Social capital, trust in the health-care system and self-rated health: The role of access to health care in a population-based study

Mohseni, Mohabbat; Lindström, Martin

doi:10.1016/j.socscimed.2006.11.023

Cited by 203 publications

(173 citation statements)

References 39 publications

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“…Some people who experience cannabis use may have sought health care, but may have been disappointed with the way their demands were met by the health care system. Such associations have been demonstrated for trust in the health care system (Mohseni and Lindström, 2007), but it may also affect the level of trust in politicians responsible for important decisions concerning health care and the welfare system in general.…”

Section: Introductionmentioning

confidence: 98%

“…This is remarkable because macro level politics in general, the welfare system and the general health care system are regarded to have imortant effects on public health (Walt, 1994). In Sweden the association between trust in the health care system and self-rated health has been investigated (Mohseni and Lindström, 2007). Previous studies have shown that horizontal trust but not social participation was negatively associated with experience of cannabis smoking (Lindström, 2004a), but no investigation has been conducted concerning the association between political trust and experience of cannabis smoking.…”

Section: Introductionmentioning

confidence: 99%

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Social capital, political trust and experience of cannabis smoking: A population-based study in southern Sweden

Lindström

2008

Preventive Medicine

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Tables: 2 2 Title: Social capital, political trust and cannabis smoking: A population-based study in southern Sweden Abstract Objective: To investigate whether political mistrust in the Riksdag (the national parliament in Sweden) is an independent characteristic of cannabis smokers, or whether it reflects low confidence in people in general, and therefore low social capital. Method:The 2004 public health survey in Skåne is a cross-sectional postal questionnaire study answered by 27,757 respondents aged 18-80 with a 59% response rate providing data on political trust, cannabis smoking, and potential confounders.Results: 13.9% of the men and 8.3% of the women had smoked cannabis; 17.3% of the male and 11.6% of the female respondents reported no trust at all in the Riksdag, and another 38.2% and 36.2%, respectively, reported a moderate political trust. Young age, high education, unemployment, low generalized trust in other people, and lower levels of political trust were associated with cannabis smoking, even after multiple adjustments. The groups men with no trust at all in the Riksdag, and women with high trust, not particularly high political trust and no political trust at all had significantly higher odds ratios of cannabis smoking than the very high trust reference category. The results thus somewhat differed between men and women. Conclusion:Low political trust is associated with cannabis smoking, independently of trust in people in general.

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Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Social capital, political trust and experience of cannabis smoking: A population-based study in southern Sweden

Lindström

2008

Preventive Medicine

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“…A core part of the linking concept is the trust to governance authorities. One study measured institutional trust and found an effect on self-rated health (Mohseni and Lindström 2007). In that study, institutional trust was measured at individual level, and the suggested mechanisms were that if a person does not trust the health care system, he or she will hesitate to use it.…”

Section: Discussionmentioning

confidence: 99%

Measuring aspects of social capital in a gerontological perspective

et al. 2011

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Within the last 10 years, there has been a growing interest in the importance of social capital and older people. The aims of the study are to advance measurements of aspects of social capital based on bonding, bridging and linking that can be used to study the impact of the local community on community-dwelling older populations and to study the distribution of these three measurements of social capital in 34 municipalities. Data are from a Danish prospective cohort study on preventive home visits among 4,034 old people 75? in 34 municipalities in Denmark. The measurements of aspects of social capital at community level are based on theory of bonding, bridging and linking social capital. It has been possible to analyse variations in the three measurements of social capital in the 34 municipalities and to characterize different municipalities according to high versus low social capital. There are interesting patterns in distribution of the three measurements. The two extreme groups of municipalities (high and low social capital) differ with regard to demography, social and structural conditions in the municipalities. We believe that the proposed measures of social capital will be relevant in future studies of social capital and health in older populations, since they are theoretically based and cover different aspects of social capital related to older people and their local community.

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“…[12][13][14] Using different measures of distrust, 2 recent studies in the USA and Sweden found that high levels of distrust were related to poor self-rated health. 15,16 These finding were robust even after controlling for individual access to health care, personal care-seeking behavior, patient's trust in their own primary health providers, and other socioeconomic and demographic variables. From a practical and theoretic perspective, high distrust complicates many facets of health care, including the dissemination and adoption of health information, enrolment in clinical trials, use of innovative treatments, and the maintenance and continuity of treatment.…”

Section: Introductionmentioning

confidence: 89%

“…Even though self-rated health could be treated as an ordinal variable, dichotomizing selfrated health is common and facilitates comparison with earlier studies. 16,34,35 The independent variables can be categorized into 4 groups. Of primary substantive interest to us is a 9-item health care system distrust scale developed by Shea et al 36 The reliability and validity of this scale have been tested and reported elsewhere.…”

Section: Methodsmentioning

confidence: 99%

Individual Health Care System Distrust and Neighborhood Social Environment: How Are They Jointly Associated with Self-rated Health?

2011

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Americans' distrust in the health care system has increased in the past decades; however, little research has explored the impact of distrust on self-rated health and even less is known about whether neighborhood social environment plays a role in understanding the relationship between distrust and self-rated health. This study fills these gaps by investigating both the direct and moderating associations of neighborhood social environment with self-rated health. Our analysis is based on the 2008 Philadelphia Health Management Corporation's household survey and neighborhood-level data. Findings from multilevel logistic regression show that after controlling for individual-and neighborhood-level covariates, distrust is directly and adversely related to self-rated health, and that neighborhood social affluence and stability are directly and negatively associated with the odds of reporting poor/fair health. Neighborhood disadvantage and crime rates are not directly related to self-rated health, but increase the odds of having poor/fair health via distrust. Overall, our results suggest that macro-level actions can alter individual's perception of residential environment and lead to improved health. To improve the public health in an urban setting, rebuilding confidence in the health care system is integral, and the policies that help establish safe and cohesive neighborhoods may reduce the adverse effect of distrust on self-rated health.

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Social capital, trust in the health-care system and self-rated health: The role of access to health care in a population-based study

Cited by 203 publications

References 39 publications

Social capital, political trust and experience of cannabis smoking: A population-based study in southern Sweden

Social capital, political trust and experience of cannabis smoking: A population-based study in southern Sweden

Measuring aspects of social capital in a gerontological perspective

Individual Health Care System Distrust and Neighborhood Social Environment: How Are They Jointly Associated with Self-rated Health?

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