Social Capital and Health Inequality in European Welfare States PDF
Preview Social Capital and Health Inequality in European Welfare States
Social Capital and Health Inequality in European Welfare States This page intentionally left blank Social Capital and Health Inequality in European Welfare States Mikael Rostila CentreforHealthEquityStudies(CHESS),StockholmUniversity/Karolinska Institutet,Sweden Palgrave macmillan ©MikaelRostila2013 Foreword©IchiroKawachi2013 Softcover reprint of the hardcover 1st edition 2013 978-0-230-29343-4 Allrightsreserved.Noreproduction,copyortransmissionofthis publicationmaybemadewithoutwrittenpermission. Noportionofthispublicationmaybereproduced,copiedortransmitted savewithwrittenpermissionorinaccordancewiththeprovisionsofthe Copyright,DesignsandPatentsAct1988,orunderthetermsofanylicence permittinglimitedcopyingissuedbytheCopyrightLicensingAgency, SaffronHouse,6–10KirbyStreet,LondonEC1N8TS. Anypersonwhodoesanyunauthorizedactinrelationtothispublication maybeliabletocriminalprosecutionandcivilclaimsfordamages. Theauthorhasassertedhisrighttobeidentifiedastheauthorofthiswork inaccordancewiththeCopyright,DesignsandPatentsAct1988. Firstpublished2013by PALGRAVEMACMILLAN PalgraveMacmillanintheUKisanimprintofMacmillanPublishersLimited, registeredinEngland,companynumber785998,ofHoundmills,Basingstoke, HampshireRG216XS. PalgraveMacmillanintheUSisadivisionofStMartin’sPressLLC, 175FifthAvenue,NewYork,NY10010. PalgraveMacmillanistheglobalacademicimprintoftheabovecompanies andhascompaniesandrepresentativesthroughouttheworld. Palgrave®andMacmillan®areregisteredtrademarksintheUnitedStates, theUnitedKingdom,Europeandothercountries. ISBN 978-1-349-33289-2 ISBN 978-1-137-30566-4 (eBook) DOI 10.1057/9781137305664 Thisbookisprintedonpapersuitableforrecyclingandmadefromfully managedandsustainedforestsources.Logging,pulpingandmanufacturing processesareexpectedtoconformtotheenvironmentalregulationsofthe countryoforigin. AcataloguerecordforthisbookisavailablefromtheBritishLibrary. AcatalogrecordforthisbookisavailablefromtheLibraryofCongress. To my children Juni and Jack, my wife Shirin, my mother Hillevi, and my father Reino In memory of Irma Kaca, 1925–2011 This page intentionally left blank Contents ListofFiguresandTables x Foreword xv 1 Introduction 1 1.1 Thehealthconcept 6 1.2 Healthinequalities 7 1.3 Socialcapitalandhealthinequalities 8 1.4 Thewelfareconcept 9 1.5 Welfareregimes 11 1.6 Overviewofthebook 13 2 TheoreticalFoundationsofSocialCapitalinHealth Research 18 2.1 Theoreticaldefinitionsofsocialcapital 20 2.2 Classificationsofsocialcapital 24 2.3 Socialcapitaltheoryinhealthresearch 26 2.4 Towardsadefinitionofsocialcapitalinhealthresearch 28 2.5 Thecontributionofaresource-basedtheoryofsocial capitalforhealthresearch 36 2.6 Conclusions 40 3 SocialCapitalandWelfare:DoUniversalWelfareStates “CrowdOut”orStimulateSocialCapital? 42 3.1 Thewelfarestateandinformalsocialcontacts 43 3.2 Thewelfarestateandformalsocialcontacts 46 3.3 Thewelfarestateandsocialtrust 49 3.4 Thewelfarestateandsocialresources 52 3.5 Conclusions 58 4 SocialCapitalandHealth:MechanismsandEmpirical Findings 61 4.1 Individualsocialcapitalandhealth 63 4.2 Collectivesocialcapitalandhealth 66 vii viii Contents 4.3 Socialcapitalasahealth-promotingfeatureofwelfare states 68 4.4 Thedarksidesofsocialcapitalinrelationtohealth 69 4.5 Someexamplesofpreviousstudiesonindividualand collectivesocialcapitalandhealth 72 4.6 SocialcapitalandhealthinEuropeanwelfarestates: Ecologicalassociations 75 4.7 Conclusions 82 5 HealthInequalitiesbyEducationinEuropeanWelfare Regimes:TheContributionofIndividualSocialCapital 86 5.1 Introduction 86 5.2 Dataandmethods 90 5.3 Results 93 5.4 Conclusions 106 6 HealthInequalitiesBetweenEuropeanWelfareRegimes: TheContributionofCollectiveSocialCapital 112 6.1 Introduction 112 6.2 Dataandmethods 119 6.3 Results 122 6.4 Conclusions 128 7 SocialCapitalandHealthInequalityinthe Social-DemocraticSwedishWelfareState 133 7.1 Introduction 133 7.2 Dataandmethods 143 7.3 Results 149 7.4 Conclusions 157 8 TheDarkSidesofSocialCapital:Homophilyand ClosureofImmigrants’SocialNetworksintheSwedish WelfareState 161 8.1 Introduction 161 8.2 Dataandmethods 169 8.3 Results 176 8.4 Conclusions 180 9 ConcludingDiscussion 184 9.1 Welfarestatesandsocialcapital 185 9.2 SocialcapitalandhealthinEuropeanwelfarestates 190 9.3 SocialcapitalandhealthinequalityinEuropean welfarestates 191 Contents ix 9.4 Thedownsidesofsocialcapitalinrelationtohealth 195 9.5 Policyimplications 196 9.6 Concludingremarks 199 Appendix1:MethodologicalConcernsandLimitations 202 Notes 206 References 209 Index 227
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