Anciolytic Hynotic Drug Use Associated with Trust, Social Participation, and the Miniaturization of Community : A Multilevel Analysis  

Oleh:

Johnell, Kristina ; Lindstrom, Martin ; Melander, Arne ; Sundquist, Jan ; Eriksson, Charli ; Merlo, Juan

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 5 (Mar. 2006), page 1205-1214.
Topik: drugs; anxiolytic hypnotic drugs; multilevel analysis; miniaturization of community; social capital; social participation; trust; sweden

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.2 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

The concept of social capital has gained wide interest in public health research in recent years. However we suggest a concept that was introduced and developed by fukuyama, named miniaturization of community, as an alternative to that of social capital. The concept of miniaturization of community emphasizes that a high level of social participation can be accompanied by a low level of trust, both at the individual and at the community level, which may in turn result in social disorder and lack of social cohesion, When society becomes more disordered, people may tend to feel more insecure and anxious. Use of antiolytic hypnotic drugs (AHDs) could under such circumstances be a coping strategy. In this study we first wanted to investigate whether the contextual component of the miniaturization of community concept (i.e, are high social participation and low trust) is associated with individual AHD use, over and above individual characteristics. Secondly, we aimed to study whether people living in the same municipality share a similar probability of AHD use, after ajusting for individual characteristics, and if so, how large this contextual phenomenon is. We used data on 20,319 women and 17,850 men aged 18 - 79 years from 58 municipalities in six regions in central sweden, who participated in ther life & health year 2000 postal survey. We applies multilevel logistic regression analysis with individuals at the first level and areas at the second level. Our results suggest that living in an area with a high level of miniaturization of community seems to be associated with individual AHD use, beyond people's individual characteristics including their own level of social participation and trust. The concept of miniaturization of community may be an extension of the classic concept of social capital and may incrwease our understanding of contextual effects on health.

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