Ide Kazushige, Ueno Takayuki, Tsuji Taishi, Watanabe Ryota, Saito Masashige, Kimura Miyako, Nakagomi Atsushi, Kondo Katsunori
Center for Preventive Medical Sciences, Chiba University, Chiba, Chiba, Japan.
Japan Agency for Gerontological Evaluation Study, Kashiwa, Chiba, Japan.
SSM Popul Health. 2025 Jun 16;31:101828. doi: 10.1016/j.ssmph.2025.101828. eCollection 2025 Sep.
Social capital is a common target of intervention used by policymakers to address the health challenges of older adults. However, evidence for the effectiveness of social capital interventions remain still clearly lacking.
This study used a longitudinal study design. We used three waves of data (2016, 2017, and 2019) from 6025 older adults in Japan. We assessed ten social capital indicators in 2019 as outcomes. The exposure was participation in community gathering places in 2017. Pre-exposure characteristics and prior outcome levels in 2016 were adjusted. Linear regression analysis and modified Poisson regression analysis were employed according to the nature of the outcome.
Community gathering places participation was positively associated with nine social capital indicators; frequency of meeting friends (B: 0.55), number of friends seen within a month (B: 0.49), number of community organizations (B: 0.28-0.55), norms of reciprocity (B: 0.18), and attachment (B: 0.15); all results showed p1.
社会资本是政策制定者用来应对老年人健康挑战的常见干预目标。然而，社会资本干预有效性的证据仍然明显不足。
本研究采用纵向研究设计。我们使用了来自日本6025名老年人的三轮数据（2016年、2017年和2019年）。我们将2019年的十个社会资本指标评估为结果。暴露因素是2017年参与社区聚集场所的情况。对2016年的暴露前特征和先前的结果水平进行了调整。根据结果的性质采用线性回归分析和修正泊松回归分析。
参与社区聚集场所与九个社会资本指标呈正相关；与朋友见面的频率（B：0.55）、一个月内见到的朋友数量（B：0.49）、社区组织的数量（B：0.28 - 0.55）、互惠规范（B：0.18）和归属感（B：0.15）；所有结果均显示p<0.05。除了一个指标（邻里信任，B：0.02，p>0.1）外，所有其他指标在调整混杂因素后仍具有统计学意义。较高的邻里信任与社区聚集场所的参与之间没有显著关联。
参与社区聚集场所与社会资本的多个方面呈正相关。这些发现表明，促进老年人参与社区聚集场所可能是增强社会资本的有效策略，这反过来可能对他们的健康有益。
