|
ハマノ ツヨシ
HAMANO TSUYOSHI
濱野 強 所属 京都産業大学 現代社会学部 健康スポーツ社会学科 職種 教授 |
|
| 言語種別 | 英語 |
| 発行・発表の年月 | 2014/08 |
| 形態種別 | 研究論文 |
| 査読 | 査読あり |
| 標題 | Neighborhood linking social capital as a predictor of psychiatric medication prescription in the elderly: A Swedish national cohort study |
| 執筆形態 | その他 |
| 掲載誌名 | JOURNAL OF PSYCHIATRIC RESEARCH |
| 出版社・発行元 | PERGAMON-ELSEVIER SCIENCE LTD |
| 巻・号・頁 | 55,pp.44-51 |
| 著者・共著者 | Jan Sundquist,Tsuyoshi Hamano,Xinjun Li,Naomi Kawakami,Kuninori Shiwaku,Kristina Sundquist |
| 概要 | Objectives: Little is known about the association between neighborhood linking social capital and psychiatric medication in the elderly. The present study analyzes whether there is an association between linking social capital (a theoretical concept describing the amount of trust between individuals and societal institutions) and prescription of antipsychotics, anxiolytics, hypnotics/sedatives, antidepressants, or anti-dementia drugs.
Design, setting, participants and measurements: The entire Swedish population aged 65+, a total of 1,292,816 individuals, were followed from 1 July 2005 until first prescription of psychiatric medication, death, emigration, or the end of the study on 31 December 2010. Small geographic units were used to define neighborhoods. The definition of linking social capital was based on mean voting participation in each neighborhood unit, categorized in three groups. Multilevel logistic regression was used to estimate odds ratios (ORs) and between-neighborhood variance in three different models. Results: There was an inverse association between the level of linking social capital and prescription of psychiatric medications (except for anti-dementia drugs). The associations decreased, but remained significant, after accounting for age, sex, family income, marital status, country of birth, and education level (except for antidepressants). The OR for prescription of antipsychotics in the crude model was 1.65 (95% CI 1.53-1.78) and decreased, but remained significant (OR = 1.26; 95% CI 1.17-1.35), after adjustment for the individual-level sociodemographic variables. Conclusions: Decision-makers should take into account the potentially negative effect of linking social capital on psychiatric disorders when planning sites of primary care centers and psychiatric clinics, as well as other kinds of community support for elderly patients with such disorders. (C) 2014 Elsevier Ltd. All rights reserved. |
| DOI | 10.1016/j.jpsychires.2014.04.013 |
| ISSN | 0022-3956/1879-1379 |