Research Article
The Relationship between Health and
Community across Aging Cohorts
Julie Norstrand
1
and Keith T. Chan
2
1
Boston College Graduate School of Social Work, McGuinn Hall, Chestnut Hill, MA 02467, USA
2
School of Social Welfare, University at Albany, State University of New York, 135 Western Avenue, Richardson 277,
Albany, NY 12222, USA
Correspondence should be addressed to Julie Norstrand; norstraj@bc.edu
Received 14 January 2014; Revised 15 May 2014; Accepted 15 May 2014; Published 10 June 2014
Academic Editor: Barbara Shukitt-Hale
Copyright © 2014 J. Norstrand and K. T. Chan. Tis is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly
cited.
Research is needed to examine the connection between older adults and their community as they age. Tis is important as increasing
numbers of older adults wish to age in place. Regression models were examined across 3 cohorts testing relationships among
social capital indicators (neighborhood trust, neighborhood support, neighborhood cohesion, neighborhood participation, and
telephone interaction) with health outcomes (self-rated health, activities of daily living (ADL), and instrumental activities of daily
living (IADL)). Results showed that most social capital indicators remained signifcant for all health outcomes into very old age.
Development of tools for individual and community interventions to ensure optimal ft between the aging individual and their
environment is discussed, along with recommendations for enhancing social work theory and practice.
1. Introduction
Interest in age-friendly community and aging-in-place con-
cepts has grown over recent years as the majority of older
adults wish to remain within the neighborhood in which
they have become familiar and emotionally attached to.
Social capital has previously been used to capture community
connectedness or social glue [1]. Social capital is relevant to
aging-in-place as it provides a framework to examine neigh-
borhoods’ ft for older adults; this has important implications
for adapting neighborhoods to become more age-friendly
and ensure opportunity to aging-in-place. Hence, social
capital has gained increased attention from both practice and
policy makers [2]. Te research has demonstrated a positive
relationship between social capital and wide range of health
outcomes [3]. In other words, individuals with high social
capital are more likely to experience good health. However,
most of the research to date has been done on middle-aged
adults. It is still not clearly understood how social capital
functions in relation to health as adults reach very old age.
Te goal of this paper was to elucidate this relationship by
examining the association between fve indicators of social
capital with three physical health outcomes among adults
aged 65 years and older.
1.1. Social Capital. Te use of social capital is increasingly
recognized as a means for adapting environments for aging-
in-place. As Emlet and Moceri argue, an elder friendly
community captures the core features of social capital includ-
ing “civic participation, and the nature of social networks
and mutuality/reciprocity” [4, p. 2]. Despite the growing
interest in social capital, it remains controversial due to its
conceptual polysemy. Terefore, it is important to fully clarify
how social capital was conceptualized in this study. Four
out of the fve social capital indicators used in this study
focused on neighborhood (neighborhood trust, neighbor-
hood support, neighborhood cohesion, and neighborhood
participation), while the ffh measure (telephone interaction)
captured community connections beyond the neighborhood.
Terefore, social capital in this study should be considered
to be primarily a measure of the neighborhood, with the
understanding that social connections can stretch beyond
physical borders.
Hindawi Publishing Corporation
Journal of Aging Research
Volume 2014, Article ID 626097, 10 pages
http://dx.doi.org/10.1155/2014/626097