title: Contextual effects of community mobilization and communication capacity as a positive factor for self-rated health status: a multi-level analysis.
abstract: OBJECTIVE
  We examined relationships between individual-level community participation, two types of contextual effects-community capacity for mobilization and capacity for health communication--and residents' self-reported health status in order to explore the role health communication may play in community building for health.
  
  
  METHODS
  To estimate multi-level effects of the community participation and the two contextual indicators with self-rated health status, we applied hierarchical generalized linear regression to crosssectional data from the Korean National Health and Nutrition Examination Survey.
  
  
  RESULTS
  After adjusting for individual- and community-level confounders, the likelihood of having high self-rated health status is significantly higher among those who live in a region with higher community capacity for mobilization, higher health communication capacity at the community level, and higher participation in community groups at the individual-level.
  
  
  CONCLUSIONS
  Our findings suggest that living in a community characterized by higher levels of communication and mobilization capacity is beneficial to residents' self-rated health status--increasing the odds of high health status by up to 9 %. Thus, building community capacity in mobilization and health communication may help develop better health promotion campaigns.
authors.affiliation: Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, MA, USA, mj748@dongduk.ac.kr.
authors.forename: Minsoo
authors.initials: M
authors.lastname: Jung
authors.forename: Cabral A
authors.initials: CA
authors.lastname: Bigman-Galimore
authors.forename: K
authors.initials: K
authors.lastname: Viswanath
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003142:Communication; D019058:Community Networks; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D059026:Diagnostic Self Evaluation; D005260:Female; D006293:Health Promotion; D006304:Health Status; D006801:Humans; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D011634:Public Health; D056910:Republic of Korea; D057566:Self Report; D012919:Social Behavior; D055815:Young Adult