Social capital and successful aging: The role of senior housing

Social capital is defined as the resources available to individuals and groups through social connections and social relations with others. Access to social capital enables older citizens to maintain productive, independent, and fulfilling lives. As the U.S. popula-tion ages, accompanied by a rise in the prevalence of seniors living alone, the availability of social capital within communities will become an important ingredient of successful aging. Recent evidence suggests that many traditional forms of social capital in communities—as represented by civic engagement in local asso-ciations and by the extent of voluntarism and social trust—are on the decline. If this observation in correct, there is no simple solution to rebuilding this lost social capital. Novel forms of senior housing, such as planned care developments and assisted-living facilities, may offer promising modes of delivery of social capital to the aging population. However, assisted living remains finan-cially inaccessible for a large segment of the U.S. population, so investment in communities “aging in place ” may be the key to delivering the health dividends of social capital. Ann Intern Med. 2003;139:395-399. www.annals.or