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Preventive role of community-level social capital in the need for long-term care and impairment in instrumental activities of daily living: a multilevel analysis
BACKGROUND: Individual-level social capital is an important determinant of older adults’ long-term care needs; however, there is scant evidence regarding community-level social capital. Therefore, we investigated the association between community-level social capital and the prevalence of the need f...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Japanese Society for Hygiene
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9922590/ https://www.ncbi.nlm.nih.gov/pubmed/36754415 http://dx.doi.org/10.1265/ehpm.22-00126 |
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author | Matsuura, Hitomi Hatono, Yoko Saito, Isao |
author_facet | Matsuura, Hitomi Hatono, Yoko Saito, Isao |
author_sort | Matsuura, Hitomi |
collection | PubMed |
description | BACKGROUND: Individual-level social capital is an important determinant of older adults’ long-term care needs; however, there is scant evidence regarding community-level social capital. Therefore, we investigated the association between community-level social capital and the prevalence of the need for long-term care among older adults. METHODS: Between January and February 2018, a cross-sectional survey was conducted among all older adults (n = 13,558) aged 65 to 74 years in a rural municipality in Japan (total population, n = 72,833). A self-reported questionnaire was used to identify community-level social capital, comprising civic participation, social cohesion, and reciprocity. A multilevel logistic regression analysis was performed to estimate the odds ratios of the need for long-term care and a decline in social activity competence as assessed by instrumental activities of daily living. For the analysis, the community levels were divided into 76 voting districts and adjusted for daily life, lifestyle, socioeconomic status, health conditions, and the three social capital subscale scores at the individual level. RESULTS: After adjusting for the covariates, we observed a tendency that a higher community level of reciprocity was associated with a lower prevalence of long-term care needs (OR: 0.86, 95% confidence interval: 0.75–1.00), whereas a high community level of social cohesion was associated with a significantly reduced decline in instrumental activities of daily living (OR per standard deviation increase: 0.87, 95% confidence interval: 0.79–0.96). No significant association was found with civic participation. Similarly, individual-level social capital was associated with the need for long-term care and decline in instrumental activities of daily living. CONCLUSIONS: Our findings suggest that good community-level reciprocity or social cohesion as well as good individual social capital status may help prevent the need for long-term care among older adults. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at https://doi.org/10.1265/ehpm.22-00126. |
format | Online Article Text |
id | pubmed-9922590 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Japanese Society for Hygiene |
record_format | MEDLINE/PubMed |
spelling | pubmed-99225902023-02-16 Preventive role of community-level social capital in the need for long-term care and impairment in instrumental activities of daily living: a multilevel analysis Matsuura, Hitomi Hatono, Yoko Saito, Isao Environ Health Prev Med Research Article BACKGROUND: Individual-level social capital is an important determinant of older adults’ long-term care needs; however, there is scant evidence regarding community-level social capital. Therefore, we investigated the association between community-level social capital and the prevalence of the need for long-term care among older adults. METHODS: Between January and February 2018, a cross-sectional survey was conducted among all older adults (n = 13,558) aged 65 to 74 years in a rural municipality in Japan (total population, n = 72,833). A self-reported questionnaire was used to identify community-level social capital, comprising civic participation, social cohesion, and reciprocity. A multilevel logistic regression analysis was performed to estimate the odds ratios of the need for long-term care and a decline in social activity competence as assessed by instrumental activities of daily living. For the analysis, the community levels were divided into 76 voting districts and adjusted for daily life, lifestyle, socioeconomic status, health conditions, and the three social capital subscale scores at the individual level. RESULTS: After adjusting for the covariates, we observed a tendency that a higher community level of reciprocity was associated with a lower prevalence of long-term care needs (OR: 0.86, 95% confidence interval: 0.75–1.00), whereas a high community level of social cohesion was associated with a significantly reduced decline in instrumental activities of daily living (OR per standard deviation increase: 0.87, 95% confidence interval: 0.79–0.96). No significant association was found with civic participation. Similarly, individual-level social capital was associated with the need for long-term care and decline in instrumental activities of daily living. CONCLUSIONS: Our findings suggest that good community-level reciprocity or social cohesion as well as good individual social capital status may help prevent the need for long-term care among older adults. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at https://doi.org/10.1265/ehpm.22-00126. Japanese Society for Hygiene 2023-02-07 /pmc/articles/PMC9922590/ /pubmed/36754415 http://dx.doi.org/10.1265/ehpm.22-00126 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Matsuura, Hitomi Hatono, Yoko Saito, Isao Preventive role of community-level social capital in the need for long-term care and impairment in instrumental activities of daily living: a multilevel analysis |
title | Preventive role of community-level social capital in the need for long-term care and impairment in instrumental activities of daily living: a multilevel analysis |
title_full | Preventive role of community-level social capital in the need for long-term care and impairment in instrumental activities of daily living: a multilevel analysis |
title_fullStr | Preventive role of community-level social capital in the need for long-term care and impairment in instrumental activities of daily living: a multilevel analysis |
title_full_unstemmed | Preventive role of community-level social capital in the need for long-term care and impairment in instrumental activities of daily living: a multilevel analysis |
title_short | Preventive role of community-level social capital in the need for long-term care and impairment in instrumental activities of daily living: a multilevel analysis |
title_sort | preventive role of community-level social capital in the need for long-term care and impairment in instrumental activities of daily living: a multilevel analysis |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9922590/ https://www.ncbi.nlm.nih.gov/pubmed/36754415 http://dx.doi.org/10.1265/ehpm.22-00126 |
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