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Article

Social Capital and the Improvement in Functional Ability among Older People in Japan: A Multilevel Survival Analysis Using JAGES Data

1
Department of Health Education and Health Sociology, Graduate School of Medicine, The University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo 113-0033, Japan
2
Faculty of Social Welfare, Nihon Fukushi University, Okuda, Miahamacyo, Chitagun, Aichi 470-3295, Japan
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Department of Health and Social Behavior, Graduate School of Medicine, The University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo 113-0033, Japan
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Department of Global Health Promotion, Tokyo Medical and Dental University (TMDU), 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8510, Japan
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Department of Social Preventive Medical Sciences, Center for Preventive Medical Sciences, Chiba University, 1-8-1, Inohana, Chuo-ku, Chiba 360-0856, Japan
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Department of Gerontological Evaluation, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, 7-430, Moriokacho, Obu-shi, Aichi 474-8511, Japan
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(8), 1310; https://doi.org/10.3390/ijerph16081310
Received: 27 February 2019 / Revised: 4 April 2019 / Accepted: 10 April 2019 / Published: 12 April 2019
We investigated the contextual effects of community social capital on functional ability among older people with functional disability in Japan, and the cross-level interaction effects between community social capital and individual psychosocial characteristics. We used data from the Japan Gerontological Evaluation Study for 1936 men and 2207 women nested within 320 communities and followed for 46 months. We used objective data for functional ability trajectories derived from the national long-term care-insurance system, and a validated measure of health-related community social capital comprising three components: civic participation, social cohesion, and reciprocity. A multilevel survival analysis with a community-level random intercept showed that in communities with high civic participation, women who actively participated in any community group showed greater functional ability improvement than did women who did not participate (pinteraction = 0.05). In communities with high social cohesion, older men who perceived that their communities’ social cohesion was high showed greater functional ability improvement than men who perceived it to be low (pinteraction = 0.02). Community social capital can thus affect functional ability improvements variously, depending on individual psychosocial characteristics and gender. Community interventions aiming to foster social capital should focus on people who are excluded from existing opportunities to participate. View Full-Text
Keywords: functional disability; Japan; multilevel analysis; older people; social capital functional disability; Japan; multilevel analysis; older people; social capital
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MDPI and ACS Style

Amemiya, A.; Saito, J.; Saito, M.; Takagi, D.; Haseda, M.; Tani, Y.; Kondo, K.; Kondo, N. Social Capital and the Improvement in Functional Ability among Older People in Japan: A Multilevel Survival Analysis Using JAGES Data. Int. J. Environ. Res. Public Health 2019, 16, 1310. https://doi.org/10.3390/ijerph16081310

AMA Style

Amemiya A, Saito J, Saito M, Takagi D, Haseda M, Tani Y, Kondo K, Kondo N. Social Capital and the Improvement in Functional Ability among Older People in Japan: A Multilevel Survival Analysis Using JAGES Data. International Journal of Environmental Research and Public Health. 2019; 16(8):1310. https://doi.org/10.3390/ijerph16081310

Chicago/Turabian Style

Amemiya, Airi, Junko Saito, Masashige Saito, Daisuke Takagi, Maho Haseda, Yukako Tani, Katsunori Kondo, and Naoki Kondo. 2019. "Social Capital and the Improvement in Functional Ability among Older People in Japan: A Multilevel Survival Analysis Using JAGES Data" International Journal of Environmental Research and Public Health 16, no. 8: 1310. https://doi.org/10.3390/ijerph16081310

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