Community Social Capital and All-cause Mortality in Japan: Findings From the Adachi Cohort Study
Background: Community social capital is associated with various health outcomes; however, its impact on mortality is not fully understood, particularly in non-Western settings. This study examined the association between community-level social capital and all-cause mortality among community-dwelling...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Japan Epidemiological Association
2025-06-01
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| Series: | Journal of Epidemiology |
| Subjects: | |
| Online Access: | https://www.jstage.jst.go.jp/article/jea/35/6/35_JE20240277/_pdf |
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| Summary: | Background: Community social capital is associated with various health outcomes; however, its impact on mortality is not fully understood, particularly in non-Western settings. This study examined the association between community-level social capital and all-cause mortality among community-dwelling older Japanese adults. Methods: The baseline data were obtained from a 2015 questionnaire survey for all 132,005 residents aged ≥65 years without long-term care insurance certification in Adachi Ward (consisting of 262 small districts) of the Tokyo metropolitan area. We measured two aspects of social capital: neighborhood cohesion as cognitive social capital and neighborhood network as structural social capital. For district-level social capital, we aggregated the individual responses of neighborhood cohesion and neighborhood network in each district. Results: A total of 75,338 were analyzed. A multilevel survival analysis with an average follow-up of 1,656 days showed that higher district-level neighborhood cohesion was associated with a lower risk of all-cause mortality in men (hazard ratio 0.92; 95% confidence interval [CI], 0.84–0.99 for the highest quintile and 0.91; 95% CI, 0.82–0.99 for the second, compared to the lowest), but not in women. This association was more pronounced in men aged 65–74 years. Conclusion: This study provides valuable insights from the Asian population. Men, who typically have fewer social networks and support systems than women, could receive more benefits from residing in a cohesive community, which may contribute to their longevity. These findings support public health strategies that bolster community social capital as a means of archiving longevity among older men, underscoring the importance of social integration in aging societies. |
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| ISSN: | 0917-5040 1349-9092 |