Skip to main content
Top
Published in: BMC Public Health 1/2016

Open Access 01-12-2016 | Research article

Social capital and healthy ageing in Indonesia

Authors: Junran Cao, Anu Rammohan

Published in: BMC Public Health | Issue 1/2016

Login to get access

Abstract

Background

A large international literature has found a positive association between social capital and measures of physical and mental health. However, there is a paucity of research on the links between social capital and healthy ageing in a developing country environment, where universal social security coverage is absent and health infrastructure is poor.

Method

In this paper, we develop and empirically test a model of the linkages between social capital and the health outcomes for older adults in Indonesia, using data from the Indonesian Family Life Survey-East (IFLS-East), conducted in 2012. Using multivariate regression analysis, we examine whether social capital plays a role in mitigating poor health among older individuals aged 50 years and above in Indonesia’s most vulnerable provinces. We test the robustness of these social capital variables across different health measures (self-assessed health, Activities of Daily Living (ADL), measures of chronic illness and mental health measures), as well as across different demographic groups, after controlling for an array of socio-economic, demographic and geographic characteristics.

Results

Our findings show that access to better social capital (using measures of neighbourhood trust and community participation) is associated with a higher degree of physical mobility, independence, and mental well-being among older individuals but has no influence on chronic illnesses. These results are consistent when we estimate samples disaggregated by gender, rural/urban residence, and by age categories.

Conclusion

From a policy perspective these results point to the importance of social capital measures in moderating the influence of poor health, particularly in the Activities of Daily Living.
Footnotes
1
The term community refers here to the enumeration area, which is a geographical area defined by Statistics Indonesia. In this context a community may be part of a village or a neighbourhood in an urban setting. There are 98 unique communities in our sample.
 
2
For space considerations, although we included the same explanatory variables as in Tables 3 and 4, we only report the marginal effects from the social capital measures in Table 5.
 
Literature
1.
go back to reference Putnam RD. Making democracy work. Princeton: Princeton University Press; 1993. Putnam RD. Making democracy work. Princeton: Princeton University Press; 1993.
3.
go back to reference Kawachi I, Berkman L. Social cohesion, social capital, and health. In: Berkman L, Kawachi I, editors. Social epidemiology. Oxford: Oxford University Press; 2000. p. 180–4. Kawachi I, Berkman L. Social cohesion, social capital, and health. In: Berkman L, Kawachi I, editors. Social epidemiology. Oxford: Oxford University Press; 2000. p. 180–4.
5.
go back to reference Kennedy BP, Kawachi I, Brainerd E. The role of social capital in the mortality crisis. World Dev. 1998;26:2029–43.CrossRef Kennedy BP, Kawachi I, Brainerd E. The role of social capital in the mortality crisis. World Dev. 1998;26:2029–43.CrossRef
6.
go back to reference Lochner K, Kawachi I, Kennedy BP. Social capital: a guide to its measurement. Health Place. 1999;5:259–70.CrossRefPubMed Lochner K, Kawachi I, Kennedy BP. Social capital: a guide to its measurement. Health Place. 1999;5:259–70.CrossRefPubMed
7.
8.
go back to reference Nauenberga E, Laportea A, Shen L. ‘Social capital, community size and utilization of health services: a lagged analysis’. Health Policy. 2011;103:38–46.CrossRef Nauenberga E, Laportea A, Shen L. ‘Social capital, community size and utilization of health services: a lagged analysis’. Health Policy. 2011;103:38–46.CrossRef
9.
10.
go back to reference Fukuyama F. “Social capital and civil society.” IMF working paper, WP/00/74. Washington, DC: International Monetary Fund; 2000. Fukuyama F. “Social capital and civil society.” IMF working paper, WP/00/74. Washington, DC: International Monetary Fund; 2000.
11.
go back to reference Norstrand JA, Xu Q. Social capital and health outcomes among older adults in China: the urban–rural dimension. Gerontologist. 2012;52(3):325–34.CrossRefPubMed Norstrand JA, Xu Q. Social capital and health outcomes among older adults in China: the urban–rural dimension. Gerontologist. 2012;52(3):325–34.CrossRefPubMed
12.
go back to reference Yip W, Subramanian SV, Mitchell A, Wang J, Lee D, Kawachi I. Does social capital enhance health and well-being? Evidence from rural China. Soc Sci Med. 2007;64:35–49.CrossRefPubMed Yip W, Subramanian SV, Mitchell A, Wang J, Lee D, Kawachi I. Does social capital enhance health and well-being? Evidence from rural China. Soc Sci Med. 2007;64:35–49.CrossRefPubMed
13.
go back to reference Shen Y, Yeatts DE, Cai T, Yang PQ, Cready CM. Social capital and self-rated health among middleaged and older adults in china: a multilevel analysis, Research on aging. 2013. Shen Y, Yeatts DE, Cai T, Yang PQ, Cready CM. Social capital and self-rated health among middleaged and older adults in china: a multilevel analysis, Research on aging. 2013.
14.
go back to reference Riumallo-Herl CJ, Kawachi I, Avendano M. Social capital, mental health and biomarkers in Chile: assessing the effects of social capital in a middle-income country. Soc Sci Med. 2014;105:47–58.CrossRefPubMedPubMedCentral Riumallo-Herl CJ, Kawachi I, Avendano M. Social capital, mental health and biomarkers in Chile: assessing the effects of social capital in a middle-income country. Soc Sci Med. 2014;105:47–58.CrossRefPubMedPubMedCentral
15.
go back to reference Miguel E, Gertler P, Levine D. Does social capital promote industrialization? Evidence from a rapid industrializer. Rev Econ Stat. 2005;87(4):754–62.CrossRef Miguel E, Gertler P, Levine D. Does social capital promote industrialization? Evidence from a rapid industrializer. Rev Econ Stat. 2005;87(4):754–62.CrossRef
16.
go back to reference Miguel E, Gertler P, Levine D. Does industrialization build or destroy social networks? Econ Dev Cult Chang. 2006;54(2):287–317.CrossRef Miguel E, Gertler P, Levine D. Does industrialization build or destroy social networks? Econ Dev Cult Chang. 2006;54(2):287–317.CrossRef
17.
go back to reference Miller D, Scheffler R, Rosenberg R, Rupp A. Social capital and health in Indonesia. World Dev. 2006;34(6):1084–98.CrossRef Miller D, Scheffler R, Rosenberg R, Rupp A. Social capital and health in Indonesia. World Dev. 2006;34(6):1084–98.CrossRef
18.
go back to reference Arifin EN, Braun KL, Hogervorst E. ‘Three pillars of active ageing in Indonesia’. Asian Popul Stud J. 2012;2012. Arifin EN, Braun KL, Hogervorst E. ‘Three pillars of active ageing in Indonesia’. Asian Popul Stud J. 2012;2012.
19.
go back to reference Adioetomo SM, Mujahid G. ‘Indonesia on the threshold of population ageing’, UNFPA Indonesia Monograph Series: No.1. 2014. Adioetomo SM, Mujahid G. ‘Indonesia on the threshold of population ageing’, UNFPA Indonesia Monograph Series: No.1. 2014.
20.
go back to reference World Health Statistics. Regional strategy for healthy ageing (2013–2018), Regional Office for South-East Asia. New Delhi: SEARO, Library, World Health Organization, Regional Office for South-East Asia; 2014. World Health Statistics. Regional strategy for healthy ageing (2013–2018), Regional Office for South-East Asia. New Delhi: SEARO, Library, World Health Organization, Regional Office for South-East Asia; 2014.
21.
go back to reference Arifin EN, Ananta A. Employment of older persons: diversity across nations and Sub-nations in Southeast Asia. In: Arifin EN, Ananta A, editors. Older persons in Southeast AsiaAn emerging asset. Singapore: Institute of Southeast Asian Studies; 2009. Arifin EN, Ananta A. Employment of older persons: diversity across nations and Sub-nations in Southeast Asia. In: Arifin EN, Ananta A, editors. Older persons in Southeast AsiaAn emerging asset. Singapore: Institute of Southeast Asian Studies; 2009.
22.
go back to reference Van Eeuwijk P. Old-age vulnerability, ill-health and care support in urban areas of Indonesia. Ageing Soc. 2006;26(1):61–80.CrossRef Van Eeuwijk P. Old-age vulnerability, ill-health and care support in urban areas of Indonesia. Ageing Soc. 2006;26(1):61–80.CrossRef
23.
go back to reference Booth A. Africa in Asia? The development challenges facing eastern Indonesia and East Timor. Oxford Dev Stud. 2004;32:1.CrossRef Booth A. Africa in Asia? The development challenges facing eastern Indonesia and East Timor. Oxford Dev Stud. 2004;32:1.CrossRef
24.
go back to reference Hill H, Resosudarmo BP, Vidyattama Y. Indonesia’s changing economic geography. Bull Indones Econ Stud. 2008;44:3. Hill H, Resosudarmo BP, Vidyattama Y. Indonesia’s changing economic geography. Bull Indones Econ Stud. 2008;44:3.
25.
go back to reference Frankenburg and Jones 2003 Frankenberg E, Jones NR. ‘Self-rated health and mortality: does the relationship extend to a low-income setting?’ J Health Soc Behav. 2004; 45: 441–52. Frankenburg and Jones 2003 Frankenberg E, Jones NR. ‘Self-rated health and mortality: does the relationship extend to a low-income setting?’ J Health Soc Behav. 2004; 45: 441–52.
26.
go back to reference Ng N, Hakimi M, Byass P Wilopo S, Wall S. Health and quality of life among older rural people in Purworejo District, Indonesia. Global Health Action. 2010; 3: 10.3402/gha.v3i0.2125. Ng N, Hakimi M, Byass P Wilopo S, Wall S. Health and quality of life among older rural people in Purworejo District, Indonesia. Global Health Action. 2010; 3: 10.​3402/​gha.​v3i0.​2125.
27.
go back to reference Shelkey M, Wallace M. ‘Katz index of independence in activities of daily living (ADL)’, Try this: best practices in nursing care to older adults. 2012. p. 2. Shelkey M, Wallace M. ‘Katz index of independence in activities of daily living (ADL)’, Try this: best practices in nursing care to older adults. 2012. p. 2.
Metadata
Title
Social capital and healthy ageing in Indonesia
Authors
Junran Cao
Anu Rammohan
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2016
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-016-3257-9

Other articles of this Issue 1/2016

BMC Public Health 1/2016 Go to the issue