Community-level social capital and subsequent health and well-being among older adults in Japan: An outcome-wide longitudinal approach

被引:0
|
作者
Takeda, Sho [1 ]
Haseda, Maho [2 ,3 ]
Sato, Koryu [4 ]
Shiba, Koichiro [5 ]
Nakagomi, Atsushi [6 ]
Ide, Kazushige [7 ]
Kondo, Naoki [2 ,3 ]
机构
[1] Osaka Univ, Hlth & Counseling Ctr, Osaka, Japan
[2] Kyoto Univ, Grad Sch Med, Dept Social Epidemiol, Kyoto, Japan
[3] Kyoto Univ, Sch Publ Hlth, Kyoto, Japan
[4] Keio Univ, Fac Policy Management, Yokohama, Kanagawa, Japan
[5] Boston Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA USA
[6] Chiba Univ, Ctr Prevent Med Sci, Dept Social Prevent Med Sci, Chiba, Japan
[7] Chiba Univ, Ctr Prevent Med Sci, Dept Community Bldg Well Being, Chiba, Japan
关键词
Community-level social capital; Well-being; Outcome-wide epidemiology; Older adults; Multilevel analysis; SOCIOECONOMIC-STATUS; PEOPLE; ASSOCIATION;
D O I
10.1016/j.healthplace.2024.103336
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
There is inconsistent evidence on the association between community-level social capital and the health or wellbeing of older adults. This study examined the association between community-level social capital and multidimensional health and well-being outcomes using an outcome-wide approach. We used data from the Japan Gerontological Evaluation Study, a nationwide cohort study of Japanese older adults (analytic samples: 47,227 for outcomes obtained from the long-term care insurance registry and 34,183 for other outcomes). We assessed three aspects of school-district-level community social capital in 2016 (civic participation, social cohesion, and reciprocity) and 41 subsequent health and well-being outcomes through 2019. We performed either a modified multilevel Poisson regression or a multilevel logistic regression analysis. We adjusted for pre-baseline characteristics, prior outcome values, and individual-level social capital from the 2013 wave. Even after Bonferroni correction, we found that community-level social capital was associated with some subsequent social well-being and physical/cognitive health. For example, community-level reciprocity was associated with a higher prevalence of taking a social role (Prevalence ratio [PR] = 1.03, 95% confidence interval [CI] = 1.02, 1.04) and undergoing health screening (PR = 1.03, 95% CI: 1.01, 1.04). There was modest evidence that community-level civic participation was associated with a higher competency of intellectual activity (PR = 1.01, 95% CI: 1.01, 1.02) and community-level social cohesion was associated with a reduced onset of functional disability (PR = 0.94, 95% CI: 0.90, 0.98). Community-level social capital may promote social well-being and some physical/ cognitive health outcomes.
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页数:12
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