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  • 标题:Development of an instrument for community-level health related social capital among Japanese older people: The JAGES Project
  • 本地全文:下载
  • 作者:Masashige Saito ; Naoki Kondo ; Jun Aida
  • 期刊名称:Journal of Epidemiology
  • 印刷版ISSN:0917-5040
  • 电子版ISSN:1349-9092
  • 出版年度:2017
  • 卷号:27
  • 期号:5
  • 页码:221-227
  • DOI:10.1016/j.je.2016.06.005
  • 出版社:Japan Epidemiological Association
  • 摘要:

    Background: We developed and validated an instrument to measure community-level social capital based on data derived from older community dwellers in Japan.

    Methods: We used cross-sectional data from the Japan Gerontological Evaluation Study, a nationwide survey involving 123,760 functionally independent older people nested within 702 communities (i.e., school districts). We conducted exploratory and confirmatory factor analyses on survey items to determine the items in a multi-dimensional scale to measure community social capital. Internal consistency was checked with Cronbach's alpha. Convergent construct validity was assessed via correlating the scale with health outcomes.

    Results: From 53 candidate variables, 11 community-level variables were extracted: participation in volunteer groups, sports groups, hobby activities, study or cultural groups, and activities for teaching specific skills; trust, norms of reciprocity, and attachment to one's community; received emotional support; provided emotional support; and received instrumental support. Using factor analysis, these variables were determined to belong to three sub-scales: civic participation (eigenvalue = 3.317, α = 0.797), social cohesion (eigenvalue = 2.633, α = 0.853), and reciprocity (eigenvalue = 1.424, α = 0.732). Confirmatory factor analysis indicated the goodness of fit of this model. Multilevel Poisson regression analysis revealed that civic participation score was robustly associated with individual subjective health (Self-Rated Health: prevalence ratio [PR] 0.96; 95% confidence interval [CI], 0.94–0.98; Geriatric Depression Scale [GDS]: PR 0.95; 95% CI, 0.93–0.97). Reciprocity score was also associated with individual GDS (PR 0.98; 95% CI, 0.96–1.00). Social cohesion score was not consistently associated with individual health indicators.

    Conclusions: Our scale for measuring social capital at the community level might be useful for future studies of older community dwellers.

  • 关键词:Social capital;Community level;Factorial validity;Reliability;Older people
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