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Community Culture Survey - Revised: Measuring neighborhood culture and exploring geographic, socioeconomic, and cultural determinants of health in samples across the United States and in Thailand.
Pellegrin, Karen L; Hales, Sarah; O'Neil, Patrick; Wongwiwatthananukit, Supakit; Jongrungruangchok, Suchada; Songsak, Thanapat; Lozano, Alicia J; Miller, Katharine; Mnatzaganian, Christina L; Fricovsky, Eduardo; Nigg, Claudio R; Tagorda-Kama, Michelle; Hanlon, Alexandra L.
Afiliación
  • Pellegrin KL; Center for Rural Health Science, Daniel K. Inouye College of Pharmacy, University of Hawai'i at Hilo, USA.
  • Hales S; Weight Management Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
  • O'Neil P; Weight Management Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
  • Wongwiwatthananukit S; Department of Pharmacy Practice, Daniel K. Inouye College of Pharmacy, University of Hawai'i at Hilo, USA.
  • Jongrungruangchok S; College of Pharmacy, Rangsit University, Pathum Thani, Thailand.
  • Songsak T; College of Pharmacy, Rangsit University, Pathum Thani, Thailand.
  • Lozano AJ; Center for Biostatistics and Health Data Science (CBHDS), Department of Statistics, Virginia Tech, USA.
  • Miller K; Statistical Applications and Innovations Group (SAIG), Department of Statistics, Virginia Tech, USA.
  • Mnatzaganian CL; University of California San Diego, Skaggs School of Pharmacy and Pharmaceutical Sciences, USA.
  • Fricovsky E; University of California San Diego, Skaggs School of Pharmacy and Pharmaceutical Sciences, USA.
  • Nigg CR; Department of Health Science, Institute of Sport Science, University of Bern, Switzerland.
  • Tagorda-Kama M; Office of Public Health Studies, University of Hawai'i at Manoa, USA.
  • Hanlon AL; Center for Biostatistics and Health Data Science (CBHDS), Department of Statistics, Virginia Tech, USA.
Public Health Pract (Oxf) ; 7: 100512, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38846106
ABSTRACT

Objectives:

Research on links between social, geographic, and cultural determinants of health has been thwarted by inadequate measures of culture. The purpose of this study was to improve the measurement of community culture, defined as shared patterns of attitudes and behaviors among people within a neighborhood that distinguish it from others, and to examine dimensions of culture, independent of socioeconomic and demographic factors, and their relationships with health. Study

design:

A survey research design with correlational analyses was used.

Methods:

A survey packet including the Community Culture Survey - Revised (CCS-R), demographic, health, and other individual-level measures was administered through convenience sampling across the United States (US) and to a sample in Thailand from 2016 to 2018. US county-level variables were obtained from zip codes.

Results:

1930 participants from 49 US states (n = 1592) and Thailand (n = 338) completed all CCS-R items, from which 12 subscales were derived Social Support & Connectedness, Responsibility for Self & Others, Family Ties & Duties, Social Distress, Urban Diversity, Discontinuity, Church-Engaged, External Resource-Seeking, Locally Owned Business-Active, Power Deference, Next Generation Focus, and Self-Reliance. Neighborhood culture subscale scores varied more by geography than by participant's demographics. All subscales predicted one or more health indicator, and some of these relationships were significant after adjusting for participant age and county-level socioeconomic variables. Most of the significant differences on subscales by race/ethnicity were no longer significant after adjusting for participant's age and county-level socioeconomic variables. Most rural/urban and regional differences in culture within the US persisted after these adjustments. Based on correlational analyses, Social Support & Connectedness and Responsibility for Self & Others were the best predictors of participants' overall health and quality of life, and Responsibility for Self & Others was the best predictor (inversely) of the CDC's measures of social vulnerability.

Conclusions:

Neighborhood culture is measurable, multi-dimensional, distinct from race/ethnicity, and related to health even after controlling for age and socioeconomic factors. The CCS-R is useful for advancing research and practice addressing the complex interactions between individuals, their neighborhood communities, and health outcomes.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Public Health Pract (Oxf) Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Public Health Pract (Oxf) Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido