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Does neighbourhood social capital aid in levelling the social gradient in the health and well-being of children and adolescents? : A literature review

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vyncke2013bmcpublichealth65.pdf (453.0Kb)
Date
23/01/2013
Author
Vyncke, Veerle
De Clercq, Bart
Stevens, Veerle
Costongs, Caroline
Barbareschi, Giorgio
Jonsson, Stefan Hrafn
Darias Curvo, Sara
Kebza, Vladimir
Currie, Candace
Maes, Lea
Keywords
Social capital
Health inequity
Health gradient
Neighbourhoods
Children
Adolescents
Self-rated health
Quality-of-life
School-aged children
Income inequality
Socioeconomic-status
Collective efficacy
Multilevel analysis
Contextual analysis
Mediation analysis
Perceived health
RA0421 Public health. Hygiene. Preventive Medicine
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Abstract
Background: Although most countries in the European Union are richer and healthier than ever, health inequalities remain an important public health challenge. Health-related problems and premature death have disproportionately been reported in disadvantaged neighbourhoods. Neighbourhood social capital is believed to influence the association between neighbourhood deprivation and health in children and adolescents, making it a potentially interesting concept for policymakers. Methods: This study aims to review the role of social capital in health inequalities and the social gradient in health and well-being of children and adolescents. A systematic review of published quantitative literature was conducted, focussing on (1) the mediating role of neighbourhood social capital in the relationship between socio-economic status (SES) and health-related outcomes in children and adolescents and (2) the interaction between neighbourhood social capital and socio-economic characteristics in relation to health-related outcomes in children and adolescents. Three electronic databases were searched. Studies executed between 1 January 1990 and 1 September 2011 in Western countries (USA, New Zealand, Australia and Europe) that included a health-related outcome in children or adolescents and a variable that measured neighbourhood social capital were included. Results: Eight studies met the inclusion criteria for the review. The findings are mixed. Only two of five studies confirmed that neighbourhood social capital mediates the association between neighbourhood deprivation and health and well-being in adolescents. Furthermore, two studies found a significant interaction between neighbourhood socio-economic factors and neighbourhood social capital, which indicates that neighbourhood social capital is especially beneficial for children who reside in deprived neighbourhoods. However, two other studies did not find a significant interaction between SES and neighbourhood social capital. Due to the broad range of studied health-related outcomes, the different operationalisations of neighbourhood social capital and the conceptual overlap between measures of SES and social capital in some studies, the factors that explain these differences in findings remain unclear. Conclusions: Although the findings of this study should be interpreted with caution, the results suggest that neighbourhood social capital might play a role in the health gradient among children and adolescents. However, only two of the included studies were conducted in Europe. Furthermore, some studies focussed on specific populations and minority groups. To formulate relevant European policy recommendations, further European-focussed research on this issue is needed.
Citation
Vyncke , V , De Clercq , B , Stevens , V , Costongs , C , Barbareschi , G , Jonsson , S H , Darias Curvo , S , Kebza , V , Currie , C & Maes , L 2013 , ' Does neighbourhood social capital aid in levelling the social gradient in the health and well-being of children and adolescents? A literature review ' , BMC Public Health , vol. 13 , 65 . https://doi.org/10.1186/1471-2458-13-65
Publication
BMC Public Health
Status
Peer reviewed
DOI
https://doi.org/10.1186/1471-2458-13-65
ISSN
1471-2458
Type
Journal item
Rights
© 2013 Vyncke et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
Description
The research leading to these results was performed within the framework of the ‘Gradient’ project (www.health-gradient.eu), coordinated by EuroHealthNet, and has received funding from the European Community (FP7 2007–2013) under grant agreement no 223252.
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  • University of St Andrews Research
URI
http://hdl.handle.net/10023/4643

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