Social Capital and Self Perceived Health Among European Older Adults

There is increasing interest among researchers in the effects of social capital on the health of older adults. One of the key policy question for an ageing population concerns how do we identify the factors that influence health. Very recently, an increasing interest on social capital as a key determinant for health has developed and, surprisingly, not much is known for the European population. This paper analyzes the association between social capital and self-perceived health among older adults in Europe using a mixed effects logistic model. Social capital is considered in its two components—bonding and bridging—in order to understand if the relations inside or outside an individual inner circle have a different association with health. Our results give empirical support to the role of individual social capital in preventing a poor self-perceived health. This means that social capital, especially the bridging component of it, can be one of the key factors of ageing in good health and should be fostered by policy makers in order to give an answer to one of the most compelling challenge of our century: population ageing.     

Demographic change and social security

This paper gives an overview over some central aspects of the highly complex topic, pointing out, e.g. the need for more longitudinal research in understanding effects of structural changes in demography and economy on social security. Starting from challenges by an ageing population for health and pension schemes it is briefly discussed whether changes in labour force participation or restructuring public expenditure can soften financing problems. Concerning reforms in pension schemes first changing retirement ages is briefly discussed and then some of the shortcomings in the debate on capital funding versus pay-as-you-go fincancing.Revised, updated and extended version of a lecture, given at the First Annual Congress of the European Society for Population Economics, Rotterdam, September 18, 1987. Revision and extension were inspired by two referees.     

Comparative Examination of Self-Perceived Health and Other Measures of the Quality of Life Across the EU-27

In various fields of research self-perceived health has been defined and analysed as a significant measure of the health-related quality of life, and also as a predictor of health status. This paper examines the determinants of self-perceived health in the EU-27 area in order to find whether a common set of governmental policies could improve the self-perceived health and whether this positive effect would remain positive and significant on other measures of the quality of life as well as across the quintiles of income distribution. A number of panel regression models using the first-difference GMM estimator are applied to comparatively examine self-perceived health together with other measures of health status and quality of life, based on Eurostat data from 2003 to 2012. The empirical results of the paper could provide useful insights for the European health policy and other common actions and policies in the field of the quality of life.     

Socioeconomic Inequalities and Self-Rated Health: A Multilevel Study of Italian Elderly

We adopted a multilevel approach in order to provide a comprehensive overview of the main social and economic differences associated with inequalities in self-rated health, according to the territorial context of residence. We focused on the Italian population aged 65 and over, availing of the most recent data on health conditions in Italy. This study proves the persistence in Italy, a modern welfare state that has one of the best overall healthcare systems in the world, of significant, if not enormous, socioeconomic differences in self-perceived health among the elderly. We found that each component of the socioeconomic status is autonomously correlated with individual perceptions of health, highlighting the importance of considering all of the facets of the individual socioeconomic status in measuring the extent of health inequalities. The lack of a network of relationships was also found to be strongly associated with a poor health status for elderly Italians. Our study also documented the presence of a contextual effect. The proposed multilevel modeling proved to be useful in shedding light on relevant aspects in the field of perceived health and for avoiding misleading results.     

社会资本与身心健康--概念辨析基础上的关系再检验

社会资本与健康研究领域存在核心概念界定不清与理论解释欠缺两大不足。文章在社会网络的视角下对社会资本、社会凝聚和社会支持三个相互杂糅的概念进行辨析区分，并在此基础上以调查数据实证检验了社会资本对身心健康的作用效果与影响机制。结果显示，在控制社会凝聚和社会支持作用的条件下，社会资本依然对自评健康和心理健康存在显著的独立影响，但其对两种健康在影响因素和影响方向上呈现一些差异。其中，网络规模和网络顶端对自评健康和心理健康都具有显著的正向作用，而心理健康同时还受到网络差异的负向影响。从这个角度而言，社会资本对个体身心健康的影响并不必然是积极正向的。     

The Compensating Income Variation of Social Capital

There is a small but growing literature on the determinants of social capital. Most of these studies use a measure of trust to define social capital empirically. In this paper we use three different measures of social capital: the size of the individual’s social network, the extent of their social safety net and membership of unions or associations. A second contribution to the literature is that we analyze what social capital contributes to our well-being. Based on this, we calculate the compensating income variation of social capital. We find differences in social capital when we differentiate according to individual characteristics such as education, age, place of residence, household composition and health. Household income generally has a statistically significant effect. We find a significant effect of social capital on␣life␣satisfaction. Consequently, the compensating income variation of social capital is substantial. Thanks to Tijl Woortman for his research assistance.     

A Comparative Analysis of the Validity of US State- and County-Level Social Capital Measures and Their Associations with Population Health

The goals of this study were to validate a number of available collective social capital measures at the US state and county levels, and to examine the relative extent to which these social capital measures are associated with population health outcomes. Measures of social capital at the US state level included aggregate indices based on the Annenberg National Health Communication Survey and the Behavioral Risk Factor Surveillance System (BRFSS), Petris Social Capital Index (PSCI), Putnam’s index, and Kim et al.’s scales. County-level measures consisted of PSCI, Rupasingha et al.’s social capital index, and a BRFSS-derived measure. These measures, except for the PSCI, showed evidence of acceptable validity. Moreover, we observed differences across the social capital measures in their associations with population health outcomes. The implications of the findings for future research in this area were discussed.     

邻里社会资本、城市医疗卫生服务体系与自评健康 ——基于中国劳动力动态调查的实证研究

从仅依靠卫生健康系统转向社会整体联动,实现将健康融入所有政策,是健康中国战略实施的重点.本研究基于中国劳动力动态调查数据和多层次随机截距模型,探讨邻里社会资本、城市医疗卫生服务体系对城市居民健康状况的影响效应,以及健康促进的多层次作用机理.研究发现,个人层次和社区层次的邻里社会资本都有利于提高城市居民的健康水平.邻里社...     

Gender differences in psychosocial predictors of self-perceived health status in the elderly: Evidence from a Brazilian community study

ABSTRACT

This article aims to identify the psychosocial factors associated with self-perceived health status in the Brazilian elderly population and to present differences related to gender. The data were collected by questionnaire, including sociodemographic and behavioral questions, and scales for psychological dimensions. Self-perceived health status is related to level of education, physical activity, and self-efficacy in the total population. Regarding gender differences, self-rated health status among men is related to education level and self-efficacy and in women to level of education, physical activity, social support, and self-efficacy. These results can inform future health promotion interventions.     

Structural and Cognitive Aspects of Social Capital and All-Cause Mortality: A Meta-Analysis of Cohort Studies

Social capital covers different characteristics such as social networks, social participation, social support and trust. The aim of this study was to explore which aspects of social capital were predictive of mortality. Criteria for inclusion in the meta-analysis were: population based observational cohort studies (follow-up ≥5 years); study sample included the adult population; parts of social capital as the primary exposure variable of interest; reported a mortality outcome; and sample size >1,000 individuals. Twenty studies provided eligible data for the meta-analyses. A random effect model was used to estimate the combined overall hazard rate ratio effects of structural social capital such as social participation and social networks, and cognitive social capital including social support and trust in relation to mortality. The results showed that social participation and social networks were negatively associated with mortality. The impact of social networks attenuated somewhat when controlling for gender and age. While trust also appeared to be negatively associated with mortality, we remain cautious with this conclusion, since only two studies provided eligible data. Perceived social support failed to show a significant impact upon mortality. The findings suggest that people who engage socially and report frequent contacts with friends and family live longer.     

Political Distrust and Social Capital in Europe and the USA

Levels of rising political distrust in the USA and parts of Europe attracted political scientists’ attention in the 1990s, and urged them to look at possible consequences of this phenomenon for the functioning of democracies and social life. Approximately during the same period, from a sociological viewpoint, social capital theorists started studying the effects of declining social capital on political and economic life. In this article, we looked at the relationship between political distrust and social capital from an interdisciplinary perspective. We studied the relationship in six European countries from three regions (North-West, South and East), and the USA, and we were interested in the question of whether this relationship varies over the regions, or whether it is approximately the same everywhere. We used ISPP data from the 2004 wave, which included a range of social capital indicators and political distrust items. Social capital was subdivided into four dimensions, namely, networks (membership of organizations), interpersonal or social trust, social norms (citizenship norms), and linking social capital (political activities). First we studied the effect of political distrust on these four dimensions of social capital, while controlling for other variables such as political efficacy, political interest and a set of socio-structural background variables. One of our main findings was that the only significant effect of political distrust we found throughout all countries was a negative effect on one dimension of social capital, namely, interpersonal trust: the more people distrust politicians and people in government, the less they trust other people in general, even when controlled for all other variables. The reverse relationship led us to the same conclusion: the more people tend to trust people in general, the less they distrust politics, a result we found in all countries. This finding refutes the claim that there is no or either only a very weak relationship between political and social trust, as some have strongly argued before. Other important political attitudes connected to social capital were political interest and political efficacy, and for political distrust it was external efficacy. Significant socio-economic factors were religiousness and educational level for membership of voluntary organizations, educational level for interpersonal trust, religiousness for citizenship norms, and educational level and age for political activities. The reciprocal relationship was strongest in the USA and North-Western Europe, as were the explained variances of our (more extensive) regression models. In Southern and Eastern Europe other factors appear to be at work which influence both social capital and political distrust.     

Are Theories About Social Capital Empirically Supported? Evidence from the Farming Sector

Social capital is the bond that links societies together and without which there is little opportunity for economic growth or individual well-being. Thus, this paper aims to contribute to the literature by providing an analytically reliable concept of social capital and a methodological tool for empirically testing a theoretical model of how social capital is built. Based upon a decomposition of the concept of social capital characterising three main dimensions (i.e., structural, relational and cognitive), for each specific group of individuals under study the structural equation model allows us: (1) to confirm the multidimensional construct of social capital; (2) to measure the interrelation between its different attributes and; (3) to set a solid basis for additional research on the effects of social capital. This approach has been empirically applied to Andalusian (southern Spain) farmers as case study. We believe this research to be a fundamental starting point for informing social capital policymakers and helping them implement the necessary tools to facilitate sustainable development processes at different moments in time as it takes into account the multidimensional, contextual and dynamic nature of the concept.     

Population growth and social security financing

By allowing the population growth to be flexible, this paper analyzes the effect of a tax reform that involves an introduction of consumption taxation for social security financing. It is found that population growth and labor supply play an important role in determining the effect of the tax reform. If population growth and labor supply are exogenous, then an introduction of a consumption tax for social security financing, with the payroll tax rate being endogenous, decreases the interest rate and increases capital accumulation. However, if population growth and labor supply are endogenous, then an introduction of a consumption tax for social security financing increases the interest rate and reduces capital accumulation. Received: 26 February 2001/Accepted: 26 August 2001     

Social Capital and Subjective Wellbeing in Europe: A New Approach on Social Capital

This paper aims to analyze the relationship between the various dimensions of social capital and subjective wellbeing. Data used in this study come from the fourth wave of the European Social Survey and different measures of wellbeing are used to take account of both the cognitive and affective processes of individual wellbeing (i.e. life satisfaction, happiness, and subjective wellbeing). A factor analysis is performed to summarize information coming from a large set of variables into different components corresponding to each dimension of social capital (i.e. networks, norms, and trust). Among the results, we find that the impact of social capital on subjective wellbeing differ depending on the component of social capital which is under analysis. In particular, social networks, social trust and institutional trust are the components that show a higher correlation with subjective wellbeing. Furthermore, in addition to the positive effects of the individual variables, our results suggest that social capital at the aggregate level positively correlates with individual wellbeing, thus pointing to an external or environmental effect of social capital.     

Population aging, health care, and growth: a comment on the effects of capital accumulation

In a recent paper, Hashimoto and Tabata (J Popul Econ 23:571–593, 2010) present a theoretical model in which the increase in the rate of dependence due to aging of the population leads to a reallocation of labor from non-health to health production and, as a consequence, to a decline in economic growth. We argue that these results rely heavily on assumptions of a “small economy” and perfect capital mobility, which tie down the amount of capital. In this paper, we proceed by analyzing the case of an economy in which the availability of capital is endogenously determined by domestic savings. We find that the new “capital accumulation effect” is opposite to the previous “dependency rate effect,” leaving the effect on economic growth ambiguous. In particular, if the former prevailed, population aging would foster economic growth, a result that finds support in recent empirical work.     

Measurement of Social Participation and its Place in Social Capital Theory

The concept of social capital has become very popular but its definition and measurement are still rather unclear. We frame our study in one of its components, social participation. In this article we develop an optimal measure for social participation based on the questions asked in the first round of the European Social Survey. Our analyses suggest that a distinction has to be made between informal and formal participation because they relate very differently to other variables such as age, education, political action and happiness. We also found that these two types of participation had hardly any relationship with other important components of the social capital construct, such as social trust and political trust. The latter result does not devalue the validity of the developed indices for informal and formal participation but suggests that participation and trust should be considered formative indicators of social capital.     

Assessing Health Endowment,Access and Choice Determinants: Impact on Retired Europeans’ (In)activity and Quality of Life

A future for the E.U., dominated by an ever-increasing population of retired citizens represents a major challenge to social and health policy in European countries. Under Rowe and Kahn’s (Gerontol 37(4):433–440, 1997) perspective on positive aging, this paper is interested in exploring the role of health on citizens’ active participation after retirement and social engagement to life and quality of life. This paper also aims at finding whether Sen’s (Public health, ethics, and equity. Oxford University Press, Oxford, 2004) capability approach or cumulative disadvantage or advantage theory relative to the access to health also verifies in a context of multi-national developed economies. The first part of this study is therefore concerned with generating a health indicator that enables this, whilst controlling for individual heterogeneity in self-rated health responses from 10,859 retired individuals from the SHARE survey. Socioeconomic determinants of health are found not to be critical in determining health in such a developed context whilst cumulative advantage is found relevant for the positive aging of Europeans. Evidence is found that active engagement in activities and quality of life are most certainly a prerogative for the more educated and the healthier retirees, hinting a strategy for European policymakers: cumulative advantage, leveraged by education and health policy, might just be the long-term strategy for contouring an aging and unproductive European population, transforming what could be a ‘burden’ into an asset.     

Measuring Social Capital in Hamilton, Ontario

Social capital has been studied by academics for more than 20?years and within the past decade there has been an explosion of growth in research linking social capital to health. This paper investigates social capital in Hamilton, Ontario by way of a telephone survey of 1,002 households in three neighbourhood groups representing high, mixed and low socio-economic status (SES). A Social Capital Measurement Tool is proposed as a straightforward way to account for differences in social capital perceptions and actions among residents. Consistent with the literature, the paper found that there was a strong association between social capital perceptions and health, particularly mental health and life stress. Social capital was greater in the high and mixed SES neighbourhoods and much weaker in the low SES neighbourhoods. With respect to social capital actions, both volunteering and voting was associated with positive overall health and mental health. Finally, the paper identified the social capital ??elite????respondents with high or above average perceptions and who participated in the two social capital actions??voting and volunteering. Prominent among the social capital elite in Hamilton is the ??health wealthy?? senior, a positive development for the continued social well-being of the city.     

Political Regime and Human Capital: A Cross-Country Analysis

We examine the relationship between different dimensions of the political regime in place and human capital using a two-step structural equation model. In the first step, we employ factor analysis on 16 human capital indicators to construct two new human capital measures (basic and advanced human capital). In the second step, we estimate the impact of our political variables on human capital, using a cross-sectional structural model for some 100 countries. We conclude that democracy is positively related to basic human capital, while regime instability has a negative link with basic human capital. Governance has a positive relationship with advanced human capital, while government instability has a negative link with advanced human capital. Finally, we also find an indirect positive effect of governance and democracy on both types of human capital through their effect on income.     

What is Happening with Quality of Life Among the Oldest People in Southern European Countries? An Empirical Approach Based on the SHARE Data

Population aging in developed countries has created new challenges to improve the well-being of individuals at different age cohorts. This issue is especially significant for Southern European countries, were aging societies have worse health and less socio-economic resources. The aim of this study is to contribute to this body of literature and to estimate the effect of aging on quality of life of oldest people. This paper uses the latest available data (6th wave) from the Survey on Health, Ageing and Retirement in Europe (SHARE). Specifically, robust ordinary least squares and multilevel regressions are employed to analyse the effects of socioeconomic, health, and community factors on quality of life among the oldest population for Southern European countries. Our findings confirm the significance of several factors on life satisfaction among the oldest population in this group of countries. Moreover, we show that the determinants which are correlated with quality of life include predisposing, health, geographic area and social isolation factors.