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J Urban Health. Mar 2002; 79(Suppl 1): S21–S34.
PMCID: PMC3456618

Social trust and self-rated health in US communities: a multilevel analysis

Abstract

This study assessed the contextual and individual effects of social trust on health. Methods consisted of a multilevel regression analysis of self-rated poor health among 21,456 individuals nested within 40 US communities included in the 2000 Social Capital Community Benchmark Survey. Controlling for demographic covariates, a strong income and education gradient was observed for self-rated health. Higher levels of cominunity social trust were associated with a lover probability of reporting poor health. Individual demographic and socioeconomic preditors did not explain the association of community social trust with self-rated health. Controlling for individual trust perception, however, rendered the main effect of community social trust statistically insignificant, but a complex interaction effect was observed, such that the health-promoting effect of community social trust was significantly greater for high-trust individuals. For low-trust individuals, the effect of community social trust on self-rated health was the opposite. Using the latest data available on community social trust, we conclude that the role of community social trust in explaining average population health achievements and health inequalities is complex and is contingent on individual perceptions of social trust. Future multilevel investigations of social capital and population health should routinely consider the cross-level nature of community or neighborbood effects.

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Selected References

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1. Coleman JS. Foundations of Social Theory. Cambridge, MA: Harvard University Press; 1990.
2. Portes A. Social capital: its origins and applications in modern sociology. Annu Rev Sociol. 1998;24:1–24. doi: 10.1146/annurev.soc.24.1.1. [Cross Ref]
3. Harpam T, Grant E, Thomas E. Measuring social capital within health surveys: key issues. Health Policy Plan. 2002;17:106–111. doi: 10.1093/heapol/17.1.106. [PubMed] [Cross Ref]
4. Putnam RD. Bowling alone: the collapse and revival of American community New York: Simon and Schuster; 2000.
5. Kawachi I, Berkman LF. Social cohesion, social capital, and health. In: Berkman LF, Kawachi I, editors. Social Epidemiology. New York: Oxford University Press; 2000. pp. 174–190.
6. Lochner K, Kawachi I, Kennedy BP. Social capital: a guide to its measurement. Health Place. 1999;5:259–270. doi: 10.1016/S1353-8292(99)00016-7. [PubMed] [Cross Ref]
7. Kawachi I, Kennedy BP, Lochner K, Prothrow-Stith D. Social capital, income inequality and mortality. Am J Public Health. 1997;87:1491–1498. doi: 10.2105/AJPH.87.9.1491. [PMC free article] [PubMed] [Cross Ref]
8. Kawachi I, Kennedy BP, Glass R. Social capital and self-rated health: a contextual analysis. Am J Public Health. 1999;89:1187–1193. [PMC free article] [PubMed]
9. Subramanian SV, Kawachi I, Kennedy BP. Does the state you live in make a difference? Multilevel analysis of self-rated health in the US. Soc Sci Med. 2001;53:9–19. doi: 10.1016/S0277-9536(00)00309-9. [PubMed] [Cross Ref]
10. Sampson RJ, Raudenbush SW, Earls F. Neighborhoods and violent crime: a multilevel study of collective efficacy. Science. 1997;277:918–924. doi: 10.1126/science.277.5328.918. [PubMed] [Cross Ref]
11. Lochner K, Kawachi I, Brennan RT, Buka SL. Social capital and neighborhood mortality rates in Chicago, Soc Sci Med. 2002. In press. [PubMed]
12. Subramanian, SV, Lochner K, Kawachi I. Neighborhood differences in social capital in the US: compositional artifact or a contextual construct? Health Place. In press. [PubMed]
13. The Social Capital Benchmark Survey (Data Codebook) Storrs, CT: The Roper Center for Public Opinion Research; 2002.
14. Bryk AS, Raudenbush SW. Hierarchical Linear Models: Applications and Data Analysis Methods. Newbury Park, England: Sage Publications; 1992.
15. Goldstein H. Multilevel Statistical Models. 2nd ed. London: Arnold; 1995.
16. Subramanian SV, Jones K, Duncan C. Multilevel methods for public health research. In: Kawachi I, Berkman LF, eds. Neighborboods and Health. New York: Oxford University Press. In press.
17. Goldstein H. Nonlinear multilevel models, with an application to discrete response data. Biometrika. 1991;78:45–51. doi: 10.2307/2336894. [Cross Ref]
18. Rasbash I, Browne W, Goldstein H, et al. A User's Guide to MLwiN, Version 2.1 London: Multilevel Models Project, Institute of Education, University of London; 2000.
19. Goldstein H, Rasbash J. Improved approximations for multilevel models with binary responses. J R Stat Soc A. 1996;159:505–513.
20. Lynch J, Due P, Muntaner C. Social capital—is it a good investment strategy for public health. J Epidemiol Community Health. 2000;54:404–408. doi: 10.1136/jech.54.6.404. [PMC free article] [PubMed] [Cross Ref]
21. Macintyre S, Ellaway A. Ecological approaches: rediscovering the role of physical and social environment. In: Berkman LF, Kawachi I, editors. Social Epidemiology. New York: Oxford Press; 2000. pp. 332–348.
22. Gladwell M. The Tipping Point. Boston, MA: Little, Brown and Company; 2000.
23. Crane J. The epidemic theory of ghettos and neighborhood effects on dropping out and teenage childbearing. Am J Sociol. 1989;95:1226–1259.
24. Ellen IG, Mijanovich T, Dillman K-N. Neighborhood effects on health: exploring the links and assessing the evidence. J Urban Aff. 2001;23:391–408. doi: 10.1111/0735-2166.00096. [Cross Ref]

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