ArticleBMJ open2019
Community social capital and the onset of functional disability among older adults in Japan: a multilevel longitudinal study using Japan Gerontological Evaluation Study (JAGES) data.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 24 citations in OpenAlex.
- Mutual aid among older residents in two socially different districts of a rural municipality in Japan: a comparative qualitative study.BMC geriatrics · 2026Article
- Association between community attachment and social activity participation among older adults in depopulated areas: a focus on gender-based differences.Journal of rural medicine : JRM · 2026Article
- Associations of eHealth Literacy with Social Activity among Community-Dwelling Older Adults: A Cross-Sectional Study.European journal of investigation in health, psychology and education · 2024Article
- Estimating Health Expectancy in Japanese Communities Using Mortality Rate and Disability Prevalence.JMA journal · 2024Article
- Machine Learning-Based Prediction of Functional Disability: a Cohort Study of Japanese Older Adults in 2013-2019.Journal of general internal medicine · 2023Article
- Associations of Cooking Skill with Social Relationships and Social Capital among Older Men and Women in Japan: Results from the JAGES.International journal of environmental research and public health · 2023Article
- 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.Environmental health and preventive medicine · 2023Article
- Functional disability trajectories at the end of life among Japanese older adults: findings from the Japan Gerontological Evaluation Study (JAGES).Age and ageing · 2022Article
- Does Residing in a Neighborhood of High Social Participation Postpone Deterioration in Health among Middle-Aged Adults? A Multilevel Survival Analysis in Japan.Journal of urban health : bulletin of the New York Academy of Medicine · 2022Article
- Ikigai and subsequent health and wellbeing among Japanese older adults: Longitudinal outcome-wide analysis.The Lancet regional health. Western Pacific · 2022Article
- Risk Factors of Long-Term Care Insurance Certification in Japan: A Scoping Review.International journal of environmental research and public health · 2022Article
- Association between community-level social capital and frailty onset among older adults: a multilevel longitudinal study from the Japan Gerontological Evaluation Study (JAGES).Journal of epidemiology and community health · 2022Article
- Association of Structural Social Capital and Self-Reported Well-Being among Japanese Community-Dwelling Adults: A Longitudinal Study.International journal of environmental research and public health · 2021Article
- Social capital and pneumococcal vaccination (PPSV23) in community-dwelling older Japanese: a JAGES multilevel cross-sectional study.BMJ open · 2021Article
- Article
- Residents living in communities with higher civic participation report higher self-rated health.PloS one · 2020Article
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe present study examined the association between community social capital and the onset of functional disability among older Japanese people by using validated indicators of social capital and a prospective multilevel design.
designProspective cohort study
settingWe used data from the Japan Gerontological Evaluation Study, established from August 2010 to January 2012 in 323 districts.
participantsThe target population was restricted to non-institutionalised people aged 65 years or older who were independent in activities of daily living. Participants included 73 021 people (34 051 men and 38 970 women) who were followed up over a 3-year period. PRIMARY OUTCOME MEASURE: The primary outcome measure was the onset of functional disability, defined as a new registration in public long-term care insurance system records with a care-needs level of two or above, analysed with multilevel Cox proportional hazards regression models by community social capital (civic participation, social cohesion and reciprocity).
resultsThe mean age of participants was 73.3 years (SD=6.0) for men and 73.8 years (SD=6.2) for women. During the study period, the onset of functional disability occurred in 1465 (4.3%) men and 1519 (3.9%) women. Of three community social capital variables, social cohesion significantly reduced the risk of onset of functional disability (HR 0.910; 95% CI 0.830 to 0.998) among men, after adjusting for individual social and behavioural variables. There was no significant effect among women.
conclusionsLiving in a community with rich social cohesion is associated with a lower incidence of onset of functional disability among older Japanese men.
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