Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Capitalism”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 307 records · Page 17Linked to original sources
PubMed2003

Social capital, health, and health disparities.

PURPOSE: To synthesize the empirical evidence that links social capital to population health with the aim of identifying implications for health disparities research. METHODS: A literature search of PubMed and CINAHL databases from January 1990 to June 2002 was done using the search term "social capital." In addition, tables of contents of applicable journals from January 1997 to June 2002 were searched. Reference lists were examined for additional empirical and theoretical articles related to social capital and health. Eighty-four articles were retrieved for review and 19 articles met inclusion criteria. FINDINGS: Although most reseachers concluded that their findings supported an association between social capital and health, all research was descriptive, without conceptual development. This gap resulted in (a) lack of distinction of the concept as an attribute of a geographic space or as an individual attribute, (b) problematic use of operational variables, and (c) limited theoretical exploration of causal linkage. These deficits limit the usefulness of the concept for health disparities research. CONCLUSIONS: The lack of conceptual development diminishes the usefulness of social capital as a variable for public health research. However, the empirical evidence is sufficient to warrant further work to advance the concept in relation to population health and health disparities.

Attitude to Health↗
PubMed2004

Converting cultural capital among teen refugees and their families from Bosnia-Herzegovina.

OBJECTIVES: The objective of this study was to identify the processes by which teen refugees adapt and apply cultural capital in conditions of refuge in order to develop preventive interventions for refugee youths. METHODS: The study was a multisite ethnographic study in Chicago that involved observation of Bosnian participants in schools, community sites, service organizations, and households as well as in-depth interviews with a subsample of 30 Bosnian adolescents and their families. Field notes and interview data were subjected to thematic analysis. RESULTS: The concept of converting cultural capital emerged as a useful construct for representing the cultural resources that Bosnian teen refugees and their families bring to the refugee trauma experience. Conversion of cultural capital refers to processes of adapting and applying the meanings, knowledge, customs, achievements, and outlooks that teen refugees and their families bring to new environments in order to enhance teens' cultural vitality and social incorporation. Nine mechanisms of converting cultural capital were identified, labeled, and defined in emic terms: using our language, obliging family, sticking together, returning to religion, going ghetto, building a future, taking pride in tradition, critiquing America, and seeking freedom. These mechanisms represent cultural strategies by which teen refugees attempt to manage enormous historical, social, cultural, economic, familial, and psychological changes associated with refugee trauma. CONCLUSIONS: Ethnography is an important methodologic tool in mental health services research, and the concept of converting cultural capital is useful in designing preventive interventions for teen refugees and their families.

Adaptation, Psychological↗
PubMed2006

Measuring social capital in a known disadvantaged urban community--health policy implications.

BACKGROUND: To assess the social capital profile of a known disadvantaged area a large cross-sectional survey was undertaken. The social capital profile of this area was compared to data from the whole of the state. The overall health status of the disadvantaged area was assessed in relation to a wide variety of social capital related variables. Univariate and multivariate analysis were undertaken. RESULTS: In the univariate analysis many statistically significant differences were found between the respondents in the disadvantaged area and the state estimates including overall health status, perceived attributes of the neighbourhood, levels of trust, community involvement and social activities. In the multivariate analysis very few variables were found to be statistically significantly associated with poorer health status. The variables that jointly predicted poorer health status in the disadvantaged area were older age, lower income, low sport participation, non-seeking help from neighbours and non-attendance at public meetings. CONCLUSION: Measuring social capital on a population level is complex and the use of epidemiologically-based population surveys does not produce overly valuable results. The inter-relational/dependence dichotomy of social capital is not yet fully understood making meaningful measurement in the broader population extremely difficult and hence is of questionable value for policy decision making.

Journal Article↗
PubMed2005

State social capital and individual health status.

Recent studies have found that two state-level measures of social capital, average levels of civic participation and trust, are associated with improvements in individual health status. In this study we employ these measures, together with the Putnam index of state social capital, to examine several key aspects of the relationship between state social capital and individual health. We find that for all three measures, the association with health status persists after carefully adjusting for household income and that for two measures, mistrust and the Putnam index, the size of this association warrants further attention. Using the Putnam index, we find particular support for the hypothesis that social capital has a more pronounced salutary effect for the poor. Our findings generate both support for the social capital and health hypothesis and a number of implications for future research.

Data Collection↗
PubMed2001

Short stature as a screening test for endocrinopathy in slipped capital femoral epiphysis.

Slipped capital femoral epiphysis may be associated with hypothyroidism and other endocrinopathies. Routine screening for such abnormalities is unlikely to be cost-effective since the overall incidence of these disorders, in association with slipped capital femoral epiphysis, is low. The identification of a presenting characteristic which would predict the chance of an associated endocrinopathy would allow only selected children to be screened. Our aim was to determine if certain characteristics were useful as a screen for patients with an underlying endocrinopathy who presented with slipped capital femoral epiphysis. Between January 1988 and December 1996 we recorded gender, age, height, unilateral or bilateral involvement and an associated diagnosis of endocrinopathy for all patients who were treated for slipped capital femoral epiphysis. Of 166 such patients 13 (7.8%) had an endocrinopathy. Height was the only useful screening characteristic, although bilateral involvement was more likely in those with an endocrinopathy. Most (90.9%) of this latter group were below the tenth percentile for height compared with only 5.4% in those who did not have an endocrinopathy (p < 0.005). The sensitivity and negative predictive value of detecting an underlying endocrinopathy in a patient presenting with a slipped capital femoral epiphysis and short stature (tenth percentile or less) were 90.2% and 98.6%, respectively. Patients who are on or below the tenth percentile for height at the time of presentation should be screened for a possible endocrine abnormality using measurement of thyroid-stimulating hormone and free thyroxine as a preliminary screening test. These hormones are most likely to be abnormal in the presence of endocrine dysfunction.

Adolescent↗
PubMed2005

Finite-element analysis of failure of the Capital Hip designs.

The Capital Hip implant was a Charnley-based system which included a flanged and a roundback stem, both of which were available in stainless steel and titanium. The system was withdrawn from the market because of its inferior performance. However, all four of the designs did not produce poor rates of survival. Using a simulated-based, finite-element analysis, we have analysed the Capital Hip system. Our aim was to investigate whether our simulation was able to detect differences which could account for the varying survival between the Capital Hip designs, thereby further validating the simulation. We created finite-element models of reconstructions with the flanged and roundback Capital Hips. A loading history was applied representing normal walking and stair-climbing, while we monitored the formation of fatigue cracks in the cement. Corresponding to the clinical findings, our simulation was able to detect the negative effects of the titanium material and the flanged design in the Capital Hip system. Although improvements could be made by including the effect of the roughness of the surface of the stem, our study increased the value of the model as a predictive tool for determining failure of an implant.

Arthroplasty, Replacement, Hip↗
PubMed2000

Dentists' participation in capitation and preferred provider organization dental plans.

BACKGROUND: In 1998, the American Dental Association Survey Center conducted a telephone and mail survey of U.S dentists in private practice in an effort to determine the extent of dentists' participation in capitation and preferred provider organization, or PPO, dental plans and the characteristics of dentists who participate in those plans. METHODS: An initial phone screening survey was conducted with a random sample of 11,550 dentists in private practice. Dentists who indicated that they participated in capitation or PPO dental plans received a follow-up mail survey asking specific questions concerning these two types of dental plans. RESULTS: Almost one-half of responding dentists indicated that they participated in either capitation or PPO dental plans. However, far more dentists reported participating in PPO dental plans than in capitation dental plans. The majority of participating dentists' patients were reported to be fee-for-service patients. CONCLUSIONS: Dentists' participation in PPO dental plans generally increased from that indicated in previous surveys, though participation in capitation plans declined. There was some regional and demographic variation in participation in these dental plans, but such differences were not large. Pricing and concerns about quality of care continue to be the primary concerns of nonparticipating dentists. PRACTICE IMPLICATIONS: Dentists reporting participation in PPO dental plans are becoming more common, but such plans still do not cover the majority of participating dentists' patients. A large percentage of nonparticipating dentists cite pricing and concerns about quality care as reasons for not joining these plans.

American Dental Association↗
PubMed2005

Social capital and HIV risks among acculturating Asian Indian men in New York City.

This community-based, qualitative study explored social capital resources and their influences upon HIV risk behaviors in a sample of 17 heterosexual Asian Indian immigrant men residing in New York City. Our study defined social capital as the resources available to individuals and society through social relationships. At the family, peer, and community levels, social capital's influence appeared to reduce acculturative stress and HIV risks. However, participants who lacked sexually transmitted infection and HIV transmission knowledge and/or sought peer solidarity through adherence to negative peer norms (e.g., alcohol use with sex) had elevated sexual risks for HIV. These findings suggest the promise of a social capital approach in the development of HIV prevention programs, as well as the need for HIV risk and social capital researchers to examine multiple systems of social relationships in sociocultural context.

Acculturation↗
PubMed2006

Neighborhood social capital and dental injuries in Brazilian adolescents.

OBJECTIVES: Evidence suggests that communities with higher levels of social capital have better health, but this association has not been explored specifically in relation to dental injury. We investigated the association between social capital and dental injury. METHODS: We conducted a multilevel study assessed individual and neighborhood effects on dental injury of 1302 14- to 15-year-old adolescents in 39 schools of Distrito Federal, Brazil. Children underwent a dental examination and, with their parents, answered a questionnaire about their local environments. Our data analysis used logistic multilevel modeling of students and neighborhood (the latter defined by catchment areas of schools). RESULTS: The prevalence of dental injury was significantly lower in neighborhoods with higher levels of social capital, especially among boys. After control for individual and neighborhood variables, the adjusted odds ratio for a 1-unit increase in the standardized social capital index was 0.55 (95% confidence interval=0.37, 0.81; P=.002) among boys. CONCLUSIONS: Social capital may explain inequalities in rates of dental injury, especially among boys.

Adolescent↗
PubMed1999

Social capital and self-rated health: a contextual analysis.

OBJECTIVES: Social capital consists of features of social organization--such as trust between citizens, norms of reciprocity, and group membership--that facilitate collective action. This article reports a contextual analysis of social capital and individual self-rated health, with adjustment for individual household income, health behaviors, and other covariates. METHODS: Self-rated health ("Is your overall health excellent, very good, good, fair, or poor?") was assessed among 167,259 individuals residing in 39 US states, sampled by the Behavioral Risk Factor Surveillance System. Social capital indicators, aggregated to the state level, were obtained from the General Social Surveys. RESULTS: Individual-level factors (e.g., low income, low education, smoking) were strongly associated with self-rated poor health. However, even after adjustment for these proximal variables, a contextual effect of low social capital on risk of self-rated poor health was found. For example, the odds ratio for fair or poor health associated with living in areas with the lowest levels of social trust was 1.41 (95% confidence interval = 1.33, 1.50) compared with living in high-trust states. CONCLUSIONS: These results extend previous findings on the health advantages stemming from social capital.

Adult↗
PubMed2003

Is social capital the key to inequalities in health?

There has been vigorous debate between the "social capital" and "neomaterialist" interpretations of the epidemiological evidence regarding socioeconomic determinants of health. We argue that levels of income inequality, social capital, and health in a community may all be consequences of more macrolevel social and economic processes that influence health across the life course. We discuss the many reasons for the prominence of social capital theory, and the potential drawbacks to making social capital a major focus of social policy. Intervening in communities to increase their levels of social capital may be ineffective, create resentment, and overload community resources, and to take such an approach may be to "blame the victim" at the community level while ignoring the health effects of macrolevel social and economic policies.

Community Health Planning↗
PubMed2003

Social capital and the built environment: the importance of walkable neighborhoods.

OBJECTIVES: I sought to examine whether pedestrian-oriented, mixed-use neighborhoods encourage enhanced levels of social and community engagement (i.e., social capital). METHODS: The study investigated the relationship between neighborhood design and individual levels of social capital. Data were obtained from a household survey that measured the social capital of citizens living in neighborhoods that ranged from traditional, mixed-use, pedestrian-oriented designs to modern, car-dependent suburban subdivisions in Galway, Ireland. RESULTS: The analyses indicate that persons living in walkable, mixed-use neighborhoods have higher levels of social capital compared with those living in car-oriented suburbs. Respondents living in walkable neighborhoods were more likely to know their neighbors, participate politically, trust others, and be socially engaged. CONCLUSIONS: Walkable, mixed-use neighborhood designs can encourage the development of social capital.

Automobile Driving↗
PubMed1995

Charitable remainder trusts provide a creative source of capital.

Operating margins for hospitals continue to shrink, making it increasingly difficult for hospitals to realize returns high enough to replace capital. Thus, accumulating capital through hospital earnings will continue to be difficult. Credit ratings will continue to drop as not-for-profit hospital operations remain marginal, making access to capital through debt markets more expensive. As a result, not-for-profit hospitals will need to develop creative ways of accessing capital through gifting programs. One such creative way is through the use of charitable remainder trusts--planned gifts that can take three to seven years to mature but can provide long-term-thinking hospital executives with an innovative source of capital.

Accounting↗
PubMedDate not supplied

A road map for natural capitalism.

No one would run a business without accounting for its capital outlays. Yet most companies overlook one major capital component--the value of the earth's ecosystem services. It is a staggering omission; recent calculations place the value of the earth's total ecosystem services--water storage, atmosphere regulation, climate control, and so on--at $33 trillion a year. Not accounting for those costs has led to waste on a grand scale. But now a few farsighted companies are finding powerful business opportunities in conserving resources on a similarly grand scale. They are embarking on a journey toward "natural capitalism," a journey that comprises four major shifts in business practices. The first stage involves dramatically increasing the productivity of natural resources, stretching them as much as 100 times further than they do today. In the second stage, companies adopt closed-loop production systems that yield no waste or toxicity. The third stage requires a fundamental change of business model--from one of selling products to one of delivering services. For example, a manufacturer would sell lighting services rather than lightbulbs, thus benefitting the seller and customer for developing extremely efficient, durable lightbulbs. The last stage involves reinvesting in natural capital to restore, sustain, and expand the planet's ecosystem. Because natural capitalism is both necessary and profitable, it will sub-sume traditional industrialism, the authors argue, just as industrialism sub-sumed agrarianism. And the companies that are furthest down the road will have the competitive edge.

Commerce↗
PubMed2001

How to invest in social capital.

Business runs better when people within a company have close ties and trust one another. But the relationships that make organizations work effectively are under assault for several reasons. Building such "social capital" is difficult in volatile times. Disruptive technologies spawn new markets daily, and organizations respond with constantly changing structures. The problem is worsened by the virtuality of many of today's workplaces, with employees working off-site or on their own. What's more, few managers know how to invest in such social capital. The authors describe how managers can help their organizations thrive by making effective investments in social capital. For instance, companies that value social capital demonstrate a commitment to retention as a way of limiting workplace volatility. The authors cite SAS's extensive efforts to signal to employees that it sees them as human beings, not just workers. Managers can build trust by showing trust themselves, as well as by rewarding trust and sending clear signals to employees. They can foster cooperation by giving employees a common sense of purpose through good strategic communication and inspirational leadership. Johnson & Johnson's well-known credo, which says the company's first responsibility is to the people who use its products, has helped the company in time of adversity, as in 1982 when cyanide in Tylenol capsules killed seven people. Other methods of fostering cooperation include rewarding the behavior with cash and establishing rules that get people into the habit of cooperating. Social capital, once a given in organizations, is now rare and endangered. By investing in it, companies will be better positioned to seize the opportunities in today's volatile, virtual business environment.

Commerce↗
PubMed2001

[Some issues on assessing natural capital of environment and ecosystems].

Many researchers recently have paid attentions to analyzing ecosystem services and assessing natural capital stocks of environment and ecosystems. However, some works failed to make a distinction among the concepts, to evaluate the value and merit of ecosystems, and to integrate assessment approaches. This paper attempts to calibrate those deviations and to present new paradigm for monetary evaluation of ecosystem services and its capital stocks. Firstly, capital value of environment and ecosystems as well as species' value should be evaluated. Secondly, new comprehensive paradigm should be employed to assess the service value of environment and ecosystems, which integrates type and regional models. Thirdly, special attentions should be paid to patterns of natural capital of environment and ecosystems due to their spatial and temporal accumulations and flows. Finally, some suggestions are proposed for assessing natural capital.

Conservation of Natural Resources↗
PubMed2002

Access to health care and community social capital.

OBJECTIVE: To test the hypothesis that variation in reported access to health care is positively related to the level of social capital present in a community. DATA SOURCES: The 1996 Household Survey of the Community Tracking Study, drawn from 22 metropolitan statistical areas across the United States (n = 19,672). Additional data for the 22 communities are from a 1996 multicity broadcast media marketing database, including key social capital indicators, the 1997 National Profile of Local Health Departments survey, and Interstudy, American Hospital Association, and American Medical Association sources. STUDY DESIGN: The design is cross-sectional. Self-reported access to care problems is the dependent variable. Independent variables include individual sociodemographic variables, community-level health sector variables, and social capital variables. DATA COLLECTION/EXTRACTION METHODS: Data are merged from the various sources and weighted to be population representative and are analyzed using hierarchical categorical modeling. PRINCIPAL FINDINGS: Persons who live in metropolitan statistical areas featuring higher levels of social capital report fewer problems accessing health care. A higher HMO penetration rate in a metropolitan statistical area was also associated with fewer access problems. Other health sector variables were not related to health care access. CONCLUSIONS: The results observed for 22 major U.S. cities are consistent with the hypothesis that community social capital enables better access to care, perhaps through improving community accountability mechanisms.

Adult↗
PubMed1992

Population growth, human capital expenditures and economic growth: a macroeconometric analysis.

"The paper presents an econometrically estimated model where economic and demographic variables are determined simultaneously. It is used to quantify the importance of human capital expenditures in socioeconomic and demographic development as well as analyze the effects of rapid population growth on human capital expenditures. The simulation results indicate that human capital expenditures are important determinants of economic development, have appreciable negative effects on both fertility and infant mortality, hence, have negligible net effects on population in human capital expenditures per capita which implies a deteriorating quality of human capital."

Demography↗