Residential independence among older persons: community and individual factors

The objective of this study is to evaluate an expanded version of the resource model of living arrangements among older persons. This expanded model includes community-level measures of geriatric health services and housing market conditions. We employ the first two waves of the National Survey of Families and Households to test static and longitudinal fixed effects models of residential living arrangements. We find that residing in areas with higher levels of geriatric health care services increases the likelihood of residential independence, net of other contextual factors and individual characteristics. Our results show that housing market conditions are not related to levels of or changes in residential independence when control variables are included in the models. The results for the individual-level resource variables show that persons with greater economic resources, more children, and better functional status are better able to maintain independence and are less likely to die or live in a nursing home. This study shows the utility of expanding on micro-level approaches to understanding community living arrangements among older persons. Future investigations should include measures of the policy environment, transportation constraints and opportunities, and a more complete array of indicators of health and social services oriented toward helping elderly persons maintain their independence.     

The Quality of the Urban Environment Around Public Housing Buildings in Montréal: An Objective Approach Based on GIS and Multivariate Statistical Analysis

The question of the “insertion” in space of public housing into the surrounding urban environment is not new. It has often been examined from the perspective of the social environment, but more rarely from that of the physical environment and the accessibility of public and private services and facilities. To qualify the immediate urban environment around Montréal’s public housing buildings in its complexity, we are proposing a methodological approach based on the use of several spatial databases in GIS: (1) the Montréal public housing database, (2) individual census data for the Montréal CMA, (3) a satellite image, (4) a land use map, and (5) location data on a series of public and private services and facilities. Use of these spatial data enables us to identify various combinations of advantages and disadvantages within the urban living environment in which Montréal’s public housing buildings have been located, according to three dimensions: the social environment, the physical environment, and the accessibility of services and facilities. Our final results show that only a small proportion of public housing tenants (7%) live in residual spaces, that is, in quite unattractive areas of the city which combine a number of urban disadvantages: a degraded physical environment, a high level of social deprivation, and few or no services and facilities.

Social indicators of living conditions in Ireland with European comparisons

This monograph presents data from a nationwide survey of social indicators of living conditions in Ireland. This survey was part of a European Community (EC)-harmonised survey of subjective social indicators carried out in eight EC countries. The survey, the first of two, focussed on people's perceptions of their health, health services, housing, neighbourhood and life in general. Extensive analysis is made of the demographic determinants of a wide range of subjective measures of well-being in all of these life domains. Examination is also made of the predictors of global measures of well-being. Data are presented for Ireland and multi-nation comparative data are also presented throughout. Emphasis is placed on the relationship between objective and subjective social indicators.     

Comparison of Urban Housing Satisfaction in Modern and Traditional Neighborhoods in Edirne,Turkey

Numerous cross-cultural studies have focused on certain aspects of urban housing conditions and their social consequences. However, most data on housing satisfaction is restricted to Western countries. Relatively little comparison has been made between these findings and those in developing areas where rapid urbanization is occurring and where concomitant problems in urban housing are emerging. Moreover, since primary cities of developing countries in the initial stage of economic development have received extensive attention in urban housing research, it would be interesting to examine a non-primary city where relatively good standards of living have been achieved. Thus, this study investigates people’s housing satisfaction in modern and historical neighborhoods. This paper addresses some conceptual and measurement issues related to the study of housing satisfaction. We build a conceptual model, which links the multiple dimensions of housing satisfaction, measured by a modified version of Bardo and Dokmeci’s (1992, Genetic, Social and General Psychology Monographs 118(3)) housing satisfaction scale, in a causal sense. An empirical examination of the model in traditional and modern neighborhoods reveals that social and environmental living conditions positively influence overall housing satisfaction. The results also indicate that the drivers of the social and environmental living conditions constructs differ between traditional and modern neighborhoods.     

The Prospects of Catching up for New EU Members Lessons for the Accession Countries to the European Union from Previous Enlargements

With EU membership, politicians aswell as citizens in the accession countrieshope to achieve improvements in livingconditions and – at least in the long run –to catch up with the West European societies.Catch-up modernization of the less advancedmember states is also an ``official' goal of EUpolicy. Expert opinions about the prospects forsuccess, however, vary widely. In this paper, ageneral model for how EU policy influencesquality of life in less well-off membercountries is presented. An analysis of formerenlargements – the cohesion countries Ireland,Greece, Portugal, and Spain – reveals that EUintegration obviously facilitates processes ofcatch up but does not guarantee them. This isdemonstrated by using indicators coveringdifferent aspects of quality of life, percapita income (material living conditions),social protection ratios (general quality ofsociety), and life satisfaction (subjectivewell-being). Bearing in mind their particulareconomic and social conditions and theirheterogeneity, the prospects of the futuremember states are discussed.     

The Changing Quality of Life in a Post-Communist Country: The Case of Czech Republic

Societal transformation which followed the fall of Communism in Czech Republic has affected many aspects of people's lives. In this paper, we describe the main institutional and structural transformations which induced changes in life-quality after 1989 and sketch thereafter some of the changes themselves. It is mostly the changing living conditions which we cover in the contribution: 1. democracy and civil rights, 2. employment and unemployment, 3. incomes, earnings and the quality of consumption, 4. poverty, 5. housing, 6. environment, 7. health, 8. crime, corruption and social pathology. Some tentative conclusions are proposed: the changes have been contradictory – positive on some dimensions of life-quality (democracy, civil rights, environment, health), negative on another set (crime and social pathology, housing) and inconclusive in the rest (incomes, wages, employment). It is, however, premature to draw definite conclusions, as the process of transformation has not yet reached its end. Judging from subjective evaluation of the overall life quality, the recent picture was encouraging: in 1996, the majority of Czech population said they were satisfied wit how they live. Not only life-quality has changed after 1989, but also the understanding of what good life means.     

Family policy in 1990-1994

The nature and goals of family policy in Poland are discussed in the larger context of social policy and economic change, which reflects the transition to a market economy. The aim of family policy is to bring about a proper system of relationships between state and family, which allows for the performance of basic functions related to child rearing and satisfaction of basic needs. The roles of both governmental and nongovernmental organizations are considered important, although not actualized, in the implementation of family policy. Family policy involves laws regulating the conditions of welfare benefits in terms of prerequisites, amount of financial grants, services, and allowances such as food, clothing, or fuel. Financial resources may be received directly or indirectly by families. During 1990-94 major changes in family policy came about due to the transition to a market economy and were applied to social security benefits, work benefits, disability pensions, and health insurance. Changes were made in education, health care, and housing. A comprehensive model was never developed, in which negative effects of changes could be improved upon. Changes put greater emphasis on state and territorial governments to provide social welfare benefits, including social security benefits. Social welfare benefits were set at the lowest level of social security benefits. Economic changes have led to greater unemployment, housing difficulties, inflation, lower quality services, and a decline in the standard of living and security. The Central Statistical Office determined that over 56% of families in 1993 were affected by poverty conditions, which reduced expenditures on food and other needs. The proportion of the population recognized as poor increased during 1990-93 from 16.6% to 22.5% among workers, from 9.7% to 17.3% among farm tenants, from 23.9% to 36.6% among the self-employed, and from 30.4% to 40.6% among the aged and disabled. World Bank estimates showed that 15% of the total population were identified as poor. During this period, however, old-age pensions and the lowest salaries increased. The author concludes that policies must use general concepts that are comprehensive and that current economic trends should increase family income.     

Household income and other socio-economic determinants of long-term institutional care among older adults in Finland

An analysis of longitudinal data on Finnish older adults shows that the probability of admission to long-term institutional care is inversely associated with household income: women in the lowest income quintile are 35 per cent more likely, and men in the lowest quintile 59 per cent more likely to be admitted than those in the highest quintile, independently of age, first language, and area characteristics. Controlling for other socio-demographic characteristics and medical conditions reduces these differences by 59 and 78 per cent, respectively. Being a renter and living in poorly equipped housing increases the probability of admission to institutional care, while the possession of a car and living in a detached house decreases it, independently of other factors. These results imply that the future need for institutional care will depend not only on the increasing numbers of older people but also on socio-economic factors and housing conditions.     

Household income and other socio-economic determinants of long-term institutional care among older adults in Finland

An analysis of longitudinal data on Finnish older adults shows that the probability of admission to long-term institutional care is inversely associated with household income: women in the lowest income quintile are 35 per cent more likely, and men in the lowest quintile 59 per cent more likely to be admitted than those in the highest quintile, independently of age, first language, and area characteristics. Controlling for other socio-demographic characteristics and medical conditions reduces these differences by 59 and 78 per cent, respectively. Being a renter and living in poorly equipped housing increases the probability of admission to institutional care, while the possession of a car and living in a detached house decreases it, independently of other factors. These results imply that the future need for institutional care will depend not only on the increasing numbers of older people but also on socio-economic factors and housing conditions.     

Changing Communities,Community Satisfaction,and Quality of Life: A View of Multiple Perceived Indicators

The relationship between a community’s services and conditions, satisfaction, and overall quality of life were examined in this study. As these relationships respond to specific contextual and cultural settings, qualitative methods were used to account for their complexity and depth. Key informant interviews were conducted in two rural communities experiencing changes in their living conditions as they shifted to a tourism-driven economy. The study allowed a better understanding of how residents contextualized the abovementioned relationships. Findings suggest the need to account for pre-existing social arrangements, and current community interactional and organizational conditions to better understand resident’s perceived living conditions, community satisfaction and quality of life.     

The Importance of the Geographic Level of Analysis in the Assessment of the Quality of Life: The Case of Spain

There is a growing literature on the assessment of quality of life conditions in geographically and/or politically divided regions. Sometimes these territories are countries within a specified supranational structure, such as the European Union, for instance, and sometimes they are regions within countries. There is also some research that focuses on the municipal level of analysis, measuring the quality of life in cities. In the end what the researcher obtains is, at best, an average of the living conditions in the specified territory. However, if results are intended to have policy implications, attention should be paid to the variance in living conditions within regions. In this paper we attempt to quantify the relative importance of three different geographic levels of analysis in assessing the quality of life of the Spanish population. The geo-political division in Spain consists firstly of regions called Comunidades Autónomas, which are then divided into provinces which in turn are divided into municipalities. We are interested in evaluating the extent to which the quality of life conditions of an average person living in a given municipality are explained by the province and region in which the municipality is located. To do so, we first construct a composite indicator of quality of life (QoL) for the 643 largest municipalities of Spain using 19 variables which are weighted using Value Efficiency Analysis (VEA). VEA is a refinement of Data Envelopment Analysis (DEA) that imposes some consistency on the weights of the indicators used to construct the aggregate index. The indicators cover aspects related to consumption, social services, housing, transport, environment, labour market, health, culture and leisure, education and security. We then make a variance decomposition of the VEA scores to assess the importance of the three levels of geo-political administration. The results show that the municipal level is the most important of these, accounting for 52% of the variance in QoL. Regions explain 38% while provinces only account for a moderate 10%. Therefore, political action at the regional and municipal level would seem to have a larger impact on QoL indicators.     

Environmental quality and the well-being of children

There are many reasons for believing that the environment exerts an influence (directly or indirectly) on the wellbeing of children and families. However, while clear evidence is available that low socioeconomic status is associated with lower than average levels of wellbeing, especially among adults, the evidence linking the social and emotional adjustment of children with the quality of the environment is patchy and equivocal. In this paper we focus on three levels of the family environment: the street, the home and the neighborhood. Neighborhood quality was measured by the Vinson-Homel social problems index, street-type as residential or commercial/retail, and housing quality in terms of upkeep, floor occupied, availability of playspace and occupancy type. The research hypothesis was that after allowing for community selection processes children living in lower quality environments would be less satisfied with various areas of their lives, would experience more negative emotions, and would have more restricted and less positive friendship patterns. The sample comprised 321 families which included a 9–11 year old child, drawn from 18 neighborhoods of Sydney. Neighborhood social problem score and street-type, and some aspects of housing, predicted emotional and social adjustment. Before and after controls for family composition, social class and culture, children living in commercial streets, particularly in inner-city areas, stood out from all others in their feelings of loneliness, dislike of other children and feelings of rejection, worry, fear, anger and unhappiness. Children living in high social problems areas showed a pattern of social constriction rather than maladjustment. These results suggest not simply the influence of social class but genuine community socialization effects. Possible sources of, and mechanisms for, these effects are suggested.     

Estimating Housing Quality for Poverty and Development Policy Analysis: CWIQ in Ghana

Inadequate data on housing characteristics and lack of consensusregarding appropriate measures of housing quality characteristicsretard developments to meet housing needs of people in lessdeveloped countries. A constructed housing quality index is developed and Cronbach's alpha and factor analysis are employedeo evaluate its measurement properties. With data from the CoreWelfare Indicators Questionnaire (CWIQ) survey of 1997, theconstructed housing quality index identifies key factors relatedto housing quality in Ghana. Access to quality of life amenities contributes significant information and policy value to traditionalphysical attributes in modeling a housing quality index.     

Surveying Older Adults’ Opinions on Housing: Recommendations for Policy

There is paucity of research investigating opinions and attitudes of seniors 55 years of age and older in relation to housing accommodation and services sensitive to the needs of the senior population. We describe the results of a cross-sectional survey soliciting opinions and attitudes of seniors with respect to a variety of housing issues including home ownership and home modifications. The objectives of the survey were to improve our understanding of older adults’ views and concerns about housing, and to collect information intended to provide policy makers with recommendations regarding housing services, improved access, and safety for older adults as indicated by the individual residents. Most respondents indicated a strong desire to stay and age in their own homes, and continue owning their homes. There was general agreement among those surveyed that other forms of accommodations such as seniors’ housing, congregate homes, small self-contained houses placed on the same lot as the home of a close family member, and residential care facilities were alternative housing options that are less preferred. Winter weather conditions in northern British Columbia were reported to be an important impediment for safety, community participation, and access to facilities and services. Policy implications related to housing tenure and housing conditions as important social determinants of health for seniors are discussed.     

城市外来人口居住条件对其健康影响之考察——以上海为例

本文利用上海2008年的抽样调查数据,考察了一个特别重要但是长期被忽视的群体——城市外来人口居住条件和健康的问题。通过与本地居民的对比,发现外来人口的身心健康好于本地居民,但在居住条件、尤其是住房条件各方面均表现出对本地居民的明显劣势。回归分析结果说明,控制人口和社会经济变量,居住条件的确是影响城市外来人口健康的重要社会因素之一,但对于不同的健康指标,不同居住条件变量作用的大小和方向有所不同。此外,对居住条件与户籍身份的交互作用分析显示,居住条件对城市外来人口健康的影响总体上弱于对本地居民健康的影响,不同的居住条件变量对城市外来人口与本地居民健康的影响关系有所不同。这一结论将有助于政府部门制定更加适合外来人口的改善居住条件与健康状况的相关政策。     

Perceptions of Fortune and Misfortune in Older South African Households: Social Assistance and the ‘Good Life’

It is commonly assumed that better living standards will boost subjective well-being. The post-apartheid South African government subscribes to this idea; its social policies aim to provide ‘a better life for all’. Since the coming of democracy in 1994, the state has built over 3 million houses and supplied electricity and clean water to poor households. By 2009, an estimated 43 % of households were beneficiaries of social grants. The question is whether this investment in services and social assistance translates into higher well-being of citizens. It is argued that older people’s experience of positive change in their life circumstances can be taken as a litmus test of progress in society. The paper reports results of a sample survey conducted in 2009 that inquired into the living circumstances and well-being of 1,000 older low-income households in two provinces linked by a labour migration route. Older households were defined as ones with a member 55 years and older. The sample was drawn among three approximately equal-sized subgroups: Rural black households in the former ‘homelands’ of the Eastern Cape Province, and black and coloured households in Cape Town in the Western Cape Province. The majority of the households in the survey had been interviewed in an earlier survey conducted in late 2002. Both material and non-material changes had occurred in the household situation over the 6-year period between 2002 and 2009. Access to housing and infrastructure had improved but financial difficulties and debts continued to plague many of the surveyed households. Rural black households appeared to be worst off among the three categories of older households with the lowest level of living; coloured households best situated with the highest level of living. Urban black households, many of whom were immigrants to Cape Town, appeared to have experienced the greatest fluctuations in their material circumstances between 2002 and 2009 and a mix of fortune and misfortune. Results indicated that social grants, which provided a modicum of financial security and peace of mind, made the crucial difference between fortune and misfortune for vulnerable households. Securing a social pension and other grants appeared to be the main route to good fortune for the rural households in the study. Households in Cape Town required wage income in addition to grant income to get by in the city. This mix of income sources diluted urban households’ dependence on social assistance. Regression model results suggest that income and financial security play a significantly more important role in boosting the well-being of low-income older households than access to services. Pooling of income, a common practice in pensioner households, contributed significantly to household satisfaction.     

Spatial inequalities in Western cities: A comparison of North American and German urban areas

Since metropolitan areas in North America and Western Europe reflect similar social and economic divisions in society; similar degrees of spatial inequality for social and housing indicators are expected. This proposition was tested for seven cities (four in West Germany, two in the United States and one in Canada) for 1960–61 and 1970–71. Eight of the nine social indicators showed approximately equal inequality scores, once scale differences are controlled. Minority groups in American cities were significantly more spatially concentrated than those in German or Canadian cities. Areas of multiple housing deprivation were more clearly defined in American cities and the populations living in these areas were predominantly minority, old, renters and welfare recipients, a sharp contrast to deprived areas in cities in the other two nations. The German urban social mosaic is becoming more ‘Americanized’ as postwar housing shortages give way to increased homeownership, suburbanization and greater social class segregation.     

Socioeconomic determinants of China's urban fertility

This paper examines socioeconomic forces other than population policies and family planning programs that have affected the fertility transition in urban China. The authors argue that before and since the intensification of population planning activities, the government influenced fertility directly and indirectly through socialization of the economy, the transformation of the Chinese family, and the provision of education, employment, health, medical, welfare, cultural, and related services in urban areas. The various social institutions and subsystems of society have greatly weakened the motivation for large families. The byproducts of the slow urbanization process in urban China including housing shortages, unemployment, rising living standards, changes in the cost of raising a child, and urban-rural downward mobility have affected the social and economic costs of childbearing, which in turn have affected the postponement of childbearing. Thus, our considerations of urban China's fertility transition must be broadened to include the issues of social development strategy in Chinese urban experience.