Neighborhood Social Capital, Neighborhood Attachment, and Dental Care Use for Los Angeles Family and Neighborhood Survey Adults
- 1 April 2013
- journal article
- Published by American Public Health Association in American Journal of Public Health
- Vol. 103 (4), e88-e95
- https://doi.org/10.2105/ajph.2012.301170
Abstract
Objectives. We tested the hypothesis that neighborhood-level social capital and individual-level neighborhood attachment are positively associated with adult dental care use. Methods. We analyzed data from the 2000–2001 Los Angeles Family and Neighborhood Survey that were linked to US Census Bureau data from 2000 (n = 1800 adults aged 18–64 years across 65 neighborhoods). We used 2-level hierarchical logistic regression models to estimate the odds of dental use associated with each of 4 forms of social capital and neighborhood attachment. Results. After adjusting for confounders, the odds of dental use were significantly associated with only 1 form of social capital: social support (adjusted odds ratio [AOR] = 0.85; 95% confidence interval [CI] = 0.72, 0.99). Individual-level neighborhood attachment was positively associated with dental care use (AOR = 1.05; 95% CI = 1.01, 1.10). Conclusions. Contrary to our hypothesis, adults in neighborhoods with higher levels of social capital, particularly social support, were significantly less likely to use dental care. Future research should identify the oral health–related attitudes, beliefs, norms, and practices in neighborhoods and other behavioral and cultural factors that moderate and mediate the relationship between social capital and dental care use.Keywords
This publication has 72 references indexed in Scilit:
- Health-related behavior as a mechanism behind the relationship between neighborhood social capital and individual health - a multilevel analysisBMC Public Health, 2012
- Social capital, acculturation, mental health, and perceived access to services among Mexican American women.Journal of Consulting and Clinical Psychology, 2012
- Social Network Concordance in Food Choice Among Spouses, Friends, and SiblingsAmerican Journal of Public Health, 2011
- Insurance-Related Barriers to Accessing Dental Care Among African American Adults With Oral Health Symptoms in Harlem, New York CityAmerican Journal of Public Health, 2011
- Understanding Social Capital and HIV Risk in Rural African American CommunitiesJournal of General Internal Medicine, 2011
- Assessing a multilevel model of young children’s oral health with national survey dataCommunity Dentistry and Oral Epidemiology, 2010
- Periodontal bacteria and hypertension: the oral infections and vascular disease epidemiology study (INVEST)Journal of Hypertension, 2010
- A Prediction Model for Chronic Kidney Disease Includes Periodontal DiseaseThe Journal of Periodontology, 2009
- Neighborhood Social Capital and Dental Injuries in Brazilian AdolescentsAmerican Journal of Public Health, 2006
- Reducing Oral Health Disparities: A Focus on Social and Cultural DeterminantsBMC Oral Health, 2006