Social Trust
Tuesday, January 16th, 2007In 1979, after a nine-year study of 6,928 adults living in Alameda County, California, epidemiologists Lisa Berkman and S. Leonard Syme reported that people with few social ties were two to three times more likely to die of all causes than were those with more extensive contacts. This relationship persisted even after controlling for such characteristics as age and health practices, including cigarette smoking, drinking, exercise, and the use of medical services. The basic findings of the Alameda County Study have since been confirmed in more than a half dozen epidemiological studies in different communities.
There are marked geographical variations in civic trust and association membership across the United States, and when these indicators of social capital are arrayed against regional differences in mortality and morbidity, the resulting correlations are striking. The chart “Social Capital and Mortality Rates” (below) shows the relationship between the level of civic trust and the age-adjusted rate of death from all causes for the 39 states for which data were available in the National Opinion Research Center’s General Social Surveys. The lower the trust between citizens — as indicated by the proportion of respondents in each state who believed that “most people cannot be trusted” — the higher is the average mortality rate.

A similar relationship with mortality prevails for the per capita membership of state residents in voluntary associations. These relationships between social cohesion and mortality hold among both whites and African Americans, as well as among men and women, and they persist after statistical adjustment for state variations in median household income and proportion of households living below the federal poverty threshold.
The figure below, “Social Trust and Quality of Life,” displays the correlation between level of civic trust and a measure of self-reported well-being. The National Center for Chronic Disease Prevention and Health Promotion employed the Behavioral Risk Factor Surveillance System (BRFSS) to ascertain the proportion of residents in each state reporting that their health was only fair or poor as opposed to good or excellent. (The BRFSS is a representative, random telephone survey that sampled more than 350,000 community-dwelling American adults between 1993 and 1996.) Again, there is a striking correlation between social capital and quality of life.

Bowling league membership turns out to correlate rather well with who lives or dies (see “Bowling League Membership and Mortality,” below).

“Income Inequality (Robin Hood Index) and Social Trust” (below) shows the rising trend in income inequality plotted against the steady decline in civic trust, as tracked by the General Social Surveys. The measure of income inequality is the Robin Hood Index, which equals the proportion of aggregate income that would have to be redistributed from households with disproportionate earnings to those earning less, if incomes were to be level. The higher the Robin Hood Index, the bigger the income gap. As “Income Inequality and Social Trust” shows, the larger the income gap, the lower is citizens’ trust in each other. Nearly identical results are obtained when we plot income disparity against per capita participation in voluntary associations.


