ArticleFrontiers in public health2025
Community-level social capital and participation in health checkups among older adults in Japan: a cross-sectional study.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Community-level social capital has been suggested as a contextual factor influencing preventive health behaviors among older adults, yet empirical evidence from micro-scale subcommunity settings remains limited. This study examined whether community-level social capital is associated with participation in specific medical checkups among older adults living in a typical regional city in Japan. Methods: A cross-sectional survey was conducted among 13,558 adults aged 65-74 years in Uwajima City. Community-level cognitive social capital was assessed using three subscales: civic participation, social cohesion, and reciprocity. Multilevel logistic regression analysis was performed across 65 voting districts, adjusting for individual lifestyle factors, socioeconomic status, and individual-level social capital. Results: After adjusting for covariates, including individual-level social capital, a one-standard deviation increase in community-level social cohesion was significantly associated with higher odds of participation in specific medical checkups (odds ratio per standard deviation increase: 1.11; 95% confidence interval: 1.03-1.19). Conclusion: Community-level social cohesion independently contributes to increased participation in preventive health checkups among older adults. These findings highlight the potential value of subcommunity-level strategies to promote preventive health behaviors in aging populations.
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