Are neighborhood bonding and bridging social capital protective against depressive mood in old age? A multilevel analysis in Japan
Are neighborhood bonding and bridging social capital protective against depressive mood in old age? A multilevel analysis in Japan
复制标题
DOI：
10.1016/j.socscimed.2014.11.042
复制
发表时间：
2015-01-01
影响因子：
5.4
通讯作者：
Shinkai, Shoji
中科院分区：
文献类型：
--
作者：
Murayama, Hiroshi;Nofuji, Yu;Shinkai, Shoji
虽然现在人们了解了区分社会资本联系和沟通的重要性，但关于它们对健康的背景影响的证据仍然很少。我们研究了邻里关系和沟通社会资本与日本老年人抑郁情绪的关系。2012年7月和8月，对日本兵库县靖部市所有65岁及以上的社区居民进行了问卷调查。通过评估与年龄、性别和社会经济地位相关的个人同质和异质社会网络来评估社会资本的结合和桥梁作用。每个社区的个人回应被汇总起来，以创建社区层面的联系/桥梁社会资本的指数。采用多水平二项Logistic回归分析，计算优势比(OR)和95%可信区间(CI)，评价社会资本与抑郁情绪的关系。在发放的7271份问卷中，分析了6416份(覆盖152个行政社区)。约56.8%的受访者为女性，平均年龄为76.2+/-7.1岁。邻里交往社会资本与抑郁情绪呈负相关(OR=0.84，95%CI=0.75~0.94)，而邻里交往社会资本与抑郁情绪无显著相关。性别分层分析显示邻里结合型社会资本与抑郁情绪呈负相关(男性OR=0.83，95%CI=0.72~0.96；女性OR=0.85，95%CI=0：72~0.99)，而邻居型社会资本与女性抑郁情绪呈正相关(OR=1.15，95%CI=1.00~1.34)。个人层面和邻里层面的亲和社会资本之间也存在显著的交互作用，这表明同质网络较弱的人以及居住在亲和社会资本较弱的社区的人更有可能出现抑郁情绪。我们的研究结果表明，社区社会资本并不一定有利于老年人的心理健康。这些发现可能会引发关于社会资本与心理健康之间关系的进一步讨论。(C)2014爱思唯尔有限公司。保留所有权利。
While the importance of distinguishing between bonding and bridging social capital is now understood, evidence remains sparse on their contextual effects on health. We examined the associations of neighborhood bonding and bridging social capital with depressive mood among older Japanese. A questionnaire survey of all community residents aged 65 and older in the city of Yabu, Hyogo Prefecture, Japan was conducted in July and August 2012. Bonding and bridging social capital were assessed by evaluating individual homogeneous and heterogeneous social networks in relation to age, gender, and socioeconomic status. Individual responses in each neighborhood were aggregated to create an index of neighborhood-level bonding/bridging social capital. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated to evaluate the associations of such social capital with depressive mood using multilevel binomial logistic regression analysis. Of the 7271 questionnaires distributed, 6416 were analyzed (covering 152 administrative neighborhoods). Approximately 56.8% of respondents were women, and the mean age was 76.2 +/- 7.1 years. Neighborhood-level bonding social capital was inversely associated with depressive mood (OR = 0.84, 95% Cl = 0.75-0.94), but neighborhood-level bridging social capital was not. Gender-stratified analysis revealed that neighborhood-level bonding social capital was inversely associated with depressive mood in both genders (OR = 0.83, 95% CI = 0.72-0.96 for men; OR = 0.85, 95% Cl = 0:72-0.99 for women), while neighborhood-level bridging social capital was positively associated with depressive mood in women (OR = 1.15, 95% Cl = 1.00-1.34). There was also a significant interaction between individual- and neighborhood-level bonding social capital, indicating that people with a weaker homogeneous network and living in a neighborhood with weaker bonding social capital were more likely to have depressive mood. Our results suggest that neighborhood social capital does not necessarily benefit mental health in old age. These findings might stimulate further discussion on the relationship of bonding and bridging social capital with mental health. (C) 2014 Elsevier Ltd. All rights reserved.