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Does Community-Level Social Capital Predict Decline in Instrumental Activities of Daily Living? A JAGES Prospective Cohort Study

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  • Satoko Fujihara

    (Department of Public Health, Graduate School of Medicine, Chiba University, Chuo-ku, Chiba 260-8670, Japan)

  • Taishi Tsuji

    (Center for Preventive Medical Sciences, Chiba University, Chuo-ku, Chiba 260-8670, Japan)

  • Yasuhiro Miyaguni

    (Department of Gerontological Evaluation, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi 474-8511, Japan)

  • Jun Aida

    (Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Aoba-ku, Sendai, Miyagi 980-8575, Japan)

  • Masashige Saito

    (Department of Social Welfare, Nihon Fukushi University, Mihama-cho, Chita-gun, Aichi 470-3295, Japan)

  • Shihoko Koyama

    (Department of Cancer Epidemiology, Cancer Control Center, Osaka International Cancer Institute, Chuo-ku, Osaka 541-8567, Japan)

  • Katsunori Kondo

    (Department of Public Health, Graduate School of Medicine, Chiba University, Chuo-ku, Chiba 260-8670, Japan
    Center for Preventive Medical Sciences, Chiba University, Chuo-ku, Chiba 260-8670, Japan
    Department of Gerontological Evaluation, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi 474-8511, Japan)

Abstract

Instrumental activities of daily living (IADL) represent the most relevant action capacity in older people with regard to independent living. Previous studies have reported that there are geographical disparities in IADL decline. This study examined the associations between each element of community-level social capital (SC) and IADL disability. This prospective cohort study conducted between 2010 and 2013 by the Japan Gerontological Evaluation Study (JAGES) surveyed 30,587 people aged 65 years or older without long-term care requirements in 380 communities throughout Japan. Multilevel logistic-regression analyses were used to determine whether association exists between community-level SC (i.e., civic participation, social cohesion, and reciprocity) and IADL disability, with adjustment for individual-level SC and covariates such as demographic variables, socioeconomic status, health status, and behavior. At three-year follow-up, 2886 respondents (9.4%) had suffered IADL disability. Residents in a community with higher civic participation showed significantly lower IADL disability (odds ratio: 0.90 per 1 standard deviation increase in civic participation score, 95% confidence interval: 0.84–0.96) after adjustment for covariates. Two other community-level SC elements showed no significant associations with IADL disability. Our findings suggest that community-based interventions to promote community-level civic participation could help prevent or reduce IADL disability in older people.

Suggested Citation

  • Satoko Fujihara & Taishi Tsuji & Yasuhiro Miyaguni & Jun Aida & Masashige Saito & Shihoko Koyama & Katsunori Kondo, 2019. "Does Community-Level Social Capital Predict Decline in Instrumental Activities of Daily Living? A JAGES Prospective Cohort Study," IJERPH, MDPI, vol. 16(5), pages 1-15, March.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:5:p:828-:d:211822
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    References listed on IDEAS

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    Cited by:

    1. Boqin Xie & Chenjuan Ma & Junqiao Wang, 2020. "Independent and Combined Relationships of Perceived Neighborhood Social Cohesion and Physical Frailty on Functional Disability in Community-Dwelling Older Adults," IJERPH, MDPI, vol. 17(16), pages 1-12, August.
    2. Kazushige Ide & Taishi Tsuji & Satoru Kanamori & Seungwon Jeong & Yuiko Nagamine & Katsunori Kondo, 2020. "Social Participation and Functional Decline: A Comparative Study of Rural and Urban Older People, Using Japan Gerontological Evaluation Study Longitudinal Data," IJERPH, MDPI, vol. 17(2), pages 1-13, January.
    3. Motoki Tamura & Shinji Hattori & Taishi Tsuji & Katsunori Kondo & Masamichi Hanazato & Kanami Tsuno & Hiroyuki Sakamaki, 2021. "Community-Level Participation in Volunteer Groups and Individual Depressive Symptoms in Japanese Older People: A Three-Year Longitudinal Multilevel Analysis Using JAGES Data," IJERPH, MDPI, vol. 18(14), pages 1-13, July.
    4. Zhongliang Bai & Zijing Wang & Tiantai Shao & Xia Qin & Zhi Hu, 2020. "Relationship between Individual Social Capital and Functional Ability among Older People in Anhui Province, China," IJERPH, MDPI, vol. 17(8), pages 1-13, April.
    5. Michiko Watanabe & Yugo Shobugawa & Atsushi Tashiro & Asami Ota & Tsubasa Suzuki & Tomoko Tsubokawa & Katsunori Kondo & Reiko Saito, 2020. "Association between Neighborhood Environment and Quality of Sleep in Older Adult Residents Living in Japan: The JAGES 2010 Cross-Sectional Study," IJERPH, MDPI, vol. 17(4), pages 1-24, February.
    6. Domenica Matranga & Filippa Bono & Laura Maniscalco, 2021. "Statistical Advances in Epidemiology and Public Health," IJERPH, MDPI, vol. 18(7), pages 1-5, March.
    7. Kazuya Nogi & Haruhiko Imamura & Keiko Asakura & Yuji Nishiwaki, 2021. "Association of Structural Social Capital and Self-Reported Well-Being among Japanese Community-Dwelling Adults: A Longitudinal Study," IJERPH, MDPI, vol. 18(16), pages 1-14, August.

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