Cited by 230Health disparities and outcomesSocial Capital and NetworksCommunity Health and Development

A Multilevel Analysis of Key Forms of Community- and Individual-Level Social Capital as Predictors of Self-Rated Health in the United States

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Kim, Daniel, Kawachi, Ichiro·2006·Journal of Urban Health

Abstract

Communities may be rich or poor in a variety of stocks of social capital. Studies that have investigated relations among these forms and their simultaneous and combined health effects are sparse. Using data on a sample of 24,835 adults (more than half of whom resided in core urban areas) nested within 40 U.S. communities from the Social Capital Benchmark Survey, correlational and factor analyses were applied to determine appropriate groupings among eight key social capital indicators (social trust, informal social interactions, formal group involvement, religious group involvement, giving and volunteering, diversity of friendship networks, electoral political participation, and non-electoral political participation) at each of the community and individual levels. Multilevel logistic regression models were estimated to analyze the associations between the grouped social capital forms and individual self-rated health. Adjusting the three identified community-level social capital groupings/scales for one another and community- and individual-level sociodemographic and socioeconomic characteristics, each of the odds ratios of fair/poor health associated with living in a community one standard deviation higher in the respective social capital form was modestly below one. Being high on all three (vs. none of the) scales was significantly associated with 18% lower odds of fair/poor health (odds ratio = 0.82, 95% confidence interval = 0.69-0.98). Adding individual-level social capital variables to the model attenuated two of the three community-level social capital associations, with a few of the former characteristics appearing to be moderately significantly protective of health. We further observed several significant interactions between community-level social capital and one's proximity to core urban areas, individual-level race/ethnicity, gender, and social capital. Overall, our results suggest primarily beneficial yet modest health effects of key summary forms of community social capital, and heterogeneity in some of these effects by urban context and population subgroup.

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  • Of the 37 methodologically most rigorous studies, 21 (57%) reported significant positive relationships between R/S and SRH.

    “Of the 37 methodologically most rigorous studies, 21 (57%) reported significant positive relationships between R/S and SRH [503, 508–527], whereas three (8%) found the opposite [528–530].”
  • Of the 29 best social support studies, 27 (93%) reported significant positive relationships.

    “Of the 29 best studies, 27 (93%) reported significant positive relationships [82, 267–274].”

    From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [274]

    The Introduction (page unavailable) discusses literature linking social capital to better health, and the Results (page unavailable) report this paper’s own associations. Neither gives a tally of 29 studies or says that 27 (93%) found significant positive relationships. Searches for the quoted numbers and for a review of social-support studies found no matching passage in our copy. (LLM, conf=0.76)

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Research works printed but not linked: 1

  1. Vlahov D, Galea S, Freudenberg N. The urban health Badvantage^. J Urban Health. 2005;82:1-4.

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Authors
Kim, D., & Kawachi, I.
Affiliations
Harvard University (US)
Corresponding author
Kim, Daniel
Venue
Journal of Urban Health
Published
2006-06-30
Volume
83
Issue
5
Pages
813-826
ISSN
  • 0028-7091 (ISSN-L)
  • 1099-3460
  • 1468-2869
OpenAlex
W2043113562
Cited by
230
References
19
Citations by year
2026: 5 · 2025: 6 · 2024: 3 · 2023: 45 · 2022: 5 · 2021: 10 · 2020: 11 · 2019: 9 · 2018: 16 · 2017: 7 · 2016: 10 · 2015: 18 · 2014: 12 · 2013: 11 · 2012: 18
FWCI
8.39
Type
journal article
Language
en
Open access
Locations
  • Journal of Urban Health (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
Funders
Canadian Institutes of Health Research
Topics
  • Social Sciences › Health › Health disparities and outcomes
  • Social Sciences › Sociology and Political Science › Social Capital and Networks
  • Health Sciences › Health Professions › General Health Professions › Community Health and Development
Keywords
social capital, self-rated health, community social capital, social trust, informal social interaction, volunteering, political participation, urban neighborhoods, race and ethnicity, gender differences, health disparities
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Female, Health Status, Humans, Male, Middle Aged, Politics, Sex Factors, Social Support, Socioeconomic Factors, United States, Urban Population, Volunteers, Logistic Models, Community Networks, Trust, Racial Groups

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