Department of Rehabilitation, Tsushima City Hospital, Aichi 496-8537, Japan.
Graduate School of Medical and Pharmaceutical Sciences, Chiba University, Chiba 260-8670, Japan.
Int J Environ Res Public Health. 2019 Jun 8;16(11):2038. doi: 10.3390/ijerph16112038.
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.
抑郁症状的患病率在社会资本(SC)较高的社区中较低。然而,尚不清楚 SC 增加的社区中抑郁症状的患病率是否会降低。我们使用日本老年评估研究的 5 年重复横断面数据,调查了市级 SC 变化与抑郁症状之间的关系。在 2010 年和 2016 年,向居住在 44 个市的功能独立的 65 岁及以上居民邮寄了自报问卷;2010 年和 2016 年分别收到了 72718 人和 84211 人的有效回复。所有分数均汇总到市级水平。因变量是用 15 项老年抑郁量表诊断出的抑郁症状患病率的变化。自变量是与健康相关的 SC 指标(例如社会参与度、社会凝聚力和互惠性)变化的得分。采用多元回归分析。抑郁症状的平均患病率从 2010 年的 28.6%下降到 2016 年的 21.3%。运动团体参与率(B,-0.356)和互惠性评分(B,-0.597)的增加与调整潜在混杂变量后抑郁症状患病率的下降显著相关。我们的研究结果表明,社区 SC 可能是保护社区中抑郁症状的一种干预措施。