| Titre : | No association of neighbourhood volunteerism with mortality in New Zealand : a national multilevel cohort study. (2006) |
| Auteurs : | Tony BLAKELY ; June ATKINSON ; CALLINGS (Sunny) : NZL. Department of Psychological Medicine. Wellington School of Medicine and Health Sciences. University of Otago. ; Philippa HOWDEN-CHAPMAN ; Vivienne IVORY ; Jenny WILTON |
| Type de document : | Article |
| Dans : | International journal of epidemiology (vol. 35, n° 4, 2006) |
| Pagination : | 981-993 |
| Langues: | Anglais |
| Mots-clés : | Association ; Milieu social ; Bénévolat ; Mortalité ; Epidémiologie ; Nouvelle Zélande ; Océanie ; Suicide ; Homme |
| Résumé : | [BDSP. Notice produite par INIST-CNRS rtR0xiTC. Diffusion soumise à autorisation]. Background : The association of social capital with health and mortality is contentious, and empirical findings are inconsistent. This study tests the association of neighbourhood-level volunteerism with mortality. Methods : Cohort study of 1996 New Zealand census respondents aged 25-74 years (4.75 million person years) using multilevel Poisson regression analyses. Neighbourhood (average population 2034) measures included indices of social capital (volunteering activities for all census respondents) and deprivation. Results : Adjusting for just age and marital status, the mortality rate ratios for people living in the quintile of neighbourhoods with the lowest compared with highest volunteerism were 1.16 (95% confidence interval 1.08-1.24) and 1.09 (1.01-1.18), for males and females, respectively. Adjusting for potential individual-level and neighbourhood-level socioeconomic confounders reduced the rate ratios to 0.94 (0.88-1.01) and 0.92 (0.85-1.01), respectively. There was no significant association with any cause of death, including suicide [rate ratios 0.89 (0.64-1.22) and 0.57 (0.31-1.05), respectively]. Restricting the analyses to only those census respondents living at their census night address for five or more years, and therefore'exposed'to that level of volunteerism for a longer period, did not substantially alter findings. Conclusions : This study, one of the largest multilevel studies yet, found no statistically significant independent association of a structural measure of neighbourhood social capital with mortality-including suicide. Assuming social features of neighbourhoods are important determinants of health, future research should examine other features (e.g. social fragmentation) and other outcomes (e.g. behaviour). |
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