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AJPH First Look, published online ahead of print Jun 29, 2006
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AJPH.2003.029793v1
96/8/1456    most recent
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August 2006, Vol 96, No. 8 | American Journal of Public Health 1456-1461
© 2006 American Public Health Association
DOI: 10.2105/AJPH.2003.029793


RESEARCH AND PRACTICE

Social Capital and Health: Civic Engagement, Community Size, and Recall of Health Messages

Kasisomayajula Viswanath, PhD, Whitney Randolph Steele, PhD, MPH and John R. Finnegan, Jr, PhD

Kasisomayajula Viswanath is with the Department of Society, Human Development, and Health, Harvard School of Public Health, Boston, Mass, and with the Department of Medical Oncology, Dana Farber Cancer Institute, Boston, Mass. At this time of this study, Whitney Randolph Steele was with the National Cancer Institute, Bethesda, Md. John R. Finnegan Jr is with the School of Public Health, University of Minnesota, Minneapolis.

Correspondence: Requests for reprints should be sent to K. Viswanath, Dana Farber Cancer Institute, SM 251, 44 Binney Street, Boston, MA 02115 (e-mail: vish_viswanath{at}dfci.harvard.edu).

Objectives. We explored the effects of community integration and pluralism on recall of cardiovascular disease health information messages.

Methods. With 1980–1983 data from the Minnesota Heart Health Program, we examined whether ties to community groups were associated with recall of health messages, and whether this relation was modified by size and degree of differentiation of the community.

Results. A higher level of civic engagement through ties to community groups was associated with better recall of health messages. Ties to community groups independently contributed to better message recall even after control for gender, education, and other variables. The moderating role of community size was non-significant but intriguing.

Conclusions. Community group membership could increase exposure to health messages, providing a critical pathway for social capital to influence health promotion and, thus, public health outcomes.







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