Kristina Sundquist1, Tsuyoshi Hamano2, Xinjun Li3, Naomi Kawakami4, Kuninori Shiwaku5, Jan Sundquist6. 1. Center for Primary Health Care Research, Lund University, Malmö, Sweden; Stanford Prevention Research Center, Stanford University School of Medicine, Stanford, CA, USA. Electronic address: Kristina.sundquist@med.lu.se. 2. Center for Community-based Health Research and Education (COHRE), Organization for the Promotion of Project Research, Shimane University, Izumo, Japan; Department of Environmental and Preventive Medicine, Shimane University School of Medicine, Izumo, Japan. 3. Center for Primary Health Care Research, Lund University, Malmö, Sweden. 4. Waseda Institute of Sport Sciences, Waseda University, Tokorozawa, Japan. 5. Department of Environmental and Preventive Medicine, Shimane University School of Medicine, Izumo, Japan. 6. Center for Primary Health Care Research, Lund University, Malmö, Sweden; Stanford Prevention Research Center, Stanford University School of Medicine, Stanford, CA, USA.
Abstract
OBJECTIVES: Our objective was to examine the association between neighborhood linking social capital (a concept describing the amount of trust between individuals and societal institutions) and all-cause and cause-specific mortality in the elderly. DESIGN: The entire Swedish population aged 65+, a total of 1,517,336 men and women, was followed from 1 January 2002 until death, emigration, or the end of the study on 31 December 2010. Small geographic units were used to define neighborhoods. The definition of linking social capital was based on neighborhood voting participation rates, categorized into three groups. Multilevel logistic regression was used to estimate odds ratios (ORs) and between-neighborhood variance in three different models. RESULTS: The results showed an overall association between linking social capital and all-cause mortality. The significant OR of 1.53 in the group with low linking social capital decreased, but remained significant (OR=1.27), after accounting for age, sex, family income, marital status, country of birth, education level, and region of residence. There were also significant associations between linking social capital and cause-specific mortality in coronary heart disease, psychiatric disorders, cancer, stroke, chronic lower respiratory diseases, type 2 diabetes, and suicide. CONCLUSION: There are associations between low linking social capital and mortality from chronic disorders and suicide in the elderly population. Community support for elderly people living in neighborhoods with low levels of linking social capital may need to be strengthened.
OBJECTIVES: Our objective was to examine the association between neighborhood linking social capital (a concept describing the amount of trust between individuals and societal institutions) and all-cause and cause-specific mortality in the elderly. DESIGN: The entire Swedish population aged 65+, a total of 1,517,336 men and women, was followed from 1 January 2002 until death, emigration, or the end of the study on 31 December 2010. Small geographic units were used to define neighborhoods. The definition of linking social capital was based on neighborhood voting participation rates, categorized into three groups. Multilevel logistic regression was used to estimate odds ratios (ORs) and between-neighborhood variance in three different models. RESULTS: The results showed an overall association between linking social capital and all-cause mortality. The significant OR of 1.53 in the group with low linking social capital decreased, but remained significant (OR=1.27), after accounting for age, sex, family income, marital status, country of birth, education level, and region of residence. There were also significant associations between linking social capital and cause-specific mortality in coronary heart disease, psychiatric disorders, cancer, stroke, chronic lower respiratory diseases, type 2 diabetes, and suicide. CONCLUSION: There are associations between low linking social capital and mortality from chronic disorders and suicide in the elderly population. Community support for elderly people living in neighborhoods with low levels of linking social capital may need to be strengthened.
Authors: Deborah A Cohen; Bing Han; Kathryn P Derose; Stephanie Williamson; Terry Marsh; Laura Raaen; Thomas L McKenzie Journal: Environ Behav Date: 2016-01
Authors: Geeke Waverijn; Mary K Wolfe; Sigrid Mohnen; Mieke Rijken; Peter Spreeuwenberg; Peter Groenewegen Journal: BMC Public Health Date: 2014-07-03 Impact factor: 3.295