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日本老年人社区层面健康相关社会资本测量工具的开发:日本老年学和老年医学学会研究项目

Development of an instrument for community-level health related social capital among Japanese older people: The JAGES Project.

作者信息

Saito Masashige, Kondo Naoki, Aida Jun, Kawachi Ichiro, Koyama Shihoko, Ojima Toshiyuki, Kondo Katsunori

机构信息

Department of Social Welfare, Nihon Fukushi University, Aichi, Japan; Center for Well-being and Society, Nihon Fukushi University, Nagoya, Japan.

Department of Health and Social Behavior, School of Public Health, The University of Tokyo, Tokyo, Japan.

出版信息

J Epidemiol. 2017 May;27(5):221-227. doi: 10.1016/j.je.2016.06.005. Epub 2017 Feb 4.

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.

摘要

背景

我们基于日本老年社区居民的数据开发并验证了一种用于衡量社区层面社会资本的工具。

方法

我们使用了来自日本老年学评估研究的横断面数据,这是一项全国性调查,涉及嵌套在702个社区(即学区)中的123,760名功能独立的老年人。我们对调查项目进行了探索性和验证性因素分析,以确定用于衡量社区社会资本的多维量表中的项目。用克朗巴哈系数(Cronbach's alpha)检查内部一致性。通过将该量表与健康结果进行关联来评估收敛性结构效度。

结果

从53个候选变量中,提取了11个社区层面的变量:参与志愿者团体、体育团体、业余爱好活动、学习或文化团体以及特定技能教学活动;信任、互惠规范以及对所在社区的归属感;获得情感支持;提供情感支持;以及获得工具性支持。通过因素分析,确定这些变量属于三个子量表:公民参与(特征值 = 3.317,α = 0.797)、社会凝聚力(特征值 = 2.633,α = 0.853)和互惠(特征值 = 1.424,α = 0.732)。验证性因素分析表明该模型的拟合优度良好。多水平泊松回归分析显示,公民参与得分与个体主观健康密切相关(自评健康:患病率比[PR] 0.96;95%置信区间[CI],0.94 - 0.98;老年抑郁量表[GDS]:PR 0.95;95% CI,0.93 - 0.97)。互惠得分也与个体GDS相关(PR 0.98;95% CI,0.96 - 1.00)。社会凝聚力得分与个体健康指标的关联并不一致。

结论

我们用于衡量社区层面社会资本的量表可能对未来关于老年社区居民的研究有用。

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