ArticleJournal of epidemiology2018
Community Social Capital, Built Environment, and Income-Based Inequality in Depressive Symptoms Among Older People in Japan: An Ecological Study From the JAGES Project.
Article in Journal of epidemiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Effectiveness of a Meta-Cognitive Group Intervention for Older Adults with Subjective Cognitive Decline or Mild Cognitive Impairment: The ASPIRE Randomized Controlled Trial.The journal of prevention of Alzheimer's disease · 2024Trial
- Do Adverse Childhood Experiences Modify the Association Between Disaster-Related Trauma and Cognitive Disability?American journal of epidemiology · 2024Article
- The Impact of Subjective Poverty on the Mental Health of the Elderly in China: The Mediating Role of Social Capital.International journal of environmental research and public health · 2023Article
- Association between community environment and dependency among the elderly people from a service provision perspective.BMC geriatrics · 2022Article
- Income inequalities, social support and depressive symptoms among older adults in Europe: a multilevel cross-sectional study.European journal of ageing · 2022Article
- Early childhood adversity and late-life depressive symptoms: unpacking mediation and interaction by adult socioeconomic status.Social psychiatry and psychiatric epidemiology · 2022Article
- Elder Abuse and Depressive Symptoms: Which is Cause and Effect? Bidirectional Longitudinal Studies From the JAGES.Journal of interpersonal violence · 2022Article
- Association between Increasing Social Capital and Decreasing Prevalence of Smoking at the Municipality Level: Repeated Cross-Sectional Study from the JAGES.International journal of environmental research and public health · 2022Article
- Ikigai and subsequent health and wellbeing among Japanese older adults: Longitudinal outcome-wide analysis.The Lancet regional health. Western Pacific · 2022Article
- The Relationship Between Built Environment and Mental Health of Older Adults: Mediating Effects of Perceptions of Community Cohesion and Community Safety and the Moderating Effect of Income.Frontiers in public health · 2022Article
- Community Environment Perception on Depression: The Mediating Role of Subjective Social Class.International journal of environmental research and public health · 2021Article
- Association between Proximity of the Elementary School and Depression in Japanese Older Adults: A Cross-Sectional Study from the JAGES 2016 Survey.International journal of environmental research and public health · 2021Article
- Does variety of social interactions associate with frequency of laughter among older people? The JAGES cross-sectional study.BMJ open · 2021Article
- Prevalence of Depression in Older Nursing Home Residents in High and Low Altitude Regions: A Comparative Study.Frontiers in psychiatry · 2021Article
- Association between social capital and depression among older people: evidence from Anhui Province, China.BMC public health · 2020Article
- The Enigma of Gender Differences in an Environment-Behavior-Health Model of Elderly People: The Choice Between Individually and Sociality.International journal of environmental research and public health · 2020Article
- Association between Neighborhood Environment and Quality of Sleep in Older Adult Residents Living in Japan: The JAGES 2010 Cross-Sectional Study.International journal of environmental research and public health · 2020Article
- Elder Abuse and Social Capital in Older Adults: The Japan Gerontological Evaluation Study.Gerontology · 2020Observational
- Correlations between Forgetfulness and Social Participation: Community Diagnosing Indicators.International journal of environmental research and public health · 2019Article
- Change in Municipality-Level Health-Related Social Capital and Depressive Symptoms: Ecological and 5-Year Repeated Cross-Sectional Study from the JAGES.International journal of environmental research and public health · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough reducing socioeconomic inequalities in depression is necessary, their associated factors have rarely been studied. This study aimed to screen the potential contextual factors associated with income-based inequality in older adults' depression.
methodsUsing data from the Japan Gerontological Evaluation Study (JAGES) of 2013, we conducted an ecological study covering 77 communities in Japan. Our measures of socioeconomic inequalities in depression were the slope index of inequalities (SII) and the relative index of inequalities (RII) of the prevalence of depressive symptoms across three income levels. We categorized available community-level factors, including socio-demographic factors, social participation, social relationships, subjective changes in the residential area, and the built environment. These indicators were aggregated from individual responses of 51,962 and 52,958 physically independent men and women, respectively, aged 65 years or more. We performed multiple linear regression analyses to explore factors with statistical significance of a two-tailed P-value less than 0.05.
resultsFactors associated with shallower gradients in depression for men included higher participation in local activities and reception or provision of social support, which did not show significant association among women. Perceived increases in unemployment and economic inequalities were positively associated with larger inequalities in both genders (P < 0.05). The built environment did not indicate any significant association.
conclusionsA community environment fostering social activities and relationships might be associated with smaller income-based inequalities in depression. There is a need for more deterministic studies for planning of effective community interventions to address socioeconomic inequalities in depression.
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