Neighborhood social capital is associated with participation in health checks of a general population: a multilevel analysis of a population-based lifestyle intervention- the Inter99 study

BMC Public Health

Research Article

Ichiro Kawachi¹  Charlotta Pisinger²  Torben Jørgensen³  Anne Mette Bender⁴ 

[1] Harvard School of Public Health. Department of Social and Behavioral Sciences, 677 Huntington Ave., 7th floor, 02115, Boston, MA, USA;Research Centre for Prevention and Health, Building 84/85, Glostrup Hospital, DK-2600, Glostrup, Denmark;Faculty of Health Science, University of Copenhagen, Copenhagen, Denmark;Research Centre for Prevention and Health, Building 84/85, Glostrup Hospital, DK-2600, Glostrup, Denmark;Faculty of Health Science, University of Copenhagen, Copenhagen, Denmark;Faculty of Medicine, University of Aalborg, Aalborg, Denmark;Research Centre for Prevention and Health, Building 84/85, Glostrup Hospital, DK-2600, Glostrup, Denmark;Harvard School of Public Health. Department of Social and Behavioral Sciences, 677 Huntington Ave., 7th floor, 02115, Boston, MA, USA;

关键词: Social Capital;    Socioeconomic Position;    Health Check;    Vote Turnout;    Neighborhood Deprivation;   

DOI  :  10.1186/s12889-015-2042-5

 received in 2015-01-14, accepted in 2015-07-08,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundParticipation in population-based preventive health check has declined over the past decades. More research is needed to determine factors enhancing participation. The objective of this study was to examine the association between two measures of neighborhood level social capital on participation in the health check phase of a population-based lifestyle intervention.MethodsThe study population comprised 12,568 residents of 73 Danish neighborhoods in the intervention group of a large population-based lifestyle intervention study - the Inter99. Two measures of social capital were applied; informal socializing and voting turnout.ResultsIn a multilevel analysis only adjusting for age and sex, a higher level of neighborhood social capital was associated with higher probability of participating in the health check. Inclusion of both individual socioeconomic position and neighborhood deprivation in the model attenuated the coefficients for informal socializing, while voting turnout became non-significant.ConclusionHigher level of neighborhood social capital was associated with higher probability of participating in the health check phase of a population-based lifestyle intervention. Most of the association between neighborhood social capital and participation in preventive health checks can be explained by differences in individual socioeconomic position and level of neighborhood deprivation. Nonetheless, there seems to be some residual association between social capital and health check participation, suggesting that activating social relations in the community may be an avenue for boosting participation rates in population-based health checks.Trial registrationClinicalTrials.gov (registration no. NCT00289237).

【 授权许可】

CC BY   
© Bender et al. 2015

【 图 表 】

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