Does greater individual social capital improve the management of hypertension? Cross-national analysis of 61 229 individuals in 21 countries

作者：Benjamin Palafox, Yevgeniy Goryakin, David Stückler, Marc Suhrcke, Dina Balabanova, Khalid F. AlHabib, Álvaro Avezum, Ahmad Bahonar, Xiulin Bai, Jephat Chifamba, Antonio L Dans, Rafael Díaz, Rajeev Gupta, Romaina Iqbal, Noor Hassim Ismail, Manmeet Kaur, Miraç Vural Keskinler, Rasha Khatib, Annamarie Kruger, Iolanthé M. Kruger, Fernando Laņas, Scott A. Lear, Wei Li, Jia Liu, Patricio López‐Jaramillo, Nasheeta Peer, Paul Poirier, Omar Rahman, Rajamohanan K Pillai, Sumathy Rangarajan, Annika Rosengren, Sumathi Swaminathan, Andrzej Szuba, Koon Teo, Yang Wang, Andreas Wielgosz, Karen Yeates, Afzalhussein Yusufali, Salim Yusuf, Martin McKee · 发表于：BMJ Global Health · 年份：2017 · DOI：10.1136/bmjgh-2017-000443 · 被引用次数：29 · 研究领域：Health disparities and outcomes、Social Capital and Networks、Community Health and Development

INTRODUCTION: Social capital, characterised by trust, reciprocity and cooperation, is positively associated with a number of health outcomes. We test the hypothesis that among hypertensive individuals, those with greater social capital are more likely to have their hypertension detected, treated and controlled. METHODS: Cross-sectional data from 21 countries in the Prospective Urban and Rural Epidemiology study were collected covering 61 229 hypertensive individuals aged 35-70 years, their households and the 656 communities in which they live. Outcomes include whether hypertensive participants have their condition detected, treated and/or controlled. Multivariate statistical models adjusting for community fixed effects were used to assess the associations of three social capital measures: (1) membership of any social organisation, (2) trust in other people and (3) trust in organisations, stratified into high-income and low-income country samples. RESULTS: In low-income countries, membership of any social organisation was associated with a 3% greater likelihood of having one's hypertension detected and controlled, while greater trust in organisations significantly increased the likelihood of detection by 4%. These associations were not observed among participants in high-income countries. CONCLUSION: Although the observed associations are modest, some aspects of social capital are associated with better management of hypertension in low-income countries where health systems ar...