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Social capital and Quality of life among older adults age 50 and above in low and middle-income countries:: results from the WHO Study on global AGEing and adult health (SAGE)
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
2017 (English)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Background: The connection between social capital and health outcomes of older has been established however most of the studies have been conducted in high-income countries. The aim of this study is to investigate the link between different forms of individual social capital and self-reported quality of life (QoL) among older adults age 50 and above in low and middle-income countries (LMICs).

Methods: A secondary analysis of multi-country data from the World Health Organization (WHO) study on global AGEing and adult health (SAGE) Wave 1, was undertaken. These data derive from nationally representative samples of adults aged 50 years and above in China, Ghana, India, Mexico, Russia, and South Africa. The main dependent variable is the overall score of WHO QoL. The independent variables included social capital, sociodemographic characteristics, and chronic conditions. Univariable and multivariable linear regressions method were undertaken to assess the association between different forms of individual social capital variables, and QoL.

Results: This study shows that older men reported better QoL than older women across the six countries. Access to structural and cognitive social capital shows different patterns among countries and between genders. Access to both structural and cognitive social capital increases the QoL of among older men and women in six SAGE countries but not women in Ghana. Having access to personalized trust was positively associated with QoL among both genders in all six countries. We also found a significant positive association between the perception of neighbourhood safety and QoL among both genders in China, India, Mexico, Russia and South Africa, but not among older men in Ghana. Bonding social capital was significant in association with QoL among both genders in China, India, Mexico and Russia. Access to bridging social capital was associated with QoL in older men and women in China, Ghana, India and Mexico. Linking social capital was significant in association with QoL in both genders in India and in older women in Ghana. Having general trust was associated with QoL only among women in China and India and only in men in Ghana and Russia.

Conclusions: This study shows that access to structural and cognitive social capital increases QoL among older men and women in six SAGE countries. Program and community based interventions to promote social capital may be useful to improve the QoL of older people in LMICs. Future studies should include both individual and community level social capital effects on health. Longitudinal research on social capital and health indictors is needed.

Place, publisher, year, edition, pages
2017. , p. 25
Series
Centre for Public Health Report Series, ISSN 1651-341X ; 2017:41
Keywords [en]
quality of life, social capital, low and middle-income countries, SAGE
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-143208OAI: oai:DiVA.org:umu-143208DiVA, id: diva2:1167614
External cooperation
WHO SAGE - Paul Kowal
Educational program
Master's Programme in Public Health
Presentation
2017-05-22, Natural Sciences building, room N210, Umeå University, Umeå, 09:00 (English)
Supervisors
Examiners
Available from: 2017-12-19 Created: 2017-12-19 Last updated: 2017-12-19Bibliographically approved

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
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Language
  • de-DE
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  • en-US
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More languages
Output format
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