Cargando…
Are family, neighbourhood and school social capital associated with higher self-rated health among Croatian high school students? A population-based study
OBJECTIVES: We investigated the associations between self-rated health and social capital among Croatian high school students. DESIGN: A cross-sectional survey among high school students was carried out in the 2013–2014 school year. SETTING: High schools in Croatia. PARTICIPANTS: Subjects were 3427...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2015
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4466611/ https://www.ncbi.nlm.nih.gov/pubmed/26056122 http://dx.doi.org/10.1136/bmjopen-2014-007184 |
_version_ | 1782376254223155200 |
---|---|
author | Novak, Dario Suzuki, Etsuji Kawachi, Ichiro |
author_facet | Novak, Dario Suzuki, Etsuji Kawachi, Ichiro |
author_sort | Novak, Dario |
collection | PubMed |
description | OBJECTIVES: We investigated the associations between self-rated health and social capital among Croatian high school students. DESIGN: A cross-sectional survey among high school students was carried out in the 2013–2014 school year. SETTING: High schools in Croatia. PARTICIPANTS: Subjects were 3427 high school students (1688 males and 1739 females), aged 17–18 years. MAIN OUTCOME MEASURE: Self-rated health was assessed by the single item: “How do you perceive your health?”. Possible responses were arranged along a five-item Likert-type scale: 1 very poor, 2 poor, 3 fair, 4 good, 5 excellent. The outcome was binarised as ‘good health’ (excellent, good or fair) versus ‘poor health’ (poor or very poor). METHODS: We calculated ORs and 95% CIs for good self-rated health associated with family, neighbourhood and school social capital, while adjusting for gender, self-perceived socioeconomic status, psychological distress, physical activity and body mass index. We used generalised estimating equations using an exchangeable correlation matrix with robust SEs. RESULTS: Good self-rated health was significantly associated with higher family social capital (OR 2.43; 95% CI 1.55 to 3.80), higher neighbourhood trust (OR 2.02; 95% CI 1.48 to 2.76) and higher norms of reciprocity at school (OR 1.79; 95% CI 1.13 to 2.84). When all of the social capital variables were entered simultaneously, good self-rated health remained significantly associated with higher family social capital (OR 1.98; 95% CI 1.19 to 3.30), neighbourhood trust (OR 1.77; 95% CI 1.25 to 2.51) and reciprocity at school (OR 1.71; 95% CI 1.08 to 2.73). CONCLUSIONS: Higher levels of social capital were independently associated with higher self-rated health among youth. Intervention and policies that leverage community social capital might serve as an avenue for health promotion in youth. |
format | Online Article Text |
id | pubmed-4466611 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-44666112015-06-17 Are family, neighbourhood and school social capital associated with higher self-rated health among Croatian high school students? A population-based study Novak, Dario Suzuki, Etsuji Kawachi, Ichiro BMJ Open Public Health OBJECTIVES: We investigated the associations between self-rated health and social capital among Croatian high school students. DESIGN: A cross-sectional survey among high school students was carried out in the 2013–2014 school year. SETTING: High schools in Croatia. PARTICIPANTS: Subjects were 3427 high school students (1688 males and 1739 females), aged 17–18 years. MAIN OUTCOME MEASURE: Self-rated health was assessed by the single item: “How do you perceive your health?”. Possible responses were arranged along a five-item Likert-type scale: 1 very poor, 2 poor, 3 fair, 4 good, 5 excellent. The outcome was binarised as ‘good health’ (excellent, good or fair) versus ‘poor health’ (poor or very poor). METHODS: We calculated ORs and 95% CIs for good self-rated health associated with family, neighbourhood and school social capital, while adjusting for gender, self-perceived socioeconomic status, psychological distress, physical activity and body mass index. We used generalised estimating equations using an exchangeable correlation matrix with robust SEs. RESULTS: Good self-rated health was significantly associated with higher family social capital (OR 2.43; 95% CI 1.55 to 3.80), higher neighbourhood trust (OR 2.02; 95% CI 1.48 to 2.76) and higher norms of reciprocity at school (OR 1.79; 95% CI 1.13 to 2.84). When all of the social capital variables were entered simultaneously, good self-rated health remained significantly associated with higher family social capital (OR 1.98; 95% CI 1.19 to 3.30), neighbourhood trust (OR 1.77; 95% CI 1.25 to 2.51) and reciprocity at school (OR 1.71; 95% CI 1.08 to 2.73). CONCLUSIONS: Higher levels of social capital were independently associated with higher self-rated health among youth. Intervention and policies that leverage community social capital might serve as an avenue for health promotion in youth. BMJ Publishing Group 2015-06-08 /pmc/articles/PMC4466611/ /pubmed/26056122 http://dx.doi.org/10.1136/bmjopen-2014-007184 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Public Health Novak, Dario Suzuki, Etsuji Kawachi, Ichiro Are family, neighbourhood and school social capital associated with higher self-rated health among Croatian high school students? A population-based study |
title | Are family, neighbourhood and school social capital associated with higher self-rated health among Croatian high school students? A population-based study |
title_full | Are family, neighbourhood and school social capital associated with higher self-rated health among Croatian high school students? A population-based study |
title_fullStr | Are family, neighbourhood and school social capital associated with higher self-rated health among Croatian high school students? A population-based study |
title_full_unstemmed | Are family, neighbourhood and school social capital associated with higher self-rated health among Croatian high school students? A population-based study |
title_short | Are family, neighbourhood and school social capital associated with higher self-rated health among Croatian high school students? A population-based study |
title_sort | are family, neighbourhood and school social capital associated with higher self-rated health among croatian high school students? a population-based study |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4466611/ https://www.ncbi.nlm.nih.gov/pubmed/26056122 http://dx.doi.org/10.1136/bmjopen-2014-007184 |
work_keys_str_mv | AT novakdario arefamilyneighbourhoodandschoolsocialcapitalassociatedwithhigherselfratedhealthamongcroatianhighschoolstudentsapopulationbasedstudy AT suzukietsuji arefamilyneighbourhoodandschoolsocialcapitalassociatedwithhigherselfratedhealthamongcroatianhighschoolstudentsapopulationbasedstudy AT kawachiichiro arefamilyneighbourhoodandschoolsocialcapitalassociatedwithhigherselfratedhealthamongcroatianhighschoolstudentsapopulationbasedstudy |