Social capital and its relationship to self-perceived health: National health survey in Colombia 2007
Abstract
Objective:To analyze the self-reported perceived health related to socio-demographic characteristics, social health inequalities and social capital in Colombia.
Methods:This study is a cross-sectional design; data was obtained from the National Health Survey of Colombia 2007. Independent variables: socio-demographic characteristics; component variables: social health inequality and social capital. Dependent variable: self-reported health. Analysis of the relationship used logistic regression through OR and its confidence interval.
Results:The determinant factors for a negative health perceptions are related to being a female (OR: 0.49 [0.47 to 0.52]), and in both genders being older than 37 years of age (OR: 0.72 [0.61 to 0, 85]), living without a partner, black ethnicity, indigenous women (0.80 [0.69 to 0.94] and low economic incomes.
Discussion:The relationship between social determinants and social capital in the perception of health shows inequities and indirectly reflects the level of health. Given the policies and the model of health, requires a rational adjustment of the goals, programs, and national and regional strategies with the object of improving the demand and quality of services.
Authors
Downloads
Keywords
- Cross-sectional
- ethnicity
- health status
- socioeconomic factors
- healthcare disparities
- health perception.
References
Chávez BM, Velásquez LE. Análisis de la gestión territorial: Encuesta Nacional de Salud 2007, Colombia 2011. Rev Fac Nac Salud Pública. 2012;30:57–65.
Bombak AE, Bruce SG. Self-rated health and ethnicity: focus on indigenous populations. Int J Circumpolar Health. 2012;71:18538–18538.
Klein J1.Vonneilich N.Baumeister SE.Kohlmann T.von dem Knesebeck O Do social relations explain health inequalities? Evidence from a longitudinal survey in a changing eastern German region. Int J Public Health. 2012;57(3):619–627.
Gunasekara FI, Carter K, Blakely T. Comparing self-rated health and self-assessed change in health in a longuitudinal survey: wich is more valid? Social Science & Medicine. 2012;74:1117–1124.
Darviri C, Fouka G, Gnardellis C, Artemiadis AK, Tigani X, Alexopoulos EC. Determinants of self-rated health in a representative sample of a rural population: A cross-sectional study in Greece. Int J Environ Res Public Health. 2012;9:943–954.
Nummela O, Raivio R, Uutela A. Trust, self-related health and mortality: A longuitudinal study among ageing people in Southern Finland. Social Science & Medicine. 2012;74:1639–1643.
Vuorisalmi M, Lintonen T, Jylha M. Global self-rated health data from a longitudinal study predicted mortality better than comparative self-rated health in old age. Journal of Clinical Epidemiology. 2005;58:680–687.
Alazraqui M, Roux AV, Fleischer N, Spinelli H. Salud auto-referida y desigualdades sociales, ciudad de Buenos Aires Argentina 2005. Cad Saude Publica. 2009;25:1990–2000.
Kawachi I, Kennedy BP, Glass R. Social capital and self-rated health: a contextual analysis. Am J Public Health. 1999;89:1187–1193.
Sapag JC, Aracena M, Villarroel L, et al. Social capital and self-rated health in urban low income neighbourhoods in Chile. J Epidemiol Community Health. 2008;62:790–792.
Ricci-Cabello I. Análisis de las desigualdades sociales en la atención sanitaria a la diabetes. Granada: Universidad de Granada; 2009. http://hera.ugr.es/tesisugr/18082907.pdf
Crimmins EM, Kim JK, Solé-Auró A. Gender differences in health: results from SHARE, ELSA and HRS. Eur J Public Health. 2010;21:81–91.
Subramanian V, Delgado I, Jadue L, Kawachi I, Vega J. Inequidad de ingreso y autopercepción de salud: un análisis desde la perspectiva contextual en las comunas chilenas. Rev Med Chil. 2003;131:321–330.
Humphries KH, van Doorslaer E. Income-related health inequality in Canada. Social Science & Medicine. 2000;50:663–671.
Kim D, Subramanian SV, Kawachi I. Bonding versus bridging social and their associations with self-rated health: a multilevel analysis of 40 US commnunities. J Epidemiol Community Health. 2006;60:116–122.
Andersen PT, Jørgensen SK, Larsen E. LarFor the sake of health! Reflections on the contemporary use social capital and empowerment in Danish health promotion policies. Social Theory & Health. 2011;9:87–107.
van Doorslaer E, Jones AM. Inequalities in self-reported health: validation of a new approach to measurement. J Health Econ. 2003;22:61–87.
Tampubolon G, Subramanian SV, Kawachi I. Neighbourhood social capital and individual self-rated health in Wales. Health Econ. 2013;22(1):14–21.
Engström K, Mattsson F, Järleborg A, et al. Contextual social capital as a risk factor for poor self-rated health: A multilevel analysis. Social Science & Medicine. 2008;66:2268–2280.
Mohseni M, Lindström M. Social capital, political trust and self rated-health: A population-based study in southern Sweden. Scand J Public health. 2008;36:28–34.
Snelgrove JW, Pikhart H, Stafford M. A multilevel analysis of social capital and self-rated health: Evidence from the British Household Panel Survey. Soc Sci Med. 2009;68:1993–2001.
Giordano GN, Ohlsson H, Lindström M. Social capital and health-purely a question of context. Health Place. 2011;17:946–953.
Regidor E, Martínez D, Astasio P, et al. Evolución de las desigualdades socioeconómicas y las desigualdades en la percepción de la salud en España. Gac Sanit. 2006;20:178–182.
Urbanos R. Desigualdades sociales en salud: malos tiempos para la lirica. Gac Sanit. 2012;26:101–102.
Rostila M, Kölegård ML, Fritzell J. Income inequality and self-rated health in Stockholm, Sweden: A test of the 'income inequality hypothesis on two levels of aggregation'. Soc Sci Med. 2012;74:1091–1098.
The copy rights of the articles published in Colombia Médica belong to the Universidad del Valle. The contents of the articles that appear in the Journal are exclusively the responsibility of the authors and do not necessarily reflect the opinions of the Editorial Committee of the Journal. It is allowed to reproduce the material published in Colombia Médica without prior authorization for non-commercial use