Social Capital and Self-Rated Health: A Cross-Sectional Study among Rural Japanese Working Residents

Int J Environ Res Public Health. 2022 Oct 27;19(21):14018. doi: 10.3390/ijerph192114018.

Abstract

Social capital is positively associated with self-rated health; however, this association among workers is still unclear. Thus, this study examined the relationship between social capital and self-rated health with special attention to the employment type. A cross-sectional survey was conducted with 6160 workers aged 20-64 years from two towns in Mie Prefecture in January-March 2013. Social capital was assessed using five items in 4816 income-earning workers. The social capital scores were summed and then divided into three groups. The self-rated health responses were dichotomised into 'poor' and 'good'. The association was examined using a stepwise binomial logistic regression stratified by employment type and adjusted for potential confounders. Regular employees with low social capital had a higher significant odds ratio of poor self-rated health than medium (OR 0.58 95% CIs 0.39-0.87) and high (OR 0.39; 95% CIs 0.26-0.59) social capital levels after controlling for all potential confounders. Similar patterns were observed for non-regular employees with medium and high social capital. There was a significant relationship between some indicators of social capital and poor self-rated health among self-employees. These results highlight that social capital acts as an unequal health resource for different types of workers.

Keywords: Japan; employment types; self-rated health; social capital; workers.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cross-Sectional Studies
  • Health Status
  • Humans
  • Income
  • Japan
  • Rural Population
  • Social Capital*
  • Social Support

Grants and funding

This work was supported by the Fund to revitalize the community healthcare in Mie Prefecture.