BACKGROUND UK health policy increasingly focusses on health as an asset. This represents a shift of focus away from specific risk factors towards the more holistic capacity by which integrated care assets in the community support improvements in both health and the wider flourishing of individuals. Though the social determinants of health are well known, relatively little research has focussed on the impact of an individual's health on their social outcomes. This research investigates how improved health can deliver a social return through the development of social capital. METHODS An observational study is undertaken on 25 years of longitudinal data, from 1991, drawn from the harmonised British Household Panel Survey (BHPS) and Understanding Society Survey (USS). Fixed effects instrumental variable panel data regression analysis is undertaken on individuals. The number of memberships of social organisations, as a measure of structural social capital, is regressed on subjectively measured general health and GHQ12 (Likert) scores. Distinction is drawn between males and females. RESULTS Improved general health increases social capital though differences exist between males and females. Interaction effects, that identify the impacts of health for different age groups, reveal that the effect of increased health on social capital is enhanced for males as they age. However, in the case of females increases in general health increase social capital only in connection with their age group. In contrast mental illness generally reduces social capital for males and females, and these effects are reduced through aging. CONCLUSIONS Investing in health as an asset can improve the social outcomes of individuals. Increasing the outcomes requires tailoring integrated care systems to ensure that opportunities for social engagement are available to individuals and reflect age groups. Targeting improvements in mental health is required, particularly for younger age groups, to promote social capital. The results suggest the importance of ensuring that opportunity for engagement in social and civic organisation be linked to general and mental health care support.

中文翻译：

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健康对社会资本的影响；英国的纵向观察研究。

背景技术英国的健康政策越来越关注健康作为一种资产。这代表着将重点从特定的风险因素转移到更全面的能力上，社区中的综合护理资产通过这些能力支持改善健康状况和个人的更广泛繁荣。尽管健康的社会决定因素是众所周知的，但相对较少的研究集中在个人健康对其社会成果的影响上。这项研究调查了改善健康状况如何通过社会资本的发展带来社会回报。方法从1991年的25年纵向数据中进行观察研究，该数据来自统一的英国家庭面板调查（BHPS）和理解社会调查（USS）。固定效应工具变量面板数据回归分析是针对个人进行的。社会组织成员的数量（作为衡量社会资本结构的指标）根据主观测量的总体健康状况和GHQ12（利克特）评分进行回归。男性和女性之间有区别。结果尽管男性和女性之间存在差异，但总体健康水平的提高增加了社会资本。交互作用确定了健康对不同年龄组的影响，结果表明，随着年龄的增长，增强健康对社会资本的影响会增强。但是，就女性而言，一般健康状况的增加仅与年龄段有关而增加社会资本。相反，精神疾病通常会减少男性和女性的社会资本，并且这些影响会随着年龄的增长而减少。结论将健康投资为一项资产可以改善个人的社会成果。增加结果需要量身定制综合护理系统，以确保个人可获得社会参与机会并反映年龄段。需要有针对性地改善心理健康，特别是针对年轻年龄组，以促进社会资本。结果表明，确保参与社会和公民组织的机会与一般和精神保健支持相联系的重要性。需要有针对性地改善心理健康，特别是针对年轻年龄组，以促进社会资本。结果表明，确保参与社会和公民组织的机会与一般和精神保健支持相联系的重要性。需要有针对性地改善心理健康，特别是针对年轻年龄组，以促进社会资本。结果表明，确保参与社会和公民组织的机会与一般和精神保健支持相联系的重要性。