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

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• 作者：Minsoo Jung (1) (2)
  Cabral A. Bigman-Galimore (1) (3)
  K. Viswanath (1) (4)
  
• 关键词：Contextual effects ; Community capacity ; Health communication ; South Korea
• 刊名：International Journal of Public Health
• 出版年：2014
• 出版时间：April 2014
• 年：2014
• 卷：59
• 期：2
• 页码：289-299
• 全文大小：543 KB
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• 作者单位：Minsoo Jung (1) (2)
  Cabral A. Bigman-Galimore (1) (3)
  K. Viswanath (1) (4)
  
  1. Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, MA, USA
  2. Department of Health Science, Dongduk Women’s University, Seoul, South Korea
  3. Department of Communication, University of Illinois at Urbana-Champaign, Urbana, IL, USA
  4. Department of Social and Behavioral Sciences, Harvard School of Public Health, Boston, MA, USA
  
• ISSN：1661-8564

文摘

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.