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Investment in local health-shaping institutions: Reconsidering the role of the religious environment.

ABSTRACT: A body of research dating back to Durkheim has linked religious environments to population health and mortality rates. Scholars have argued that local religious subcultures influence population health through important pathways, including a community's propensity to invest in health-shaping institutions - such as public hospitals. A noticeable shortcoming of this literature, however, is a lack of evidence that these mechanisms exist as proposed. This study uses county-level data from the 2010 Religious Congregations and Membership Study and the 2012 U.S. Census of Governments to examine contextual religion's relationship with public investment in health-shaping institutions. Findings suggest that associations between religious traditions and institutional investment explain a significant and notable portion of the total effect of these traditions on mortality rates. This manuscript applies a more refined approach to studying health-shaping investment, and the results suggest interesting new directions in the study of cultural determinants of population health.

SUBMITTER: Clark J

PROVIDER: S-EPMC7492463 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature

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Investment in local health-shaping institutions: Reconsidering the role of the religious environment.

Clark Joseph J

Social science & medicine (1982) 20200519

A body of research dating back to Durkheim has linked religious environments to population health and mortality rates. Scholars have argued that local religious subcultures influence population health through important pathways, including a community's propensity to invest in health-shaping institutions - such as public hospitals. A noticeable shortcoming of this literature, however, is a lack of evidence that these mechanisms exist as proposed. This study uses county-level data from the 2010 Re ...[more]

PMID: 32448601

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Project description:The potential contribution of district assemblies to improving health and safety in Ghana's construction industry has not been investigated. This paper attempts to identify the local government responsibilities that could influence health and safety performance in the construction industry and to develop a confirmatory factor model based on these responsibilities. The paper adopted a positivist philosophy and a deductive methodology. A literature search was conducted to identify the local government factors that could potentially impact health and safety performance in the Ghanaian construction industry. These factors were adapted and designed into a questionnaire, and the generated questionnaires were distributed to respondents for their feedback. It was identified using the relative importance index that “the development of sanctions for violating occupational health and safety statutory obligations,” “the institution of local government occupational health and safety approval and certification for new projects,” and “the creation of occupational health and safety departments and committees that are adequately resourced to assist the Department of Factories Inspectorate” were the three most important roles that district assemblies could play as partners to improve health and safety in the construction industry. Conversely, the multivariate analysis identified the evaluation of the safety policies and risk management plans of contractors and suppliers as the most important role local government institutions could play in improving health and safety in the construction industry. The result of the study suggests that local government efforts, when given the needed attention and support, could advance health and safety in the industry. The practical implication of the study is that it identifies the roles of district assemblies that could enhance health and safety in Ghana's construction industry. All district assemblies should consider implementing these health and safety initiatives in their districts and ensuring they are regularly enforced and evaluated.

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Investment in local health-shaping institutions: Reconsidering the role of the religious environment.

Publications

Investment in local health-shaping institutions: Reconsidering the role of the religious environment.

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