JECH Online First, published on January 22, 2016 as 10.
1136/jech-2015-207100 PostScript
LETTER
Linking social capital, a
forgotten component of social capital I read with interest the study from Dr Takashi Oshio, where he attempted to address how the association between individual-level social capital and health is confounded by an individuals unobserved time-invariant attributes.1 By reading the methods described by the author, one can nd that he operationalised social capital only as two components: bonding and bridging social capital, but he did not mention the third component of social capital: linking social capital. Not measuring this component could confuse results. First of all, what is social capital? It comprehends the expected benets derived from the cooperation between individuals and groups. Thus, when dening social capital, a proxy may come to mind: social network, which is the network of individuals, groups, organisations, institutions and social resources, to which individuals and groups are connected to or isolated from.2 3 Social capital is not a product derived from research in the medical eld. Sociologists, economists and political scientists have made important
contributions to the theoretical framework and, in my opinion, the most
important contributor is Bourdieu.4 He postulates that social capital reproduces inequality in a particular way by allowing some people to mobilise capital for their own benet taking out of the picture vulnerable populations. He denes social capital as: The aggregate of the actual or potential resources that are linked to possession of a durable network of more or less institutionalised relationships of mutual acquaintance or recognition. This is a philosophical concept and constitutes a soft variable to be measured in epidemiology. Then, in order to develop a measurable hard variable that provides us with a framework of social capital in research, the concept is often deconstructed into bonding, bridging and linking components.5 Thus, bonding social capital refers to close relationships between family members or good friends, measured by indicators such as social support. Bridging social capital refers to relationships between people who are more loosely connected and have distinct social identities, such as neighbours or colleagues. Linking social capital is used to describe relationships that are characterised by power differences. Based on this denition, a question emerges to pose to the author: How did you measure and
introduce the effect of linking social
capital into your model? I think the lack of this component could confuse results. Ramiro Manzano Nunez Correspondence to Dr Ramiro Manzano Nunez, Universidad del Valle, Calle 14A oeste #55175, Cali 760001, Valle del Cacua, Colombia; ramiro.manzano@correounivalle.edu.co Competing interests None declared. Provenance and peer review Not commissioned; internally peer reviewed. To cite Manzano Nunez R. J Epidemiol Community Health Published Online First: [ please include Day Month Year] doi:10.1136/jech-2015-207100 Received 16 December 2015 Revised 6 January 2016 Accepted 7 January 2016 J Epidemiol Community Health 2016;0:1. doi:10.1136/jech-2015-207100
REFERENCES 1
2 3
4 5
Oshio T. The association between individual-level
social capital and health: cross-sectional, prospective cohort and xed-effects models. J Epidemiol Community Health 2016;70:2530. Porta M, ed. A dictionary of epidemiology. 6th edn. New York: Oxford University Press, 2014. Social CapitalMeSHNCBI. (cited 6 January 2016). http://www.ncbi.nlm.nih.gov/mesh/?term=social +capital Bourdieu P. The forms of capital. Handb Theory Res Sociol Educ 1986;241:24158. Harpham T, Grant E, Thomas E. Measuring social capital within health surveys: key issues. Health Policy Plan 2002;17:10611.
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