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Social capital, poverty, and income inequality as predictors of gonorrhoea, syphilis, chlamydia and Aids case rates in the United States

Bibliographic Data

ID23339554
AuthorsDavid R Holtgrave (0000-0002-4321-7395, Emory University, corresponding author)
Year2003
Volume79
Issue1
Pages62-64
Publication date2003-02-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueSexually Transmitted Infections (JOURNAL)
Journal identifiersISSN: 1368-4973 • E-ISSN: 1472-3263
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/sti.79.1.62
PMID12576618
OpenAlexW2050093698
LanguageEN
Citations received92
References cited11

BACKGROUND: Social capital has been related to a number of important public health variables such as child welfare, mortality, and health status. However, the relation of social capital to infectious diseases has received relatively little attention. The relation of social capital to health measures is often posited to be related to the key societal variables of poverty and income inequality. Therefore, any exploration of the correlation between social capital and infectious diseases should also include examination of the association with poverty and income inequality. OBJECTIVE: This study examined the state level association between social capital, poverty, income inequality, and four infectious diseases that have important public health implications given their long term sequelae: gonorrhoea, syphilis, chlamydia, and AIDS. METHOD: A state level, correlational analysis (including bivariate linear correlational analysis, and multivariate linear stepwise regression analysis) was carried out. 1999 state level rates of gonorrhoea, syphilis, chlamydia, and AIDS were the main outcome measures. RESULTS: In bivariate analyses, poverty was significantly correlated with chlamydia; income inequality was significantly correlated with chlamydia and AIDS case rates; and social capital was significantly correlated with all outcome measures. In stepwise multiple regression analyses, social capital was always the strongest predictor variable. CONCLUSIONS: These results suggest that social capital is highly predictive of at least some infectious diseases. The results indicate the need for further research into this relation, and suggest the potential need for structural interventions designed to increase social capital in communities.

Chlamydia · Economic growth · Economic inequality · Economics · Inequality · Political science · Poverty · Social capital · Social inequality · Sociology · Syphilis · Demography · Employment and Welfare Studies · Food Security and Health in Diverse Populations · Health disparities and outcomes · Immunology · Medicine

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