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Media type:
E-Article
Title:
Individual-level social capital is associated with depressive symptoms among middle-aged community dwellers in rural Vietnam: a cross-sectional study
Description:
<jats:sec><jats:title>Objectives</jats:title><jats:p>There has been comparatively little research on the association between social capital and depressive symptoms in low- and middle-income countries. To address this deficit this study examined the association among middle-aged adults in rural Vietnam.</jats:p></jats:sec><jats:sec><jats:title>Design</jats:title><jats:p>A cross-sectional study.</jats:p></jats:sec><jats:sec><jats:title>Setting</jats:title><jats:p>Data came from the baseline survey of the Khánh Hòa Cardiovascular Study, which is an ongoing prospective cohort study aiming to elucidate the determinants of cardiovascular diseases.</jats:p></jats:sec><jats:sec><jats:title>Participants</jats:title><jats:p>A total of 3000 people aged 40–60 years old residing in rural communes in Khánh Hòa province, Vietnam.</jats:p></jats:sec><jats:sec><jats:title>Exposure of interest</jats:title><jats:p>Cognitive social capital (ie, low, middle and high) and structural social capital (in terms of social participation; yes or no) were assessed via a questionnaire.</jats:p></jats:sec><jats:sec><jats:title>Primary outcome measure</jats:title><jats:p>Depressive symptoms were assessed with the 11-item Center for Epidemiologic Studies Depression Scale.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>A robust Poisson regression model revealed that adults in the highest versus lowest cognitive social capital tertile had a 61% lower prevalence of depressive symptoms (prevalence ratio (PR)=0.39, 95% CI=0.31 to 0.49). Individuals with higher structural social capital were also significantly less likely to experience depressive symptoms (PR=0.74, 95% CI=0.61 to 0.90).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>In a cohort of 3000 middle-aged rural residents in Vietnam, both cognitive and structural social capital assessed at the individual level were inversely associated with the prevalence of depressive symptoms.</jats:p></jats:sec>