The social determinants of health continue to impact health disparities among communities living along the U.S.-Mexico border. Because community health workers (CHWs) are recognized for promoting a variety of positive patient-centered health outcomes in their roles as educators and health system navigators, recent inquiry has focused on the role of the CHW in facilitating community-level changes through grassroots advocacy to impact the social determinants of health. Social capital theory, which posits that participation in groups has positive consequences for individuals and the community, is a useful lens through which CHW effectiveness in grassroots advocacy can be measured and replicated. Using quantitative and qualitative methods, this study investigated the social capital characteristics of fifteen CHWs working in border communities who were trained in grassroots advocacy. Participating CHWs reported high baseline levels of social capital, which was assessed using a social capital questionnaire. After one year of engagement in grassroots advocacy, participating CHWs reported statistically significant increases in one measure of bridging social capital (community engagement) and one measure of linking social capita (participation with political/civic leaders). Qualitative interviews with each CHW further explored the role of social capital in their grassroots advocacy, resulting in a social capital model elucidating six activities of CHW-driven grassroots advocacy. The mixed methods results provide measures for assessing CHWs' social capital in their traditional roles and as grassroots advocates, as well as a framework for understanding how CHWs use their social capital to take grassroots action addressing the social determinants of health.

Coordination is a vital component in health care provision and teamwork. The need for better coordination is particularly prominent in outpatient setting where patients assume the primary responsibility to follow-up on their own health care, especially when treatment is complex and lengthy in duration. Relational coordination represents a type of informal coordination process reinforced by communication and supportive relationships. This concept has been associated with enhanced interprofessional team performance, including patient care outcomes. This study aimed to examine the theoretical underpinnings of relational coordination in the outpatient setting using social capital theory. It was hypothesized that social capital, resources embedded within network of relationships, would predict relational coordination. Additionally, social capital was hypothesized to be predicted by team tenure; and relational coordination was hypothesized to be predicted by formal coordination mechanisms. A non-experimental, cross-sectional survey design was used to examine the relationship between social capital and relational coordination. Participants (N=342) were physicians and nurses recruited from outpatient clinics in two University affiliated hospitals. Study surveys were sent to 501 nurses and 187 physicians with follow-up reminders sent at three, five and seven weeks after the initial distribution of surveys. The overall response rate was 49.71%. Study variables were measured using previously validated instruments with acceptable levels of reliability and validity. Structural equation modeling (SEM) was used for hypothesis testing. Final analysis revealed good fit of data to the hypothesized model (Chi-square=383.38, df=177, p<0.001; CFI=0.966; RMSEA=0.060; SRMR=0.0316). SEM revealed that social capital predicted both factors of relational coordination [communication (β=0.70, p<0.001); supportive relationship (β=0.81, p<0.001)], and team tenure predicted social capital (β=0.13, p<0.05). In addition, the association between team tenure and relational coordination (β=0.09, p<0.05) was found to be partially mediated by social capital. Findings of this study suggested that characteristics within relational ties are predictive of informal coordination. Administrators may facilitate teamwork through team building initiatives that foster these relational qualities, such as trust and shared language. Future research can further investigate the association between social capital and relational coordination in other health care settings, as well, in larger teams involving health care professionals in addition to physicians and nurses.

This study examines the connection between social capital and urban and rural areas. The study divides the environments into two categories; metropolises and rural areas. Metropolises are defined as any of Swedens largest cities Stockholm, Gothenburg or Malmö. The study also examines if there is a difference between these groups in how high social trust they have to people living in the same areas as themselves versus people who live in other areas. The studie also focuses on the urbanization that the world is going through, where people move from rural areas into the cities for work and education. Does the urbanization also have an effect of the development of the social capital? Social capital is defined as social trust and the participants have been asked to which extent they feel like they can trust other people. The results of the research shows there exists a slight but consistent difference between the groups where we can see that the people who has grown up in metropolises has a higher social trust than the people raised in rural areas. The study also shows that although the people raised in rural areas has lower trust to people in general, they have higher trust to people living in the same areas as themselves.

Having recognized the merits of social capital research within other study areas, the authors of this degree project take a look at this concept from a relatively untouched perspective, banks. Social capital has long been a staple in both political science as well as sociology discourse. In recent history, the principles of social capital theory, which entail deriving benefits from building and nurturing social relationships, have been applied to a limited number of organizational contexts. The banking industry is one such organizational context that has remained relatively untouched by the extant body of research on the concept. Given the implied fixation of banks on more so financial capital than social capital, the authors of this degree project found this perspective to be a potentially interesting area of research. Social capital’s strong emphasis on trust also made the bank context appealing as the current climate within the financial services industry is that of widespread distrust, from the outside world, as a result of the financ ia l crisis of 2007 to 2009. As a consequence, the following research question emerged: how do banks invest in social capital? The purpose of this study has thus been to gain insight s into how social capital is invested in by banks, through their network reach, from these banks’ own perspectives, using a qualitative research method. In order to do so, the authors delved into the body of research on social capital and accounted for relevant elements therein, thereby laying the theoretical foundation for an exploratory study. Amongst other elements, this study features a tri- dimensional view of social capital, which has constituted one of the bases upon which banks’ practical approach to the phenomenon have been analyze. This study, which gives credence to a subjective view of reality, provides insights into the social capital investment activities of eight Swedish banks. Furthermore, this study, which depicts sampled banks’ situation in the spring of 2014, analyzes each organization individually based on data derived from semi- struct ured interviews, while making on inferences rooted in theory. What has been found is that banks do not seem to engage in the investment of social capital to the degree that is typical for the concept. Rather, banks have been observed to prefer more superficial, or weak, ties to other parties, more so than strong ones. Furthermore, this study uncovers the lack of bonding among bank members and their ability to attain social capital assets without, in actual fact, needing to invest in deep - seated relationships. Moreover, the completio n of this study calls for inquisitions into other low trust industries, amongst other future research area suggestions. Implications for both the practical and academic worlds are also provided, there among this study's contribution to banking industry constituents in the form of a look into the current techniques used to build relationships by their banking counterparts.

The concept of space goes well beyond just buildings and infrastructure; it can represent feelings of attachment and belonging, it can interact with us and generate meaning. The built environment is not just the “backdrop” of our lives, but rather it plays a major role in them. In the state of California prisons have become a prominent element of our communal landscape, now housing 2.4 million Americans today. This paper explores prisons as a rich site of analysis in terms of how our built environment affects our daily lives. In order to delve into this analysis, I will explore sport-based programming in the prison context and how these programs can create alternative spaces to foster social capital and improve the relationship between the individual and his or her surroundings. In order to bring these theories to life, I conducted a case study through the Prison Education Project at The California Rehabilitation Center to explore the efficacy of academic soccer-based programs within this context specifically.

The aim of this flexible, multi-method case-study (after Yin 1994, 2003), was to elicit the 'student perspective' on issues relating to mental well-being within the Higher Education Institution setting. It has been guided by the ideology of the health promotion model, the concept of salutogenesis and the Health Promoting University initiative. Phase One consisted of eleven focus group discussions involving fifty one self-selecting participant undergraduates and a semi-structured interview conducted with the lead medical practitioner of the Medical Centre on site. In Phase Two, a quota sample of 806 undergraduates completed a questionnaire. The three datasets were analysed according to a facilitative and complementary approach (Brannen 2004) and in keeping with assumptions of the paradigms from which they originated. The qualitative data were analysed within the framework provided by Miles and Huberman (1994) and the survey was analysed using the Statistical Package for Social Sciences (SPSS). The findings demonstrated that this multi-site university may have specific difficulties with regard to the provision of equal access to the support services. Reduced pastoral care could pose risks to the mental well-being of some students whereas the allocation of students to a personal tutor might increase levels of social capital and reduce symptoms of 'anomie'. Conclusions of the study suggest that HEIs need an understanding of the concerns of the students and their help-seeking behaviour in order to define 'health assets' and minimise 'health deficits'. Overall, the development of co-ordinated institutional support service provision - that is responsive to the needs of a diverse student body - facilitates and supports the creation of a salutogenic environment that both promotes and sustains mental well-being. Health education programmes need to address the persistence of stigma and discrimination. Attention should be focused on health protection measures so that all groups of students are treated equally and fairly in order to counter-balance a possible residual biomedical approach to health promotion from within the medical sector provision. As a case-study of one university, the findings may be theoretically generalisable to other similar multi-site HEIs in their mental health promotion provision.

<p>The environment affects our health, livelihoods, and the social and political institutions within which we interact. Indeed, nearly a quarter of the global disease burden is attributed to environmental factors, and many of these factors are exacerbated by global climate change. Thus, the central research question of this dissertation is: How do people cope with and adapt to uncertainty, complexity, and change of environmental and health conditions? Specifically, I ask how institutional factors, risk aversion, and behaviors affect environmental health outcomes. I further assess the role of social capital in climate adaptation, and specifically compare individual and collective adaptation. I then analyze how policy develops accounting for both adaptation to the effects of climate and mitigation of climate-changing emissions. In order to empirically test the relationships between these variables at multiple levels, I combine multiple methods, including semi-structured interviews, surveys, and field experiments, along with health and water quality data. This dissertation uses the case of Ethiopia, Africa’s second-most populous nation, which has a large rural population and is considered very vulnerable to climate change. My fieldwork included interviews and institutional data collection at the national level, and a three-year study (2012-2014) of approximately 400 households in 20 villages in the Ethiopian Rift Valley. I evaluate the theoretical relationships between households, communities, and government in the process of adaptation to environmental stresses. Through my analyses, I demonstrate that water source choice varies by individual risk aversion and institutional context, which ultimately has implications for environmental health outcomes. I show that qualitative measures of trust predict cooperation in adaptation, consistent with social capital theory, but that measures of trust are negatively related with private adaptation by the individual. Finally, I describe how Ethiopia had some unique characteristics, significantly reinforced by international actors, that led to the development of an extensive climate policy, and yet with some challenges remaining for implementation. These results suggest a potential for adaptation through the interactions among individuals, communities, and government in the search for transformative processes when confronting environmental threats and climate change.</p> / Dissertation

The educational system in Sweden is expanding and while some see higher education as a remedy for unemployment, others argue that credentialing of the society with diplomas will harm the competition on the labour market and the value of higher education. However, the effects of educational expansion are noticeable not only at the macro, but also at the micro level. Studies have shown that Sweden is internationally on the bottom of the list when it comes to gross returns of higher education. During the 1990s the educational expansion led to the impairment of university and college degrees to uplift individuals to high income positions. Studies have also shown that fluctuations in training premia are inconsistent with the supply of higher educated labour force. The focus of this quantitative dissertation is on the period between 2000 and 2010. By measuring the success on the labour market in terms of monthly salary the aim is to find out how the educational expansion affected Swedish labour market after the 1990s. By using SPSS, a multiple linear regression analysis is applied on data that is extracted from Levnadsnivåundersökningen (LNU) 2000 and 2010. The results suggest that even though the effects of higher education are not dramatically different between these years, it explained more of the total variance in monthly salary in 2000. Furthermore, social background and social networks had stronger effects on the success on the labour market in 2010. This implies that meritocratic principles were utilized more during the early twenty first century and that social status continues to determine salaries in a modern capitalist society.

The purpose of this study is to explore Black women’s experience of becoming and being entrepreneurs and accumulating wealth. Through interview questions that examine social capital, this study allows eight Black women to recall their ever-changing and evolving experience of entrepreneurship and economic mobility. This qualitative study goes beyond empirical data of the wealth gap and the numerical trends of Black women entrepreneurs. The study allowed for Black women to share their experience with wealth accumulation and the social factors, such as networks and relationships that attributed to starting and sustaining a business. Findings and implications will be discussed.

HOPE VI, instituted in 1993 and subsequent related policies, resulted in the demolition of traditional public housing and the relocation of former residents. For former residents living on low incomes, combining housing subsidy and other social services is important to survival. One crucial type of social services support provides food supplements. Research indicates that among low-income families, many do not receive necessary food social services. For example, among eligibles, food stamp utilization is at 50 to 60%, and for Special Supplemental Nutrition Program for Women Infants and Children (WIC) rates vary from 38 to 73%. Research indicates that 35% of food insecure older adults are ineligible for the Elder Nutrition Program, and approximately 60% of eligibles are wait-listed upon application. Social services utilization patterns among eligibles are affected by neighborhood contexts. Relocation due to public housing transformation policies has been shown to change neighborhood context. This in turn has affected former public housing resident’s cultural capital and social capital. But how this affects food social services utilization has not been studied. I use Klinenberg’s (2002) activist client thesis as a framework to investigate the effect of cultural capital and social capital for housing subsidy recipients (relocated public housing residents) in Atlanta on their utilization of food social services using secondary longitudinal data from the Georgia State University Urban Health Initiative analyzed using ordered logistic regression. Most specifically, my research investigated how varying neighborhood contexts affect food social services utilization for former public housing residents in Atlanta. This research informs public policy on the provision of housing subsidy and the provision of food social services.