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dc.contributor.authorInoue, Sachiko
dc.contributor.authorYorifuji, Takashi
dc.contributor.authorTakao, Soshi
dc.contributor.authorDoi, Hiroyuki
dc.contributor.authorKawachi, Ichiro
dc.date.accessioned2019-08-29T04:44:46Z
dc.date.issued2013
dc.identifier.citationInoue, Sachiko, Takashi Yorifuji, Soshi Takao, Hiroyuki Doi, and Ichiro Kawachi. 2013. “Social Cohesion and Mortality: A Survival Analysis of Older Adults in Japan.” American Journal of Public Health 103 (12): e60–66. https://doi.org/10.2105/ajph.2013.301311.
dc.identifier.issn0090-0036
dc.identifier.issn1541-0048
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:41275525*
dc.description.abstractObjectives. We examined the association between social cohesion and mortality in a sample of older adults in Japan.Methods. Data were derived from a cohort study of elderly individuals (65-84 years) in Shizuoka Prefecture; 14 001 participants were enrolled at baseline (1999) and followed up in 2002, 2006, and 2009. Among the 11 092 participants for whom we had complete data, 1427 had died during follow-up. We examined the association between social cohesion (assessed at both the community and individual levels) and subsequent mortality after control for baseline and time-varying covariates. We used clustered proportional hazard regression models to estimate hazard ratios (HRs) and confidence intervals (CIs).Results. After control for individual characteristics, individual perceptions of community cohesion were associated with a reduced risk of all-cause mortality (HR = 0.78; 95% CI = 0.73, 0.84) as well as mortality from cardiovascular disease (HR = 0.75; 95% CI = 0.67, 0.84), pulmonary disease (HR = 0.66; 95% CI = 0.58, 0.75), and all other causes (HR = 0.76; 95% CI = 0.66, 0.89). However, no statistically significant relationship was found between community cohesion and mortality risk.Conclusions. Among the elderly in Japan, more positive individual perceptions of community cohesion are associated with reduced risks of all-cause and cause-specific mortality.
dc.language.isoen_US
dc.publisher
dash.licenseMETA_ONLY
dc.titleSocial Cohesion and Mortality: A Survival Analysis of Older Adults in Japan
dc.typeJournal Article
dc.description.versionVersion of Record
dc.relation.journalAmerican Journal of Public Health
dash.depositing.authorKawachi, Ichiro::3b17e788dad605ac69e3dd457b6c41ac::600
dc.date.available2019-08-29T04:44:46Z
dash.workflow.comments1Science Serial ID 3217
dc.identifier.doi10.2105/AJPH.2013.301311
dash.source.volume103;12
dash.source.pagee60


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