The impact of social cohesiveness, collective efficacy, and sense of belonging on health promotion

• Project/Area Number: 26460827
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Hygiene and public health
• Research Institution: Tokyo Medical and Dental University
• Principal Investigator: Takano Takehito 東京医科歯科大学, 医学部, 非常勤講師 (80126234)
• Co-Investigator(Kenkyū-buntansha): 中村 桂子 東京医科歯科大学, 大学院医歯学総合研究科, 教授 (00211433) ; 木津喜 雅 東京医科歯科大学, 大学院医歯学総合研究科, 講師 (80431964) ; 清野 薫子 東京医科歯科大学, 大学院医歯学総合研究科, 講師 (10508336) ; 森田 彩子 東京医科歯科大学, 大学院医歯学総合研究科, 助教 (30595038) ; 杉村 正樹 東京医科歯科大学, 医学部, 非常勤講師 (90770206)
• Project Period (FY): 2014-04-01 – 2017-03-31
• Project Status: Completed (Fiscal Year 2016)
• Budget Amount: ¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000); Fiscal Year 2016: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000); Fiscal Year 2015: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000); Fiscal Year 2014: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
• Keywords: 健康指標 / 社会関係資本 / 健康リスク / 健康支援環境 / 健康都市 / 社会的凝集性 / 帰属意識 / 集団的エフィカシー / 社会医学 / 人のつながり / 社会関連資本

Outline of Final Research Achievements

The determinants of population health include the social and economic environment, living environment conditions and health care resources. Social cohesiveness, collective efficacy, and sense of belonging also impact health status. We conducted 1) community and regional indicator analyses, 2) key informant interviews, 3) questionnaire surveys to identify sense of belonging enhancing factors and to explore the attributes of relating factors in a comprehensive health promotion model. Results of Oaxaca-Blinder decomposition analysis of health and environmental indicators by municipalities showed correlations between health indicators and environmental indicators showed different patterns according to the level of health of the communities. Diversities of social cohesiveness, collective efficacy, and sense of belonging in the communities were regarded to explain different impacts on health promotion.

Research Products

• [Presentation] 「人間関係のつながり」という視点からみた高齢者の熱中症リスクに関する地域調査 結果 (2017)
  • Author(s): 清野薫子, 中村桂子, 高野健人, Marie O’Neill
  • Organizer: 第87回日本衛生学会学術総会
  • Place of Presentation: フェニックスシーガイアリゾート（宮崎県，宮崎市）
  • Year and Date: 2017-03-26
• [Presentation] Heat-coping practices and social interactions among elderly urban dwellers (2017)
  • Author(s): Kaoruko Seino, Keiko Nakamura, Marie O’Neill
  • Organizer: The Association of Academies and Societies of Sciences in Asia
  • Place of Presentation: 日本学術会議会議室（東京都，港区）
  • Year and Date: 2017-03-01
  • Int'l Joint Research / Invited
• [Presentation] Nationwide program for prevention and control of lifestyle related disease, Japan. (2016)
  • Author(s): Nakamura K.
  • Organizer: 8th NCD Forum Seminar.
  • Place of Presentation: Seoul（韓国）
  • Int'l Joint Research / Invited
• [Presentation] The Foresight Approach towards Healthy and Resilient Cities. (2016)
  • Author(s): Nakamura K.
  • Organizer: The 7th Global Conference of the Alliance for Healthy Cities.
  • Place of Presentation: Wonju（韓国）
  • Int'l Joint Research / Invited
• [Presentation] 健康支援環境 (2016)
  • Author(s): 中村桂子
  • Organizer: 第12回日本健康都市連合大会
  • Place of Presentation: キッコーマンアリーナ（千葉県，流山市）
  • Invited
• [Presentation] Analysis of "health promotion paradox" featuring effective public health interventions. (2015)
  • Author(s): Nakamura K
  • Organizer: 7th International Conference on Public Health Greater Mekong Subregion 2015.
  • Place of Presentation: Hue, Vietnam
  • Year and Date: 2015-09-27
  • Int'l Joint Research / Invited
• [Book] Diversities of Healthy Cities in Asia and the Pacific (2016)
  • Author(s): Nakamura K, Ai CJA
  • Total Pages: 200
  • Publisher: Springer