Ishikawa, Y;
Kondo, N;
Kondo, K;
Saito, T;
Hayashi, H;
Kawachi, I;
JAGES group, .;
(2016)
Social participation and mortality: does social position in civic groups matter?
BMC Public Health
, 16
, Article 394. 10.1186/s12889-016-3082-1.
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Abstract
BACKGROUND: Social participation is known to predict longevity. However, little is known about the effect of social participation according to an individual's position in civic groups. We evaluated the influence of social position on mortality, using data from a large cohort of Japanese older adults (the AGES cohort). METHODS: Of 14,804 individuals aged 65 years and older enrolled in the AGES, 14,286 individuals were followed up for approximately 5 years from 2003 to 2008. We performed inverse probability of treatment weighted (IPTW) Cox proportional hazards regression with multiple imputation of missing values to compute hazard ratios (HR) for all-cause mortality according to the individual's position in the community organization(s) to which they belonged. We examined participation in the following civic groups: neighborhood association/senior citizen club/fire-fighting team, religious group, political organization or group, industrial or trade association, volunteer group, citizen or consumer group, hobby group, and sports group or club. The values for IPTW were computed based on demographic variables, socioeconomic status, and self-reported medical condition. RESULTS: During 22,718 person-years of follow-up for regular members of community groups and 14,014 person-years of follow-up for participants in leadership positions, 479 deaths and 214 deaths were observed, respectively. Relative to regular members, crude HR for all-cause mortality for occupying leadership positions (e.g. president, manager, or having administrative roles) was 0.72 (95 % CI:0.62-0.85). The IPTW-HR was 0.88 (95 % CI: 0.79-0.99) for participants occupying leadership positions. CONCLUSIONS: Holding leadership positions in community organization(s) may be more beneficial to health than being regular members.
| Type: | Article |
|---|---|
| Title: | Social participation and mortality: does social position in civic groups matter? |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1186/s12889-016-3082-1 |
| Publisher version: | http://doi.org/10.1186/s12889-016-3082-1 |
| Language: | English |
| Additional information: | © 2016 Ishikawa et al. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
| Keywords: | Japan, Leadership role, Mortality, Older people, Propensity score, Social participation, Aged, Aged, 80 and over, Cohort Studies, Community Participation, Female, Follow-Up Studies, Health Status, Humans, Japan, Leadership, Longevity, Male, Proportional Hazards Models, Social Class, Social Participation |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10037721 |
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