International Journal of Public Health

, Volume 59, Issue 2, pp 289–299 | Cite as

Contextual effects of community mobilization and communication capacity as a positive factor for self-rated health status: a multi-level analysis

  • Minsoo Jung
  • Cabral A. Bigman-Galimore
  • K. Viswanath
Original Article

Abstract

Objectives

We examined relationships between individual-level community participation, two types of contextual effects―community capacity for mobilization and capacity for health communication—and residents’ self-reported health status in order to explore the role health communication may play in community building for health.

Methods

To estimate multi-level effects of the community participation and the two contextual indicators with self-rated health status, we applied hierarchical generalized linear regression to crosssectional data from the Korean National Health and Nutrition Examination Survey.

Results

After adjusting for individual- and community-level confounders, the likelihood of having high self-rated health status is significantly higher among those who live in a region with higher community capacity for mobilization, higher health communication capacity at the community level, and higher participation in community groups at the individual-level.

Conclusions

Our findings suggest that living in a community characterized by higher levels of communication and mobilization capacity is beneficial to residents’ self-rated health status—increasing the odds of high health status by up to 9 %. Thus, building community capacity in mobilization and health communication may help develop better health promotion campaigns.

Keywords

Contextual effects Community capacity Health communication South Korea 

Supplementary material

38_2013_532_MOESM1_ESM.doc (56 kb)
Supplementary material 1 (DOC 56 kb)

References

  1. Ackerson LK, Viswanath K (2009) The social context of interpersonal communication and health. J Health Commun 14(Suppl 1):5–17PubMedCrossRefGoogle Scholar
  2. Chaskin RJ, Brown P, Venkatesh S, Vidal A (2001) Building community capacity. Aldine Transaction, New YorkGoogle Scholar
  3. Cordingley S (2000) The definition and principles of volunteering. In: Warburton J, Oppenheimer M (eds) Volunteers and volunteering. Federation Press, Sydney, p 73e82Google Scholar
  4. Dermota P, Wang J, Dey M, Gmel G, Studer J, Mohler-Kuo M (2013) Health literacy and substance use in young Swiss men. Int J Public Health. doi:10.1007/s00038-013-0487-9 PubMedGoogle Scholar
  5. DeSalvo KB, Bloser N, Reynolds K, He J, Muntaner P (2005) Mortality prediction with a single general self-rated health question: a meta-analysis. J Gen Intern Med 20:267–275CrossRefGoogle Scholar
  6. Diez-Roux AV (2002) A glossary for multilevel analysis. J Epidemiol Community Health 56:588–594PubMedCrossRefGoogle Scholar
  7. Dutta-Bergman MJ (2005) Access to the internet in the context of community participation and community satisfaction. New Media Soc 7:89–109CrossRefGoogle Scholar
  8. Freudenberg N (2004) Community capacity for environmental health promotion: determinants and implications for practice. Health Educ Behav 31:472–490PubMedCrossRefGoogle Scholar
  9. Giordano GN, Björk J, Lindström M (2012) Social capital and self-rated health: a study of temporal (causal) relationships. Soc Sci Med 75:340–348PubMedCrossRefGoogle Scholar
  10. Goodman RM, Speers MA, McLeroy K, Fawcett S, Kegler M, Parker E et al (1998) Identifying and defining the dimensions of community capacity to provide a basis for measurement. Health Educ Behav 25:258–278PubMedCrossRefGoogle Scholar
  11. Holder HD, Treno AJ (1997) Media advocacy in community prevention: news as a means to advance policy change. Addiction (Abingdon, England) 92(Suppl 2):S189–S199CrossRefGoogle Scholar
  12. Institute for Social Development and Policy Research (ISDPR) (2013) Development of measurement indicators for social quality in South Korea. Seoul National University and Seoul Broadcasting System, SeoulGoogle Scholar
  13. Jeffres LW, Lee J-W, Neuendorf K, Atkin D (2007) Newspaper reading supports community involvement. Newsp Res J 28:6–23Google Scholar
  14. Jeffres LW, Neuendorf K, Atkin DJ (2012) Acquiring knowledge from the media in the Internet age. Commun Q 60:59–79CrossRefGoogle Scholar
  15. Jung M, Rhee H-S (2013) Determinants of community capacity influencing residents’ health status in Seoul, South Korea. Asia Pacific J Public Health 25:199–208CrossRefGoogle Scholar
  16. Jung M, Viswanath K (2013) Does community capacity influence self-rated health? Multilevel contextual effects in Seoul, Korea. Soc Sci Med 77:60–69PubMedCrossRefGoogle Scholar
  17. Kang N, Kwak N (2003) A multilevel approach to civic participation: individual length of residence, neighborhood residential stability, and their interactive effects with media use. Commun Res 30:80–106CrossRefGoogle Scholar
  18. Katz E, Lazarsfeld PF (2006) Personal Influence: the part played by people in the flow of mass communications, 2nd edn. Transaction Publishers, New BrunswickGoogle Scholar
  19. Maclellan-Wright MF, Anderson D, Barber S et al (2007) The development of measures of community capacity for community-based funding programs in Canada. Health Promot Int 22:299–306PubMedCrossRefGoogle Scholar
  20. Minkler M, Wallerstein N, Wilson N (2008) Improving health through community organization and community building. In: Glanz K, Rimer BK, Viswanath K (eds) Health behavior and health education. Jossey-Bass, San Francisco, pp 287–312Google Scholar
  21. Mohnen SM, Groenewegen PP, Völker B, Flap H (2011) Neighborhood social capital and individual health. Soc Sci Med 72:660–667PubMedCrossRefGoogle Scholar
  22. Moy P, McCluskey MR, McCoy K, Spratt MA (2004) Political correlates of local news media use. J Commun 54:532–546CrossRefGoogle Scholar
  23. Paek H, Yoon S, Shah DV (2005) Local news, social integration, and community participation: hierarchical linear modeling of contextual and cross-level effects. J Mass Commun Q 82:587–606Google Scholar
  24. Parker EA, Chung LK, Israel BA, Reyes A, Wilkins D (2010) Community organizing network for environmental health: using a community health development approach to increase community capacity around reduction of environmental triggers. J Prim Prev 31:41–58PubMedCentralPubMedCrossRefGoogle Scholar
  25. Poortinga W (2006) Social relations or social capital? Individual and community health effects of bonding social capital. Soc Sci Med 63:255–270PubMedCrossRefGoogle Scholar
  26. Provan KG, Nakama L, Veazie MA, Teufel-Shone NI, Huddleston C (2003) Building community capacity around chronic disease services through a collaborative interorganizational network. Health Educ Behav 30:646–662PubMedCrossRefGoogle Scholar
  27. Ramanadhan S, Salhi C, Achille E, Baril N, D’Entremont K, Grullon M, Judge C, Oppenheimer S, Reeves C, Savage C, Viswanath K (2012) Addressing cancer disparities via community network mobilization and intersectoral partnerships: a social network analysis. PLoS One 7(2):e32130PubMedCentralPubMedCrossRefGoogle Scholar
  28. Randolph W, Viswanath K (2004) Lessons learned from public health mass media campaigns: marketing health in a crowded media world. Annu Rev Public Health 25:419–437PubMedCrossRefGoogle Scholar
  29. Rubin HJ, Rubin IS (2008) Community organizing and development. Pearson Education, Boston, pp 77–89Google Scholar
  30. Scheufele DA, Shah DV (2000) Personality strength and social capital: the role of dispositional and informational variables in the production of civic participation. Commun Res 27:107–131CrossRefGoogle Scholar
  31. Smith MB (2005) CBHOs: improving health through community development. In: Smith MB, Graham YJ, Guttmacher S (eds) Community-based health organizations: advocating for improved health. Jossey-Bass, San FranciscoGoogle Scholar
  32. Snelgrove JW, Pikhart H, Stafford M (2009) A multilevel analysis of social capital and self-rated health: evidence from the British Household Panel Survey. Soc Sci Med 68:1993–2001PubMedCrossRefGoogle Scholar
  33. Viswanath K (2006) Public communications and its role in reducing and eliminating health disparities. In: Thomson GE, Mitchell F, Williams MB (eds) Examining the health disparities research plan of the National Institutes of Health: unfinished business. Institute of Medicine, Washington, DC, pp 215–253Google Scholar
  34. Viswanath K (2008) Social capital and health communications. In: Kawachi I, Subramanian SV, Kim D (eds) Social capital and health. Springer, New York, pp 259–271CrossRefGoogle Scholar
  35. Viswanath K, Finnegan JR (2002) Community health campaigns and secular trends: insights from the Minnesota Heart Health Program and community trials in heart disease prevention. In: Hornik R (ed) Public health communication: evidence for behavior change. Lawrence Erlbaum Associates, New York, pp 289–312Google Scholar
  36. Viswanath K, Randolph SW, Finnegan JR (2006) Social capital and health: civic engagement, community size, and recall of health messages. Am J Public Health 96:1456–1461PubMedCentralPubMedCrossRefGoogle Scholar
  37. Wallerstein NB, Duran B (2006) Using community-based participatory research to address health disparities. Health Promot Pract 7:312–323PubMedCrossRefGoogle Scholar
  38. Xiao Z, Noar SM, Zeng L (2013) Systematic review of HIV prevention interventions in China: a health communication perspective. Int J Public Health. doi:10.1007/s00038-013-0467-0 PubMedGoogle Scholar

Copyright information

© Swiss School of Public Health 2013

Authors and Affiliations

  • Minsoo Jung
    • 1
    • 2
  • Cabral A. Bigman-Galimore
    • 1
    • 3
  • K. Viswanath
    • 1
    • 4
  1. 1.Center for Community-Based ResearchDana-Farber Cancer InstituteBostonUSA
  2. 2.Department of Health ScienceDongduk Women’s UniversitySeoulSouth Korea
  3. 3.Department of CommunicationUniversity of Illinois at Urbana-ChampaignUrbanaUSA
  4. 4.Department of Social and Behavioral SciencesHarvard School of Public HealthBostonUSA

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