Individual-level social capital is associated with depressive symptoms among middle-aged community dwellers in rural Vietnam: a cross-sectional study

ObjectivesThere 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.DesignA cross-sectional study.SettingDat...

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Bibliographic Details
Published in:BMJ open 2022-12, Vol.12 (12), p.e064998-e064998
Main Authors: 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
Format: Article
Language:English
Subjects:
Adult
Community
Cross-Sectional Studies
Depression - diagnosis
Depression - epidemiology
Economic growth
Epidemiology
Family income
Households
Humans
Lifestyles
Low income groups
Mental depression
MENTAL HEALTH
Middle age
Middle Aged
Prospective Studies
PUBLIC HEALTH
Questionnaires
Social Capital
SOCIAL MEDICINE
Social Support
Vietnam - epidemiology
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Summary:ObjectivesThere 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.DesignA cross-sectional study.SettingData 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.ParticipantsA total of 3000 people aged 40–60 years old residing in rural communes in Khánh Hòa province, Vietnam.Exposure of interestCognitive social capital (ie, low, middle and high) and structural social capital (in terms of social participation; yes or no) were assessed via a questionnaire.Primary outcome measureDepressive symptoms were assessed with the 11-item Center for Epidemiologic Studies Depression Scale.ResultsA 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).ConclusionIn 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.
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2022-064998