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dc.contributor.authorVyncke, Veerle
dc.contributor.authorDe Clercq, Bart
dc.contributor.authorStevens, Veerle
dc.contributor.authorCostongs, Caroline
dc.contributor.authorBarbareschi, Giorgio
dc.contributor.authorJonsson, Stefan Hrafn
dc.contributor.authorDarias Curvo, Sara
dc.contributor.authorKebza, Vladimir
dc.contributor.authorCurrie, Candace
dc.contributor.authorMaes, Lea
dc.identifier.citationVyncke , 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 .
dc.identifier.otherPURE: 100062496
dc.identifier.otherPURE UUID: aca241e0-a189-4561-9f74-a88243248062
dc.identifier.otherWOS: 000315043600001
dc.identifier.otherScopus: 84872512649
dc.descriptionThe research leading to these results was performed within the framework of the ‘Gradient’ project (, coordinated by EuroHealthNet, and has received funding from the European Community (FP7 2007–2013) under grant agreement no 223252.en
dc.description.abstractBackground: 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.
dc.relation.ispartofBMC Public Healthen
dc.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 (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly citeden
dc.subjectSocial capitalen
dc.subjectHealth inequityen
dc.subjectHealth gradienten
dc.subjectSelf-rated healthen
dc.subjectSchool-aged childrenen
dc.subjectIncome inequalityen
dc.subjectCollective efficacyen
dc.subjectMultilevel analysisen
dc.subjectContextual analysisen
dc.subjectMediation analysisen
dc.subjectPerceived healthen
dc.subjectRA0421 Public health. Hygiene. Preventive Medicineen
dc.subjectSDG 3 - Good Health and Well-beingen
dc.subjectSDG 10 - Reduced Inequalitiesen
dc.titleDoes neighbourhood social capital aid in levelling the social gradient in the health and well-being of children and adolescents? : A literature reviewen
dc.typeJournal itemen
dc.description.versionPublisher PDFen
dc.contributor.institutionUniversity of St Andrews. School of Medicineen
dc.contributor.institutionUniversity of St Andrews. Child and Adolescent Health Research Uniten
dc.description.statusPeer revieweden

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