Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
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A Multi-level Study of Contextual Effects of Community Capacity on Health Status among Seoul Residents: Focused on Social Quality

지역사회역량이 건강에 미치는 영향에 대한 다수준 분석: 사회의 질 증진에 주는 함의

  • Jung, Min-Soo (The Institute for Social Development and Policy Research, Seoul National University) ;
  • Cho, Byong-Hee (Graduate School of Public Health, Seoul National University) ;
  • 정민수 (서울대학교 사회발전연구소) ;
  • 조병희 (서울대학교 보건대학원) ;
  • Received : 2011.09.15
  • Accepted : 2011.12.10
  • Published : 2011.12.31
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Abstract

Objectives: The aim of the present study is to elucidate the relationship of community capacity to health in a metropolitan area in Korea. To do so, a multi-level model to verify the contextual effects of community capacity is presented. Methods: The study materials are the "The 4th Seoul Citizens Health Indicators Surveys" on 404 dong in Seoul. The community capacity indicators were developed in two strata: individual-level indicators with community identity domain; and community-level indicators with participation in community organizations, number of non-profit organizations, degree of organizing of community-based organizations, and volunteer activities. Results: Higher unhealthy probability occurs among those with lower community capacity at the community level, lower individual income, and lower community satisfaction at the individual level. It contributed to explaining self-rated health status and showed that there were contextual effects of the community going beyond the compositional effects of the individual. Conclusions: In the process of building community capacity, a community autonomously finds pending issues and solves related problems, and in so doing, raises the social quality and establishes the conditions for health promotion. Thus, the significance of neighborhood needs to be discovered and created in a new way through the development of community capacity.

Keywords

References

  1. Blakely, T., & Subramanian, S. V. (2006). Multilevel studies. In Oakes, J.M., & Turner, J. (Eds.), Methods for Social Epidemiology (pp. 316-340). CA: Jossey-Bass Press.
  2. Blaxter, L., & Hughes, C. (2000). Social capital: A critique. In Thompson, J. (Eds.), Stretching the academy: The politics and practice of widening participation in higher education. Leicester, NIACE.
  3. Chaskin, R. J. (2001). Building community capacity: A definitional framework and case studies from a comprehensive community initiative. Urban Affairs Review, 36(3), 291-323. https://doi.org/10.1177/10780870122184876
  4. Chaskin, R. J., Brown, P., Venkatesh, S., & Vidal, A. (2001). Building community capacity. NY: Aldine Transaction.
  5. Costanza, R., Fisher, B., Ali, S., Beer, C., Bond, L., Boumans, R., ... Snapp, R. (2008). An integrative approach to quality of life measurement, research, and policy. S.A.P.I.EN.S., 1(1), 17-21.
  6. Craig, G. (2007). Community capacity-building: Something old, something new...? Critical Social Policy, 27, 335-359. https://doi.org/10.1177/0261018307078846
  7. Davies, W. K., & Herbert, D. T. (1993). Communities within cities: An Urban Social Geography. London: Belhaven Press.
  8. Diez-Roux, A. V. (2003). The examination of neighborhood effects on health: Conceptual and methodological issues related to the presence of multiple levels of organization. In Berkman, L.F., & Kawachi, I. (Eds.), Neighborhoods and Health (pp. 45-64). Oxford; Oxford University Press.
  9. Durkheim, E. (1951). Suicide. NY: The Free Press. (Original published in 1897)
  10. Durkheim, E. (1960). The division of labor in society. NY: The Free Press. (Original published in 1893)
  11. Easterling, D., Gallagher, K., Drisko, J., & Johnson, T. (1998). Promoting health by building community capacity: Evidence and implications for grantmakers. CO: The Colorado Trustm.
  12. Elster, J. (1979). Ulysses and the sirens. NY: Cambridge University Press.
  13. Elster, J. (1983). Explaining Technical Change: Studies in rationality and social change. NY: Cambridge University Press.
  14. Farrell, F., & Demeyer, B. (2005). European network indicators of social quality: The ENIQ report. Catholic University of Leuven & European Anti Poverty Network (EAPN).
  15. Fawcett, S. B., Paine-Andrews, A., Francisco, V. T., Schultz, J. A., Richter, K. P., Lewis, R. K., ... Lopez, C. M. (1995). Using empowerment theory in collaborative partnerships for community health and development. American Journal of Community Psychology, 23(5), 677-697. https://doi.org/10.1007/BF02506987
  16. Garvin, C. D., & Cox, F. M. (2001). A history of community organizing since the Civil War with special reference to oppressed communities. In Rothman, J., Erlich, J.L., & Tropman, J.E. Strategies of Community Intervention (6th ed.). IL: Peacock Publishers.
  17. Giddens, A. (1976). Functionalism: Apres la lutte. Social Research, 43, 325-366.
  18. Jung, M. (2011). The relations of community capacity and health behavior among seoul residents: A multi-level study of contextual effects using community capacity indicators. Graduate School of Public Health, Seoul National University.
  19. Kawachi, I., Kennedy, B. P., Lochner, K., & Prothrow-Stith, D. (1997). Social capital, income inequality, and mortality. American Journal of Public Health, 87(9), 1491-1498. https://doi.org/10.2105/AJPH.87.9.1491
  20. Kawachi, I. (1999). Social capital and community effects on population and individual health. Annals of the New York Academy of Sciences, 896, 120-130. https://doi.org/10.1111/j.1749-6632.1999.tb08110.x
  21. Kawachi, I., & Kennedy, B. P. (1999). Income inequality and health: Pathways and mechanisms. Health Services Research, 34(1), 215-227.
  22. Kawachi, I., & Subramanian, S. V. (2006). Measuring and modeling the social and geographic context of trauma: A multilevel modeling approach. Journal of Traumatic Stress, 19(2), 195-203. https://doi.org/10.1002/jts.20108
  23. Kawachi, I., Subramanian, S.V., & Kim, D. (2008). Social capital and health: A decade. In Kawachi, I., Subramanian, S.V., & Kim D. (Eds.). Social capital and health (pp. 1-26). NY: Springer.
  24. Khang, Y. H., Lynch, J. W., Yun, S., & Lee, S. I. (2004). Trends in socioeconomic health inequalities in Korea: Use of mortality and morbidity measures. Journal of Epidemiology & Community Health, 58, 308-314. https://doi.org/10.1136/jech.2003.012989
  25. Kim, D., Subramanian, S. V., & Kawachi, I. (2006). Bonding versus bridging social capital and their associations with self rated health: A multilevel analysis of 40 US communities. Journal of Epidemiology & Community Health, 60, 116-122. https://doi.org/10.1136/jech.2005.038281
  26. Kim, D., Subramanian, S. V., Gortmaker, S. L., & Kawachi, I. (2006a). US state- and county-level social capital in relation to obesity and physical inactivity: A multilevel, multivariate analysis. Social Science & Medicine, 63, 1045-1059. https://doi.org/10.1016/j.socscimed.2006.02.017
  27. Kim, C. S., Yun, S. C., Kim, H. R., & Khang, Y. H. (2006b). A multilevel study on the relationship between the residential distribution of high class (power elites) and smoking in Seoul. Journal of Preventive Medicine and Public Health, 39(1), 30-38. (In Korean)
  28. Kreuter, M. W., & Lezin, N. (2002). Social capital theory: Implications for community-based health promotion. In DiClemente, R.J., Crosby, R.A., & Kegler, M.C. (Eds.), Emerging theories in health promotion practice and research (pp. 228-254) CA: Jossey-Bass.
  29. Mattessich, P., & Monsey, B. (1997). Community building: What makes it work. Saint Paul, MN: Publishing Center, Amherst H. Wilder Foundation.
  30. Minkler, M. (2005). Community organizing and community building for health (2nd ed.). NY: Rutgers University Press.
  31. Minkler, M., & Wallerstein, N. (2005). Improving health through community organization and community building: A health education perspective. In Minkler, M. (Eds.), Community Organizing and Community Building for Health (2nd ed., pp. 26-50). NY: Rutgers University Press.
  32. Minkler, M., Wallerstein, N., & Wilson, N. (2008). Improving health through community organization and community building. In Glanz, K., Rimer, B.K., Viswanath, K. (Eds.), Health Behavior and Health Education (4th ed., pp. 287-312), CA: Jossey-Bass.
  33. Robinson, Jr. J. W., & Hales, B. D. (2007). Models and methods for creating sustainable community-based development organizations in diverse communities. Community Development, 38, 33-51. https://doi.org/10.1080/15575330709489838
  34. Smith, M. B., Graham, Y. J., & Guttmacher, S. (2005). Community-based health organizations: Advocating for improved health. SF: Jossey-Bass.
  35. Subramanian, S. V., Kawachi, I., & Kennedy, B. P. (2001). Does the state you live in make a difference? Multilevel analysis of self-rated health in the US. Social Science & Medicine, 53, 9-19. https://doi.org/10.1016/S0277-9536(00)00309-9
  36. Suttles, G. D. (1972). The social construction of communities. IL: Chicago University Press.
  37. Weller, B. E. (2009). Community capacity and behavior problems among adolescents: A contextual effects study using multilevel logistic regression. NC: University of North Carolina Press.