The role of gender in the association of social capital, social support, and economic security with self-rated health among older adults in deprived communities in Beirut
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To examine gender variations in the association of self-rated health (SRH) with social capital, social support, and economic security among older adults from three deprived communities in the suburbs of metropolitan Beirut.
A population-based cross-sectional study using the Older Adult Component of the Urban Health Survey. Face-to-face interviews were conducted with 328 older men and 412 older women aged 60 years and above. SRH was assessed by a single question and treated as a dichotomous outcome, and several indicators of social capital, social support, and economic security were examined as independent variables.
Women were significantly more likely to report poor SRH compared to men (37.2 vs. 25.9 %, respectively). Better social capital indicators decreased significantly the odds of poor SRH among both men (OR = 0.76, 95 % CI: 0.65–0.89) and women (OR = 0.71, 95 % CI: 0.62–0.82). Social support was strongly associated with SRH among women (OR = 0.56), but not among men (OR = 0.94). The reverse situation was observed for economic security (OR = 0.57 among men, OR = 0.80 among women).
In these deprived neighborhoods, social and economic factors may have gender-specific effects on the promotion of well-being among older adults, with social support being more salient to women’s SRH and economic security being more salient to men’s SRH. In health studies among older people, SRH captures not only social and physical health but also broader economic well-being.
- Grundy, E., & Holt, G. (2001). The socioeconomic status of older adults: How should we measure it in studies of health inequalities? Journal of Epidemiology and Community Health, 55(12), 895–904. CrossRef
- Manor, O., Matthews, S., & Power, C. (2000). Dichotomous or categorical response? Analysing self-rated health and lifetime social class. International Journal of Epidemiology, 29(1), 149–157. CrossRef
- Wilkinson, R. G. (1997). Socioeconomic determinants of health. Health inequalities: Relative or absolute material standards? BMJ, 314(7080), 591–595. CrossRef
- Murray, C. J. L., & Lopez, A. D. (1996). The global burden of disease: A comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020. Cambridge, MA: Harvard School of Public Health on behalf of the World Health Organization and the World Bank; Harvard University Press.
- Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: a review of twenty-seven community studies. Journal of Health and Social Behavior, 38(1), 21–37.
- Kennedy, B. P., Kawachi, I., Glass, R., & Prothrow-Stith, D. (1998). Income distribution, socioeconomic status, and self rated health in the United States: Multilevel analysis. BMJ, 317(7163), 917–921. CrossRef
- Kawachi, I., Kennedy, B. P., Lochner, K., & Prothrow-Stith, D. (1997). (1997) Social capital, income inequality, and mortality. American Journal of Public Health, 87(9), 1491–1498. CrossRef
- Veenstra, G. (2000). Social capital, SES and health: An individual-level analysis. Social Science and Medicine, 50(5), 619–629. CrossRef
- Pollack, C. E., & von dem Knesebeck, O. (2004). Social capital and health among the aged: Comparisons between the United States and Germany. Health Place, 10(4), 383–391. CrossRef
- Nummela, O., Sulander, T., Karisto, A., & Uutela, A. (2009). Self-rated health and social capital among aging people across the urban-rural dimension. International Journal of Behavioral Medicine, 16(2), 189–194. CrossRef
- Nummela, O., Sulander, T., Rahkonen, O., Karisto, A., & Uutela, A. (2008). Social participation, trust and self-rated health: A study among ageing people in urban, semi-urban and rural settings. Health Place, 14(2), 243–253. CrossRef
- Cheng, S. T., & Chan, A. C. (2006). Social support and self-rated health revisited: Is there a gender difference in later life? Social Science and Medicine, 63(1), 118–122. CrossRef
- Lynch, J., Due, P., Muntaner, C., & Smith, G. D. (2000). Social capital–is it a good investment strategy for public health? Journal of Epidemiology and Community Health, 54(6), 404–408. CrossRef
- Kondo, N., Sembajwe, G., Kawachi, I., van Dam, R. M., Subramanian, S. V., & Yamagata, Z. (2009). Income inequality, mortality, and self rated health: Meta-analysis of multilevel studies. BMJ, 339, b4471. CrossRef
- Kavanagh, A. M., Bentley, R., Turrell, G., Broom, D. H., & Subramanian, S. V. (2006). Does gender modify associations between self rated health and the social and economic characteristics of local environments? Journal of Epidemiology and Community Health, 60(6), 490–495. CrossRef
- Jawad, M. H., Sibai, A. M., & Chaaya, M. (2009). Stressful life events and depressive symptoms in a post-war context: Which informal support makes a difference? Journal of Cross-Cultural Gerontology, 24(1), 19–32. CrossRef
- Khawaja, M., & Mowafi, M. (2006). Cultural capital and self-rated health in low income women: Evidence from the Urban Health Study, Beirut, Lebanon. Journal of Urban Health, 83(3), 444–458. CrossRef
- Colletta, N. J., & Cullen, M. L. (2000). Violent conflict and the transformation of social capital: Lessons from cambodia, rwanda, guatemala, and somalia. Washington, D.C.: World Bank.
- Harpham, T., Grant, E., & Thomas, E. (2002). Measuring social capital within health surveys: Key issues. Health Policy and Planning, 17(1), 106–111. CrossRef
- McKenzie, K., Whitley, R., & Weich, S. (2002). Social capital and mental health. British Journal of Psychiatry, 181, 280–283. CrossRef
- Falk, I., & Kilpatric, S. (2000). What is social capital? A study of interaction in a rural community. Sociologia Ruralis, 40(1), 87–110. CrossRef
- Onyx, J., & Bullen, P. (2000). Measuring social capital in five communities. The Journal of Applied Behavioural Science, 36(1), 23–42. CrossRef
- Travis, L. A., Lyness, J. M., Shields, C. G., King, D. A., & Cox, C. (2004). Social support, depression, and functional disability in older adult primary-care patients. The American Journal of Geriatric Psychiatry, 12(3), 265–271.
- Katz, S., Downs, T. D., Cash, H. R., & Grotz, R. C. (1970). Progress in development of the index of ADL. Gerontologist, 10(1), 20–30. CrossRef
- Rahman, M. O., & Barsky, A. J. (2003). Self-reported health among older Bangladeshis: How good a health indicator is it? Gerontologist, 43(6), 856–863. CrossRef
- Kabir, Z. N., Tishelman, C., Aguero-Torres, H., Chowdhury, A. M., Winblad, B., & Hojer, B. (2003). Gender and rural-urban differences in reported health status by older people in Bangladesh. Archives of Gerontology and Geriatrics, 37(1), 77–91. CrossRef
- Zimmer, Z., Natividad, J., Lin, H. S., & Chayovan, N. (2000). A cross-national examination of the determinants of self-assessed health. Journal of Health and Social Behavior, 41(4), 465–481. CrossRef
- Kawachi, I., Kennedy, B. P., & Glass, R. (1999). Social capital and self-rated health: A contextual analysis. American Journal of Public Health, 89(8), 1187–1193. CrossRef
- Putnam, R. D. (1993). Making democracy work. Princeton, NJ: Princeton University Press.
- Edmondson, R. (2003). Social capital: A strategy for enhancing health? Social Science and Medicine, 57(9), 1723–1733. CrossRef
- Rowe, J. W. (1997). The new gerontology. Science, 278(5337), 367. CrossRef
- Adelmann, P. K. (1994). Multiple roles and psychological well-being in a national sample of older adults. Journal of Gerontology, 49(6), S277–S285. CrossRef
- Mendes de Leon, C. F., Seeman, T. E., Baker, D. I., Richardson, E. D., & Tinetti, M. E. (1996). Self-efficacy, physical decline, and change in functioning in community-living elders: A prospective study. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 51(4), S183–S190. CrossRef
- Cooper, H., Arber, S., Fee, L., et al. (1999). The influence of social support and social capital on health. London, UK: Health Education Authority.
- Stansfeld, S. A., Fuhrer, R., Shipley, M. J., & Marmot, M. G. (2002). Psychological distress as a risk factor for coronary heart disease in the Whitehall II Study. International Journal of Epidemiology, 31(1), 248–255. CrossRef
- Okamoto, K., & Tanaka, Y. (2004). Gender differences in the relationship between social support and subjective health among elderly persons in Japan. Preventive Medicine, 38(3), 318–322. CrossRef
- Gurung, R. A., Taylor, S. E., & Seeman, T. E. (2003). Accounting for changes in social support among married older adults: Insights from the MacArthur Studies of Successful Aging. Psychology and Aging, 18(3), 487–496. CrossRef
- Prus, S. G., & Gee, E. (2003). Gender differences in the influence of economic, lifestyle, and psychosocial factors on later-life health. Canadian Journal of Public Health, 94(4), 306–309.
- Grundy, E., & Sloggett, A. (2003). Health inequalities in the older population: The role of personal capital, social resources and socio-economic circumstances. Social Science and Medicine, 56(5), 935–947. CrossRef
- Norstrand, J. A., & Xu, Q. (2012). Social capital and health outcomes among older adults in China: The Urban-rural dimension. Gerontologist, 52(3), 325–334. CrossRef
- Gele, A. A., & Harslof, I. (2010). Types of social capital resources and self-rated health among the Norwegian adult population. International Journal for Equity in Health, 9, 8. CrossRef
- Janevic, T., Sripad, P., Bradley, E., & Dimitrievska, V. (2011). “There’s no kind of respect here” A qualitative study of racism and access to maternal health care among Romani women in the Balkans. International Journal for Equity in Health, 10, 53. CrossRef
- The role of gender in the association of social capital, social support, and economic security with self-rated health among older adults in deprived communities in Beirut
Quality of Life Research
Volume 22, Issue 6 , pp 1371-1379
- Cover Date
- Print ISSN
- Online ISSN
- Springer Netherlands
- Additional Links
- Economic security
- Older people
- Self-rated health
- Social capital
- Social support
- Industry Sectors
- Author Affiliations
- 1. Weill Cornell Medical College-Qatar, Doha, Qatar
- 2. Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
- 3. Graduate Program in Public Health, Eastern Virginia Medical School, Norfolk, VA, USA
- 4. Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
- 5. Department of Health Sciences, The University of York, Heslington, York, UK