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Change in Municipality-Level Health-Related Social Capital and Depressive Symptoms: Ecological and 5-Year Repeated Cross-Sectional Study from the JAGES

Author

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  • Ryota Watanabe

    (Department of Rehabilitation, Tsushima City Hospital, Aichi 496-8537, Japan
    Graduate School of Medical and Pharmaceutical Sciences, Chiba University, Chiba 260-8670, Japan)

  • Katsunori Kondo

    (Department of Social Preventive Medical Sciences, Center for Preventive Medical Sciences, Chiba University, Chiba 260-8670, Japan
    Department of Gerontological Evaluation, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Aichi 474-8511, Japan)

  • Tami Saito

    (Department of Social Science, National Center for Geriatrics and Gerontology, Aichi 474-8511, Japan)

  • Taishi Tsuji

    (Department of Social Preventive Medical Sciences, Center for Preventive Medical Sciences, Chiba University, Chiba 260-8670, Japan)

  • Takahiro Hayashi

    (Department of Rehabilitation and Care, Seijoh University, Aichi 476-8588, Japan)

  • Takaaki Ikeda

    (Department of Health Policy Science, Graduate School of Medical Science, Yamagata University, Yamagata 990-9585, Japan
    Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Miyagi 980-8575, Japan)

  • Tokunori Takeda

    (Department of Rehabilitation and Care, Seijoh University, Aichi 476-8588, Japan)

Abstract

Prevalence of depressive symptoms is lower in communities with greater social capital (SC). However, it is unclear whether a prevalence of depressive symptoms will decrease in communities where SC has increased. We investigated the relationship between the changes in municipality-level SC and depressive symptoms by using 5-year repeated cross-sectional data from the Japan Gerontological Evaluation Study. In 2010 and 2016, self-reported questionnaires were mailed to functionally independent residents aged 65 years or older living in 44 municipalities; valid responses were received from 72,718 and 84,211 people in 2010 and 2016, respectively. All scores were aggregated at the municipality level. The dependent variable was the change in the prevalence of depressive symptoms that were diagnosed with a 15-item Geriatric Depression Scale. Independent variables were the score of change in health-related SC indicators, e.g., social participation, social cohesion, and reciprocity. A multiple regression analysis was employed. The average prevalence of depressive symptoms decreased from 28.6% in 2010 to 21.3% in 2016. The increases in the percentages of sports group participation (B, −0.356), and reciprocity scores (B, −0.597) were significantly associated with the decrease in the prevalence of depressive symptoms after adjusting for potential confounding variables. Our findings suggest that community SC might be an intervention for protecting depressive symptoms in municipalities.

Suggested Citation

  • Ryota Watanabe & Katsunori Kondo & Tami Saito & Taishi Tsuji & Takahiro Hayashi & Takaaki Ikeda & Tokunori Takeda, 2019. "Change in Municipality-Level Health-Related Social Capital and Depressive Symptoms: Ecological and 5-Year Repeated Cross-Sectional Study from the JAGES," IJERPH, MDPI, vol. 16(11), pages 1-10, June.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:11:p:2038-:d:238191
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    References listed on IDEAS

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    2. Aida, Jun & Hanibuchi, Tomoya & Nakade, Miyo & Hirai, Hiroshi & Osaka, Ken & Kondo, Katsunori, 2009. "The different effects of vertical social capital and horizontal social capital on dental status: A multilevel analysis," Social Science & Medicine, Elsevier, vol. 69(4), pages 512-518, August.
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    Cited by:

    1. Hiroki Takeuchi & Kazushige Ide & Ryota Watanabe & Yasuhiro Miyaguni & Katsunori Kondo, 2022. "Association between Increasing Social Capital and Decreasing Prevalence of Smoking at the Municipality Level: Repeated Cross-Sectional Study from the JAGES," IJERPH, MDPI, vol. 19(8), pages 1-10, April.
    2. Kazushige Ide & Seungwon Jeong & Taishi Tsuji & Ryota Watanabe & Yasuhiro Miyaguni & Hirotaka Nakamura & Miyako Kimura & Katsunori Kondo, 2022. "Suggesting Indicators of Age-Friendly City: Social Participation and Happiness, an Ecological Study from the JAGES," IJERPH, MDPI, vol. 19(9), pages 1-12, April.

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