TY - JOUR
PY - 2020//
TI - Association of community level social trust and reciprocity with mortality: a retrospective cohort study
JO - BMC public health
A1 - Choi, Seulggie
A1 - Oh, Juhwan
A1 - Park, Sang Min
A1 - Hwang, Seo Eun
A1 - Lee, Hwa-Young
A1 - Kim, Kyuwoong
A1 - Shobugawa, Yugo
A1 - Kawachi, Ichiro
A1 - Lee, Jong-Koo
SP - e1793
EP - e1793
VL - 20
IS - 1
N2 - BACKGROUND: Whether community level social capital is associated with mortality within an Asian population is yet unclear. METHODS: The study population was derived from the Korean National Health Insurance Service-National Sample Cohort. A total of 636,055 participants were followed-up during 2012-2013 for deaths from all causes, cardiovascular disease (CVD), cancer, and other causes. Community level social trust and reciprocity at the administrative district level were derived from the Korean Community Health Survey. Cox proportional hazards regression was used to determine the adjusted hazard ratios (aHRs) and 95% confidence intervals (CIs) for mortality according to levels of community level social trust and reciprocity. RESULTS: Compared to participants who reside in areas within the lower half of community level social trust, those who reside in areas within the upper half had lower risk of death from all causes (aHR 0.84, 95% CI 0.78-0.89), CVD (aHR 0.82, 95% CI 0.67-0.99), and cancer (aHR 0.85, 95% CI 0.73-0.98). Similarly, residing in areas in the upper half of community level social reciprocity was associated with reduced risk for all-cause mortality (aHR 0.80, 95% CI 0.75-0.86). The protective association of high community level social trust and reciprocity on mortality remained after additional adjustments for smoking, alcohol intake, and physical activity. CONCLUSIONS: Residing in areas with high community level social trust and reciprocity may be associated with better population health status. Language: en
LA - en
SN - 1471-2458
UR - http://dx.doi.org/10.1186/s12889-020-09944-3
ID - ref1
ER -