Social capital, trust in the health-care system and self-rated health: The role of access to health care in a population-based study.
(2007) In Social Science and Medicine 64(7). p.1373-1383- Abstract
- This paper investigates the relationship between institutional trust in the health-care system, i.e. an institutional aspect of social capital, and self-rated health, and whether the strength of this association is affected by access to health-care services. The 2004 public health survey in the Scania region of Sweden is a cross-sectional study; a total of 27,963 respondents aged 18–80 years answered a postal questionnaire, which represents 59% of the random sample. Logistic regression model was used to investigate the association between institutional trust and self-rated health. Multivariate analyses of self-rated health were performed in order to investigate the importance of possible confounders (age, country of origin, education,... (More)
- This paper investigates the relationship between institutional trust in the health-care system, i.e. an institutional aspect of social capital, and self-rated health, and whether the strength of this association is affected by access to health-care services. The 2004 public health survey in the Scania region of Sweden is a cross-sectional study; a total of 27,963 respondents aged 18–80 years answered a postal questionnaire, which represents 59% of the random sample. Logistic regression model was used to investigate the association between institutional trust and self-rated health. Multivariate analyses of self-rated health were performed in order to investigate the importance of possible confounders (age, country of origin, education, economic stress, generalized trust in other people, and care-seeking behaviour) on this association. A 28.7% proportion of the men and 33.2% of the women reported poor self-rated health. A total of 15.0% and 58.3% of the respondents reported “very high” and “rather high” trust in the health-care system, respectively. Almost one-third of all respondents reported low institutional trust. Respondents born outside Sweden, with low/medium education, low generalized trust and low institutional trust had significantly higher odds ratios of poor self-rated health. Multiple adjustments for age, country of origin, education, economic stress, and horizontal trust had some effect on the significant relationship between institutional trust and poor self-rated health, for both men and women, but the additional introduction of care-seeking behaviour in the model substantially reduced the odds ratios. In conclusion, low trust in the health-care system is associated with poor self-rated health. This association may be partly mediated by “not seeking health care when needed”. However, this is a cross-sectional exploratory study and the causality may go in both directions. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/165156
- author
- Mohseni, Mohabbat LU and Lindström, Martin LU
- organization
- publishing date
- 2007
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Social capital, Horizontal trust, Self-rated health, Care-seeking behaviour, Access to health care, Sweden, Institutional trust
- in
- Social Science and Medicine
- volume
- 64
- issue
- 7
- pages
- 1373 - 1383
- publisher
- Elsevier
- external identifiers
-
- wos:000245497900005
- scopus:33847382357
- pmid:17202025
- ISSN
- 1873-5347
- DOI
- 10.1016/j.socscimed.2006.11.023
- language
- English
- LU publication?
- yes
- id
- 68cf7581-1390-468c-b833-264c9d58be75 (old id 165156)
- date added to LUP
- 2016-04-01 11:45:43
- date last changed
- 2022-04-28 19:39:03
@article{68cf7581-1390-468c-b833-264c9d58be75,
abstract = {{This paper investigates the relationship between institutional trust in the health-care system, i.e. an institutional aspect of social capital, and self-rated health, and whether the strength of this association is affected by access to health-care services. The 2004 public health survey in the Scania region of Sweden is a cross-sectional study; a total of 27,963 respondents aged 18–80 years answered a postal questionnaire, which represents 59% of the random sample. Logistic regression model was used to investigate the association between institutional trust and self-rated health. Multivariate analyses of self-rated health were performed in order to investigate the importance of possible confounders (age, country of origin, education, economic stress, generalized trust in other people, and care-seeking behaviour) on this association. A 28.7% proportion of the men and 33.2% of the women reported poor self-rated health. A total of 15.0% and 58.3% of the respondents reported “very high” and “rather high” trust in the health-care system, respectively. Almost one-third of all respondents reported low institutional trust. Respondents born outside Sweden, with low/medium education, low generalized trust and low institutional trust had significantly higher odds ratios of poor self-rated health. Multiple adjustments for age, country of origin, education, economic stress, and horizontal trust had some effect on the significant relationship between institutional trust and poor self-rated health, for both men and women, but the additional introduction of care-seeking behaviour in the model substantially reduced the odds ratios. In conclusion, low trust in the health-care system is associated with poor self-rated health. This association may be partly mediated by “not seeking health care when needed”. However, this is a cross-sectional exploratory study and the causality may go in both directions.}},
author = {{Mohseni, Mohabbat and Lindström, Martin}},
issn = {{1873-5347}},
keywords = {{Social capital; Horizontal trust; Self-rated health; Care-seeking behaviour; Access to health care; Sweden; Institutional trust}},
language = {{eng}},
number = {{7}},
pages = {{1373--1383}},
publisher = {{Elsevier}},
series = {{Social Science and Medicine}},
title = {{Social capital, trust in the health-care system and self-rated health: The role of access to health care in a population-based study.}},
url = {{https://lup.lub.lu.se/search/files/2630068/625858.pdf}},
doi = {{10.1016/j.socscimed.2006.11.023}},
volume = {{64}},
year = {{2007}},
}