Association of neighbourhood and individual social capital, neighbourhood economic deprivation and self-rated health in South Africa - a multi-level analysis

dc.contributor.authorChola, Lumbween_ZA
dc.contributor.authorAlaba, Olufunkeen_ZA
dc.date.accessioned2015-11-11T14:27:46Z
dc.date.available2015-11-11T14:27:46Z
dc.date.issued2013en_ZA
dc.description.abstractSocial capital is said to influence health, mostly in research undertaken in high income countries' settings. Because social capital may differ from one setting to another, it is suggested that its measurement be context specific. We examine the association of individual and neighbourhood level social capital, and neighbourhood deprivation to self-rated health using a multi-level analysis. METHODS: Data are taken from the 2008 South Africa National Income Dynamic Survey. Health was self-reported on a scale from 1 (excellent) to 5 (poor). Two measures of social capital were used: individual, measured by two variables denoting trust and civic participation; and neighbourhood social capital, denoting support, association, behaviour and safety in a community. RESULTS: Compared to males, females were less likely to report good health (Odds Ratio 0.82: Confidence Interval 0.73, 0.91). There were variations in association of individual social capital and self-rated health among the provinces. In Western Cape (1.37: 0.98, 1.91) and North West (1.39: 1.13, 1.71), trust was positively associated with reporting good health, while the reverse was true in Limpopo (0.56: 0.38, 0.84) and Free State (0.70: 0.48, 1.02). In Western Cape (0.60: 0.44, 0.82) and Mpumalanga (0.72: 0.55, 0.94), neighbourhood social capital was negatively associated with reporting good health. In North West (1.59: 1.27, 1.99) and Gauteng (1.90: 1.21, 2.97), increased neighbourhood social capital was positively associated with reporting good health. CONCLUSION: Our study demonstrated the importance of considering contextual factors when analysing the relationship between social capital and health. Analysis by province showed variations in the way in which social capital affected health in different contexts. Further studies should be undertaken to understand the mechanisms through which social capital impacts on health in South Africa.en_ZA
dc.identifier.apacitationChola, L., & Alaba, O. (2013). Association of neighbourhood and individual social capital, neighbourhood economic deprivation and self-rated health in South Africa - a multi-level analysis. <i>PLoS One</i>, http://hdl.handle.net/11427/14924en_ZA
dc.identifier.chicagocitationChola, Lumbwe, and Olufunke Alaba "Association of neighbourhood and individual social capital, neighbourhood economic deprivation and self-rated health in South Africa - a multi-level analysis." <i>PLoS One</i> (2013) http://hdl.handle.net/11427/14924en_ZA
dc.identifier.citationChola, L., & Alaba, O. (2013). Association of neighbourhood and individual social capital, neighbourhood economic deprivation and self-rated health in South Africa - a multi-level analysis. PloS one, 8(7), e71085. doi:10.1371/journal.pone.0071085en_ZA
dc.identifier.ris TY - Journal Article AU - Chola, Lumbwe AU - Alaba, Olufunke AB - Social capital is said to influence health, mostly in research undertaken in high income countries' settings. Because social capital may differ from one setting to another, it is suggested that its measurement be context specific. We examine the association of individual and neighbourhood level social capital, and neighbourhood deprivation to self-rated health using a multi-level analysis. METHODS: Data are taken from the 2008 South Africa National Income Dynamic Survey. Health was self-reported on a scale from 1 (excellent) to 5 (poor). Two measures of social capital were used: individual, measured by two variables denoting trust and civic participation; and neighbourhood social capital, denoting support, association, behaviour and safety in a community. RESULTS: Compared to males, females were less likely to report good health (Odds Ratio 0.82: Confidence Interval 0.73, 0.91). There were variations in association of individual social capital and self-rated health among the provinces. In Western Cape (1.37: 0.98, 1.91) and North West (1.39: 1.13, 1.71), trust was positively associated with reporting good health, while the reverse was true in Limpopo (0.56: 0.38, 0.84) and Free State (0.70: 0.48, 1.02). In Western Cape (0.60: 0.44, 0.82) and Mpumalanga (0.72: 0.55, 0.94), neighbourhood social capital was negatively associated with reporting good health. In North West (1.59: 1.27, 1.99) and Gauteng (1.90: 1.21, 2.97), increased neighbourhood social capital was positively associated with reporting good health. CONCLUSION: Our study demonstrated the importance of considering contextual factors when analysing the relationship between social capital and health. Analysis by province showed variations in the way in which social capital affected health in different contexts. Further studies should be undertaken to understand the mechanisms through which social capital impacts on health in South Africa. DA - 2013 DB - OpenUCT DO - 10.1371/journal.pone.0071085 DP - University of Cape Town J1 - PLoS One LK - https://open.uct.ac.za PB - University of Cape Town PY - 2013 T1 - Association of neighbourhood and individual social capital, neighbourhood economic deprivation and self-rated health in South Africa - a multi-level analysis TI - Association of neighbourhood and individual social capital, neighbourhood economic deprivation and self-rated health in South Africa - a multi-level analysis UR - http://hdl.handle.net/11427/14924 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/14924
dc.identifier.urihttp://dx.doi.org/10.1371/journal.pone.0071085
dc.identifier.vancouvercitationChola L, Alaba O. Association of neighbourhood and individual social capital, neighbourhood economic deprivation and self-rated health in South Africa - a multi-level analysis. PLoS One. 2013; http://hdl.handle.net/11427/14924.en_ZA
dc.language.isoengen_ZA
dc.publisherPublic Library of Scienceen_ZA
dc.publisher.departmentHealth Economics Uniten_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.en_ZA
dc.rights.holder© 2013 Chola, Alabaen_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/4.0en_ZA
dc.sourcePLoS Oneen_ZA
dc.source.urihttp://journals.plos.org/plosoneen_ZA
dc.subject.otherSocial aspects of healthen_ZA
dc.subject.otherSocioeconomic aspects of healthen_ZA
dc.subject.otherHealth informaticsen_ZA
dc.titleAssociation of neighbourhood and individual social capital, neighbourhood economic deprivation and self-rated health in South Africa - a multi-level analysisen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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