ArticleJournal of epidemiology2022
Do Community Social Capital and Built Environment Associate With Homebound in Older Adults? The JAGES Niigata Study.
Article in Journal of epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Trial
- Regional Disparities in Home-Based Medical Care Utilization in Japan: Ecological Study of Nationwide Claim Data.Journal of general internal medicine · 2026Article
- Systemic and Oral Factors Relating to Stress in Later Life: A Study Using the Japanese National Statistics Database.Clinics and practice · 2025Article
- Municipal Governments' Long-Term Care Prevention Efforts and Homebound Status of Older Adults: A Three-Year Cohort Study in Japan.Geriatrics & gerontology international · 2025Article
- Community Social Capital and All-cause Mortality in Japan: Findings From the Adachi Cohort Study.Journal of epidemiology · 2025Article
- Building social capital with elders' leadership through a community hub "Ibasho" in the Philippines and Nepal.Scientific reports · 2023Article
- Association between social capital and depression among older adults of different genders: Evidence from Hangzhou, China.Frontiers in public health · 2022Article
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Authors and funding
7 authors.
Funding
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Abstract
backgroundHomebound status is one of the most important risk factors associated with functional decline and long-term care in older adults. Studies show that neighborhood built environment and community social capital may be related to homebound status. This study aimed to clarify the association between homebound status for community-dwelling older adults and community environment-including social capital and neighborhood built environment-in rural and urban areas.
methodsWe surveyed people aged 65 years and older residing in three municipalities of Niigata Prefecture, Japan, who were not certified as requiring long-term care. The dependent variable was homebound status; explanatory variables were community-level social capital and neighborhood built environment. Covariates were age, sex, household, marital status, socioeconomic status, instrumental activities of daily living, the Geriatric Depression Scale-15, self-rated health, number of diseases under care, and individual social capital. The association between community social capital or neighborhood built environment and homebound status, stratified by rural/urban areas, was investigated using multilevel logistic regression analysis.
resultsAmong older adults (n = 18,099), the homebound status prevalence rate was 6.9% in rural areas and 4.2% in urban areas. The multilevel analysis showed that, in rural areas, fewer older adults were homebound in communities with higher civic participation and with suitable parks or pavements for walking and exercising. However, no significant association was found between community social capital or neighborhood built environment and homebound status for urban older adults.
conclusionCommunity social capital and neighborhood built environment were significantly associated with homebound status in older adults in rural areas.
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