scholarly journals Social factors associated with reversing frailty progression in community-dwelling late-stage elderly people: An observational study

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0247296
Author(s):  
Katsuhiko Takatori ◽  
Daisuke Matsumoto
Keyword(s):  
Social Capital ◽  
Social Participation ◽  
Multiple Logistic Regression Analysis ◽  
Principal Component ◽  
Community Dwelling ◽  
Baseline Survey ◽  
Subjective Age ◽  
Individual Level ◽  
Complex Concept ◽  
Self Rated Health

Frailty is considered to be a complex concept based mainly on physical vulnerability, but also vulnerabilities in mental/psychological and social aspects. Frailty can be reversible with appropriate intervention; however, factors that are important in recovering from frailty have not been clarified. The aim of the present study was to identify factors that help an individual reverse frailty progression and characteristics of individuals that have recovered from frailty. Community-dwelling people aged ≥75 years who responded to the Kihon Checklist (KCL) were enrolled in the study. The KCL consists of 25 yes/no questions in 7 areas: daily-life related activities, motor functions, nutritional status, oral functions, homebound, cognitive functions, and depressed mood. The number of social activities, degree of trust in the community, degree of interaction with neighbors, and subjective age were also evaluated. Frailty was assessed based on the number of checked items: 0–3 for robust, 4–7 for pre-frailty, and ≥8 for frailty. A total of 5050 participants were included for statistical analysis. At the time of the baseline survey in 2016, 18.7% (n = 942) of respondents had frailty, and the follow-up survey showed that the recovery rate from frailty within 2 years (median 24 months) was 31.8% (n = 300). Multiple logistic regression analysis showed that exercise-based social participation (odds ratio [OR] 2.0, 95% confidence interval [CI] 1.2–3.4; P<0.01) and self-rated health (OR 1.2, CI 1.0–1.5; P = 0.02) were related to reversing frailty progression. Principal component analysis indicated that the main factors constituting the first principal component (contribution rate, 18.3%) included items related to social capital, such as interaction with neighbors, trust in the community, and number of social participation activities. Our results demonstrate that exercise-based social participation and high self-rated health have associations with reversing frailty progression. Individuals that recovered from frailty are characterized by high individual-level social capital components (i.e., trust in community, interaction with neighbors, and social participation).

scholarly journals Assessing Socioeconomic Inequality in Self-Rated Health in Four ex-Yugoslav Countries

2021 ◽  
Vol 51 (3) ◽  
pp. 409-429
Author(s):  
Luka Jurković
Keyword(s):  
Social Capital ◽  
Socioeconomic Status ◽  
Social Participation ◽  
Multivariate Logistic Regression Analysis ◽  
European Social Survey ◽  
Individual Level ◽  
Self Rated Health ◽  
Occupational Social Class ◽  
The Relationship

There has been a growing academic interest in explaining the well-established association between socioeconomic status and health. Among the various proposed mechanisms and pathways, social capital has been recognised as a potentially important antecedent of socioeconomic inequalities in health. However, these interrelationships remain relatively unexplored within the countries of former Yugoslavia. Therefore, this article aims to fill the gap in the literature by exploring the role of individual-level social capital in the relationship between socioeconomic status and self-rated health in four ex-Yugoslav countries. The present study is based on the data from the ninth round of the European Social Survey (2018). The author analysed the data of participants aged 25 and over from Croatia (N = 1534), Montenegro (N = 1002), Serbia (N = 1720) and Slovenia (N = 1149). In order to test the target associations, sequential multivariate logistic regression analysis was performed. The results show that occupational social class and several social capital indicators are associated with self-rated health, although independently of each other. Across all countries, unskilled and skilled manual workers and long-term unemployed individuals were more likely to report poor health compared to non-manual workers, with the exception of Montenegrin skilled manual workers and the long-term unemployed participants from Slovenia. Moreover, despite some cross-country differences in the relationship between individual levels of social capital and self-rated health, social participation was associated with self-rated health across all countries. These findings highlight the importance of encouraging social participation within these countries, which can lead to health benefits through behavioural and psychosocial mechanisms.

scholarly journals The “Dark Side” Effects of Social Capital on Harmful Drinking among Chinese Community Residents: A Multilevel Study

2018 ◽  
Vol 15 (10) ◽  
pp. 2249 ◽  
Author(s):  
Xin Nie ◽  
Yongkai Zhu ◽  
Hua Fu ◽  
Junming Dai ◽  
Junling Gao
Keyword(s):  
Social Capital ◽  
Social Participation ◽  
Odds Ratio ◽  
Dark Side ◽  
Chinese Community ◽  
Harmful Drinking ◽  
Individual Level ◽  
Social Organizations ◽  
Multilevel Study ◽  
Community Residents

Background: To determine the effects of social capital on harmful drinking (HD) among Chinese community residents using a multilevel study. Methods: A cross-sectional study conducted from 2017–2018. In total, 13,610 participants were randomly interviewed from 29 districts of 3 cities in China with a multi-stage sampling procedure. Social capital, including social cohesion, membership in social organizations, and frequency of social participation, were assessed using validated scales. HD was assessed using the CAGE four-item questionnaire. Multilevel models were developed to determine whether social capital was related to HD when socioeconomic and demographic covariates were controlled. Results: In general, the prevalence of HD was 8.18%, and more specifically, 13.77% for men and 2.74% for women. After controlling for covariates and stratifying by gender, compared to residents in the low individual-level membership of social organizations, we found that the odds ratio (OR) for HD was 1.30 with a 95% confidence interval (CI) of 1.07–1.56 among men and 1.95 (95% CI: 1.29–2.97) among women. Compared to residents in the low individual-level frequency of social participation groups, the odds ratio of HD among women was 1.58 (95% CI: 1.10–2.26). There was no association between district-level social capital and HD. Conclusions: A high level of social capital may promote HD among the residents of Chinese neighborhoods. Intervention to modify social capital under the Chinese drinking culture may help reduce HD.

Social capital and core network ties: A validation study of individual-level social capital measures and their association with extra- and intra-neighborhood ties, and self-rated health

2011 ◽  
Vol 17 (2) ◽  
pp. 536-544 ◽  
Author(s):  
Spencer Moore ◽  
Ulf Bockenholt ◽  
Mark Daniel ◽  
Katherine Frohlich ◽  
Yan Kestens ◽  
...  
Keyword(s):  
Social Capital ◽  
Validation Study ◽  
Core Network ◽  
Network Ties ◽  
Individual Level ◽  
Self Rated Health

scholarly journals The influence of social capital on self-rated health and depression – The Nord-Trøndelag health study (HUNT)

2009 ◽  
Vol 17 (1) ◽  
Author(s):  
Erik R. Sund ◽  
Stig H. Jørgensen ◽  
Andy Jones ◽  
Steinar Krokstad ◽  
Marit Heggdal
Keyword(s):  
Social Capital ◽  
Health Outcomes ◽  
Health Study ◽  
Cross Sectional ◽  
Individual Level ◽  
Self Rated Health ◽  
Geographical Variations ◽  
Organizational Activity ◽  
Increased Risk ◽  
Ward Level

The article examines the relationship between neighbourhood social capital and two health outcomes: selfrated health and depression. A total of 42,571 individuals aged 30–67 years participated in a cross-sectional total population health study in Nord-Trøndelag in 1995–1997 (HUNT II) and were investigated using multilevel modelling. Aims were, first, to investigate potential area effects after accounting for the characteristics of individuals in the neighbourhoods (N = 155), and, second, to explore the relationships between contextual social capital (the level of trust at the neighbourhood level and the level of local organizational activity) and the two health measures. Models with stepwise inclusion of individual level factors attenuated the ward level variance for both self-rated health (PCV: 41%) and depression (PCV: 43%). The inclusion of the two contextual social capital items attenuated the ward level variance for both self-rated health and depression, however to varying degrees. At the individual level, contextual social capital was associated with both self-rated health and depression. Individuals living in wards with a low level of trust experienced an increased risk of 1.36 (95% CI: 1.13-1.63) for poor self-rated health compared to individuals in wards with a high level of trust. For depression, this effect was even stronger (OR 1.52, 1.23-1.87). The associations with the level of organizational activity were inconsistent and weaker for both health outcomes. It was concluded that geographical variations in self-rated health and depression are largely due to the socioeconomic characteristics of individuals. Nevertheless, contextual social capital, expressed as the level of trust, was found to be associated with depression and self-rated health at individual level.

scholarly journals Decline in independence after three years and its association with dietary patterns and IADL-related factors in community-dwelling older people: an analysis by age stage and sex

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sayuri Kodama ◽  
Tanji Hoshi ◽  
Sugako Kurimori
Keyword(s):  
Older People ◽  
Dietary Patterns ◽  
Lower Risk ◽  
Multiple Logistic Regression Analysis ◽  
Rapid Change ◽  
Principal Component ◽  
Community Dwelling ◽  
Food Groups ◽  
Related Factors ◽  
Frequency Pattern

Abstract Background Few studies have shown age stage and sex differences in the association among dietary patterns and various health factors related to disability in older people. This study aimed to reveal the differences of characteristics, including several dietary patterns, associated with a decline in independence over 3 years in community-dwelling independent older people. Specifically, we examined data by age stage, for people between 65 and 75 years (earlier-stage) and people aged 75 years or above (later-stage), and sex. Methods We conducted a nationwide longitudinal study of 25 Japanese prefectures from 2013 to 2016; 2250 participants’ complete data (1294 men and 956 women) were analyzed. Independence was evaluated based on instrumental activities of daily living (IADL) scores (maximum = 12). Dietary patterns were derived from a principal component analysis of the seven food groups. Baseline IADL-related factors linked to independence 3 years later were selected. Multiple logistic regression analysis for having low independence—without a full score of IADL 3 years after baseline—was conducted, adjusted for baseline IADL scores. Finally, to compare differences among age stage and sex groups, we used Multiple-Group Path Analysis. Results Participants with a full IADL score 3 years later were classified as high independence (69.6%), and those without the full score were classified as low independence (30.4%). Only the later-stage older peoples’ proportion of low independence 3 years later was significantly higher than those at baseline. A high meat frequency pattern was associated with a significantly higher risk of decline in independence 3 years later in later-stage older women. The earlier-stage older people showed that 18.5 ≤ BMI < 25 was associated with a lower risk, referring to BMI < 18.5. In the later-stage, exercising three or more times a week with enjoyment and fulfillment was associated with a significantly lower risk. Conclusions The IADL disability in older people aged 75 and over showed a rapid change. The different characteristics associated with the risk of decline in independence among age stage and sex were revealed. Targeting age stage and sex separately for community-based comprehensive supportive strategies would be necessary for a long life globally.

scholarly journals Effects of Subjective Memory Complaints (SMCs) and Social Capital on Self-Rated Health (SRH) in a Semirural Malaysian Population

2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Kwong Hsia Yap ◽  
Devi Mohan ◽  
Blossom C. M. Stephan ◽  
Narelle Warren ◽  
Pascale Allotey ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Capital ◽  
Regression Model ◽  
Sociodemographic Factors ◽  
Community Dwelling ◽  
Subjective Memory Complaints ◽  
Subjective Memory ◽  
Cross Sectional ◽  
Self Rated Health ◽  
Memory Complaints

Subjective memory complaints (SMCs) and social capital were known to be related to self-rated health (SRH). Despite this, no studies have examined the potential interaction of SMC and social capital on SRH. Using data from a cross-sectional health survey of men and women aged 56 years and above (n = 6,421), we examined how SMCs and social capital explained SRH in a population of community-dwelling older adults in a semirural area in Malaysia. We also evaluated whether SRH’s relationship with SMCs is moderated by social capital. The association of SMC and social capital with poor SRH was investigated using multivariable logistic regression. Social capital (OR = 0.86, 95% CI = 0.82–0.89), mild SMC (OR = 1.70, 95% CI = 1.50–1.94), and moderate SMC (OR = 1.90, 95% CI = 1.63–2.20) were found to be associated with poor SRH after adjustment for sociodemographic factors and depression in the initial regression model. SMC was found to have partial interaction effects with social capital which was included in the subsequent regression model. Unlike individuals with no SMC and mild SMC, those who reported moderate SMC did not show decreasing probabilities of poor SRH despite increasing levels of social capital. Nevertheless, this analysis suggests that social capital and SMC are independent predictors of poor SRH. Further research needs to be targeted at improving the understanding on how social capital and SMC moderate and interact with the perception of health in older adults.

scholarly journals Social Capital and Health in the Oldest Old

2006 ◽  
Vol 1 (1) ◽  
pp. 91-114 ◽  
Author(s):  
Fredrica Nyqvist ◽  
Janna Gustavsson ◽  
Yngve Gustafsson
Keyword(s):  
Social Capital ◽  
Depressive Symptoms ◽  
Functional Ability ◽  
Oldest Old ◽  
Principal Component ◽  
Cross Sectional Study ◽  
Principal Component Factor Analysis ◽  
Cross Sectional ◽  
Self Rated Health ◽  
Structural Social Capital

The aim of this study was to measure social capital in the oldest old, and its association with different dimensions of health. The Umeå 85+ study is a cross-sectional study of 253 people, aged 85 years, 90 years and 95 years or older. A principal component factor analysis was performed to assess classes of information measuring the structural and the cognitive components of social capital on an individual level. In the final model, one factor consisting of attachment, social integration and social network emerged which accounted for 55 per cent of the total variance. We analysed the association between structural social capital and various dimensions of health such as depressive symptoms, functional ability and self-rated health. This study suggests that structural social capital may partially explain depressive symptoms but not functional ability or self-rated health. We conclude that social capital is a relevant resource for the oldest old, but we suggest a different approach when measuring social capital in this age group, such as conducting a longitudinal study or including retrospective questions in the study. The oldest old may have had a high level of social capital, but our study could not identify this statistically.

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