Does social capital affect the incidence of functional disability in older Japanese? A prospective population-based cohort study

Aida, Jun; Kondo, Katsunori; Kawachi, Ichiro; Subramanian, S. V.; Ichida, Yukinobu; Hirai, Hiroshi; Kondo, Naoki; Osaka, Ken; Sheiham, Aubrey; Tsakos, Georgios; Watt, Richard G.

doi:10.1136/jech-2011-200307

Cited by 83 publications

(103 citation statements)

References 35 publications

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“…Our results corroborate findings of international studies carried out in the higher income countries 15,26,27 . In addition to that, our results showed that not all elements of the social capital are associated to the functional disability, as its association was restricted to the indicator of cohesion to the household.…”

Section: Discussionsupporting

confidence: 82%

“…The identification of associated factors that causes functional disability of elderly provides relevant elements for the prevention and for the intervention strategies and it is essential to avoid or lessen the damages to the individuals, the family, and the society. From what is known, few studies have been examining social factors as the determinants of functional disability 15,27 . In addition to that, considering the social capital proves particularly important, as it provides opportunities for better understanding the reason why inequalities in health are manifested, especially the functional disability, and how they may be better addressed, directing the focus of health professionals, policies, and the community members themselves, in favor of aging with quality of health 31 .…”

Section: Discussionmentioning

confidence: 99%

“…Also in this aspect, our results are consistent with the literature. For example, among Japanese elderly women, the association between social capital and functional disability was limited to two elements of the former, in this case, trust and social participation 15 . In England 26 , in a sample of elderly aged 65 years or older, the social support and participation in groups were the dimensions of the social capital, which were statistically associated with the functional disability.…”

Section: Discussionmentioning

confidence: 99%

“…The investigations about the relations between social capital and health began at the end of the last century, when Kawachi et al 12 studied the role of social capital in mortality. Since then, some researches have been offering evidence of the relation of the social capital and health conditions 13,14 , but the ones specifically focused on the relations between social capital and functional disability are still scarce 15,16 . This investigation becomes, then, important as the knowledge of their determinants may reduce the negative aspects of the limitations or dependencies, such as expenses and overload of the health system and also about the community and the elderly individuals or caregiver.…”

Section: Introductionmentioning

confidence: 99%

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Associação entre incapacidade funcional e capital social em idosos residentes em comunidade

Gontijo

Mambrini

Luz

et al. 2016

Rev. bras. epidemiol.

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ABSTRACT:Objective: To assess the prevalence of disability and its association with social capital among community-dwelling elderly. Methods: The study was based on 2 nd Health Survey of Belo Horizonte Metropolitan Region -2010, that included 1,995 community-dwelling elderly, randomly sampled. The exposure of interest was social capital, measured by confidence in neighborhood, perception of the physical environment, sense of cohesion in housing, and neighborhood perception of help. Socio-demographic variables, health conditions and use of health services were considered in the analysis with the purpose of adjustment. Results: Approximately one third of participants (32.6%) were unable to at least one instrumental activity of daily living (IADL) and/or basic activity of daily living (ADL); the prevalence of disability in ADL/IADL was 18.1%, and only in IADL was 14.6%. Elderly with functional disabilities had higher odds of poor social capital, but only the sense of cohesion in housing neighborhood showed to be independently associated with functional disability (OR = 1.80; 95%CI 1.12 -2.88). Conclusions: Our results show the importance of social capital in research on associated factors of functional disability and indicate the need to implement public policies for social and environmental areas, since the needs of the elderly require measures beyond those typical of the health sector.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Associação entre incapacidade funcional e capital social em idosos residentes em comunidade

Gontijo

Mambrini

Luz

et al. 2016

Rev. bras. epidemiol.

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“…Social environments encompass multiple dimensions that may influence people's health status (Aida et al, 2013;Fujiwara et al, 2008;Kawachi et al, 1997b;Kobayashi et al, 2013;Zarzar et al, 2012) and mortality risk (Cubbin et al, 2000;Waitzman et al, 1998). One important dimension of the social environment is social capital.…”

Section: Introductionmentioning

confidence: 99%

Linking social capital and mortality in the elderly: A Swedish national cohort study

Sundquist

Hamano

et al. 2014

Experimental Gerontology

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Objectives Our objective was to examine the association between neighborhood linking social capital (a concept describing the amount of trust between individuals and societal institutions) and all-cause and cause-specific mortality in the elderly. DesignThe entire Swedish population aged 65+, a total of 1,517,336 men and women, was followed from 1 January 2002 until death, emigration, or the end of the study on 31December 2010. Small geographic units were used to define neighborhoods. The definition of linking social capital was based on neighborhood voting participation rates, categorized into three groups. Multilevel logistic regression was used to estimate odds ratios (ORs) and between-neighborhood variance in three different models. ResultsThe results showed an overall association between linking social capital and allcause mortality. The significant OR of 1.53 in the group with low linking social capital decreased, but remained significant (OR = 1.27), after accounting for age, sex, family income, marital status, country of birth, education level, and region of residence. There were also significant associations between linking social capital and cause-specific mortality in coronary heart disease, psychiatric disorders, cancer, stroke, chronic lower respiratory diseases, type 2 diabetes, and suicide. ConclusionThere are associations between low linking social capital and mortality from chronic disorders and suicide in the elderly population. Community support for elderly people living in neighborhoods with low levels of linking social capital may need to be strengthened.

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Healthy Aging: IADL and Functional Disability

Saito

2020

Social Determinants of Health in Non-Communicable Diseases

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Extension of healthy life expectancy is an important topic in Japanese healthy aging policy, which has already achieved extended life expectancy. In 2013, there was about a 9-year gap between life expectancy and healthy life expectancy among men, and a 13-year gap of them among women. Although the definition of healthy life expectancy is diverse, one definition is measured by a period that has not seen the onset of functional disability in public long-term care certification, or that has independence in instrumental activities of daily living (IADL; a higher-living functional capacity of older adults). About 18% of older adults were certified for long-term care/support needs, and the number was about 5.9 million people (as of 2014).Many studies indicate that the ability to conduct IADL, the onset of functional disability, and death are intimately related to not only lifestyles and health behaviors, but also to socioeconomic situations. While several systematic reviews focusing on the daily functions of older adults exist [1-3], overseas findings are not necessarily applicable to Japan because of genetic, environmental, and cultural factors. There is thus a need to review findings on older adults in Japan. Longitudinal studies are needed when doing so because there is a bidirectional relationship between health and other variables (for example, the unhealthier one is, the harder it is to acquire income; the poorer one is, the easier it is to become unhealthy). As opposed to cross-sectional studies, which are based on synchronic data, longitudinal studies trace individuals. Furthermore, considering that there are few cases in which Masashige Saito is also the English translator for this chapter.

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Does social capital affect the incidence of functional disability in older Japanese? A prospective population-based cohort study

Abstract: Lower community social capital was associated with higher incidence of onset of functional disability among older women but not among men. Community-based interventions to promote social capital may be useful for preventing functional disability of older Japanese women.

Cited by 83 publications

References 35 publications

Associação entre incapacidade funcional e capital social em idosos residentes em comunidade

Associação entre incapacidade funcional e capital social em idosos residentes em comunidade

Linking social capital and mortality in the elderly: A Swedish national cohort study

Healthy Aging: IADL and Functional Disability

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