IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/10.2105-ajph.2013.301311_5.html
   My bibliography  Save this article

Social cohesion and mortality: A survival analysis of older adults in Japan

Author

Listed:
  • Inoue, S.
  • Yorifuji, T.
  • Takao, S.
  • Doi, H.
  • Kawachi, I.

Abstract

Objectives. We examined the association between social cohesion and mortality in a sample of older adults in Japan. Methods. Data were derived from a cohort study of elderly individuals (65-84 years) in Shizuoka Prefecture; 14 001 participants were enrolled at baseline (1999) and followed up in 2002, 2006, and 2009. Among the 11 092 participants for whom we had complete data, 1427 had died during follow-up. We examined the association between social cohesion (assessed at both the community and individual levels) and subsequent mortality after control for baseline and timevarying covariates. We used clustered proportional hazard regression models to estimate hazard ratios (HRs) and confidence intervals (CIs). Results. After control for individual characteristics, individual perceptions of community cohesion were associated with a reduced risk of all-cause mortality (HR = 0.78; 95% CI = 0.73, 0.84) as well as mortality from cardiovascular disease (HR = 0.75; 95% CI = 0.67, 0.84), pulmonary disease (HR = 0.66; 95% CI = 0.58, 0.75), and all other causes (HR = 0.76; 95% CI = 0.66, 0.89). However, no statistically significant relationship was found between community cohesion and mortality risk. Conclusions. Among the elderly in Japan, more positive individual perceptions of community cohesion are associated with reduced risks of all-cause and cause-specific mortality.

Suggested Citation

  • Inoue, S. & Yorifuji, T. & Takao, S. & Doi, H. & Kawachi, I., 2013. "Social cohesion and mortality: A survival analysis of older adults in Japan," American Journal of Public Health, American Public Health Association, vol. 103(12), pages 60-66.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301311_5
    DOI: 10.2105/AJPH.2013.301311
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.2105/AJPH.2013.301311
    Download Restriction: no
    File URL: https://libkey.io/10.2105/AJPH.2013.301311?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Mukhopadhyay, Sankar, 2022. "Elections have (health) consequences: Depression, anxiety, and the 2020 presidential election," Economics & Human Biology, Elsevier, vol. 47(C).
    2. Wang, Yingli & Touboulic, Anne & O'Neill, Martin, 2018. "An exploration of solutions for improving access to affordable fresh food with disadvantaged Welsh communities," European Journal of Operational Research, Elsevier, vol. 268(3), pages 1021-1039.
    3. Jiang, Yanping & Li, Mengting & Chung, Tammy, 2023. "Living alone and all-cause mortality in community-dwelling older adults: The moderating role of perceived neighborhood cohesion," Social Science & Medicine, Elsevier, vol. 317(C).
    4. van Staveren, I.P. & Kabubo-Mariara, J., 2015. "Civic Agency: an Invisible Health Determinant," ISD Working Paper Series 2015-2, International Institute of Social Studies of Erasmus University Rotterdam (ISS), The Hague.
    5. Rodgers, Justin & Valuev, Anna V. & Hswen, Yulin & Subramanian, S.V., 2019. "Social capital and physical health: An updated review of the literature for 2007–2018," Social Science & Medicine, Elsevier, vol. 236(C), pages 1-1.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301311_5. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.