The association between neighborhood social capital and self-reported dentate status in elderly Japanese - The Ohsaki Cohort 2006 Study
The association between neighborhood social capital and self-reported dentate status in elderly Japanese - The Ohsaki Cohort 2006 Study
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DOI：
10.1111/j.1600-0528.2010.00590.x
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发表时间：
2011-06-01
影响因子：
2.3
通讯作者：
Tsuji, I.
中科院分区：
文献类型：
--
作者：
Aida, J.;Kuriyama, S.;Tsuji, I.
目的：社会资本对口腔健康的影响尚不清楚。本研究旨在探讨日本老年人社区社会资本、个人社会网络和社会支持与剩余牙齿数量之间的关系。方法：于2006年12月对31 237名符合条件的社区居民发放自填问卷，回复率为73.9%。该分析包括21736名参与者。从个人公民网络、运动和爱好网络、志愿者网络、友谊网络和社会支持变量中计算了五个社区社会资本变量。我们采用多水平logistic回归模型，根据社区社会资本变量，调整性别、年龄、个人社会网络和社会支持、受教育程度、社区教育水平、牙齿健康行为、吸烟状况、糖尿病史和自评健康等因素，估计拥有20颗以上牙齿的比值比（OR）。结果：参与者的平均年龄为74.9岁（标准差6.6）岁，28.5%的人有20颗及以上的牙齿。在单变量多水平模型中，邻里运动和爱好网络、友谊网络和自我报告的牙齿状况之间存在统计学上显著的关联。在多变量多层次模型中，与生活在最低友谊网络社区的参与者相比，生活在最高友谊网络社区的参与者拥有20颗或更多牙齿的OR为1.17倍（95%置信区间，1.04-1.30）。结论：在不考虑个体社会网络和社会支持的情况下，邻里社会资本的一个网络方面与个体齿状状态存在显著的关联。
Objectives: Little is known about the influence of social capital on dental health. The aim of the present cross-sectional study was to determine the association between neighborhood social capital, individual social networks and social support and the number of remaining teeth in elderly Japanese.Methods: In December 2006, self-administered questionnaires were sent to 31 237 eligible community-dwelling individuals (response rate: 73.9%). Included in the analysis were 21 736 participants. Five neighborhood social capital variables were calculated from individual civic networks, sports and hobby networks, volunteer networks, friendship networks and social support variables. We used multilevel logistic regression models to estimate the odds ratio (OR) of having 20 or more teeth according to neighborhood social capital variables with adjustment for sex, age, individual social networks and social support, educational attainment, neighborhood educational level, dental health behavior, smoking status, history of diabetes and self-rated health.Results: The average age of the participants was 74.9 (standard deviation; 6.6) years, and 28.5% of them had 20 or more teeth. In the univariate multilevel model, there were statistically significant associations between neighborhood sports and hobby networks, friendship networks and self-reported dentate status. In the multivariable multilevel model, compared with participants living in lowest friendship network neighborhoods, those living in highest friendship network neighborhoods had an OR 1.17 (95% confidence interval, 1.04-1.30) times higher for having 20 or more teeth.Conclusions: There is a significant association between one network aspect of neighborhood social capital and individual dentate status regardless of individual social networks and social support.