title: Interpersonal trust and quality-of-life: a cross-sectional study in Japan.
abstract: BACKGROUND
  There is growing interest in psychosocial factors with positive attitudes, such as interpersonal trust, as determinants for Quality-of-life (QOL) or subjective well-being. Despite their longevity, Japanese people report a relatively poor subjective well-being, as well as lower interpersonal trust. Our aim in this study was to evaluate the possible association between interpersonal trust and QOL among Japanese people.
  
  
  RESULTS
  Based on the cross-sectional data for Japanese adults (2008), we analyzed the relationship between interpersonal trust and each of four domains of the WHOQOL-BREF. Interpersonal trust was assessed using three scales for trust in people, in human fairness and in human nature. In a total of 1000 participants (mean age: 45 years; 49% women), greater trust was recognized among women (vs. men), those aged 60-69 (vs. 20-29), or the high-income group (vs. low-income). Each of three trust scales was positively correlated with all domains of QOL. Multiple linear-regression models were constructed for each of QOL and the principal component score of the trust scales, adjusted for age, gender, area size of residence, income, education, and occupation. For all QOL domains, interpersonal trust was significantly and positively associated with better QOL with p<0.001 for all four domains including physical, psychological, social, and environmental QOL. Other factors associated with QOL included gender, age class, area size of residence, and income. Education and occupation were not associated with QOL.
  
  
  CONCLUSIONS
  Greater interpersonal trust is strongly associated with a better QOL among Japanese adults. If a causal relationship is demonstrated in a controlled interventional study, social and political measures should be advocated to increase interpersonal trust for achieving better QOL.
authors.affiliation: Center for Clinical Epidemiology, St Luke's Life Science Institute, St Luke's International Hospital, Tokyo, Japan. tokuyasu@orange.ocn.ne.jp
authors.forename: Yasuharu
authors.initials: Y
authors.lastname: Tokuda
authors.forename: Masamine
authors.initials: M
authors.lastname: Jimba
authors.forename: Haruo
authors.initials: H
authors.lastname: Yanai
authors.forename: Seiji
authors.initials: S
authors.lastname: Fujii
authors.forename: Takashi
authors.initials: T
authors.lastname: Inoguchi
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D007407:Interviews as Topic; D007564:Japan; D008297:Male; D008875:Middle Aged; D011788:Quality of Life / Q000523:psychology; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D035502:Trust / Q000523:psychology; D055815:Young Adult