These data support the notion that income inequality leads to increased mortality via disinvestment in social capital. This is unfortunate because his is probably the most theoretically useful and sophisticated attempt to deal with the issue. The utility of social capital in research on health. The paper by lynch et al 1 is intended to cast doubt on the importance to health of social capital, relative income and psychosocial pathways, and to gain support for a view of the continued importance of absolute income and of neomaterial factors. Wilkinson 1996 summary integration or social capital or collective ef. Wilkinson who in a series of papers and monographs wilkinson, 1992, 1996, wilkinson and pickett, 2009 has advanced the hypothesis that inequality adversely affects individual and population health because of psychosocial causes, that inequality is, in. The case of coal mining areas of in orissa, india, social capital. Some forms of social capital, like the group of people who gather at the bar every. Measurement and consequences robert putnam1 this paper starts with a discussion of definitions of social capital, then turns to issues in measurement, and finally, presents some evidence on the consequences of social capital. Income inequality, social cohesion and the health status. In terms of pathways from income inequality to health, it has been suggested that more generous welfare regimes, public spending e. Most of the social capital research in the putnam 1993 tradition falls within the disciplinary boundaries of economics and political science.
This article aims to critically assess the income inequality hypothesis by comparing several analytical strategies, namely ols regression, multilevel regression, fixed effects models and fixed effects models using pseudo panel data. Agestandardized total and causespecific mortality rates in 1990 were obtained for each state. Social capital, income inequality, and mortality article pdf available in american journal of public health 879. There have been a number of methodological advances with regard to. Social capital, defined as the institutions, relationships, attitudes, and values that govern interactions among people and contribute to economic and social development grootaert and van bastelaer 2001 is increasingly recognised as having a positive effect on individual health coleman, 1990, putnam, leonardi et al. Sc include network access and forms of participation. The direction of causality is a point of contention not easily resolved. Social capital and social wellbeing discussion paper. Social capital may counterbalance the stress of modern life and thereby reduce heart disease and unhealthy behaviors e. Fundamentals of social capital introduction the concept of social capital has numerous connotations to explain a variety of human social, economic, and political behaviors. All of the social capital measures were highly correlated with each other and with the violent crime measures table 3. That equal societies are healthier is an argument particularly associated with richard wilkinson 1992, 1996, 2000, as well as the collection of papers edited by ichiro kawachi, bruce kennedy, and wilkinson 1999.
Cbhi is currently being provided in some rural areas in developing countries and there is ongoing research about its impact on the wellbeing of the. In turn, both social trust and group membership were associated with total mortality. Report prepared for the policy research division, strategic policy directorate, population and public health branch, health canada, 2003. Communitybased health insurance and social capital. Mortality, the social environment, crime and violence.
Putnam 2000 distinguishes between bridging and bonding social. Some forms of social capital are highly formal, like a pta parentteacher association organisation or a national organisation of any sort, or a labour union, formally organised with a chairman and a president, and membership dues and so on. The role of social capital in cooperative development. This focus owes much to the work of the social epidemiologist richard g.
It is a term that is increasingly used in academic literature, government social policies, international agency economic and social initiatives. Olson 1982, the rise and decline of nations, yale university press, new haven, usa ostrom 1994, constituting social capital and collective action, journal of theoretical politics 6 4 pantoja 1999, exploring the concept of social capital and its relevance for community based development. Kennedy3 1 trafford centre for medical research, university of sussex 2 department of health and social behavior, harvard school of public health. New york wikipedia citation please see wikipedias template documentation for further citation fields that may be required. Research by richard wilkinson and kate pickett has. However, although social support and social involvement in networks, both at the individual level, have. Report for publication submitted to the applied research and analysis directorate, information, analysis and connectivity branch, health canada. For 15 developed countries with comparable income inequality data, lynch and colleagues showed that indicators of social capital, such as trust and belonging to and volunteering for community organisations, were all much more strongly related to gross domestic product per person than to income inequality. Social and political forces as determinants of poverty. Full text get a printable copy pdf file of the complete article 1. Individuals, groups, and communities may have access to and use varying amounts of. Effectiveness of alliances and partnerships for health.
Bourdieus 1985 use of the term social capital is an explicit attempt to understand the production of classes and class divisions. Social capital has been vaunted as the next big idea in social policy and health since its recent incorporation into public health discourse. James coleman in educational sociology 1988 and francis fukuyama 1996 in economic history and sociology, as well as to the active patronage of the world bank 1997. Social capital may play a role in the incidence and prevalence of mental illness. Does income inequality cause health and social problems. A year later that predictionwas tested quantitatively. Social capital, 39, for a distinction between financial. Online publication 9 march 2011 the association between. Before answering specific points i should draw attention to two new studies that support the importance of relative income over absolute. The journal of socioeconomics 36 2007 650671 social and political forces as determinants of poverty. We examine how social capital dimensions of networks affect the transfer of knowledge between network members. Social capital as a health determinant how is it defined. Woolcock, 1999, with bonding, bridging, and linking social capital being most commonly discussed in the literature.
Wilkinson 1996, income inequality influences health by the erosion of. Social capital, income inequality, and firearm violent. Public health and its basic science, epidemiology, have become colonised by the individualistic ethic of medicine and economics. Available formats pdf please select a format to send. This paper extends previous studies by examining long time series for 12 of the worlds. The utility of social capital in research on health determinants james macinko and barbara starfield the johns hopkins medical institutions t his article is the result of a systematic search of the literature from several social science and public health databases, and includes articles, books, and commentary primarily from the 1980s to the. The contemporary authors, who are responsible for bringing the social capital debate to its current popularity, include pierre bourdieu, james coleman and robert putnam. The income inequality hypothesis states that income inequality has a negative effect on individuals health, partially because it reduces social trust. Communitybased health insurance cbhi is an emerging concept for providing financial protection against the cost of illness and improving access to quality health services for lowincome rural households who are excluded from formal insurance. Social capital and young adolescents perceived health in different sociocultural settings. State social capital and individual health status jennifer. For example, coleman 1990 defined social capital as aspects of the social structure that facilitate certain actions of the individuals within that structure p. More recently a range of authors such as baum, 1999. Bonding social capital refers to the social ties and networks within homogeneous groups in a community terrion, 2006.
Using a social capital framework, we identify structural, cognitive, and relational dimensions for the three network types. Social capital and health plus wealth, income inequality. Social capital and mental health the british journal of. The term social capital has been identified as a collection of resources that either an individual or. Higher levels of social mistrust were associated with higher levels of firearm violent crime, while higher per capita group membership was associated with lower levels of firearm violent crime.
In a recent commentary in the journal, fran baum raised the question, whether social capital is good for your health. The social capital hypothesis holds that higher levels of income inequality increase status differentials between individuals, reduce social mixing across groups, thereby reducing levels of interpersonal trust kaplan et al. Pdf social capital, income inequality, and mortality. State social capital and individual health status several distinct mechanisms have been described as potential pathways from social capital to individual health. In the last five years, i have been working exclusively on. Goetzb,c a department of economics, american university of sharjah, sharjah 26666, united arab emirates b department of agricultural and regional economics, penn state university, united states c the northeast regional center for rural. Wilkinson, 1996 have drawn on the work of putnam 1993 to argue that social cohesiontrust is one of the main mechanisms linking the national degree of income inequality with health.