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CRITICAL CONCEPTS FOR REACHING POPULATIONS AT RISK |
Howard I. Kushner is with the Rollins School of Public Health, the Graduate Institute of Liberal Arts, and the Center for the Study of Health, Culture, and Society at Emory University, Atlanta, Ga. Claire E. Sterk is with the Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University.
Correspondence: Requests for reprints should be sent to Howard I. Kushner, PhD, Rollins School of Public Health, 5th floor, Emory University, 1518 Clifton Rd, NE, Atlanta, GA 30322 (e-mail: hkushne{at}sph.emory.edu).
Recent applications of social capital theories to population health often draw on classic sociological theories for validation of the protective features of social cohesion and social integration. Durkheims work on suicide has been cited as evidence that modern life disrupts social cohesion and results in a greater risk of morbidity and mortalityincluding self-destructive behaviors and suicide.
We argue that a close reading of Durkheims evidence supports the opposite conclusion and that the incidence of self-destructive behaviors such as suicide is often greatest among those with high levels of social integration. A reexamination of Durkheims data on female suicide and suicide in the military suggests that we should be skeptical about recent studies connecting improved population health to social capital.
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X Chen, B Stanton, J Gong, X Fang, and X Li Personal Social Capital Scale: an instrument for health and behavioral research Health Educ. Res., May 9, 2008; (2008) cyn020v1. [Abstract] [Full Text] [PDF] |
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K. M. Fitzpatrick, J. Irwin, M. LaGory, and F. Ritchey Just Thinking about It: Social Capital and Suicide Ideation among Homeless Persons J Health Psychol, September 1, 2007; 12(5): 750 - 760. [Abstract] [PDF] |
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R. M. Carpiano and B. C. Kelly "WHAT WOULD DURKHEIM DO?" A COMMENT ON KUSHNER AND STERK Am J Public Health, December 1, 2005; 95(12): 2120 - 2121. [Full Text] [PDF] |
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