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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

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Structural Social Capital and Population Health: Exploring Health Outcomes by Racial Groups.

Margaret H Swenson¹, Morgan D Farnworth, Dorothy M Daley

¹Author Affiliations: School of Politics, Public Affairs & International Studies, University of Wyoming, Laramie, Wyoming (Dr Swenson); Missouri Institute of Mental Health, University of Missouri-St. Louis, Louis, Missouri (Dr Farnworth); School of Public Affairs & Administration/Environmental Studies Program, University of Kansas, Lawrence, Kansas (Dr Daley); School of Public Affairs & Administration, University of Kansas, Lawrence, Kansas (Dr Pierce).

Journal of Public Health Management and Practice : JPHMP

|November 19, 2025

Summary

Social capital benefits White populations

Keywords:

health disparities race social capital social determinants

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Area of Science:

Health outcomes research
Sociology
Public health

Background:

Persistent health disparities in the U.S. are linked to complex factors.
Social capital is recognized as a community health resource.
Critiques highlight unequal benefits of social capital across different groups.

Purpose of the Study:

To investigate the association between social capital and health outcomes in Black and White populations within the same U.S. communities.
To determine if social capital is health-protective for both racial groups.

Main Methods:

Utilized a county-level dataset from over 1000 U.S. counties.
Employed ordinary least squares regression with state-clustered errors.
Compared regression coefficients for Black and White populations using seemingly unrelated post-estimation procedures for influenza vaccination rates and life expectancy.

Main Results:

County-level structural social capital correlated with higher influenza vaccination rates and life expectancy for White individuals.
Identical levels of social capital were not associated with improved influenza vaccination rates or life expectancy for Black individuals.

Conclusions:

Current conceptualizations of structural social capital primarily benefit White populations.
Addressing disparities requires recognizing unequal social resource distribution.
Reconceptualizing social capital is needed to encompass resources leveraged by Black individuals for health.