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Published in: BMC Public Health 1/2015

Open Access 01-12-2015 | Research article

Neighborhood social capital is associated with participation in health checks of a general population: a multilevel analysis of a population-based lifestyle intervention- the Inter99 study

Authors: Anne Mette Bender, Ichiro Kawachi, Torben Jørgensen, Charlotta Pisinger

Published in: BMC Public Health | Issue 1/2015

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Abstract

Background

Participation in population-based preventive health check has declined over the past decades. More research is needed to determine factors enhancing participation. The objective of this study was to examine the association between two measures of neighborhood level social capital on participation in the health check phase of a population-based lifestyle intervention.

Methods

The study population comprised 12,568 residents of 73 Danish neighborhoods in the intervention group of a large population-based lifestyle intervention study - the Inter99. Two measures of social capital were applied; informal socializing and voting turnout.

Results

In a multilevel analysis only adjusting for age and sex, a higher level of neighborhood social capital was associated with higher probability of participating in the health check. Inclusion of both individual socioeconomic position and neighborhood deprivation in the model attenuated the coefficients for informal socializing, while voting turnout became non-significant.

Conclusion

Higher level of neighborhood social capital was associated with higher probability of participating in the health check phase of a population-based lifestyle intervention. Most of the association between neighborhood social capital and participation in preventive health checks can be explained by differences in individual socioeconomic position and level of neighborhood deprivation. Nonetheless, there seems to be some residual association between social capital and health check participation, suggesting that activating social relations in the community may be an avenue for boosting participation rates in population-based health checks.

Trial registration

ClinicalTrials.gov (registration no. NCT00289237).
Appendix
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Literature
1.
go back to reference Bender AM, Jørgensen T, Helbech B, Linneberg A, Pisinger C. Socioeconomic position and participation in baseline and follow-up visits: the Inter99 study. Eur J Prev Cardiol. 2012;10:377. Bender AM, Jørgensen T, Helbech B, Linneberg A, Pisinger C. Socioeconomic position and participation in baseline and follow-up visits: the Inter99 study. Eur J Prev Cardiol. 2012;10:377.
2.
go back to reference Bender AM, Kawachi I, Jørgensen T, Pisinger C. Neighborhood deprivation is strongly associated with participation in a population-based health check. PLoS One. 2015;10:e0129819.CrossRefPubMedPubMedCentral Bender AM, Kawachi I, Jørgensen T, Pisinger C. Neighborhood deprivation is strongly associated with participation in a population-based health check. PLoS One. 2015;10:e0129819.CrossRefPubMedPubMedCentral
3.
go back to reference Eriksson M, Emmelin M. What constitutes a health-enabling neighborhood? A grounded theory situational analysis addressing the significance of social capital and gender. Soc Sci Med 1982. 2013;97:112–23. Eriksson M, Emmelin M. What constitutes a health-enabling neighborhood? A grounded theory situational analysis addressing the significance of social capital and gender. Soc Sci Med 1982. 2013;97:112–23.
4.
go back to reference European Commission E. Glossary: Equivalised disposable income. 2014. European Commission E. Glossary: Equivalised disposable income. 2014.
5.
6.
go back to reference Giordano GN, Lindström M. The impact of social capital on changes in smoking behaviour: a longitudinal cohort study. Eur J Public Health. 2011;21:347–54.CrossRefPubMed Giordano GN, Lindström M. The impact of social capital on changes in smoking behaviour: a longitudinal cohort study. Eur J Public Health. 2011;21:347–54.CrossRefPubMed
7.
go back to reference Grootaert C, Narayan D, Woolcock M, Nyhan-Jones V. Measuring Social Capital : An Integrated Questionnaire. Washington D.C.: The World Bank; 2004:1–61. Grootaert C, Narayan D, Woolcock M, Nyhan-Jones V. Measuring Social Capital : An Integrated Questionnaire. Washington D.C.: The World Bank; 2004:1–61.
8.
go back to reference Harpham T, Grant E, Thomas E. Measuring social capital within health surveys: key issues. Health Policy Plan. 2002;17:106–11.CrossRefPubMed Harpham T, Grant E, Thomas E. Measuring social capital within health surveys: key issues. Health Policy Plan. 2002;17:106–11.CrossRefPubMed
10.
go back to reference Islam MK, Merlo J, Kawachi I, Lindström M, Gerdtham U-G. Social capital and health: does egalitarianism matter? A literature review. Int J Equity Health. 2006;5:3.CrossRefPubMedPubMedCentral Islam MK, Merlo J, Kawachi I, Lindström M, Gerdtham U-G. Social capital and health: does egalitarianism matter? A literature review. Int J Equity Health. 2006;5:3.CrossRefPubMedPubMedCentral
11.
go back to reference Jørgensen T, Borch-Johnsen K, Thomsen TF, Ibsen H, Glümer C, Pisinger C. A randomized non-pharmacological intervention study for prevention of ischaemic heart disease: baseline results Inter99. Eur J Cardiovasc Prev Rehabil Off J Eur Soc Cardiol Work Groups Epidemiol Prev Card Rehabil Exerc Physiol. 2003;10:377–86. Jørgensen T, Borch-Johnsen K, Thomsen TF, Ibsen H, Glümer C, Pisinger C. A randomized non-pharmacological intervention study for prevention of ischaemic heart disease: baseline results Inter99. Eur J Cardiovasc Prev Rehabil Off J Eur Soc Cardiol Work Groups Epidemiol Prev Card Rehabil Exerc Physiol. 2003;10:377–86.
12.
go back to reference Jørgensen T, Jacobsen RK, Toft U, Aadahl M, Glümer C, Pisinger C. The effect of screening and lifestyle counselling on incidence of ischaemic heart disease in a general population: A randomised trial – Inter99. BMJ. 2014;348:3617.CrossRef Jørgensen T, Jacobsen RK, Toft U, Aadahl M, Glümer C, Pisinger C. The effect of screening and lifestyle counselling on incidence of ischaemic heart disease in a general population: A randomised trial – Inter99. BMJ. 2014;348:3617.CrossRef
13.
go back to reference Kawachi I. Social capital and community effects on population and individual health. Ann N Y Acad Sci. 1999;896:120–30.CrossRefPubMed Kawachi I. Social capital and community effects on population and individual health. Ann N Y Acad Sci. 1999;896:120–30.CrossRefPubMed
14.
go back to reference Kawachi I. Commentary: social capital and health: making the connections one step at a time. Int J Epidemiol. 2006;35:989–93.CrossRefPubMed Kawachi I. Commentary: social capital and health: making the connections one step at a time. Int J Epidemiol. 2006;35:989–93.CrossRefPubMed
15.
16.
go back to reference Kawachi I, Kim D, Coutts A, Subramanian SV. Commentary: Reconciling the three accounts of social capital. Int J Epidemiol. 2004;33:682–90.CrossRefPubMed Kawachi I, Kim D, Coutts A, Subramanian SV. Commentary: Reconciling the three accounts of social capital. Int J Epidemiol. 2004;33:682–90.CrossRefPubMed
18.
go back to reference Krogsboll LT, Jorgensen KJ, Gronhoj Larsen C, Gotzsche PC. General health checks in adults for reducing morbidity and mortality from disease: Cochrane systematic review and meta-analysis. BMJ. 2012;345:e7191.CrossRefPubMedPubMedCentral Krogsboll LT, Jorgensen KJ, Gronhoj Larsen C, Gotzsche PC. General health checks in adults for reducing morbidity and mortality from disease: Cochrane systematic review and meta-analysis. BMJ. 2012;345:e7191.CrossRefPubMedPubMedCentral
19.
go back to reference Lepore SJ. Social conflict, social support, and psychological distress: evidence of cross-domain buffering effects. J Pers Soc Psychol. 1992;63:857–67.CrossRefPubMed Lepore SJ. Social conflict, social support, and psychological distress: evidence of cross-domain buffering effects. J Pers Soc Psychol. 1992;63:857–67.CrossRefPubMed
20.
go back to reference Lin N. Building a Network Theory of Social Capital. Connections. 1999;22:28–51. Lin N. Building a Network Theory of Social Capital. Connections. 1999;22:28–51.
21.
go back to reference Lindström M. Social capital, desire to increase physical activity and leisure-time physical activity: a population-based study. Public Health. 2011;125:442–7.CrossRefPubMed Lindström M. Social capital, desire to increase physical activity and leisure-time physical activity: a population-based study. Public Health. 2011;125:442–7.CrossRefPubMed
22.
go back to reference Martin DC, Newman BJ. Measuring Aggregate Social Capital Using Census Response Rates. Am Polit Res. 2015;43(4):625–642. Martin DC, Newman BJ. Measuring Aggregate Social Capital Using Census Response Rates. Am Polit Res. 2015;43(4):625–642.
23.
go back to reference Nieminen T, Prättälä R, Martelin T, Härkänen T, Hyyppä MT, Alanen E, et al. Social capital, health behaviours and health: a population-based associational study. BMC Public Health. 2013;13:613.CrossRefPubMedPubMedCentral Nieminen T, Prättälä R, Martelin T, Härkänen T, Hyyppä MT, Alanen E, et al. Social capital, health behaviours and health: a population-based associational study. BMC Public Health. 2013;13:613.CrossRefPubMedPubMedCentral
24.
go back to reference Pruitt SL, Shim MJ, Mullen PD, Vernon SW, Amick 3rd BC. Association of area socioeconomic status and breast, cervical, and colorectal cancer screening: a systematic review. Cancer Epidemiol Biomark Prev Publ Am Assoc Cancer Res Cosponsored Am Soc Prev Oncol. 2009;18:2579–99.CrossRef Pruitt SL, Shim MJ, Mullen PD, Vernon SW, Amick 3rd BC. Association of area socioeconomic status and breast, cervical, and colorectal cancer screening: a systematic review. Cancer Epidemiol Biomark Prev Publ Am Assoc Cancer Res Cosponsored Am Soc Prev Oncol. 2009;18:2579–99.CrossRef
25.
go back to reference Putnam RD. Bowling Alone: The Collapse and Revival of American Community. New York: Simon and Schuster; 2001. Putnam RD. Bowling Alone: The Collapse and Revival of American Community. New York: Simon and Schuster; 2001.
26.
go back to reference Thygesen LC, Daasnes C, Thaulow I, Brønnum-Hansen H. Introduction to Danish (nationwide) registers on health and social issues: structure, access, legislation, and archiving. Scand J Public Health. 2011;39(7 Suppl):12–6.CrossRefPubMed Thygesen LC, Daasnes C, Thaulow I, Brønnum-Hansen H. Introduction to Danish (nationwide) registers on health and social issues: structure, access, legislation, and archiving. Scand J Public Health. 2011;39(7 Suppl):12–6.CrossRefPubMed
27.
go back to reference Uphoff EP, Pickett KE, Cabieses B, Small N, Wright J. A systematic review of the relationships between social capital and socioeconomic inequalities in health: a contribution to understanding the psychosocial pathway of health inequalities. Int J Equity Health. 2013;12:54.CrossRefPubMedPubMedCentral Uphoff EP, Pickett KE, Cabieses B, Small N, Wright J. A systematic review of the relationships between social capital and socioeconomic inequalities in health: a contribution to understanding the psychosocial pathway of health inequalities. Int J Equity Health. 2013;12:54.CrossRefPubMedPubMedCentral
28.
go back to reference Verba S, Schlozman KL, Brady H. Voice and Equality: Civic Voluntarism in American Politics. Abridgedth ed. Cambridge, Mass: Harvard University Press; 1995. Verba S, Schlozman KL, Brady H. Voice and Equality: Civic Voluntarism in American Politics. Abridgedth ed. Cambridge, Mass: Harvard University Press; 1995.
29.
go back to reference Yang H-K, Shin D-W, Hwang S-S, Oh J, Cho B-L. Regional factors associated with participation in the National Health Screening Program: a multilevel analysis using national data. J Korean Med Sci. 2013;28:348.CrossRefPubMedPubMedCentral Yang H-K, Shin D-W, Hwang S-S, Oh J, Cho B-L. Regional factors associated with participation in the National Health Screening Program: a multilevel analysis using national data. J Korean Med Sci. 2013;28:348.CrossRefPubMedPubMedCentral
Metadata
Title
Neighborhood social capital is associated with participation in health checks of a general population: a multilevel analysis of a population-based lifestyle intervention- the Inter99 study
Authors
Anne Mette Bender
Ichiro Kawachi
Torben Jørgensen
Charlotta Pisinger
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-2042-5

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