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Social Participation in Poland: Links to Emotional Well-Being and Risky Alcohol Consumption
Maria K. Pavlova • Rainer K. Silbereisen • Kamil Sijko
Accepted: 24 April 2013� Springer Science+Business Media Dordrecht 2013
Abstract Social participation has been hypothesised to have both positive and negative
impact on health outcomes via a variety of pathways, but previous studies have found few
significant effects of social participation, and there is a lack of research from post-com-
munist societies, which are known to be low on social capital. Using cross-sectional data
from Poland on 2,970 individuals surveyed in 2009, we investigated the individual-level
relationships between formal and informal social participation, emotional well-being, and
risky alcohol consumption while controlling for demographic variables, socioeconomic
status, employment and partnership status, health, religiosity, and generalised trust. Fre-
quent joint activities with friends and neighbours were related to higher positive affect but
also to more risky alcohol consumption. Membership in voluntary organisations was
associated with more risky alcohol consumption, especially among younger males and for
certain types of organisations. In contrast, volunteer work was related to higher positive
affect and fewer depressive symptoms in the whole sample and to less risky alcohol
consumption among the younger participants. The findings illustrate that some types of
social participation, even if they are not typical of a given context (e.g., volunteering in
Poland), may be more beneficial than others.
Keywords Social capital � Social participation � Formal and informal ties � Volunteering �Mental health � Alcohol abuse
M. K. Pavlova (&) � R. K. SilbereisenCenter for Applied Developmental Science (CADS), Friedrich Schiller University Jena,Semmelweisstr. 12, 07743 Jena, Germanye-mail: [email protected]
K. SijkoPolish Educational Research Institute, Gorczewska 8, 01-180 Warsaw, Poland
123
Soc Indic ResDOI 10.1007/s11205-013-0332-9
1 Introduction
Recent years have seen the growing interest of researchers in the relationship between
social capital and health. Social capital has been conceptualised at the collective level as
cohesion, trust, and reciprocity characterising social groups and networks; in turn, an
individual is thought to be endowed with social capital if they are embedded in groups and
networks that provide support and useful connections (Bourdieu 1986; Coleman 1988;
Putnam 1993). The concept of social capital encompasses structural (accessibility of social
connections and networks) and cognitive (qualities of social connections, e.g., trust and
reciprocity), formal (institutionalised relationships, e.g., between members of voluntary
associations) and informal (e.g., relationships between relatives, friends, and neighbours),
and other dimensions (Baum and Ziersch 2003; Ferlander 2007). In the present study, we
focused on individual social capital in Poland, in particular on its structural component,
participation in social groups and activities (Guillen et al. 2011). Formal participation has
been put forward as a cornerstone of social capital (Putnam 1993), but it is exactly this
form of participation that was eroded under the communist regime, where informal, private
networks were the main source of social support and reciprocity (Howard 2003). We were
therefore interested to juxtapose these forms of social participation in contemporary
Poland.
Social participation has long been considered essential to mental and physical health
and longevity (Berkman et al. 2000; Durkheim 1951). First, it provides direct emotional
benefits through interaction with others and gives access to social support (emotional,
instrumental, informational, etc.; Berkman et al. 2000; Ferlander 2007). Second, engage-
ment in meaningful social roles, such as the volunteer role, shapes one’s identity and brings
a sense of ‘‘mattering’’ (Berkman et al. 2000; Borgonovi 2008; Thoits and Hewitt 2001).
Third, greater social participation makes an individual more responsive to social influence
(i.e., social control, social norms, social comparison, and peer pressure), which can
powerfully encourage (or discourage) health-enhancing (or health-damaging) behaviours,
such as physical exercise or alcohol abuse (Berkman et al. 2000; Ferlander 2007; Skog
1985). Finally, social participation may also lead to distress if the claims on group
members become excessive (Portes 1998). Thus, social participation may be related to
different health outcomes via different pathways. In the present study, we linked different
forms of social participation with health behavioural (i.e., risky alcohol consumption) and
psychological (i.e., positive affect and depression) indicators, which, according to Berk-
man et al. (2000), are more proximal outcomes of social participation than physical health
indicators.
2 Empirical Research on Social Participation, Emotional Well-Being, and AlcoholAbuse
Prior research typically compared the effects of social participation with those of gener-
alised trust (i.e., a cognitive dimension of social capital) and used a variety of outcomes
(for reviews, see Almedom 2005; De Silva et al. 2005). As to emotional well-being,
findings from the World Values Survey as well as US and Canadian studies attested to the
positive effects of both social participation (membership in voluntary associations and
informal interactions with friends, extended family, and neighbours) and generalised trust
on life satisfaction and happiness (Helliwell and Putnam 2005). However, Giordano and
Lindstrom (2011), using data from the British Household Panel Survey, found that,
M. K. Pavlova et al.
123
although nonparticipation in local groups and infrequent contacts to neighbours predicted
self-rated psychological health deterioration, only generalised trust was associated with
improvement over time. A number of other studies also found that generalised trust, but not
social participation, was related to greater emotional well-being. For instance, Fujiwara
and Kawachi (2008) found no relationship of volunteering and community participation
with depression in US adults. O’Connor et al. (2011) reported similar findings for Aus-
tralian early adults, whereas Chappell and Funk (2010) found no associations between
formal and informal social participation and mental health among Canadian middle-aged
adults. In non-Western settings, Yip et al. (2007) found few positive effects of party and
organisational membership on psychological health and subjective well-being in rural
China, whereas Yamaoka (2008) reported that membership in voluntary organisations was
unrelated to life satisfaction in several East Asian countries. Likewise, Rose (2000)
reported that formal and informal social participation had few effects on emotional health
in Russians. Furthermore, De Silva et al. (2007) actually found that membership in
community groups and involvement in citizenship activities were related to a higher
likelihood of common mental disorders in Peru, Ethiopia, and Andhra Pradesh. Similarly,
Mitchell and LaGory (2002) reported that formal social participation was associated with a
higher mental distress in a low-income, minority neighbourhood in the US. The authors
concluded that formal social participation in severely disadvantaged communities seems to
bring more distress than support because individuals feel overtaxed by additional
obligations.
With regard to alcohol consumption, both formal and informal social participation was
found to foster alcohol abuse in cultures where alcohol consumption is a common part of
social interaction, such as Italy (Buonanno and Vanin 2007) and Russia (Jukkala et al.
2008), which agreed with Skog’s (1991) contention that socially integrated individuals in
‘‘wet’’ cultures drink more. In the US, Theall et al. (2009) and Weitzman and Chen (2005)
found that community service and volunteering were related to lower alcohol consumption,
whereas membership in associations was related to higher alcohol consumption among
college students. Apparently, certain types of social capital, such as volunteering, may be
protective against binge drinking even in the settings where binge drinking is largely
regarded as a norm. Other studies using representative samples of US adolescents found
that membership in voluntary organisations was related to a generally lower likelihood of
alcohol and drug abuse (Bartkowski and Xu 2007; Winstanley et al. 2008).
Taken together, prior findings support the idea that the effects of social participation
depend on the context and on the type of predictors and outcomes under investigation.
Given the importance of context, a lack of studies conducted in post-communist states is a
particular omission; in fact, except for a few studies conducted on the Russian samples, we
were unable to find any relevant evidence from Central and East European countries. The
present study is therefore one of the first steps to fill this gap.
3 Social Participation, Mental Health, and Alcohol Consumption in Poland
Although Poles’ individual prosperity, as well as human capital (e.g., educational attain-
ment and use of modern technologies), have been growing impressively over recent
decades, the corresponding increase in social capital has been only modest (Czapinski and
Panek 2010). Similarly to other post-communist societies, the Polish society still suffers
from a lack of trust in social institutions and scepticism about the efficacy of collective
action (Howard 2003). The rates of membership in voluntary organisations and volunteer
Social Participation in Poland
123
work are substantially lower in Poland than in West European countries. According to a
recent Eurobarometer study, in 2011, Poland featured the lowest percentage of respondents
currently doing some voluntary work among the 27 EU member states (9 % in Poland vs.
the median of 24 %; Monitoring Public Opinion Unit 2011). In the European Social Survey
conducted in 2010, 7.1 % of Polish respondents reported to have worked in ‘‘another [i.e.,
non-political] organisation or association’’ in the past 12 months (European Social Survey
Data 2012). In Poland, being a volunteer does not make one popular, and some individuals
who do voluntary work do not conceive of themselves as volunteers (Centrum Badania
Opinii Społecznej 2011).
It is commonly believed that in post-communist societies private networks of friends
and relatives prevail over the structures of civil society and hence play a more important
role than in Western democracies (Howard 2003). However, recent survey findings suggest
that informal social participation is lower in post-communist countries than elsewhere in
the EU. In 2010, 15.2 % of Polish respondents reported to meet socially friends, relatives,
and colleagues less often than once a month, which coincided with the median for Central
and East European member states but was higher than the overall EU median (9.9 %).
Moreover, 10.3 % of Polish respondents reported having no one to discuss intimate and
personal matters with (overall EU median 8.6 %; Central and East European member states
median 13.8 %; all figures taken from European Social Survey Data 2012).
Concerning mental health indicators, in the early 2000s, about 25 % of Polish women
and 18 % of Polish men had minor psychiatric morbidity, which roughly corresponded to
average figures for the EU (World Health Organization 2005). In terms of alcohol abuse
Poland, with its estimated per capita 11.7 l of pure alcohol per year in 2002 fared better
than the majority of EU states (Popova et al. 2007). However, the percentage of Poles
admitting to have drunk too much in the past year increased from 5.3 % in 2000 to 6.5 %
in 2009 (Czapinski and Panek 2010). On the whole, though, available mental health and
alcohol abuse indicators do not suggest a gloomier picture in Poland than in West Euro-
pean countries, whereas both formal and informal social participation appears to be lower
in Poland. Does this apparent disconnection indicate that social participation in Poland is
not a salient correlate of health behaviours and emotional well-being at the individual
level?
To answer this question, we conducted a secondary analysis of a cross-sectional survey
of Polish adolescents and adults (age 16–46). We chose frequency of joint activities with
friends and neighbours as a measure of informal participation, whereas membership in
voluntary organisations and volunteer work represented formal participation (cf. Guillen
et al. 2011). As an indicator of generalised trust was available, we included it as a control
variable. Drawing on Berkman et al.’s (2000) model, we reasoned that these forms of
social participation all involve pleasurable social interactions and may serve as a source of
social support. At the same time, they are unlikely to be associated with distress in a
general population-based sample as the overall economic situation in Poland is not bad (cf.
De Silva et al. 2007; Mitchell and LaGory 2002). Hence, we expected all the three
indicators of social participation to be related to higher emotional well-being. Furthermore,
we hypothesised that the effects of informal participation would be stronger than those of
formal participation as the latter is relatively uncommon in Poland and may be held in less
esteem by the society (Centrum Badania Opinii Społecznej 2011; Howard 2003).
With regard to risky alcohol consumption, we assumed that different forms of social
participation might differentially impact it through the social influence pathway (Berkman
et al. 2000; Skog 1985, 1991). The Polish drinking culture is characterised by irregular
binge drinking on weekends and at social events (Popova et al. 2007). Hence, joint
M. K. Pavlova et al.
123
activities with friends and neighbours may involve consuming alcohol in large amounts,
and the same may happen at organisational meetings of voluntary associations after the
official part is over. For this reason, we expected both frequent activities with friends and
neighbours and membership in voluntary organisations to be related to a greater incidence
of risky alcohol consumption. In contrast, volunteer work may be protective against risky
alcohol consumption as almost all kinds of work require sobriety and are associated with
corresponding social norms (cf. Theall et al. 2009; Weitzman and Chen 2005).
4 Sample and Procedure
We used data from the Polish replication of the Jena Study on Social Change and Human
Development (Silbereisen et al. 2006), which investigated adult development and adjust-
ment in times of social change. Participants aged 16–46 were drawn from two Eastern
(Lublin and Subcarpathian) and two Western (Pomeranian and Lower Silesian) provinces
representing economically poorer and wealthier regions of Poland, respectively. The
sampling frame, which was stratified by community size, age, and gender, was created
using the Universal Electronic System for Registration of the Population. As a starting
point, the interviewers (trained personnel of a field research agency) tried to approach
specific individuals randomly selected from the sampling frame. If the target person was
not available for an interview, the interviewer looked for eligible individuals in the
neighbourhood using the random route technique (a procedure often used in market
research; Adams and Brace 2006). Because of the financial constraints of the project, each
address was tried only once, which impacted the response rate (approx. 40 %). Altogether,
3078 standardised computer-assisted personal interviews, lasting about 90 min, were
carried out from February to April 2009. As lower educated, unemployed, and single
individuals were somewhat overrepresented in this sample in comparison with the registry
data and other representative sources (Archiwum Danych Społecznych 2011; Głowny
Urzad Statystyczny 2010), we used sampling weights created with the iterative propor-
tional fitting procedure. Sample size for the present study was N = 2970 as we excluded
the participants with missing values on major sociodemographic variables. The measures
described below were mostly translated into Polish from German with a forward and
backward translation procedure.
5 Measures
5.1 Outcome Variables
For multi-item scales, we used mean scores on the items unless specified otherwise. The
10-item positive affect subscale of the Positive and Negative Affect Schedule (Watson
et al. 1988) measured how often the participants had experienced certain positive emotions
within the last month (e.g., ‘‘enthusiastic’’; 1 = never, 7 = very often; a = .91).
Depressive symptoms were measured with five items from the Brief Symptom Inventory
(Derogatis 1993) assessing prevalence of the symptoms in the last month (e.g., ‘‘feeling
hopeless about the future’’; 1 = not at all, 7 = very strongly; a = .91; logged scores were
used). Risky alcohol consumption was a count variable measuring the approximate number
of times being really drunk in the past year. To mitigate the influence of extreme cases (the
largest value was 250 times a year), we assigned the value of 21 to thirty-six participants
Social Participation in Poland
123
who reported to have been really drunk more than 20 times in the past year. Extreme values
might be untrustworthy; besides, overdispersion violates the assumptions of Poisson
regression which we used to predict risky alcohol consumption. At the same time, by
recoding extreme cases, we did not lose so much information as we would have lost if we
had them excluded from the sample (cf. Saffari et al. 2011).
5.2 Social Participation
Frequency of joint activities with friends and neighbours was assessed with one item:
‘‘How often do you engage in joint activities with friends and acquaintances from the place
where you live?’’ (1 = never, 2 = sometimes, 3 = often). Membership in voluntary or-ganisations (0 = no, 1 = yes) referred to the current membership in one or more of the
following organisations: trade union; business or employer association; farmers’ union;
guild, professional organisation; cultural, regional association; charity, educational orga-
nisation; religious association; voluntary fire service; other. Volunteer work in the past
12 months (0 = no, 1 = yes) was assessed with two items: ‘‘Have you ever worked
without payment for the benefit of other people or organisations (i.e., for the public good)?
Was this within the last 12 months?’’ The correlations between the three indicators of
social participation ranged from .08 to .29.
5.3 Control Variables
Sociodemographic variables included community size (1 = under 2000 inhabitants,
7 = more than 500,000 inhabitants), gender (0 = male, 1 = female), age in years, edu-cational track (1 = primary/incomplete secondary; 2 = secondary/post-secondary;
3 = tertiary/incomplete tertiary; for those still in education, the level of their current
educational institution was used), net personal income in zloty (logged scores were used),
employment status (students, employed individuals, and homemakers/unemployed; dummy
coded in regression analyses), partnership status (0 = without a steady partner, 1 = with a
steady partner, irrespective of legal status), and parenthood (0 = no, 1 = yes). Further-
more, we used two indicators of physical health. General health was assessed with four
items (e.g., ‘‘I am as healthy as anybody I know’’; 1 = completely disagree, 7 = com-
pletely agree; a = .77) from the German version of the SF-36 Health Survey (Bullinger
and Kirchberger 1998). Physical handicap was measured with one item (‘‘Are you per-
manently physically handicapped either since birth or due to an accident?’’; 0 = no,
1 = yes). Religiosity was assessed with two items (e.g., ‘‘My religious faith allows me to
survive the most difficult situations’’; 1–7 as above; a = .94; Grom et al. 1998). Finally,
generalised trust was measured with two items (‘‘In most cases you can be sure that other
people are friendly’’ and ‘‘If you cooperate with people, in most cases they take advantage
of you’’, inverse coded; 1–7 as above; a = .44).
6 Statistical Analyses
All analyses were conducted with Mplus v.6 (Muthen and Muthen 2010). We employed
hierarchical multiple regression, whereby Model 1 assessed the effects of control variables
and Model 2 added the effects of social participation. For positive affect and depressive
symptoms, we used a linear regression with robust maximum likelihood estimation,
wherein standardised regression coefficients served as effect size measures. For risky
M. K. Pavlova et al.
123
alcohol consumption, which was a count variable with an excessive number of zeroes, we
used zero-inflated Poisson regression (Cohen et al. 2003), where the dependent variable
was decomposed into the inflation part (i.e., the odds to have never been really drunk in the
past year vs. to have been really drunk at least once) and the count part (i.e., times being
really drunk in the past year provided that this had happened at least once). Two separate
regression equations for each part were estimated simultaneously. Here, odds ratios (for the
inflation part) or ratios of the expected counts (for the count part), both computed as
Exp(B), served as effect size measures.
7 Results
Descriptive statistics for the study variables are given in Table 1. The rates of formal social
participation reported by our participants were low, even if somewhat higher than the
recent figures from comparative European surveys (Monitoring Public Opinion Unit 2011;
European Social Survey Data 2012), which might be due to measurement differences. Joint
activities with friends and neighbours were much more common; however, more than one-
fifth of the respondents said they never undertook something together with friends and
neighbours. This finding coincided with other recent reports (European Social Survey Data
2012) and suggested that informal social participation might be not as widespread in
Poland as usually believed (Howard 2003). With regard to outcome variables, mean
positive affect was above the scale midpoint, whereas mean depressive symptoms were
well below, which indicated a high average level of emotional well-being in the sample.
Patterns of risky alcohol consumption differed drastically between males and females:
81.6 % of females, but only 46.4 % of males, said they had never been really drunk in the
past year. For those who had, the mean number of times being drunk in the past year was
2.7 among females and 4.7 among males.
7.1 Emotional Well-Being
Table 2 shows regression estimates for emotional well-being. Significant predictors of
positive affect in Model 1 were younger age, higher educational attainment, larger income,
steady partnership, better general health, and higher religiosity. The effect of generalised
trust was not significant. In Model 2, more frequent joint activities with friends and
neighbours and volunteer work were significantly associated with higher positive affect,
which followed our expectations. However, the effect of membership in voluntary or-
ganisations was not significant. In terms of effect sizes, for joint activities with friends and
neighbours, b = .141, 95 % CI [.101, .182]; for volunteer work, b = .071, 95 % CI [.035,
.107]. Comparing the model with these standardised coefficients constrained to be equal
with the unconstrained model showed that they were significantly different,
Dv2(1) = 6.16, p \ .05 (i.e., as expected, the effect of joint activities with friends and
neighbours was stronger).
Significant predictors of depressive symptoms in Model 1 were larger community size,
female gender, lower educational attainment, absence of a steady partner, poorer general
health, and lower generalised trust. In Model 2, only volunteer work additionally had a
significantly negative effect on depressive symptoms, b = -.083, 95 % CI [-.121,
-.045], although we had expected all social participation indicators, especially informal
social participation, to be protective against depressive symptoms.
Social Participation in Poland
123
7.2 Risky Alcohol Consumption
Regression results for risky alcohol consumption are given in Table 3. In Model 1, larger
community size, male gender, younger age, lower educational attainment, larger income,
steady partnership, poorer general health, and lower religiosity were significantly associ-
ated with having been really drunk at least once in the past year. In addition, larger
community size, male gender, being a homemaker/unemployed, and lower religiosity
predicted a greater number of times getting drunk (provided that this had happened at least
once). The effects of generalised trust were not significant. In Model 2, joint activities with
friends and neighbours predicted having been really drunk at least once in the past year,
Exp(B) = 1.495, 95 % CI [1.266, 1.766]. That is, individuals reporting to undertake
something with their friends and neighbours sometimes (vs. never) or often (vs. some-
times) had one and a half times greater odds to have been really drunk at least once in the
past year (vs. not to have been drunk) than the respective reference group.
However, this was only partly in line with our hypotheses as membership in voluntary
organisations and volunteer work had no significant effects. We therefore explored whether
Table 1 Sociodemographic characteristics of the sample and descriptive statistics for the study variables
Variables n (%) Range M (SD)
Community size 1–7 2.3 (1.6)
Female 1,465 (49.3 %)
Age, years 16–46 30.5 (8.6)
Educational track
Primary/incomplete secondary 960 (32.3 %)
Secondary and post-secondary 1,261 (42.5 %)
Tertiary/incomplete tertiary 749 (25.2 %)
Income, zloty 0–7,500.5 1,298.3 (1,192.3)
Student 446 (15.0 %)
Employed 1,750 (58.9 %)
Homemaker/unemployed 774 (26.1 %)
Has a steady partner 2,272 (76.5 %)
Has children 1,739 (58.6 %)
General health 1–7 5.4 (1.2)
Physical handicap 84 (2.8 %)
Religiosity 1–7 4.5 (1.7)
Generalised trust 1–7 4.4 (1.2)
Joint activities with friends and neighbours
Often 553 (18.6 %)
Sometimes 1,737 (58.5 %)
Never 680 (22.9 %)
Membership in voluntary organisations 443 (14.9 %)
Volunteer work in the past 12 months 353 (11.9 %)
Positive affect 1–7 4.8 (1.1)
Depressive symptoms 1–7 2.1 (1.3)
Risky alcohol consumption, times in the past year 0–21 1.5 (3.6)
Statistics are based on weighted data
M. K. Pavlova et al.
123
the effects of social participation would be more pronounced among younger participants.
Indeed, among those younger than 26 years of age (n = 992), membership in voluntary
organisations had a significant positive effect on the number of times being drunk in the
past year (i.e., on the count part of the dependent variable), B(SE) = 0.730(0.217),
Table 2 Regression results for positive affect and depressive symptoms
Predictors Positive affect Depressive symptoms (logged)
Model 1 Model 2 Model 1 Model 2
Community size 0.024(0.014)
0.020(0.014)
0.037***(0.007)
0.036***(0.007)
Female -0.071(0.048)
-0.047(0.046)
0.075**(0.023)
0.072**(0.023)
Age -0.016***(0.004)
-0.018***(0.004)
0.000(0.002)
0.001(0.002)
Educational track 0.120***(0.032)
0.093**(0.032)
-0.040*(0.016)
-0.032*(0.016)
Income (logged) 0.043***(0.011)
0.041***(0.010)
-0.001(0.005)
0.000(0.005)
Studenta 0.183(0.094)
0.122(0.092)
-0.034(0.043)
-0.014(0.043)
Homemaker/unemployeda 0.035(0.068)
0.048(0.065)
0.028(0.030)
0.028(0.030)
Has a steady partner 0.236***(0.057)
0.223***(0.056)
-0.139***(0.032)
-0.137***(0.032)
Has children -0.067(0.068)
-0.027(0.065)
0.015(0.034)
0.009(0.034)
General health 0.220***(0.019)
0.210***(0.019)
-0.164***(0.010)
-0.163***(0.010)
Physical handicap -0.194(0.233)
-0.229(0.219)
-0.104(0.080)
-0.093(0.082)
Religiosity 0.109***(0.016)
0.101***(0.016)
0.008(0.007)
0.011(0.007)
Generalised trust 0.001(0.020)
-0.005(0.019)
-0.045***(0.009)
-0.043***(0.008)
Joint activities with friends and neighbours 0.236***(0.035)
-0.014(0.017)
Membership in voluntary organisations 0.086(0.072)
0.002(0.034)
Volunteer work 0.237***(0.062)
-0.139***(0.033)
R2 0.146*** 0.175*** 0.192*** 0.199***
Dv2(df) – 88.236***(3)
– 18.843***(3)
N = 2,970. Cells show unstandardised regression coefficients with standard errors in parentheses. Model1 = a model with control variables only. Model 2 = a model with social participation indicators added.R2 = proportion of variance explained by the model. Dv2 refers to the difference from Model 1.df = degrees of freedom
* p \ .05. ** p \ .01. *** p \ .001a Reference category: employed
Social Participation in Poland
123
p = .001, Exp(B) = 2.075, 95 % CI [1.357, 3.171]. That is, in this age group, members of
voluntary organisations reported to have been drunk in the past year approximately twice
as often as non-members did (provided that this happened at least once). In contrast,
volunteer work had a significant negative effect on the number of times being drunk,
Table 3 Regression results for risky alcohol consumption
Predictors Was really drunk at least oncein the past year
Times really drunk in thepast year
Model 1 Model 2 Model 1 Model 2
Community size 0.107**(0.033)
0.098**(0.033)
0.061*(0.026)
0.059*(0.026)
Female -1.387***(0.116)
-1.366***(0.117)
-0.648***(0.096)
-0.638***(0.096)
Age -0.016*(0.008)
-0.015(0.008)
-0.002(0.007)
-0.002(0.007)
Educational track -0.305***(0.076)
-0.333***(0.079)
-0.075(0.063)
-0.098(0.062)
Income (logged) 0.090***(0.023)
0.092***(0.024)
-0.002(0.018)
0.002(0.018)
Studenta -0.136(0.223)
-0.191(0.226)
0.259(0.157)
0.276(0.153)
Homemaker/unemployeda -0.031(0.138)
-0.006(0.141)
0.257*(0.106)
0.286**(0.106)
Has a steady partner 0.301*(0.132)
0.289*(0.135)
-0.045(0.095)
-0.051(0.094)
Has children -0.183(0.150)
-0.146(0.152)
-0.060(0.111)
-0.046(0.111)
General health -0.134**(0.045)
-0.146**(0.046)
-0.040(0.030)
-0.042(0.031)
Physical handicap -0.312(0.347)
-0.336(0.337)
0.138(0.200)
0.130(0.204)
Religiosity -0.151***(0.034)
-0.155***(0.035)
-0.065*(0.026)
-0.064*(0.026)
Generalised trust -0.034(0.045)
-0.038(0.045)
-0.055(0.035)
-0.055(0.035)
Joint activities with friends and neighbours 0.402***(0.085)
0.124(0.065)
Membership in voluntary organisations 0.262(0.160)
0.198(0.128)
Volunteer work -0.153(0.176)
-0.209(0.133)
Dv2(df) – 22.749***(6)
– 22.749***(6)
N = 2,970. Cells show unstandardised regression coefficients with standard errors in parentheses. Model1 = a model with control variables only. Model 2 = a model with social participation indicators added. Dv2
refers to the difference from Model 1 (for both equations as they are estimated simultaneously). df = de-grees of freedom. Proportion of variance explained is not shown as it cannot be estimated for a countvariable
* p \ .05; ** p \ .01; *** p \ .001a Reference category: employed
M. K. Pavlova et al.
123
B(SE) = -0.519(0.198), p = .009, Exp(B) = 0.595, 95 % CI [0.403, 0.878]. That is, in
this age group, volunteers reported to have been drunk in the past year approximately 1.7
times (1/0.595 = 1.681) less often than non-volunteers did. The effect size for joint
activities with friends and neighbours was very similar to what was found in the whole
sample. Thus, as we hypothesised, only volunteer work seemed to be protective against
risky alcohol consumption, whereas the two other indicators of social participation were
associated with more risky alcohol consumption, in particular among the younger
participants.
We also explored whether the effects of membership in voluntary organisations on risky
alcohol consumption were confined to certain types of organisations. Indeed, trade and
farmers’ unions, professional organisations, and voluntary fire service, but not religious,
cultural, or educational organisations, were associated with more risky alcohol consump-
tion. Not surprisingly, more ‘‘drinking’’ organisations were those where males outnum-
bered females. In general, the effects of social participation on risky alcohol consumption
pertained primarily to males, although frequency of joint activities with friends and
neighbours predicted having been really drunk at least once in the past year among females
as well.
8 Discussion
In the present study, we investigated the individual-level associations between formal and
informal social participation (i.e., structural social capital), emotional well-being, and risky
alcohol consumption in Poland. Our contribution to the literature lies in analysing data
from a region heavily underrepresented in social science research and using multiple
indicators of social participation as well as multiple outcomes. Regarding emotional well-
being, prior studies yielded a mixed picture suggesting that it is probably generalised trust
(i.e., a cognitive dimension of social capital) rather than social participation that has
salutary effects here (Giordano and Lindstrom 2011; Fujiwara and Kawachi 2008;
O’Connor et al. 2011; Yamaoka 2008; Yip et al. 2007). In the present study, we controlled
for generalised trust and a number of other potential confounds and nevertheless found
significant associations between the frequency of joint activities with friends and neigh-
bours (informal participation), volunteer work (formal participation), and emotional well-
being (high positive affect and few depressive symptoms).
While we expected to find the positive effects of social participation on emotional well-
being for theoretical reasons (Berkman et al. 2000), a discrepancy with some of the
previous findings deserves explanation. First, social participation is unlikely to be stressful
in Poland (at least not in a general population-based sample) as the overall economic
situation there is relatively favourable (cf. De Silva et al. 2007; Mitchell and LaGory
2002). Second, prior studies sometimes used covariates which could actually mediate the
effects of social participation on emotional well-being (e.g., mastery; Rose 2000); without
a test of mediation, the effects of social participation could be obscured by such covariates.
Third, divergent findings could be due to different ways of operationalising social par-
ticipation. For instance, we distinguished between membership in voluntary organisations
(which had no significant relationship with emotional well-being) and volunteer work (cf.
Guillen et al. 2011), whereas in many prior studies, only membership was used as an
indicator of formal social participation. Where a distinction had been made, volunteer work
was found to be more beneficial for emotional well-being (Pavlova and Silbereisen 2012),
which might be due to that a mere membership does not imply actual involvement in
Social Participation in Poland
123
organisational activities or that such activities, insofar as no productive work is done, do
not enhance emotional well-being over and above the effects of informal social
participation.
One of the purposes of our study was to juxtapose the effects of formal and informal
social participation in Poland. We hypothesised that informal social participation would
have stronger positive effects on emotional well-being than formal participation as the
latter might be less valued in the Polish society (Centrum Badania Opinii Społecznej
2011). This hypothesis was only partly supported: On the one hand, frequent joint activities
with friends and neighbours were more strongly related to higher positive affect than
volunteer work was. On the other hand, only volunteer work was significantly associated
with fewer depressive symptoms. While informal interactions with friends and acquain-
tances may be more pleasurable than volunteering, which is, after all, a form of work,
volunteering may protect against depressive symptoms better as it provides one with a
meaningful social role and a sense of ‘‘mattering’’ (Berkman et al. 2000; Borgonovi 2008;
Thoits and Hewitt 2001).
Yet another mechanism, social influence, may be responsible for the link between social
participation and health behaviours (Berkman et al. 2000; Ferlander 2007). In particular,
some types of social participation may be conducive to risky alcohol consumption (which
may be especially true in a ‘‘wet’’ culture like Poland; Skog 1985, 1991) whereas others
may be protective against it. Indeed, we found that both joint activities with friends and
neighbours and membership in certain voluntary organisations were related to a heightened
probability of having been really drunk one or multiple times in the past year (cf. Buon-
anno and Vanin 2007; Jukkala et al. 2008); the latter effect pertained mostly to younger
males. In contrast, volunteer work was associated with a lower number of times being
really drunk in the past year, again among the younger participants. In fact, prior studies on
social participation and alcohol consumption have primarily been based on younger age
groups (e.g., Buonanno and Vanin 2007; Theall et al. 2009; Weitzman and Chen 2005).
Young individuals and males are at a particular risk for binge drinking in many countries
(Kuntsche et al. 2004); in Poland, a recent increase in binge drinking rates has been most
pronounced among the young (Czapinski and Panek 2010), which may explain the effects
of social participation on risky alcohol consumption pertaining primarily to these groups.
To sum up, participation in formal and informal social networks, insofar as it does not
involve any productive activities (e.g., volunteer work), seems to be a mixed blessing in
Poland because such participation often involves exposure to a binge drinking culture. In
this regard, our findings corroborate the idea that social participation is not all good
(Berkman et al. 2000; Portes 1998), but it should also be noted that excessive alcohol
consumption is inherent not to social participation as such but to the Polish drinking culture
(Popova et al. 2007).
On balance, volunteer work, infrequent though it may be in Poland, had the best
correlates: higher emotional well-being in the whole sample and less risky alcohol con-
sumption among the younger participants. This finding corresponds to those from studies
conducted in other countries (e.g., Borgonovi 2008; Pavlova and Silbereisen 2012; Theall
et al. 2009; Weitzman and Chen 2005) and suggests that Polish policy makers should not
abandon attempts to foster volunteering—not only for the sake of its direct, intended
outcomes, but also for the sake of its apparent benefits for the volunteers themselves.
The effects of generalised trust, which featured prominently in previous studies, deserve
a separate comment. In our sample, generalised trust had a significant negative effect on
depressive symptoms but no significant relation to positive affect and risky alcohol con-
sumption (nor among the younger participants). In the communist culture of surveillance, a
M. K. Pavlova et al.
123
certain distrust towards not only strangers but also close acquaintances was essential to
survival (Howard 2003). In contrast to volunteering, which is not typical of Poland either
but can hardly be construed as potentially harmful, trusting people in general may still be
widely regarded by Poles as an unwise attitude, especially given that the turbulent tran-
sition to capitalism has produced new sources of distrust. We may therefore speculate that
generalised distrust is so rooted in the Polish mentality that it has little consequence for
health outcomes.
9 Limitations
Our results should be generalised with caution because the sample was not representative
of the whole Poland nor did it strictly represent the population of the provinces where the
data were collected. As we conducted all analyses on weighted data, the latter limitation
was to some extent counterbalanced. Given that this study, to our knowledge, was the first
to present data on the relationship between social participation and health indicators in
Poland, testing these effects with an independent sample drawn from the same population
is very much called for. Furthermore, because of the cross-sectional design, the direction of
effects could not be ascertained and possible self-selection effects were not taken into
account, which was probably the most severe limitation of our findings. For instance, it is
perfectly possible that more cheerful individuals participate in social life more actively.
However, several longitudinal studies showed that social participation predicted emotional
well-being over time (Giordano and Lindstrom 2011; Thoits and Hewitt 2001). Moreover,
the fact that the effects of social participation were controlled for a number of relevant
third variables lent credence to our findings. Besides, an alternative direction of effects
seemed less plausible for risky alcohol consumption, where the role of social pressure,
especially at a younger age, is well known (Kuntsche et al. 2004). Finally, several limi-
tations were related to our measures. For instance, we could not distinguish between
bonding, bridging, and linking social ties (Ferlander 2007) and used a rather imprecise
measure of risky alcohol consumption, which, however, tapped into the binge drinking
pattern typical of Poland and other North European drinking cultures (Popova et al. 2007;
cf. Czapinski and Panek 2010).
10 Conclusions
Both formal (i.e., membership in certain types of voluntary organisations, such as trade
unions and voluntary fire service) and informal (i.e., joint activities with friends and
neighbours) social participation is associated with risky alcohol consumption among Poles,
especially younger males, although informal participation is also linked to higher emo-
tional well-being. Only volunteer work, despite its low prevalence in Poland, yields uni-
formly favourable associations with the variables considered. Thus, the connection
between social participation and health seems to be there, and fostering certain forms of
social participation may be a promising way to enhance emotional well-being and health
behaviours in Poland. Given the relatively low baseline level of social participation, there
seems to be a lot of room for improvement. However, a daunting task for policy makers is
to reform the culture of irregular binge drinking, which permeates many social interactions
in Poland and renders them of questionable value for the mental and physical health of
individuals.
Social Participation in Poland
123
Acknowledgments This study was conducted during the postdoctoral fellowship of the first author at theJena Graduate School ‘‘Human Behaviour in Social and Economic Change’’ (GSBC), which was funded bythe Federal Programme ‘‘ProExzellenz’’ of the Free State of Thuringia. The Jena Study on Social Changeand Human Development (PI: Rainer K. Silbereisen) was funded by the German Research Foundation(DFG) as a subproject of the Collaborative Research Center 580 ‘‘Social Developments in Post-SocialisticSocieties: Discontinuity, Tradition, Structural Formation’’ [SFB580-04-C6]. The project ‘‘Sociological andpsychological determinants of coping with rapid social changes in Poland’’ was funded by the Ministry ofScience and Higher Education (Poland), grant N116 107734. We thank Melanie Ellis and Michał Sitek fortheir useful comments on the manuscript.
References
Adams, K., & Brace, I. (2006). An introduction to market and social research: Planning and using researchtools and techniques. London: Kogan Page.
Almedom, A. M. (2005). Social capital and mental health: An interdisciplinary review of primary evidence.Social Science and Medicine, 61(5), 943–964.
Archiwum Danych Społecznych. (2011). Warunki _zycia społeczenstwa polskiego—Problemy i strategie[Life conditions of Polish society—Problems and strategies]. http://www.ads.org.pl/opis-szczeg.php?id=49. Accessed February 27, 2013.
Bartkowski, J. P., & Xu, X. (2007). Religiosity and teen drug use reconsidered: A social capital perspective.American Journal of Preventive Medicine, 32(6S), S182–S194.
Baum, F. E., & Ziersch, A. M. (2003). Social capital. Journal of Epidemiology and Community Health,57(5), 320–323.
Berkman, L. F., Glass, T., Brissette, I., & Seeman, T. E. (2000). From social integration to health: Durkheimin the new millennium. Social Science and Medicine, 51(6), 843–857.
Borgonovi, F. (2008). Doing well by doing good. The relationship between formal volunteering and self-reported health and happiness. Social Science and Medicine, 66(11), 2321–2334.
Bourdieu, P. (1986). The forms of capital. In J. G. Richardson (Ed.), Handbook of theory and research forthe sociology of education (pp. 241–258). New York: Greenwood.
Bullinger, M., & Kirchberger, I. (1998). Der SF-36 Fragebogen zum Gesundheitszustand. Handbuch fur diedeutschsprachige Fragebogenversion [The SF-36 questionnaire on health status. Manual for theGerman version]. Gottingen: Hogrefe.
Buonanno, P., & Vanin, P. (2007). Bowling alone, drinking together. ‘‘Marco Fanno’’ working paper no. 55.http://www.decon.unipd.it/assets/pdf/wp/20070055.pdf. Accessed February 27, 2013.
Centrum Badania Opinii Społecznej. (2011). Młody, bogaty, wykształcony, religijny—Mit polskiego wol-ontariusza [Young, rich, educated, religious—The myth of a Polish volunteer]. http://erw2011.gov.pl/static/upload/komunikat-2.pdf. Accessed February 27, 2013.
Chappell, N. L., & Funk, L. M. (2010). Social capital: Does it add to the health inequalities debate? SocialIndicators Research, 99(3), 357–373.
Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2003). Applied multiple regression/correlation analysisfor the behavioral sciences (3rd ed.). Mahwah: Lawrence Erlbaum Associates.
Coleman, J. S. (1988). Social capital in the creation of human capital. American Journal of Sociology,94(Supplement), S95–S120.
Czapinski, J., & Panek, T. (Eds). (2010). Social diagnosis 2009: The subjective quality and objectiveconditions of life in Poland. http://analizy.mpips.gov.pl/images/stories/publ_i_raporty/Social%20Diagnosis%202009.pdf. Accessed February 27, 2013.
De Silva, M. J., Huttly, S. R., Harpham, T., & Kenward, M. G. (2007). Social capital and mental health: Acomparative analysis of four low income countries. Social Science and Medicine, 64(1), 5–20.
De Silva, M. J., McKenzie, K., Harpham, T., & Huttly, S. R. A. (2005). Social capital and mental illness: Asystematic review. Journal of Epidemiology and Community Health, 59(8), 619–627.
Derogatis, L. R. (1993). Brief Symptom Inventory (BSI): Administration, scoring, and procedures manual(3rd ed.). Minneapolis: National Computer Systems.
Durkheim, E. (1951). Suicide: A study in sociology. Glencoe: Free Press.European Social Survey Data. (2012). http://ess.nsd.uib.no/ess/round5/. Accessed February 27, 2013.Ferlander, S. (2007). The importance of different forms of social capital for health. Acta Sociologica, 50(2),
115–128.Fujiwara, T., & Kawachi, I. (2008). A prospective study of individual-level social capital and major
depression in the United States. Journal of Epidemiology and Community Health, 62(7), 627–633.
M. K. Pavlova et al.
123
Giordano, G. N., & Lindstrom, M. (2011). Social capital and change in psychological health over time.Social Science and Medicine, 72(8), 1219–1227.
Głowny Urzad Statystyczny. (2010). Baza Demografia [Demographic database]. http://demografia.stat.gov.pl/bazademografia/. Accessed February 27, 2013.
Grom, B., Hellmeister, G., & Zwingmann, C. (1998). Munchner Motivationspsychologisches Religiositats-Inventar (MMRI). [Munich Motivational-Psychological Religiousness Inventory]. In: C. Henning & E.Nestler (Eds.), Religion und Religiositat zwischen Theologie und Psychologie. Bad Boller Beitrage zurReligionspsychologie (pp. 181–203). Frankfurt am Main: Peter Lang.
Guillen, L., Coromina, L., & Saris, W. E. (2011). Measurement of social participation and its place in socialcapital theory. Social Indicators Research, 100(2), 331–350.
Helliwell, J. F., & Putnam, R. D. (2005). The social context of well-being. In F. A. Huppert, N. Baylis, & B.Keverne (Eds.), The science of well-being (pp. 435–459). New York: Oxford University Press.
Howard, M. M. (2003). The weakness of civil society in post-communist Europe. Cambridge: CambridgeUniversity Press.
Jukkala, T., Makinen, I. H., Kislitsyna, O., Ferlander, S., & Vagero, D. (2008). Economic strain, socialrelations, gender, and binge drinking in Moscow. Social Science and Medicine, 66(3), 663–674.
Kuntsche, E., Rehm, J., & Gmel, G. (2004). Characteristics of binge drinkers in Europe. Social Science andMedicine, 59(1), 113–127.
Mitchell, C. U., & LaGory, M. (2002). Social capital and mental distress in an impoverished community.City and Community, 1(2), 199–222.
Monitoring Public Opinion Unit. (2011). European Parliament Special Eurobarometer 75.2. Voluntary work.http://www.europarl.europa.eu/aboutparliament/en/00191b53ff/Eurobarometer.html?tab=2011_1. Acces-sed February 27, 2013.
Muthen, L. K., & Muthen, B. O. (2010). Mplus user’s guide (6th ed.). http://www.statmodel.com/download/usersguide/Mplus%20Users%20Guide%20v6.pdf. Accessed February 27, 2013.
O’Connor, M., Hawkins, M. T., Toumbourou, J. W., Sanson, A., Letcher, P., & Olsson, C. A. (2011). Therelationship between social capital and depression during the transition to adulthood. AustralianJournal of Psychology, 63(1), 26–35.
Pavlova, M. K., & Silbereisen, R. K. (2012). Participation in voluntary organizations and volunteer work asa compensation for the absence of work or partnership? Evidence from two German samples ofyounger and older adults. The Journals of Gerontology, Series B: Psychological Sciences and SocialSciences, 67(4), 514–524.
Popova, S., Rehm, J., Patra, J., & Zatonski, W. (2007). Comparing alcohol consumption in central andeastern Europe to other European countries. Alcohol and Alcoholism, 42(5), 465–473.
Portes, A. (1998). Social capital: Its origins and applications in modern sociology. Annual Review ofSociology, 24(1), 1–24.
Putnam, R. D. (1993). Making democracy work: Civic traditions in modern Italy. Princeton: PrincetonUniversity Press.
Rose, R. (2000). How much does social capital add to individual health? A survey study of Russians. SocialScience and Medicine, 51(9), 1421–1435.
Saffari, S. E., Adnan, R., & Greene, W. (2011). Handling of over-dispersion of count data via truncationusing Poisson regression model. Journal of Computer Science and Computational Mathematics, 1(1),1–4.
Silbereisen, R. K., Pinquart, M., Reitzle, M., Tomasik, M. J., Fabel, K., & Grumer, S. (2006). Psychosocialresources and coping with social change (SFB-580 reports, Volume 19). http://www.sfb580.uni-jena.de/typo3/uploads/tx_publicationlist/sfb_580_silbereisen_5.pdf. Accessed February 27, 2013.
Skog, O.-J. (1985). The collectivity of drinking cultures: A theory of the distribution of alcohol con-sumption. British Journal of Addiction, 80(1), 83–99.
Skog, O.-J. (1991). Implications of the distribution theory for drinking and alcoholism. In D. J. Pittman & H.Raskin White (Eds.), Society, culture and drinking patterns re-examined (pp. 576–596). NewBrunswick: Rutgers Centre of Alcohol Studies.
Theall, K. P., DeJong, W., Scribner, R., Mason, K., Schneider, S. K., & Simonsen, N. (2009). Social capitalin the college setting: The impact of participation in campus activities on drinking and alcohol-relatedharms. Journal of American College Health, 58(1), 15–23.
Thoits, P. A., & Hewitt, L. N. (2001). Volunteer work and well-being. Journal of Health and SocialBehavior, 42(2), 115–131.
Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positiveand negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6),1063–1070.
Social Participation in Poland
123
Weitzman, E. R., & Chen, Y.-Y. (2005). Risk modifying effect of social capital on measures of heavyalcohol consumption, alcohol abuse, harms, and secondhand effects: National survey findings. Journalof Epidemiology and Community Health, 59(4), 303–309.
Winstanley, E. L., Steinwachs, D. M., Ensminger, M. E., Latkin, C. A., Stitzer, M. L., & Olsen, Y. (2008).The association of self-reported neighborhood disorganization and social capital with adolescentalcohol and drug use, dependence, and access to treatment. Drug and Alcohol Dependence, 92(1–3),173–182.
World Health Organization. (2005). Mental health atlas. Geneva: World Health Organization.Yamaoka, K. (2008). Social capital and health and well-being in East Asia: A population-based study. Social
Science and Medicine, 66(4), 885–899.Yip, W., Subramanian, S. V., Mitchell, A. D., Lee, D. T. S., Wang, J., & Kawachi, I. (2007). Does social
capital enhance health and well-being? Evidence from rural China. Social Science and Medicine,64(1), 35–49.
M. K. Pavlova et al.
123