Social capital and health – a multilevel analysis of 25 administrative districts in Oslo

Abstract

Background: Studies of place and health have recently gained increased interest among social researchers. This interest has brought society back to the study of health inequalities and drawn attention to the health effects of contextual psychosocial phenomena. Social cohesion, generalised trust, social networks and social participation are seen as being such phenomena in the social environment that affect health. Methods: This study investigates the association between social capital and self reported health in Oslo. I have used data from the Oslo Health Study 2000 (HUBRO), which includes 11,807 respondents residing in 25 administrative districts. For the multilevel analysis, contextual social capital was measured by aggregating the individual variables generalised trust and participation in voluntary organisations. In addition to the individual variables, the association between social capital and health was controlled for median income, economic inequality and educational level in the administrative districts. Results: In the models that only include the individual variables, both contextual trust and organisational participation had significant effects on self reported health. The associations between place, social capital, and health was attenuated and partly rendered insignificant by the other contextual variables. Conclusions: This study concludes that social capital is not associated with health when other contextual variables are taken into account, and suggests that previous findings may be mediated by median income and the educational level in the areas under study. However, strong conclusions cannot be drawn from this study due to low statistical power and the low response rate. None the less, the study supports the hypothesis that place matters for health