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Low-linking social capital as a predictor of mental disorders: A cohort study of 4.5 million Swedes

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  • Lofors, Jonas
  • Sundquist, Kristina

Abstract

Few previous studies have analyzed the association between different dimensions of social capital and mental disorders. This study examines whether there is an association between a relatively new theoretical concept describing the amount of trust between individuals and societal institutions, i.e. linking social capital, and hospitalization due to depression or psychosis. The entire Swedish population aged 25-64, a total of 4.5 million men and women, was followed from January 1, 1997, until the first hospital admission due to depression or psychosis during the study period, or the end of the study on December 31, 1999. Small area neighborhood units were used to define neighborhoods. The definition of linking social capital was based on mean voting participation in each neighborhood unit, categorized in tertiles. Multilevel logistic regression was used to estimate odds ratios and neighborhood-level variance in four different models. The results showed strong associations between linking social capital and hospitalization due to depression or psychosis. These associations decreased considerably in both men and women, but still remained significant, after adjustment for age, housing tenure, education, employment status, marital status, and country of birth. However, the results for depression (both men and women) no longer remained significant after adjustment for neighborhood deprivation. In contrast, the results for psychosis decreased considerably but remained significant after adjustment for neighborhood deprivation. The association between low levels of voting participation and hospitalization due to depression or psychosis might reflect neighborhood differences in linking social capital, which could affect vulnerable individuals negatively. Decision-makers should take into account the evidence of a neighborhood effect on mental health in decisions regarding the sites of psychiatric clinics and other kinds of community support for psychiatric patients.

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  • Lofors, Jonas & Sundquist, Kristina, 2007. "Low-linking social capital as a predictor of mental disorders: A cohort study of 4.5 million Swedes," Social Science & Medicine, Elsevier, vol. 64(1), pages 21-34, January.
    • Handle: RePEc:eee:socmed:v:64:y:2007:i:1:p:21-34
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    2. Curry, Aaron & Latkin, Carl & Davey-Rothwell, Melissa, 2008. "Pathways to depression: The impact of neighborhood violent crime on inner-city residents in Baltimore, Maryland, USA," Social Science & Medicine, Elsevier, vol. 67(1), pages 23-30, July.
    3. Gillian A Lowe & Garth Lipps & Roger C Gibson & Sharon Halliday & Amrie Morris & Nelson Clarke & Rosemarie N Wilson, 2014. "Neighbourhood Factors and Depression among Adolescents in Four Caribbean Countries," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-14, April.
    4. Barış Alpaslan & Julide Yildirim, 2020. "The Missing Link: Are Individuals with More Social Capital in Better Health? Evidence from India," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 150(3), pages 811-834, August.
    5. Qian Liu & Haimin Pan, 2020. "Investigation on Life Satisfaction of Rural-to-Urban Migrant Workers in China: A Moderated Mediation Model," IJERPH, MDPI, vol. 17(7), pages 1-14, April.
    6. Azam Baheiraei & Fatemeh Bakouei & Sareh Bakouei & Narges Eskandari & Hoda Ahmari Tehran, 2016. "Social Capital as a Determinant of Self-Rated Health in Women of Reproductive Age: A Population-Based Study," Global Journal of Health Science, Canadian Center of Science and Education, vol. 8(2), pages 273-273, February.
    7. Chuang, Ying-Chih & Chuang, Kun-Yang, 2008. "Gender differences in relationships between social capital and individual smoking and drinking behavior in Taiwan," Social Science & Medicine, Elsevier, vol. 67(8), pages 1321-1330, October.
    8. Seung-Sup Kim & Yeonseung Chung & Melissa J Perry & Ichiro Kawachi & S V Subramanian, 2012. "Association between Interpersonal Trust, Reciprocity, and Depression in South Korea: A Prospective Analysis," PLOS ONE, Public Library of Science, vol. 7(1), pages 1-8, January.
    9. Sehee Han & Heaseung Kim & Hee-Sun Lee, 2013. "A Multilevel Analysis of the Compositional and Contextual Association of Social Capital and Subjective Well-Being in Seoul, South Korea," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 111(1), pages 185-202, March.
    10. Sehee Han & Hee-Sun Lee, 2013. "Individual, household and administrative area levels of social capital and their associations with mental health: A multi-level analysis of cross-sectional evidence," International Journal of Social Psychiatry, , vol. 59(7), pages 716-723, November.
    11. Schaefer-McDaniel, Nicole & Dunn, James R. & Minian, Nadia & Katz, Danielle, 2010. "Rethinking measurement of neighborhood in the context of health research," Social Science & Medicine, Elsevier, vol. 71(4), pages 651-656, August.
    12. Tsuneo Nakamura & Taishi Tsuji & Yuiko Nagamine & Kazushige Ide & Seungwon Jeong & Yasuhiro Miyaguni & Katsunori Kondo, 2019. "Suicide Rates, Social Capital, and Depressive Symptoms among Older Adults in Japan: An Ecological Study," IJERPH, MDPI, vol. 16(24), pages 1-13, December.
    13. Lindstrom, Martin & Mohseni, Mohabbat, 2009. "Social capital, political trust and self-reported psychological health: A population-based study," Social Science & Medicine, Elsevier, vol. 68(3), pages 436-443, February.

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