“…In the future, in order to improve living functions among the elderly living in rural districts, it is necessary to clarify not only individual characteristics but also contextual characteristics such as population size, culture, historic strength, and geographical situation, and to foster community development based on the characteristics of the area. With regard to the association between social mutual aid and living function, the association between individual characteristics (e.g., sex and age) and living function has been clarified in previous studies [3][4][5][6] . According to a report by the 2013 Community Health Total Promotion Program 26) , titled "Study on Ideal Health Service for Breeding and Utilization of Social Capital", on the development of social capital of community health nurses and their effects on local communities, "promotion of self-help and mutual assistance", "improvement of local activity", and "improvement of local power" were recognized by approximately 80% of the community health nurses, and community health nurses were more aware of the overall local effects than the individual effects.…”