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Social cohesion and health in old age: a study in southern Taiwan
Open accessAbstract
BACKGROUND: Previous studies have found that social cohesion and trust (SCT) were associated with psychological well-being and physical health. In this study, we investigated the associations between SCT and mental and physical health among community-dwelling elderly in a town in southern Taiwan. METHODS: The study population consisted of 149 community-dwelling elderly aged 65 years and older (68 men, 81 women; mean age, 75.4 ± 6.1 years) residing in the town of Dashe in southern Taiwan. Activities of daily living (ADL), SCT, depression, subjective quality of life (QOL), current medical status, past medical history, and health behaviors were assessed in face-to-face interviews. Objective neurobehavioral functions were assessed using the timed up & go (TUG) test, functional reach test, and handgrip test. RESULTS: Scores for ADL and Geriatric Depression Scale (GDS) were significantly correlated with SCT, and SCT was significantly correlated with all subjective QOL items. In addition, a strong correlation was observed between SCT and relationship with friends. Values for SCT (median ≥ 20) were significantly associated with both subjective sense of health (median ≥ 68) and subjective happiness (median ≥ 73) after adjusting for age, sex, and ADL. CONCLUSION: SCT is an important variable that influences self-rated health and happiness, independently of ADL, age, and sex. When assessing geriatric psychological function, SCT should be examined more carefully, given its association with subjective sense of health and happiness, depression, and physical function.
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Residential satisfaction and sense of community are positively associated with well-being and health.
“Some research has shown that residential satisfaction and sense of community are positively associated with well-being and health (Aragonés et al., 2017; Chen et al., 2015; Stewart and Townley, 2020).”
From Perceived restorativeness and environment quality in relation to well-being, residential satisfaction, and sense of community: an analysis in Northeast Italy (2025) · cites this paper as Chen et al., 2015
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Metadata
- Authors
- Chen, W., Okumiya, K., Wada, T., Sakamoto, R., Imai, H., Ishimoto, Y., Kimura, Y., Fukutomi, E., Fujisawa, M., Shih, H.-I., Chang, C.-M., & Matsubayashi, K.
- Affiliations
- Kyoto University (JP)
- National Cheng Kung University (TW)
- ORCID
- Venue
- International Psychogeriatrics
- Publisher
- Elsevier BV
- Published
- 2015-11
- Volume
- 27
- Issue
- 11
- Pages
- 1903-1911
- ISSN
- 1041-6102 (ISSN-L)
- OpenAlex
- W1969552971
- Cited by
- 27
- References
- 35
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 2 · 2023: 1 · 2022: 3 · 2020: 5 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 3 · 2015: 1
- FWCI
- 2.14
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Psychogeriatrics (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Kyoto University Research Information Repository (Kyoto University) (submittedVersion)
- Funders
- Japan Society for the Promotion of Science (15K08549)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Psychology › Developmental and Educational Psychology › Aging and Gerontology Research
- Keywords
- community-dwelling older adults, self-rated health, happiness, depression, activities of daily living, subjective quality of life, physical function, interpersonal relationships, older adults
- MeSH terms
- Emotional Adjustment, Activities of Daily Living, Aged, Depression, Female, Happiness, Health Status, Humans, Interviews as Topic, Male, Social Adjustment, Taiwan, Health Behavior, Hand Strength
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