title: Association of neighbourhood and individual social capital, neighbourhood economic deprivation and self-rated health in South Africa--a multi-level analysis.
abstract: BACKGROUND
  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.
  
  
  CONCLUSIONS
  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.
authors: Health Systems and Services Research Unit, Stellenbosch University, Stellenbosch, South Africa. cholal@sun.ac.za
authors: Lumbwe
authors: L
authors: Chola
authors: Olufunke
authors: O
authors: Alaba
mesh_terms: D000293:Adolescent; D000328:Adult; D004522:Educational Status; D005191:Family Characteristics; D005260:Female; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D007182:Income / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D016017:Odds Ratio; D012044:Regression Analysis; D012111:Residence Characteristics; D057566:Self Report; D012959:Socioeconomic Factors; D013019:South Africa; D035502:Trust; D055815:Young Adult
references: Soc Sci Med. 2011 Mar;72(5):660-7
references: 21251743
references: Soc Sci Med. 2008 Feb;66(4):885-99
references: 18158206
references: Am J Public Health. 1999 Aug;89(8):1187-93
references: 10432904
references: Soc Sci Med. 2009 Jun;68(11):1993-2001
references: 19345465
references: Soc Sci Med. 2008 Dec;67(12):2007-16
references: 18950926
references: BMC Public Health. 2007 Jul 27;7:184
references: 17655774
references: J Psychosom Res. 2002 May;52(5):285-93
references: 12023125
references: Health Econ. 2013 Jan;22(1):14-21
references: 22114035
references: Int J Equity Health. 2011 Nov 10;10:48
references: 22074349
references: Health Policy. 2009 Dec;93(2-3):172-9
references: 19692141
references: Soc Sci Med. 2006 Jul;63(1):255-70
references: 16427171
references: J Epidemiol Community Health. 2001 Feb;55(2):111-22
references: 11154250
references: Eur J Cardiovasc Prev Rehabil. 2010 Aug;17(4):431-9
references: 20404733
references: J Affect Disord. 2013 Jan 10;144(1-2):101-5
references: 22858263
references: PLoS One. 2012;7(2):e30795
references: 22347405
references: Public Health. 2007 Mar;121(3):163-73
references: 17222876
references: Health Place. 1999 Dec;5(4):259-70
references: 10984580
references: Soc Sci Med. 2007 Jan;64(1):5-20
references: 17045716
references: Lancet. 2000 Sep 2;356(9232):795-801
references: 11022926
references: Scand J Public Health. 2007;35(2):164-71
references: 17454920
references: Int J Equity Health. 2011 Nov 15;10:51
references: 22085826
references: Soc Sci Med. 2006 Jan;62(2):348-59
references: 16039764
references: J Epidemiol Community Health. 2003 May;57(5):320-3
references: 12700212
references: Int J Equity Health. 2012 Jan 26;11:3
references: 22280458
references: Lancet. 2009 Sep 12;374(9693):934-47
references: 19709736
references: Am J Public Health. 2000 Jun;90(6):988
references: 10877731
references: Nicotine Tob Res. 2012 Jun;14(6):682-7
references: 22180586
references: Soc Sci Med. 2008 Nov;67(10):1559-70
references: 18771833
references: Ann N Y Acad Sci. 1999;896:3-15
references: 10681884
references: Ann N Y Acad Sci. 2008;1136:276-88
references: 18579887
references: PLoS One. 2010 Oct 06;5(10):e13214
references: 20949091