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标题：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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作者：Beata Tobiasz-Adamczyk ; Katarzyna Zawisza
期刊名称：Annals of Agricultural and Environmental Medicine
印刷版ISSN：1232-1966
电子版ISSN：1898-2263
出版年度：2017
卷号：24
期号：2
页码：162-170
DOI：10.26444/aaem/74719
出版社：Institute of Agricultural Medicine in Lublin
摘要：The aim of the study was to assess the differences between rural and urban areas as regards the role of social capital and itseffect on self-rated health and subjective well-being among older people in Poland. The sample was selected on the basisof multi-stage clustered design from the non-institutionalized adult population. Analysis was based on 1,299 elderly peopleaged 65 and over from the general Polish population who participated in the COURAGE in Europe project. Six regions ofPoland were distinguished according to first level of Nomenclature of Units for Territorial Statistics (NUTS) classification. As anindicator of social capital, the COURAGE Social Network Index, the OSLO-3 Social Support Scale, and the three item UCLALoneliness scale were used, as well as social participation and trust was assessed. Self-rated health (SRH) was measuredby WHO-Europe recommended version (ranging from ‘very good’ to ‘very bad’). Well-being was assessed by the DayReconstruction Method.Results: The results showed that in urban areas, social network and social participation supported positive self-ratedhealth; in rural, older residents the number of years of education and social support played the same role, while self-ratedhealth decreased with an increasing level of loneliness. Self-rated health decreased in both groups of older people with agrowing number of diseases. The multivariate linear regression model of predictors of well-being in older age also confirmeddifferences between urban and rural elderly residents. In rural residents, subjective well-being significantly increased withthe positive effect of the social network. In both urban and rural areas, poor assessment of subjective well-being in olderage increased with a higher level of loneliness and growing number of chronic diseases.
关键词：social capital; urban-rural; older residents; self-rated health; well-being