Social ulighed i sundhed - set i lyset af social kapital: Et kvantitativt studie af den sociale kapitals betydning for borgernes sundhedsrelaterede livsstil i Region Nordjylland
Oversat titel
Health Inequalities in Relation to Social Capital: A Quantitative Research of the Social Capital’s Impact on Citizens’ Health Related Behaviour in the North Denmark Region
Forfattere
Holst, Maria ; Sørensen, Louise Aagaard
Semester
4. semester
Uddannelse
Udgivelsesår
2008
Antal sider
168
Resumé
Denne afhandling undersøger, hvordan social kapital hænger sammen med ulighed i sundhedsrelateret livsstil (kost, rygning, alkohol og fysisk aktivitet) i Region Nordjylland, baseret på data fra den regionale sundhedsprofil. Social kapital forstås som social tillid (generel tillid til andre og tillid til institutioner), sociale relationer (mængde og kvalitet af relationer) og civilt engagement (deltagelse i foreninger). For at afdække overordnede mønstre anvendes multiple korrespondanceanalyse, en metode der omsætter spørgeskemasvar til et fælles rum, hvor personer med lignende profiler samles. Herefter bruges multivariat logistisk regression til at undersøge, hvordan dele af social kapital hænger sammen med specifikke sundhedsadfærd. Der ses en generel tendens: høj social kapital forbindes med en sundere livsstil, mens lav social kapital forbindes med mindre sund adfærd. Alkoholvaner udgør en undtagelse fra dette mønster. Analyserne peger også på, at deltagelse i foreningsaktiviteter kan ændre den uddannelsesrelaterede ulighed i selvvurderet helbred. Blandt personer med kort eller mellemlang uddannelse ser foreningsdeltagelse ud til at understøtte et bedre selvvurderet helbred, men den positive effekt ses ikke på tværs af alle uddannelsesgrupper. Samlet tyder resultaterne på, at social kapital bidrager til at forklare forskelle i sundhedsadfærd og til en vis grad kan beskytte mod uddannelsesbaseret ulighed i selvvurderet helbred.
This thesis examines how social capital relates to inequalities in health-related lifestyle (diet, smoking, alcohol, and physical activity) in the North Denmark Region, using data from the regional health profile survey. Social capital is defined as social trust (generalized trust in other people and trust in institutions), social relations (the quantity and quality of ties), and civic engagement (participation in associations). To explore overall patterns, the study uses multiple correspondence analysis, a method that maps survey responses into a space where people with similar profiles cluster. It then applies multivariate logistic regression to examine how components of social capital are associated with specific health behaviours. A general tendency emerges: higher social capital is linked to a healthier lifestyle, while lower social capital is linked to less healthy behaviours. Alcohol behaviour is an exception to this pattern. The analyses also indicate that participation in association activities can modify educational inequalities in self-rated health. Among people with short or medium-length education, taking part in associations appears to support better self-rated health, but this positive effect does not hold across all education groups. Overall, the results suggest that social capital helps explain differences in health behaviour and, to some extent, can protect against education-based inequality in self-rated health.
[Dette resumé er omskrevet med hjælp fra AI baseret på projektets originale resumé]
Emneord