4.6 Article

Social capital and pneumococcal vaccination (PPSV23) in community-dwelling older Japanese: a JAGES multilevel cross-sectional study

期刊

BMJ OPEN
卷 11, 期 6, 页码 -

出版社

BMJ PUBLISHING GROUP
DOI: 10.1136/bmjopen-2020-043723

关键词

epidemiology; public health; health policy; infection control; geriatric medicine; preventive medicine

资金

  1. JSPS (Japan Society for the Promotion of Science) [15H01972, 15H04781, 15H05059, 15K03417, 15K03982, 15K16181, 15K17232, 15K18174, 15K19241]
  2. Health Labour Sciences Research Grants - Ministry of Health, Labour and Welfare, Japan [H26-Choju-Ippan-006, H27-Ninchisyou-Ippan-001, H28-Choju-Ippan-002, H28-Ninchisyou-Ippan-002, H29-Chikyukibo-Ippan-001, H30-Jyunkankinado-Ippan-004, 18H04071, 19FA1012,19FA2001]
  3. Research and Development Grants for Longevity Science from Japan Agency for Medical Research and development (AMED) [JP17dk0110027, JP18dk0110027, JP18ls0110002, JP18le0110009, JP20dk0110034, JP20dk0110037]
  4. Research Funding for Longevity Sciences from National Centre for Geriatrics and Gerontology [24-17, 24-23, 29-42, 30-30, 30-22, 20-19]
  5. Open Innovation Platform with Enterprises, Research Institute and Academia - Japan Science and Technology (JST) [OPERA, JPMJOP1831]
  6. Japan Foundation For Ageing And Health [J09KF00804]
  7. Innovative Research Programme on Suicide Countermeasures(1-4)
  8. Sasakawa Sports Foundation
  9. Japan Health Promotion & Fitness Foundation
  10. Chiba Foundation for Health Promotion & Disease Prevention
  11. 8020 Research Grant for fiscal 2019 from the 8020 Promotion Foundation [19-206]
  12. Niimi University [1915010]
  13. Meiji Yasuda Life Foundation of Health and Welfare
  14. [15K21266]
  15. [15KT0007]
  16. [15KT0097]
  17. [16H05556]
  18. [16K09122]
  19. [16K00913]
  20. [16K02025]
  21. [16K12964]
  22. [16K13443]
  23. [16K16295]
  24. [16K16595]
  25. [16K16633]
  26. [16K17256]
  27. [16K17281]
  28. [16K19247]
  29. [16K19267]
  30. [16K21461]
  31. [16K21465]
  32. [16KT0014]
  33. [17K04305]
  34. [17K34567]
  35. [17K04306]
  36. [25253052]
  37. [25713027]
  38. [26285138]
  39. [26460828]
  40. [26780328]
  41. [18H03018]
  42. [18H03047]
  43. [18H00953]
  44. [18H00955]
  45. [18KK0057]
  46. [19H03901]
  47. [19H03915]
  48. [19H03860]
  49. [19K04785]
  50. [19K10641]
  51. [19K11657]
  52. [19K19818]
  53. [19K19455]
  54. [19K24060]
  55. [19K20909]
  56. [20H00557]
  57. Grants-in-Aid for Scientific Research [15K16181, 15K03417, 15K03982, 15K18174, 15K17232, 18H04071, 15H05059, 15K19241] Funding Source: KAKEN

向作者/读者索取更多资源

The study found that older adults who participated in social groups, had social ties, or engaged in mutual support were more likely to receive the PPSV23 vaccination. Additionally, higher rates of vaccination were associated with rich community-level civic participation. Therefore, enhancing social capital may help reduce the inequality in PPSV23 vaccination rates among older adults in different municipalities.
Objective Inequalities exist between the 23-valent pneumococcal polysaccharide vaccination (PPSV23) rate in each municipality among Japanese older adults. Exploring individual-level and community-level intervenable factors is necessary to improve the vaccination rates. We examined the associations between community-level and individual-level social capital and the PPSV23 vaccination among older Japanese adults using multilevel Poisson regression analyses. Design Cross-sectional study. Setting We used data from the Japan Gerontological Evaluation Study, conducted between 3 October 2016 and 10 January 2017 in 631 districts, 39 municipalities and 18 prefectures. Participants The target population comprised persons aged 65 years or older who are physically and cognitively independent (that is, not certified as needing long-term care). Further, 180 021 older adults from 39 Japanese municipalities were enrolled. Primary outcome measure The primary outcome was the PPSV23 vaccination among the Japanese older adults aged 65 years or older who did not have physical or cognitive disabilities. Results After adjusting for municipality-, community-, individual-levels effects with multiple imputation, 137 075 individuals who participated in one/more of the civic participation (participation of social groups), social cohesion (social tie), or reciprocity (mutual exchange of social support) were significantly associated with more vaccinations than those without the three social capitals among the 137 075 older adults (13.0% (95% CI 11.0% to 14.9%), 5.0% (95% CI 2.4% to 7.6%) or 33.9% (95% CI23.6% to 44.2%) increase, respectively, p>0.001 for all). The rich (>=+1 SD) community-level civic participation was significantly associated with 3.4% increase [95% CI 0.02% to 6.78%, pConclusions Older adults with one/more of the three social capitals at the both levels received more PPSV23 vaccinations than those without those social capitals. Therefore, fostering of those social capitals may improve the inequality of the PPSV23 vaccination rate among older adults in each municipality.

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