Changes in Municipal-Level Social Capital and Socioeconomic Inequalities in Sports Group Participation and Walking Time Among Older Adults.

IF 2.9 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Taishi Tsuji, Meiko Yokoyama, Satoru Kanamori, Takahiro Tabuchi, Katsunori Kondo
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Abstract

Background: This study aimed to examine trends in socioeconomic inequalities in sports group participation and daily walking time among older adults in Japan from 2016 to 2019, and to elucidate the association of municipal-level social capital in these trends.

Methods: Using data from the Japan Gerontological Evaluation Study across 2 waves (2016 and 2019), this repeated cross-sectional ecological study included 50 municipalities with 102,575 and 94,022 participants, respectively. We investigated inequalities in sports group participation, and daily walking time by income and education, using the slope index of inequality and relative index of inequality with municipal-level social capital variables, such as civic participation, reciprocity, social cohesion, and social network.

Results: From 2016 to 2019, all slope index of inequalities showed a decreasing trend (-4.2 to - 0.5), whereas relative index of inequalities maintained or decreased (-0.10 to 0.00). Increases in municipal-level social capital particularly civic participation and social networks with friends were associated with reduced inequalities in both sports group participation and walking time. For example, increased civic participation scores were associated with reduced relative index of inequalities, which assessed inequalities in sports group participation by income (B = -0.13, 95% CI, -0.24 to - 0.03) and in walking time by education (B = -0.06, 95% CI, -0.11 to - 0.01).

Conclusions: Enhancements in municipal social capital can reduce socioeconomic inequalities in sports group participation and daily walking among older adults, highlighting the importance of fostering civic participation, social networks, and cohesion in public health strategies aimed at reducing inequalities in sports and walking.

市级社会资本的变化与老年人参加体育活动和步行时间的社会经济不平等。
研究背景本研究旨在考察2016年至2019年日本老年人参加体育团体和每天步行时间的社会经济不平等趋势,并阐明市级社会资本与这些趋势的关联:这项重复性横断面生态研究使用了日本老年学评估研究的数据,包括 50 个市镇,分别有 102,575 和 94,022 名参与者。我们使用不平等斜率指数和相对不平等指数,结合市政层面的社会资本变量,如公民参与、互惠、社会凝聚力和社会网络,调查了不同收入和受教育程度的人参加体育团体和每天步行时间的不平等情况:从 2016 年到 2019 年,所有不平等斜率指数都呈下降趋势(-4.2 到 -0.5),而相对不平等指数则保持或下降(-0.10 到 0.00)。市级社会资本的增加,特别是公民参与和朋友社交网络的增加,与体育团体参与和步行时间不平等的减少有关。例如,公民参与得分的提高与相对不平等指数的降低有关,该指数评估了按收入划分的体育团体参与不平等(B = -0.13,95% CI,-0.24 至 -0.03)和按教育程度划分的步行时间不平等(B = -0.06,95% CI,-0.11 至 -0.01):城市社会资本的增强可以减少老年人在体育团体参与和日常步行方面的社会经济不平等,这凸显了在旨在减少体育和步行不平等的公共卫生战略中促进公民参与、社会网络和凝聚力的重要性。
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来源期刊
Journal of physical activity & health
Journal of physical activity & health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
5.50
自引率
3.20%
发文量
100
期刊介绍: The Journal of Physical Activity and Health (JPAH) publishes original research and review papers examining the relationship between physical activity and health, studying physical activity as an exposure as well as an outcome. As an exposure, the journal publishes articles examining how physical activity influences all aspects of health. As an outcome, the journal invites papers that examine the behavioral, community, and environmental interventions that may affect physical activity on an individual and/or population basis. The JPAH is an interdisciplinary journal published for researchers in fields of chronic disease.
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