and social networks positively affect consumer decisions to take part in these protests. These results suggest that to better understand differences among countries in consumer activism, it is necessary to consider the role of social capital as an important predictor of product boycotting.

scholarly journals Individual-level and community-level factors associated with the family planning use among pastoralist community of Ethiopia: a community-based cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e036519 ◽  
Author(s):  
Mussie Alemayehu ◽  
Araya Abrha Medhanyie ◽  
Elizabeth Reed ◽  
Afework Mulugeta
Keyword(s):  
Family Planning ◽  
Cross Sectional Study ◽  
Married Women ◽  
Community Level ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Individual Level ◽  
Pastoralist Community ◽  
The Individual

ObjectiveThe study aimed to identify the effects of the individual-level and community-level factors on the use of family planning (FP) among married women in the pastoralist community of Ethiopia.DesignA community-based cross-sectional study was conducted in September 2018. Data were analysed using R software. To determine the fixed effect of individual-level and community-level factors of FP use, a two-level mixed-effects logistic regression was used. The result was described using the Adjusted OR (AOR), and the variance partition coefficient.Setting and participantsAfar, Ethiopia (2018; n=891) married women of reproductive age (15–49) years.Primary outcome measuresFP use or non-use.ResultsThe current use of FP was 18.7% (16.31%–21.43%). Women who need to walk 1 hour and more to the nearest health facility (AOR 0.14, 95% CI 0.05 to 0.3), have ANC visit of 4 and above (AOR 6.02, 95% CI 1.74 to 20.8), had their last birth at a health facility (AOR 2.71 95% CI 1.27 to 5.81), have five and more children (AOR 4.71, 95% CI 1.86 to 11.9), have high knowledge on FP (AOR 2.74, 95% CI 1.11 to 6.74) and had high intentions to use FP (AOR 10.3, 95% CI 3.85 to 27.6) were more likely to report FP use. The magnitude of the effect of for FP use was smaller than that of 9 of the 13 individual factors. Apart from this 19.4% of the total variance in the odds of using FP attributed to between community difference (intraclass correlation coefficient=0.194). Regarding the community-level characteristics, clusters of having higher electronic media possession (AOR 2.84, 95% CI 1.2 to 6.72) and higher women decision making on FP (AOR 8.35, 95% CI 2.7 to 27.1) were significantly associated with increased FP use compared with clusters with lower reports of these aspects.ConclusionFP use among the pastoralist community is influenced by both individual cluster/community-level characteristics or factors. Even though the effect of clustering in FP use was large in comparison with the unexplained between-cluster variation, it was lower than the individual-level factors.Trail registrtion numberNCT03450564

Game of hypocrites: Beurs break silence in Faïza Guène’s Kiffe kiffe demain

2019 ◽  
Vol 30 (4) ◽  
pp. 335-346
Author(s):  
Nour Seblini
Keyword(s):  
Community Level ◽  
Immigrant Community ◽  
Individual Level ◽  
French Culture ◽  
Cultural Crisis ◽  
Younger Generation ◽  
The Individual

This article analyses the cultural crisis of beur youth by calling attention, in Faïza Guène’s novel, Kiffe kiffe demain (2004), to how Maghrebi immigrants as well as the French state attempt to manipulate young bodies and minds. The struggle that underlies the narrative is an exploitation of Islam within France’s Moroccan immigrant community to preserve honneur at the immigrant community level, while enjoying bonheur at the individual level. As religion is used to subjugate the younger generation, Islam loses credibility in the eyes of beurs. I also seek to explore how la laïcité of French culture marginalises individuals who do not accept assimilation into a superior racist system that is based on an exclusionary notion of citizenship. Who falls victim in the end? It is the young beur, who cannot tolerate the extremism of either French Orientalist views or their parents’ Occidentalist views.

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