• 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
  • Contributor: Do, An Dang; Pham, Thuy Thi Phuong; Nguyen, Chau Que; Hoang, Dong Van; Fukunaga, Ami; Stickley, Andrew; Yazawa, Aki; Phan, Danh Cong; Hachiya, Masahiko; Jimba, Masamine; Huynh, Dong Van; Le, Huy Xuan; Do, Hung Thai; Mizoue, Tetsuya; Inoue, Yosuke
  • Published: BMJ, 2022
  • Published in: BMJ Open, 12 (2022) 12, Seite e064998
  • Language: English
  • DOI: 10.1136/bmjopen-2022-064998
  • ISSN: 2044-6055
  • Keywords: General Medicine
  • Origination:
  • Footnote:
  • 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>
  • Access State: Open Access