Social capital,political trust and self rated-health: A population-based study in southern Sweden

Abstract

Aim: To investigate the association between political trust (an aspect of institutional trust) and self-rated health, taking generalized (horizontal) trust in other people into account. Methods: The 2004 public health survey in Skåne is a cross-sectional postal questionnaire study answered by 27,963 respondents aged 18—80 years, yielding a 59% response rate. A logistic regression model was used to investigate the associations between political trust in the Riksdag (national parliament) and self-rated health. Multivariate analyses of political trust and self-rated health were performed in order to investigate the importance of possible confounders. Results: Poor health was reported by 28.7% of the men and 33.2% of the women. In total, 17.3% and 11.6% of the male and female respondents, respectively, reported that they had no trust at all in the Riksdag. The addition of generalized (horizontal) trust in the multivariate models reduced the odds ratios of poor self-rated health in the ``no political trust at all'' category as compared to the ``very high political trust'' category from 2.4 (1.8—3.1) to 2.1 (1.6—2.7) among men and from 1.9 (1.4—2.4) to 1.6 (1.3—2.1) among women. Conclusions: Low political trust in the Riksdag seems to be significantly associated with poor self-rated health, even after adjustments for plausible confounders, including generalized (horizontal) trust.

Keywords

Generalized (horizontal) trust political trust self-rated health social capital Sweden

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References

Kawachi I. , Kennedy BP , Glass R. Social capital and self-rated health: a contextual analysis. Am J Public Health 1999;89:1187—93.

Putnam RD Making democracy work. civic traditions in modern Italy. Princeton, NJ: Princeton University Press; 1993.

Putnam RD Bowling alone. The collapse and revival of American community. New York: Simon and Schuster; 2000 .

Narayan D. Bonds and bridges: social capital and poverty. In: Isham J , Kelly T , Ramaswamy S , editors. Social capital and economic development: well-being in developing countries. Northampton, MA: Edward Elgar; 2002. p 58—81.

Narayan D. , Cassidy M. A dimensional approach to measuring social capital: development and validation of social capital inventory. Current Sociol 2001;49:49—93.

Woolcock M. The place of social capital in understanding social and economic outcomes. Can J Policy Res (Isuma) 2001;2:11—17.

Coleman J. The foundations of social theory. Princeton: Harvard University Press; 1990.

Fukuyama F. Trust. The social virtues and the creation of prosperity. New York: The Free Press ; 1995.

Kawachi I. , Kennedy BP , Lochner K. Long live community: social capital as public health. Am Prospect 1997;35:56—9.

10.

Ali SM , Merlo J. , Rosvall M. , Lithman T. , Lindström M. Social capital, the miniaturization of community, traditionalism and first time acute myocardial infarction (AMI): a prospective cohort study in southern Sweden. Soc Sci Med 2006;63:2204—17.

11.

Walt G. Health policy. An introduction to process and power. London : Zed Books; 1994.

12.

Mohseni M. , Lindström M. Social capital, trust in the health care system and self-rated health: the role of access to health care in a population-based study. Soc Sci Med 2007;64: 1373—83.

13.

Sundquist J. , Johansson SE , Yang M. , Sundquist K. Low linking social capital as a predictor of coronary heart disease in Sweden: a cohort study of 2.8 million people. Soc Sci Med 2006;62:954—63.

14.

Sartori G. Parties and party systems. A framework for analysis. Cambridge: Cambridge University Press; 1976.

15.

Easton D. A framework for political analysis. Englewood Cliffs, NJ : Prentice Hall; 1965.

16.

Easton D. A reassessment of the concept of political support. Br J Political Sci 1975;5:435—57.

17.

Holmberg S. Down and down we go: political trust in Sweden. In: Norris P , editor. Critical citizens. Global support for democratic governance. Oxford: Oxford University Press; 1999. p 103—22.

18.

Norris P , editor. Critical citizens. Global support for democratic governance. Oxford : Oxford University Press; 1999.

19.

Lindström M. Social capital, the miniaturisation of community, and self-reported global and psychological health. Soc Sci Med 2004;59:595—607.

20.

Kaplan GA , Goldberg DE , Everson SA , Cohen RD , Salonen R. , Tuomilehto J. , et al. Perceived health status and morbidity and mortality: evidence from the Kuopio ischemia heart disease risk factor study. Int J Epidemiol 1996;25:259—65.

21.

Franks P. , Gold MR , Fiscella K. Sociodemographics, self-rated health, and mortality in the US. Soc Sci Med 2003;56:2505—14.

22.

Norusis MJ SPSS for windows. Advanced statistics. Release 10.0. Chicago : SPSS; 2000.

23.

Kitschelt H. The transformation of European social democracy. Cambridge : Cambridge University Press; 1994 .

24.

Mair P. Party system change: approaches and interpretations. Oxford : Oxford University Press; 1997.

25.

Kitschelt H. The radical right in Western Europe. A comparative analysis. Ann Arbor: The University of Michigan Press; 1995.

26.

www.valmyndigheten.se.

27.

Carlsson F. , Merlo J. , Lindström M. , Östergren PO , Lithman T.

Representativity of a postal questionnaire survey in Sweden, with special reference to ethnic differences in participation. Scand

J Public Health 2006;34:132—9.

28.

Lundberg O. , Manderbacka K. Assessing reliability of a measure of self-rated health. Scand J Soc Med 1996;24:218—24.

29.

Rothstein B. Social fällor och tillitens problem [Social traps and the problem of trust] . Stockholm: SNS Förlag; 2003.