Types of Social Capital and Mental Disorder in Deprived Urban Areas: A Multilevel Study of 40 Disadvantaged London Neighbourhoods

Article

Bertotti, M., Watts, Paul, Netuveli, G., Yu, Ge, Schmidt, Elena, Tobi, P., Lais, Shahana and Renton, A. 2013. Types of Social Capital and Mental Disorder in Deprived Urban Areas: A Multilevel Study of 40 Disadvantaged London Neighbourhoods. PLoS ONE. 8 (12), p. e80127.
AuthorsBertotti, M., Watts, Paul, Netuveli, G., Yu, Ge, Schmidt, Elena, Tobi, P., Lais, Shahana and Renton, A.
Abstract

Objectives

To examine the extent to which individual and ecological-level cognitive and structural social capital are associated with common mental disorder (CMD), the role played by physical characteristics of the neighbourhood in moderating this association, and the longitudinal change of the association between ecological level cognitive and structural social capital and CMD.
Design

Cross-sectional and longitudinal study of 40 disadvantaged London neighbourhoods. We used a contextual measure of the physical characteristics of each neighbourhood to examine how the neighbourhood moderates the association between types of social capital and mental disorder. We analysed the association between ecological-level measures of social capital and CMD longitudinally.
Participants

4,214 adults aged 16-97 (44.4% men) were randomly selected from 40 disadvantaged London neighbourhoods.
Main Outcome Measures

General Health Questionnaire (GHQ-12).
Results

Structural rather than cognitive social capital was significantly associated with CMD after controlling for socio-demographic variables. However, the two measures of structural social capital used, social networks and civic participation, were negatively and positively associated with CMD respectively. ‘Social networks’ was negatively associated with CMD at both the individual and ecological levels. This result was maintained when contextual aspects of the physical environment (neighbourhood incivilities) were introduced into the model, suggesting that ‘social networks’ was independent from characteristics of the physical environment. When ecological-level longitudinal analysis was conducted, ‘social networks’ was not statistically significant after controlling for individual-level social capital at follow up.
Conclusions

If we conceptually distinguish between cognitive and structural components as the quality and quantity of social capital respectively, the conclusion of this study is that the quantity rather than quality of social capital is important in relation to CMD at both the individual and ecological levels in disadvantaged urban areas. Thus, policy should support interventions that create and sustain social networks. One of these is explored in this article.

JournalPLoS ONE
Journal citation8 (12), p. e80127
ISSN1932-6203
Year2013
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CC BY
Publisher's version
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Web address (URL)http://dx.doi.org/10.1371/journal.pone.0080127
Publication dates
Print02 Dec 2013
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Deposited04 Dec 2013
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Ross, Joseph S., Lee, John Tayu, Netuveli, G., Majeed, Azeem and Millett, Christopher 2011. The Effects of Pay for Performance on Disparities in Stroke, Hypertension, and Coronary Heart Disease Management: Interrupted Time Series Study. PLoS ONE. 6 (12), p. e27236.
The orthopaedic error index: development and application of a novel national indicator for assessing the relative safety of hospital care using a cross-sectional approach
Panesar, S. S., Netuveli, G., Carson-Stevens, A., Javad, S., Patel, B., Parry, G., Donaldson, L. J. and Sheikh, A. 2013. The orthopaedic error index: development and application of a novel national indicator for assessing the relative safety of hospital care using a cross-sectional approach. BMJ Open. 3 (11), p. e003448.
Predictors of the timing of initiation of antenatal care in an ethnically diverse urban cohort in the UK
Cresswell, Jenny A, Yu, Ge, Hatherall, B., Morris, Joanne, Jamal, Farah, Harden, A. and Renton, A. 2013. Predictors of the timing of initiation of antenatal care in an ethnically diverse urban cohort in the UK. BMC Pregnancy and Childbirth. 13 (1), p. 103.
Physical activity in deprived communities in London: examining individual and neighbourhood-level factors
Watts, Paul, Phillips, G., Petticrew, Mark, Hayes, Richard, Bottomley, Christian, Yu, Ge, Schmidt, Elena, Tobi, P., Moore, D., Frostick, C., Lock, Karen and Renton, A. 2013. Physical activity in deprived communities in London: examining individual and neighbourhood-level factors. PLoS ONE. 8 (7), p. e69472. https://doi.org/10.1371/journal.pone.0069472
Energy, Development and Health Futures in Poorer Countries
Renton, A. 2013. Energy, Development and Health Futures in Poorer Countries. UEL Research and Knowledge Exchange Conference 2013. University of East London, London 26 Jun 2013 London University of East London.
Neighbourhood deprivation monitoring in Rotterdam and London: exploring barriers to evidence-based policy and practice
Rie, Sanneke de la, Tobi, P., Spierings, Frank and Sheridan, K. 2013. Neighbourhood deprivation monitoring in Rotterdam and London: exploring barriers to evidence-based policy and practice. Journal of Social Intervention: Theory and Practice. 22 (2), pp. 93-112.
Redesigning Joint Strategic Needs Assessment: an assets based approach
Tobi, P. 2013. Redesigning Joint Strategic Needs Assessment: an assets based approach. UEL Research and Knowledge Exchange Conference 2013. University of East London, London 26 Jun 2013 London University of East London.
Environmental interventions to reduce fear of crime: systematic review of effectiveness
Lorenc, Theo, Petticrew, Mark, Whitehead, Margaret, Neary, David, Clayton, Stephen, Wright, Kath, Thomson, Hilary, Cummins, Steven, Sowden, Amanda and Renton, A. 2013. Environmental interventions to reduce fear of crime: systematic review of effectiveness. Systematic Reviews. 2 (1), p. 30.
Fear of crime and the environment: systematic review of UK qualitative evidence
Lorenc, Theo, Petticrew, Mark, Whitehead, Margaret, Neary, David, Clayton, Stephen, Wright, Kath, Thomson, Hilary, Cummins, Steven, Sowden, Amanda and Renton, A. 2013. Fear of crime and the environment: systematic review of UK qualitative evidence. BMC Public Health. 13 (1), p. 496.
Absence of direct association between variables does not always mean no evidence of association: Indirect pathways between neighbourhood characteristics and physical activity
Watts, Paul, Phillips, Gemma and Renton, A. 2013. Absence of direct association between variables does not always mean no evidence of association: Indirect pathways between neighbourhood characteristics and physical activity. UEL Research and Knowledge Exchange Conference 2013. University of East London, London 26 Jun 2013 London University of East London.
The Olympic Regeneration in East London (ORiEL) study: protocol for a prospective controlled quasi-experiment to evaluate the impact of urban regeneration on young people and their families
Smith, N. R., Clark, C., Fahy, A. E., Tharmaratnam, V., Lewis, D. J., Thompson, C., Renton, A., Moore, D., Bhui, K. S., Taylor, S. J. C., Eldridge, S., Petticrew, M., Greenhalgh, T., Stansfeld, S. A. and Cummins, S. 2012. The Olympic Regeneration in East London (ORiEL) study: protocol for a prospective controlled quasi-experiment to evaluate the impact of urban regeneration on young people and their families. BMJ Open. 2 (4), p. e001840.
Key barriers to community cohesion: views from residents of 20 London deprived neighbourhoods
Bertotti, M., Adams-Eaton, F., Sheridan, K. and Renton, A. 2011. Key barriers to community cohesion: views from residents of 20 London deprived neighbourhoods. GeoJournal. 47 (2), pp. 168-183.
The contribution of a social enterprise to the building of social capital in a disadvantaged urban area of London
Bertotti, M., Harden, A., Renton, A. and Sheridan, K. 2012. The contribution of a social enterprise to the building of social capital in a disadvantaged urban area of London. Community Development Journal. 47 (2), pp. 168-183.
Reconsidering private sector engagement in subnational economic governance
Syrett, Stephen and Bertotti, M. 2012. Reconsidering private sector engagement in subnational economic governance. Environment and Planning A. 44 (10), pp. 2310-2326.
Think of your art-eries: Arts participation, behavioural cardiovascular risk factors and mental well-being in deprived communities in London
Renton, A., Phillips, Gemma, Daykin, N, Yu, Ge, Taylor, K and Petticrew, Mark 2012. Think of your art-eries: Arts participation, behavioural cardiovascular risk factors and mental well-being in deprived communities in London. Public Health. 126 (Supp 1), pp. S57-S64.
A multilevel analysis of the association between social networks and support on leisure time physical activity: evidence from 40 disadvantaged areas in London
Yu, Ge, Renton, A., Schmidt, Elena, Tobi, Patrick, Bertotti, M., Watts, P. and Lais, Shahana 2011. A multilevel analysis of the association between social networks and support on leisure time physical activity: evidence from 40 disadvantaged areas in London. Health & Place. 17 (5), pp. 1023-1029.
The Well London program - a cluster randomized trial of community engagement for improving health behaviors and mental wellbeing: baseline survey results
Phillips, G., Renton, A., Moore, D., Bottomley, Christian, Schmidt, Elena, Lais, Shahana, Yu, Ge, Wall, Martin, Tobi, P., Frostick, C., Clow, Angela, Lock, Karen, Petticrew, Mark and Hayes, Richard 2012. The Well London program - a cluster randomized trial of community engagement for improving health behaviors and mental wellbeing: baseline survey results. Trials. 13 (105).
The influence of environmental factors on the generalisability of public health research evidence: physical activity as a worked example
Watts, P., Phillips, Gemma, Harden, A. and Renton, A. 2011. The influence of environmental factors on the generalisability of public health research evidence: physical activity as a worked example. International Journal of Behavioural Nutrition and Physical Activity. 8 (1), pp. 1479-5868.
Antiretroviral treatment and the health workforce in South Africa: how have ART workers been affected by scaling up?
Tobi, Patrick, George, Gavin, Schmidt, Elena and Renton, A. 2008. Antiretroviral treatment and the health workforce in South Africa: how have ART workers been affected by scaling up? Tropical Medicine and International Health. 13 (12), pp. 1452-1458.
Evaluation of community level interventions to address social and structural determinants of health: a cluster randomised controlled trial
Wall, Martin, Hayes, Richard, Moore, D., Petticrew, Mark, Clow, Angela, Schmidt, Elena, Draper, Alizon, Lock, Karen, Lynch, Rebecca and Renton, A. 2009. Evaluation of community level interventions to address social and structural determinants of health: a cluster randomised controlled trial. BMC Public Health. 9 (207).