J Korean Acad Community Health Nurs.  2018 Jun;29(2):184-193. 10.12799/jkachn.2018.29.2.184.

Effects of Social Capital on Subjective Health in the Community Indwelling Elderly

• Chu HS
• Tak YR

• KMID: 2415576
• DOI: http://doi.org/10.12799/jkachn.2018.29.2.184

Abstract

PURPOSE
The aim of this study is to examine a path model on the relationship among social capital, physical activity and subjective health status in the community indwelling elderly.
METHODS
The study was conducted utilizing the 2014 Seoul Survey, in the method of analyzing cross-sectional design and secondary data. Among 45,497 participants in total, the data of 4578 adults aged 65 or above was analyzed. Social capital was measured by social trust and social participation. Physical activity was measured by regular exercise. Additionally, a numerical rating scale was used to assess subjective health status. The data were analyzed using descriptive statistics, Pearson's correlation coefficients and path analysis.
RESULTS
Social participation and physical activity showed a direct effect on subjective health status in community indwelling elderly while social trust and physical activity showed an indirect effect on their subjective health status. The hypothetical path model of community indwelling elderly's subjective health status was proved correct.
CONCLUSION
Findings from this study indicate that health-promoting intervention for community indwelling elderly should consider social trust and participation.

Keyword

Aged; Social Capital; Health Status

MeSH Terms

Adult
Aged*
Diagnostic Self Evaluation*
Humans
Methods
Motor Activity
Seoul
Social Capital*
Social Participation

Figure

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  Figure 1. Hypothetical path model diagram.

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  Figure 2. Modified path model diagram.

Reference

References

1. Statistics Korea. Elderly statistics [Internet]. Seoul: Statistics Korea;2017. [cited 2017 December 20]. Available from:. http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board.

2. Min J. Effect of social engagement on self-rated health trajectory among Korean older adults. Health and Social Welfare Review. 2013; 33(4):105–123. https://doi.org/10.15709/hswr.2013.33.4.105.

3. Oh YH, Bae HO, Kim YS. A study on physical and mental function affecting self-perceived health of older persons in Korea. Journal of the Korean Geriatrics Society. 2006; 26(3):461–476.

4. Chang J, Boo K. Self-rated health status of Korean older people: An introduction for international comparative studies. Korea Journal of Population Studies. 2007; 30(2):45–69.

5. Kobayashi M, Marui E. Factors affecting the health-related quality of life of community-dwelling elderly in Japan: A focus on spirituality. Health. 2017; 9(7):1095–1111. https://doi.org/10.4236/health.2017.97080.

6. Dong W, Wan J, Xu Y, Chen C, Bai G, Fang L, et al. Determinants of self-rated health among shanghai elders: A cross-sectional study. BioMed Central Public Health. 2017; 17(1):807. https://doi.org/10.1186/s12889-017-4718-5.

7. Sun F, Norman IJ, While AE. Physical activity in older people: A systematic review. BioMed Central Public Health. 2013; 13(1):449. https://doi.org/10.1186/1471-2458-13-449.

8. Cain CL, Wallace SP, Ponce NA. Helpfulness, trust, and safety of neighborhoods: Social capital, household income, and self-reported health of older adults. The Gerontologist. 2018; 58(1):4–14. https://doi.org/10.1093/geront/gnx145.

9. Kabayama M, Watanabe C, Ryuno H, Kamide K. Positive and negative associations of individual social capital factors with health among community dwelling older people. Geriatrics & Gerontology International. 2017; 17(12):2427–2434. https://doi.org/10.1111/ggi.13094.

10. Kawachi I, Berkman LF. Social cohesion, social capital, and health. Kawachi Berkman LF, editor. Social epidemiology. USA: Oxford university press;2000. p. 174–190.

11. Kim JH. Social capital, physical activity, and self-reported health: A structural equation modeling and implications for evidence-based health policy. Health and Social Science. 2010; 28:61–90.

12. Park B, Oh Y. The effect of social capital on health-related quality of life of residents in integrated Changwon city: Using the data of the 2013 community health survey. Journal of Korean Academy of Community Health Nursing. 2015; 26(4):342–354. https://doi.org/10.12799/jkachn.2015.26.4.342.

13. Lee SK, Park DW. The study on the causality between the eld-erly's residential environment and the aging in place. Journal of the Korean Urban Management Association. 2015; 28(2):287–308.

14. Kim KH, Lee SK, Yoon HJ, Kwon GH. The effects of Social Capital of old-old elderly of more than 70-year-old on their health-related quality of life. Journal of the Korea Academia-Industrial cooperation Society. 2015; 16(6):3889–3901. https://doi.org/10.5762/kais.2015.16.6.3889.

15. Park EO, Yu M. Frailty and its related factors in vulnerable elderly population by age groups. Journal of Korean Academy of Nursing. 2016; 46(6):848–857. https://doi.org/10.4040/jkan.2016.46.6.848.

16. Levasseur M, Dubois MF, Généreux M, Menec V, Raina P, Roy M, et al. Capturing how age-friendly communities foster positive health, social participation and health equity: a study protocol of key components and processes that promote population health in aging Canadians. BioMed Central Public Health. 2017; 17(1):502. https://doi.org/10.1186/s12889-017-4392-7.

17. Kawachi I, Kennedy BP, Glass R. Social capital and self-rated health: A contextual analysis. American Journal of Public Health. 1999; 89(8):1187–1193. https://doi.org/10.2105/ajph.89.8.1187.

18. Carpiano RM. Toward a neighborhood resource-based theory of social capital for health: Can Bourdieu and sociology help? Social Science & Medicine. 2006; 62(1):165–175. https://doi.org/10.1016/j.socscimed.2005.05.020.

19. Seoul Statistics. Seoul Survey 2014 [Internet]. Seoul: Seoul Open Data Plaza;2014. [cited 2017 December 20]. Available from:. http://data.seoul.go.kr/openinf/fileview.jsp?infId=OA-12649&tMenu=11.

20. Hair JF, Black WC, Babin BJ, Anderson RE. Examining your data. Hair JF, Black WC, Babin BJ, Anderson RE, editors. Multivariate data analysis. Pearson new international edition. Harlow, Essex: Pearson;2014. p. 31–88.

21. Hong SH. The Criteria for selecting appropriate fit indices in structural equation modeling and their rationales. Korean Journal of Clinical Psychology. 2000; 19(1):161–177.

22. Strong LL, Reitzel LR, Wetter DW, McNeill LH. Associations of perceived neighborhood physical and social environments with physical activity and television viewing in African-American men and women. American Journal of Health Promotion. 2013; 27(6):401–409. https://doi.org/10.4278/ajhp.120306-quan-127.

23. Ziersch AM, Baum FE, MacDougall C, Putland C. Neighbourhood life and social capital: The implications for health. Social Science & Medicine. 2005; 60(1):71–86. https://doi.org/10.1016/j.socscimed.2004.04.027.

24. Eo Y, Kim IT, Hong S, Kim SE. Social capital and healthy aging: A study of the effect of social capital using multilevel modeling. International Journal of Policy Studies. 2017; 26(1):121–151.

25. Lee HY, Jang SN, Lee S, Cho SI, Park EO. The relationship be- tween social participation and self-rated health by sex and age: A cross-sectional survey. International Journal of Nursing Studies. 2008; 45(7):1042–1054. https://doi.org/10.1016/j.ijnurstu.2007.05.007.

26. Kim JH. The impact of social capital and health behavior on the disparity in self-rated health in later life: The comparison of self-rated health trajectory between the elderly in low-income household and their counterparts. Korean Journal of Gerontological Social Welfare. 2016; 71(1):9–32.

27. Lindström M, Hanson BS, Östergren P-O. Socioeconomic differences in leisure-time physical activity: The role of social participation and social capital in shaping health related behaviour. Social Science & Medicine. 2001; 52(3):441–451. https://doi.org/10.1016/s0277-9536(00)00153-2.

28. Ueshima K, Fujiwara T, Takao S, Suzuki E, Iwase T, Doi H, et al. Does social capital promote physical activity? A population-based study in Japan. Public Library of Science One. 2010; 5(8):e12135. https://doi.org/10.1371/journal.pone.0012135.

29. Kim GY, Kim EM, Bae SS. Social capital and stage of change for physical activity in a community sample of adults. Korean Journal of Health Education and Promotion. 2009; 26(1):63–80.

30. Bae Y. Relationship between social support, social participation and physical functioning in older adult: On case study of community senior centers. Journal of the Korea Academia-Industrial cooperation Society. 2017; 18(4):380–390. https://doi.org/10.5762/KAIS.2017.18.4.380.