RESEARCH PAPER
Urban-rural differences in social capital in relation to self-rated health and subjective well-being in older residents of six regions in Poland
 
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Department of Medical Sociology, Chair of Epidemiology and Preventive Medicine, Jagiellonian University Medical College, Cracow, Poland
 
 
Corresponding author
Beata Tobiasz-Adamczyk   

Department of Medical Sociology, Chair of Epidemiology and Preventive Medicine, Jagiellonian University Medical College, Cracow, Poland
 
 
Ann Agric Environ Med. 2017;24(2):162-170
 
KEYWORDS
ABSTRACT
The aim of the study was to assess the differences between rural and urban areas as regards the role of social capital and its effect on self-rated health and subjective well-being among older people in Poland. The sample was selected on the basis of multi-stage clustered design from the non-institutionalized adult population. Analysis was based on 1,299 elderly people aged 65 and over from the general Polish population who participated in the COURAGE in Europe project. Six regions of Poland were distinguished according to first level of Nomenclature of Units for Territorial Statistics (NUTS) classification . As an indicator of social capital, the COURAGE Social Network Index, the OSLO-3 Social Support Scale, and the three item UCLA Loneliness scale were used, as well as social participation and trust was assessed. Self-rated health (SRH) was measured by WHO-Europe recommended version (ranging from ‘very good’ to ‘very bad’). Well-being was assessed by the Day Reconstruction Method. The results showed that in urban areas, social network and social participation supported positive self-rated health; in rural, older residents the number of years of education and social support played the same role, while self-rated health decreased with an increasing level of loneliness. Self-rated health decreased in both groups of older people with a growing number of diseases. The multivariate linear regression model of predictors of well-being in older age also confirmed differences between urban and rural elderly residents. In rural residents, subjective well-being significantly increased with the positive effect of the social network. In both urban and rural areas, poor assessment of subjective well-being in older age increased with a higher level of loneliness and growing number of chronic diseases.
 
REFERENCES (29)
1.
Sampson RJ. Local friendship ties and community attachment in mass society: a multilevel systemic model. Am Sociol Rev. 1988; 53(5): 766–779.
 
2.
Beggs JJ, Haines VA, Hurlbert JS. Revisiting the Rural-Urban Contrast: Personal Networks in Nonmetropolitan and Metropolitan Settings. Rural Sociol. 1966; 61(2): 306–325.
 
3.
Putnam RD. Bowling alone: America’s declining social capital. J Democracy. 1995; 6(1): 64–78.
 
4.
Carlson, P. The European health divide: A matter of financial or social capital? Soc Sci Med. 2004; 59(9): 1985–1992.
 
5.
Mohan G, Mohan J. Placing social capital. Prog Hum Geogr. 2002; 26(2): 191–210.
 
6.
Bourdieu P. The forms of capital. In: Richardson JG (ed.). Handbook of Theory and Research for the Sociology of Education, New York, Greenwood, 1985. p. 241–258.
 
7.
Woolcock M, Narayan D. Social capital: implications for development theory, research, and policy. The World Bank Research Observer. 2000; 15(2): 225–249.
 
8.
Beaudion CHE, Thorson E. Social capital in rural and urban communities: testing differences in media effects and models. J & MC Quarterly. 2004; 81(2): 378–399.
 
9.
Hofferth SL, Iceland J. Social capital in rural and urban communities. Rural Sociol. 1998; 63(4): 574–598.
 
10.
Fisher CS. To Dwell Among Friends: Personal Networks in Town and City. Chicago: University of Chicago Press,1982.
 
11.
Berkman LF, Syme SL. Social networks, host resistance, and mortality: a nine-year follow-up study of Alameda County Residents. Am J Epidemiol. 1979; 109(2): 186–204.
 
12.
Kawachi I, Berkman LF. Social Ties and Mental Health. J Urban Health. 2001; 78(3): 458–467.
 
13.
Smith KP, Christakis NA. Social Networks and Health. Annu Rev Sociol. 2008; 34: 405–429.
 
14.
Leonardi M, Chatterji S, Koskinen S, Ayuso-Mateos JL, Haro JM, Frisoni G, Frattura L, Martinuzzi A, Tobiasz-Adamczyk B, Gmurek M, Serrano R, Finocchiaro C. and on behalf of COURAGE in Europe Project’s Consortium, Determinants of Health and Disability in Ageing Population: The COURAGE in Europe Project (Collaborative Research on Ageing in Europe). Clin Psychol Psychother. 2013; doi: 10.1002/cpp.1856.
 
15.
Eurostat. Regions in the European Union. Nomenclature of territorial units for statistics NUTS 2010/EU-27. 2011.
 
16.
Dalgard OS, Dowrick C, Lehtinen V, Vázquez-Barquero, Casey P, Wilkinson G, Ayuso-Mateos JL, Page H, Dunn G, and the ODIN Group. Soc Psychiatry Psychiatr Epidemiol. 2006; 41(6): 444–451.
 
17.
Hughes ME, Waite LJ, Hawkley LC, and Cacioppo JT. A short scale for measuring loneliness in large surveys: results from two population-based studies. Research on Aging. 2004; 26(6): 655–672.
 
18.
Zawisza K, Galas A, Tobiasz-Adamczyk B, Chatterji S, Haro JM, Miret M, Koskinen S, Power M, Leonardi M. The Validity of the Instrument to Evaluate Social Network in the Ageing Population: The Collaborative Research on Ageing in Europe Social Network Index. Clin Psychol Psychother. 2013; doi: 10.1002/cpp.1860.
 
19.
Kahneman D, Krueger AB. Development in the Measurement of Subjective Well-Being. J Econ Perspectiv. 2006; 20(1): 3–24.
 
20.
Miret M, Caballero FF, Mathur A, Naidoo N, Kowal P, Ayouso-Mateos JL, Chatterji S. Validation of a Measure of Subjective Well-Being: An Abbreviated Version of the Day Reconstruction Method. PLoS ONE. 2012; 7(8): e43887, doi:10.1371/journal.pone.0043887.
 
21.
Muthen LK, Muthén BO. Mplus user’s guide, 7th edn. Los Angeles: Muthén and Muthén, 2012.
 
22.
Wilcox VL, Kasl SV, Idler E. Self-rated health and physical disability in elderly survivors a major medical event. J Gerontol. 1996; 51B(2): 96–104.
 
23.
Galenkamp H, Braam AW, Huisman M, Deeg DJH. Seventeen-year time trend in poor self-rated health in older adults: changing contributions of chronic diseases and disability. Eur J Public Health. 2012; 23(3): 511–517.
 
24.
Nummela O, Sulander T, Rahkonen O, Karisto A, Uutela A. Social participation, trust and self-rated health: A study among ageing people in urban, semi-urban and rural settings. Health Place. 2008; 14: 243–253.
 
25.
Ziersch AM, Baum F, Darmawan I, Kavanagh AM, Bentley RJ. Social capital and health in rural and urban communities in South Australia. Aust N Z J Public Health. 2009; 33(1): 7–16.
 
26.
Mechakra-Tahiri S, Zunzunegui MV, Preville M, Dube M. Social relationship and depression among people 65 years and over living in rural and urban areas of Quebec. Int J Geriatr Psychiatry. 2009; 24: 1226–1236.
 
27.
Guest AM, Wierzbicki SK. Social ties at the neighbourhood level two decades of GSS evidence. Urban Affairs Review. 1999; 35: 92–111.
 
28.
Van Oorschot W, GElissen J. Social capital in Europe. Measurement and Social and Regional distribution of the Multifaceted Phenomenon. Acta Sociologica. 2006; 49(2): 149–167.
 
29.
Pichler F, Wallace C. Patterns of formal and informal social capital in Europe. Eur Sociol Rev. 2007; 23(4): 423–435.
 
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ISSN:1232-1966
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