Dataset Information

Relationship between social cohesion and the care burden of primary family caregivers in central Tokyo, Japan.

ABSTRACT:

Objectives

To clarify how the care burden of primary family caregivers is associated with social cohesion in an urban area of Tokyo, Japan.

Study design

Cross-sectional study.

Methods

A questionnaire survey of primary family caregivers was conducted in Tokyo in 2015. Social cohesion was examined using the social capital indicators of Kondo et al, and the care burden of primary family caregivers was assessed by the Zarit Care Burden Interview Scale in Japanese short version (J-ZBI_8). Data were analyzed by multiple regression models. Ethics approval was obtained to carry out this research.

Results

Seventy-nine caregivers responded to the questionnaires. After excluding 6 caregivers who did not respond appropriately to the questionnaire, 73 caregivers were included in the analyses. The average age of the primary family caregivers was 68.9?±?12.7?years old, and that of the patients receiving care was 83.1?±?10.0?years old. "Receipt of instrumental support" was significantly associated with reduced burden of care for family caregivers as assessed by the J-ZBI_8 score (P = .027).

Conclusion

This study suggested that social cohesion was significantly associated with reduced burden of care for primary family caregivers. Especially, the results suggested that "social support: receipt of instrumental support" was associated with a lower burden of care after adjustment for confounding factors. It is important to understand family structure and social community differences such as informal social support for future policy making.

SUBMITTER: Naganuma Y

PROVIDER: S-EPMC7853624 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Relationship between social cohesion and the care burden of primary family caregivers in central Tokyo, Japan.

Naganuma Yuki Y Yamaoka Kazue K Takahashi Kenzo K

Health science reports 20210202 1

<h4>Objectives</h4>To clarify how the care burden of primary family caregivers is associated with social cohesion in an urban area of Tokyo, Japan.<h4>Study design</h4>Cross-sectional study.<h4>Methods</h4>A questionnaire survey of primary family caregivers was conducted in Tokyo in 2015. Social cohesion was examined using the social capital indicators of Kondo et al, and the care burden of primary family caregivers was assessed by the Zarit Care Burden Interview Scale in Japanese short version ...[more]

PMID: 33553679

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Project description:BackgroundPersistent pain during pregnancy is a significant health issue, which could be correlated with psychological distress resulting from inadequate social support. This study aims to investigate whether the relationship between poor social support and antenatal pain is mediated by psychological distress. We also aimed to examine whether social cohesion moderates the influence of psychological distress on the relationship between social support and antenatal pain.MethodsWe analysed 94,517 pregnancies of women from a Japanese national birth cohort completed questionnaires assessing pain, psychological distress, social support and social cohesion. Psychological distress was assessed using the Kessler Psychological Distress Scale. Two types of models were used: the mediation model to examine whether the association between social support and pain was mediated by psychological distress; the moderated mediation model to analyse whether social cohesion buffered the negative effect of inadequate social support on pain. Demographic, socioeconomic and psychological factors were controlled for in all analyses.ResultsPsychological distress was fully mediated the association between social support and pain. Social cohesion had a focal moderation effect on the inverse association between social support and psychological distress (unstandardized regression coefficient [β] = 0.09; 95% CI, 0.07-0.11) and functioned as moderator for the indirect effect of social support on antenatal pain (index of moderated mediation = 0.006; 95% CI, 0.004-0.007).ConclusionsPoor social support was related to antenatal pain through psychological distress, possibly buffered by social cohesion. During the antenatal period, social support and cohesion are important for women.SignificanceIn this study, poor social support was found to be associated with pain intensity during pregnancy, which was mediated by psychological distress and might be buffered by desirable social cohesion. This finding could potentially help healthcare providers and policy makers to understand the importance of desirable social cohesion in preventing pain among pregnant women.

Project description:The COVID-19 pandemic that started at the end of 2019 forced populations around the world to reduce social and economic activities; it is believed that this can prevent the spread of the disease. In this paper, we report an analysis of the seismic noise during such an induced social activity reduction in the Tokyo metropolitan area, Japan. Using seismic data obtained from 18 stations in the Metropolitan Seismic Observation Network (MeSO-net), a two-step seismic noise reduction was observed during the timeline of COVID-19 in Tokyo. The first noise reduction occurred at the beginning of March 2020 in the frequency band of 20-40 Hz. This corresponded with the request by the Prime Minister of Japan for a nationwide shutdown of schools. Although social activity was not reduced significantly at this juncture, local reduction of seismic wave excitation in the high-frequency band, 20-40 Hz, was recorded at some MeSO-net stations located in school properties. The second reduction of seismic noise occurred at the end of March to the beginning of April 2020 in a wider frequency band including lower frequency bands of 1-20 Hz. This timing corresponds to when the Governors of the Tokyo metropolitan area requested citizens to stay home and when the state of emergency was declared for the Tokyo metropolitan area by the government, respectively. Since then, the estimated population at train stations abruptly dropped, which suggests that social activity was severely reduced. Such large-scale changes in social activity affect the seismic noise level in low-frequency bands. The seismic noise level started to increase from the middle of May correlating with increase in population at the train stations. This suggests that social activity restarted even before the state of emergency was lifted at the end of May. The two-step seismic noise reduction observed in this study has not been reported in other cities around the world. Unexpected reduction of social activity due to COVID-19 provided a rare opportunity to investigate the characteristics of seismic noise caused by human activities.

Dataset Information

Relationship between social cohesion and the care burden of primary family caregivers in central Tokyo, Japan.

Objectives

Study design

Methods

Results

Conclusion

Publications

Relationship between social cohesion and the care burden of primary family caregivers in central Tokyo, Japan.

Similar Datasets

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