Types of social capital and mental disorder in deprived urban areas: a multilevel study of 40 disadvantaged London neighbourhoods.

Journal article


Bertotti, M, Watts, P, Netuveli, G, Yu, G, Schmidt, E, Tobi, P, Lais, S and Renton, A (2013). Types of social capital and mental disorder in deprived urban areas: a multilevel study of 40 disadvantaged London neighbourhoods. PLoS ONE. 8 (12), p. e80127.
AuthorsBertotti, M, Watts, P, Netuveli, G, Yu, G, Schmidt, E, Tobi, P, Lais, S and Renton, A
Abstract

OBJECTIVES: To examine the extent to which individual and ecological-level cognitive and structural social capital are associated with common mental disorder (CMD), the role played by physical characteristics of the neighbourhood in moderating this association, and the longitudinal change of the association between ecological level cognitive and structural social capital and CMD. DESIGN: Cross-sectional and longitudinal study of 40 disadvantaged London neighbourhoods. We used a contextual measure of the physical characteristics of each neighbourhood to examine how the neighbourhood moderates the association between types of social capital and mental disorder. We analysed the association between ecological-level measures of social capital and CMD longitudinally. PARTICIPANTS: 4,214 adults aged 16-97 (44.4% men) were randomly selected from 40 disadvantaged London neighbourhoods. MAIN OUTCOME MEASURES: General Health Questionnaire (GHQ-12). RESULTS: Structural rather than cognitive social capital was significantly associated with CMD after controlling for socio-demographic variables. However, the two measures of structural social capital used, social networks and civic participation, were negatively and positively associated with CMD respectively. 'Social networks' was negatively associated with CMD at both the individual and ecological levels. This result was maintained when contextual aspects of the physical environment (neighbourhood incivilities) were introduced into the model, suggesting that 'social networks' was independent from characteristics of the physical environment. When ecological-level longitudinal analysis was conducted, 'social networks' was not statistically significant after controlling for individual-level social capital at follow up. CONCLUSIONS: If we conceptually distinguish between cognitive and structural components as the quality and quantity of social capital respectively, the conclusion of this study is that the quantity rather than quality of social capital is important in relation to CMD at both the individual and ecological levels in disadvantaged urban areas. Thus, policy should support interventions that create and sustain social networks. One of these is explored in this article. TRIAL REGISTRATION: Controlled-Trials.com ISRCTN68175121 http://www.controlled-trials.com/ISRCTN68175121.

KeywordsHumans; Cross-Sectional Studies; Mental Disorders; Environment; Social Support; Socioeconomic Factors; Adolescent; Adult; Aged; Aged, 80 and over; Middle Aged; Urban Population; London; Female; Male; Surveys and Questionnaires; Adolescent; Adult; Aged; Aged, 80 and over; Cross-Sectional Studies; Environment; Female; Humans; London; Male; Mental Disorders; Middle Aged; Social Support; Socioeconomic Factors; Surveys and Questionnaires; Urban Population; MD Multidisciplinary; General Science & Technology
Year2013
JournalPLoS ONE
Journal citation8 (12), p. e80127
PublisherLondon South Bank University
ISSN1932-6203
Digital Object Identifier (DOI)doi:10.1371/journal.pone.0080127
Publication dates
Print02 Dec 2013
Publication process dates
Deposited26 Feb 2018
Accepted30 Sep 2013
Accepted author manuscript
License
CC BY 4.0
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https://openresearch.lsbu.ac.uk/item/878q9

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