社区社会资本和人口健康成果
Sebastian Linde1,2, Leonard E Egede1,2
1Medical College of Wisconsin, Department of Medicine, Division of General Internal Medicine, Milwaukee.
JAMA network open
|August 25, 2023
概括
更高的社区经济联系与更好的人口健康有关,而增加的社会凝聚力和公民参与与更糟糕的健康结果相关. 这些协会因社区人口统计学而异.
科学领域:
- 社会流行病学社会流行病学
- 社区健康 社区健康
- 公共卫生政策 公共卫生政策
背景情况:
- 建立了经济联系和社会流动性之间的联系.
- 社区层面的经济因素与人口健康之间的关系尚不清楚.
- 了解社会资本对健康的影响对于有针对性的干预至关重要.
研究的目的:
- 研究社区社会资本 (经济联系,社会凝聚力,公民参与) 与人口健康结果之间的关联.
- 分析与社会资本指标相关的糖尿病,高血压,高胆固醇,脏疾病和肥胖症的流行情况.
- 探索种族和民族社区组成如何改变这些健康关联.
主要方法:
- 使用来自美国所有50个州 (2021-2022) 的邮政编码表格区域 (ZCTA) 数据进行横截面研究.
- 多变量回归分析检查了人口健康指标和社会资本措施之间的关系.
- 对人口变量和县固定效应进行控制的分析,并根据种族和种族对子组进行分析.
主要成果:
- 经济联系的增加 (1%) 与糖尿病,高血压,高胆固醇,脏疾病和肥胖症的患病率降低有关.
- 增加的社区支持比率 (1%) 与糖尿病,高血压,高胆固醇,病和肥胖的患病率增加相关.
- 增加的志愿者率 (1%) 与高血压,高胆固醇和病的患病率增加有关.
结论:
- 社区中更高的经济联系与更好的人口健康结果有关.
- 相反,更高的社会凝聚力 (支持率) 和公民参与 (志愿服务) 与更糟糕的健康结果有关.
- 这些协会的力量和方向受到社区的种族和民族构成的影响.
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