Journal of Epidemiology
Online ISSN : 1349-9092
Print ISSN : 0917-5040
ISSN-L : 0917-5040
Original Articles
Development of an instrument for community-level health related social capital among Japanese older people: The JAGES Project
Masashige SaitoNaoki KondoJun AidaIchiro KawachiShihoko KoyamaToshiyuki OjimaKatsunori Kondo
Author information
JOURNAL FREE ACCESS
Supplementary material

2017 Volume 27 Issue 5 Pages 221-227

Details
Abstract

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.

Content from these authors

This article cannot obtain the latest cited-by information.

© 2017 The authors. This is an open access article under the CC BY-NC-ND license.
Previous article Next article
feedback
Top