Holman, D.J. orcid.org/0000-0003-4134-6238 and Walker, A. (2018) Social quality and health: examining individual and neighbourhood contextual effects using a multilevel modelling approach. Social Indicators Research, 138 (2). pp. 245-270. ISSN 0303-8300
Abstract
Social quality focusses on the nature of ‘the social’, arguing that people are realised as social beings through interacting with a range of collectives, both from the formal world of systems and the informal lifeworld. Four conditional factors are necessary for this to occur, which at the same time are assumed to influence health and well-being: socio-economic security, social cohesion, social inclusion and social empowerment. In this paper we test the utility of social quality in explaining self-rated health as a response to arguments that the social determinants of health (SDH) framework often lacks a theoretical basis. We use multilevel models to analyse national English and Welsh data (the Citizenship Survey) to test for both individual- and neighbour-level affects. Our key findings are that 1) neighbourhood contextual (cross-level) effects are present with respect to collective action, personal trust, cross-cutting ties, income sufficiency, and income security; 2) measures of national, community and personal identity as indicators of social cohesion show clear associations with health alongside more common measures such as trust; 3) the security aspects of socioeconomic determinants are especially important (housing security, income sufficiency, and income security); 4) social rights, including institutional rights but especially civil rights have effects of particularly large magnitude. Social quality offers a theoretically-driven perspective on the SDH which has important policy implications and suggests a number of promising avenues for future research.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © The Author(s) 2017. This article is an open access publication. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
Keywords: | Social quality; Social determinants; Neighbourhood effects; Self-rated health; Multilevel modelling |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Social Sciences (Sheffield) > Department of Sociological Studies (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 09 May 2017 09:43 |
Last Modified: | 28 Jul 2023 15:11 |
Status: | Published |
Publisher: | Springer Verlag |
Refereed: | Yes |
Identification Number: | 10.1007/s11205-017-1640-2 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:115751 |