사회자본과 신체활동 행위변화단계
Social capital and stage of change for physical activity in a community sample of adults
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Objectives: This study identified how personal characteristics, healthy behavior and social capital might influence on physical activity of adults. Methods: This study used data from the health survey of a city of Korea. We surveyed 1,000 adults sampled by stratified sampling methods from 67,889 households. Outcome variable was the stage of physical activity which was broken into 5 categories. Sociodemographic factors, healthy behavior, self-rated health status and social capital were used as control variables. Sociodemographic factors included age, sex, educational status, economic status measured by deprivation score, residential period within survey city. Social capital was measured by Integrated Questionnaire for the Measurement of Social Capital (SC-IQ). This study used chi-square test and ordered logistic regression models to examine the associations between independent variables and physical activity. Variables were added to the regression model in three groups using a hierarchical approach. Results: Physical activity was significantly more likely to become active if they have higher educational status, healthier behavior. Among the six dimensions of SC-IQ, only "groups and networks" that is structural dimensions of social capital and "trust and solidarity" that is cognitive dimensions of social capital were significantly related to physical activity of adults. We found that a person having higher density of membership and having larger size of networks showed the high possibility of active physical activity. A person having high solidarity was significantly associated with physical activity, but general trust was inversely related to physical activity. Output dimensions of social capital did not show significant relationship to physical activity. Conclusions: We found that social capital is useful concept to explain health behaviors like physical activity. However we must consider social, cultural and political context of the study to evaluate the effect of social capital to health status and health determinants and to capture the exact meaning of relationship between them. We suggest further researches to refine the concept of social capital and to explain the relationship of social capital to diverse health determinants.
Abstract
Objectives: This study identified how personal characteristics, healthy behavior and social capital might influence on physical activity of adults. Methods: This study used data from the health survey of a city of Korea. We surveyed 1,000 adults sampled by stratified sampling methods from 67,889 households. Outcome variable was the stage of physical activity which was broken into 5 categories. Sociodemographic factors, healthy behavior, self-rated health status and social capital were used as control variables. Sociodemographic factors included age, sex, educational status, economic status measured by deprivation score, residential period within survey city. Social capital was measured by Integrated Questionnaire for the Measurement of Social Capital (SC-IQ). This study used chi-square test and ordered logistic regression models to examine the associations between independent variables and physical activity. Variables were added to the regression model in three groups using a hierarchical approach. Results: Physical activity was significantly more likely to become active if they have higher educational status, healthier behavior. Among the six dimensions of SC-IQ, only "groups and networks" that is structural dimensions of social capital and "trust and solidarity" that is cognitive dimensions of social capital were significantly related to physical activity of adults. We found that a person having higher density of membership and having larger size of networks showed the high possibility of active physical activity. A person having high solidarity was significantly associated with physical activity, but general trust was inversely related to physical activity. Output dimensions of social capital did not show significant relationship to physical activity. Conclusions: We found that social capital is useful concept to explain health behaviors like physical activity. However we must consider social, cultural and political context of the study to evaluate the effect of social capital to health status and health determinants and to capture the exact meaning of relationship between them. We suggest further researches to refine the concept of social capital and to explain the relationship of social capital to diverse health determinants.
참고문헌 (37)
- 강은정, "흡연, 음주, 신체활동을 사용한 한국 성인의 건강행태 군집의 분류", 보건사회연구, 27(2), pp.44~66 (2007), 한국보건사회연구원
- 문상식, "주관적 건강인식과 건강검진 결과의 비교분석을 통한 건강행위 연구", 보건교육·건강증진학회지, 18(3), pp.11~36 (2001), 한국보건교육·건강증진학회
- 국민건강증진종합계획 2010, "보건복지가족부", 보건복지부, ~ (2010)
- 소진광, "사회적 자본의 측정지표에 관한 연구", 한국지역개발학회지, 16(1), pp.89~118 (2004), 한국지역개발학회
- 사회자본의 개념과 교육적 시사점, "장사준", 한국교육학술정보원, ~ (2006)
- 국토관리 분야의 사회적 자본 확충방안(Ⅰ) -사회적 자본 영향요인 분석-, "김선희", 국토개발연구원, ~ (2008)
- Adams J, "How accurate are Townsend Deprivatioin Scores as predictors of self-reported health? A comparison with individual level data", Journal of Public Health, 27, pp.101~106 (2004)
- Berkman L, "Social Epidemiology" (2000), Oxford Univercity Press
- Blaxter M, "Medical sociology at the start of the new millennium", Social Science & Medicine, 51, pp.1139~1142 (2000)
- Brennan LK, "Linking Perceptions of the Community to Behavior: Are Protective Social Factors Associated With Physical Activity?", Health Educcation Behavior, 30, pp.740~755 (2003)
- Brownson RC, "Environmental and policy determinants of physical activity in the United States", Am J Public Health, 91(12), pp.1995~2003 (2001)
- Coleman JS, "Social capital in the creation of human capital", American Journal of Sociology, 94, pp.s94~s121 (1988)
- Coleman JS, "Foundations of social theory" (1990), Harvard University Press
- Fischer JK, "Neighborhood influences on physical activity among older adults: a multi- level analysis", J Aging Physical Activity, 11, pp.49~67 (2004)
- Grootaert C, "Understanding and Measuring Social Capital" (2002), World Bank
- Grootaert C, "Measuring Social Capital: An Integrated Questionnaire", ~ (2004)
- Hagler AS, "Construct validity of physical activity and sedentary behaviors staging measures for adolescents", Ann Behav Med, 31(2), pp.186~193 (2006)
- Hawe P, "Social Capital and Health Promotion: a Riview", Social Science & Medicine, 51, pp.871~885 (2000)
- Hellsten LA, "Accumulation of behavioral validation evidence for physical activity stage of change", Health Psychol, 27(1), pp.S43~S53 (2008)
- Islam MK, "Social capital and health: Does egalitarianism matter? A literature review", International Journal for Equity in Health, 5, pp.1~28 (2006)
- Kawachi I, "Social capital, income inequality and mortality", American Journal of Public Health, 87, pp.1491~1498 (1997)
- Lin N, "Social capital: A theory of social structure and action" (2001), Cambridge Univ. Press
- Lindström M, "Socioeconomic differences in leisure-time physical activity: the role of social participation and social capital in shaping health related behaviour", Social Science & Medicine, 52(3), pp.441~451 (2001)
- Poortinga W, "Social capital: An individual or collective resource for health?", Social Science & Medicine, 62, pp.292~302 (2005)
- Portes A, "Social Capital:Its origins and applications in modern sociology", Annual Review of Sociology, 24, pp.1~24 (1998)
- Prochaska J, "Stages of Change in the modification of problem behaviors", Progress in Behavior Modification, 28, pp.184~218 (1992)
- Putnam R, "Making democracy work: Civic traditions in northern Italy" (1993), Princerton University Press
- Rose R, "How much does social capital add to individual health? A survey of Russians", Social Science & Medicine, 51, pp.1421~1435 (2000)
- Sallis JF, "Determinants of exercise behavior", Exercise and Sport Science Reviews, 18, pp.307~330 (1990)
- Sallis JF, "Predictors of adoption and maintenance of vigorous physical activity in men and women", Preventive Medicine, 21(2), pp.237~251 (1992)
- Schultz J, "Social capital and self-rated health: Results from the US 2006 social capital survey of one community", Social Science & Medicine, pp.606~617 (2008)
- Seefeldt V, "Factors affecting levels of physical activity in adults", Sports Med, 32(3), pp.143~168 (2002)
- "U.S. Department of Health and Human Service: Physical Activity and Health. A Report of the Surgeon General" (1996), U.S. Department of Health and Human Services and Centers for Disease Control and Prevention
- "U.S. Department of Health and Human Service: Healthy People 2010" (2000), U.S. Department of Health and Human Services
- Veenstra G, "Social capital, SES and health: An individual-level analysis", Social Science & Medicine, 60, pp.2059~2071 (2000)
- Yoosik Youm, "Game-Theoretic Approach To Social Trust - Social Capital Vs. Nepotistic Capital On Health", 2007 전기사회학대회 연제집 (2007), 한국사회학회
- "Social Disparities and Involvement in Physical Activity : Shaping the policy agenda in healthy living to successfully influence population health. Université de Montréal"[URL]