Quality of Life in Cities: Setting up Criteria for Amman-Jordan

In recent years, the interest grew in research on measuring the “quality of life” (QOL) in cities. This interest comes from the success QOL measurement achieved in understanding communities’ needs, tracking changes in different aspects of life and assessing the most desired types of future development among citizens. This research highlights the importance of measuring QOL in Jordan. It examines the opportunity and applicability of carrying out QOL measurement studies in Amman, the capital city. It outlines different scopes, visions and approaches that can be used to study and measure QOL and the most suitable mechanism that can work firmly. A professional top–bottom approach was used for that. Thirty-three experts with different backgrounds were interviewed in order to determine the appropriate scopes and visions for studying QOL, define the most significant aspects affecting QOL in Amman, and define the appropriate domains to be studied. Results were analyzed, limitations were defined and the final set of representative domains was stated. Domains were ranked according to their relevance and the important -underneath- aspects were defined in the form of models, each representing a certain domain. The paper attempts by the end to set the stage for setting up criteria for measuring QOL in Amman and to open the way for future QOL research to take place in Jordan.     

Evaluating Item Discrimination Power of WHOQOL-BREF from an Item Response Model Perspectives

Quality of life (QOL) has become an important component of health. By using the methodology of psychometric theory, we examine the item properties of the WHOQOL-BRIEF. Samejima’s graded response model with natural metrics of the logistic response function was fitted. The results showed items with negative natures were less discriminating. Items written in a specific way were more suitable to assess certain subgroups. The national items showed variation in discriminatory power. Questions measuring objective and specific issues performed worse than items assessing general aspects of the QOL.     

Quality of Work Life: Theoretical and Methodological Problems, and Presentation of a New Model and Measuring Instrument

Purpose: Ever since the concept of Quality of Work Life (QWL) was first used over 30 years ago, a range of definitions and theoretical constructs have succeeded each other with the aim of mitigating the many problems facing the concept. A historical overview of the concept of QWL is presented here. Given the lack of consensus concerning the solutions that have been developed to date, a new definition of QWL is suggested, inspired by the research on a related concept, general Quality of Life (QOL) which, as the literature shows, has faced the same conceptualization and definition problems as QWL. Based on the suggested definition of QOL, a definition of QWL is provided and the measuring instrument that results therefrom (the Quality of Working Life Systemic Inventory – QWLSI) is presented. Finally, the solutions that this model and measuring instrument provide for the above-mentioned problems are discussed.     

Quality of Life Predictors and Normative Data

This study identifies predictors and normative data for quality of life (QOL) in a sample of Portuguese adults from general population. A cross-sectional correlational study was undertaken with two hundred and fifty-five (N = 255) individuals from Portuguese general population (mean age 43 years, range 25–84 years; 148 females, 107 males). Participants completed the European Portuguese version of the World Health Organization Quality of Life short-form instrument and the European Portuguese version of the Center for Epidemiologic Studies Depression Scale. Demographic information was also collected. Portuguese adults reported their QOL as good. The physical, psychological and environmental domains predicted 44 % of the variance of QOL. The strongest predictor was the physical domain and the weakest was social relationships. Age, educational level, socioeconomic status and emotional status were significantly correlated with QOL and explained 25 % of the variance of QOL. The strongest predictor of QOL was emotional status followed by education and age. QOL was significantly different according to: marital status; living place (mainland or islands); type of cohabitants; occupation; health. The sample of adults from general Portuguese population reported high levels of QOL. The life domain that better explained QOL was the physical domain. Among other variables, emotional status best predicted QOL. Further variables influenced overall QOL. These findings inform our understanding on adults from Portuguese general population QOL and can be helpful for researchers and practitioners using this assessment tool to compare their results with normative data.     

The Impact of Imports and Exports on a Country’s Quality of Life

This paper is a sequel to Sirgy et al. (Social Ind. Res. 68(3) (2004) 251), “The Impact of Globalization on a Country’s Quality of Life: Toward an Integrated Model” published in Social Indicators Research. That paper conceptualized globalization in terms of the free flow of four major components: (1) goods and services, (2) people, (3) capital, and (4) information. The current paper focuses on the free flow of goods and services, one of the four major components of globalization. Specifically, we (1) articulate the trade globalization construct, (2) show the complex mediating effects between trade globalization and QOL, and (3) describe under what conditions these positive vs. negative QOL effects are likely to occur. We develop a set of theoretical propositions to capture these mediating and moderating effects. Based on the theoretical model, we suggest the following public policy recommendations: (1) Encourage exporting firms not to outsource jobs. (2) Encourage firms to export more products in ways that can enhance their production efficiency. (3) Discourage firms from exporting culturally sensitive (and possibly offensive) products to culturally distant countries. (4) Encourage firms to export more products with potential for technology transfer. (5) Encourage firms in industries with a significant comparative advantage to increase exports. (6) Encourage imports of products that do not compete with high employment domestic industries where workers cannot easily transition to more productive employment. (7) Impose trade barriers as short-term solution to help␣threatened industries while helping those industries retool to become more competitive. (8)␣Assist displaced workers by re-training them to shift to industries with comparative advantage.     

Construct and Criterion Validity of a Norwegian Instrument for Health Related Quality of Life Among Elderly Women Living at Home

Purpose of the study: The aim of the current study is to validate an instrument consisting of five items and first used in the Nord-Trondelag Health Survey (HUNT-5), as a measure of health related quality of life (QOL) in a population of elderly women living at home. Design and methods: A random sample of 307 women aged 75 years and over (mean 80.8 years, response rate 74.5%) and living at home were interviewed using the HUNT-5 instrument, the 20-question version of the General Health Questionnaire (GHQ-20) and the respondents’ records of their health status and functional ability. Results: No significant relationships were found between age and the sumscores of GHQ-20 and HUNT-5. Factor analysis indicated that HUNT-5 is primarily unidimensional. The Cronbach α for HUNT-5 was 0.79 and that for GHQ-20 was 0.87. The correlation between the HUNT-5 and the GHQ-20 sumscores was 0.75 (p < 0.001). There were significant correlations between some of the health and function items and the two QOL instruments (ranging from 0.14 to 0.68). Implications: This evaluation supports the psychometric validity of HUNT-5 for elderly women living at home. It is important to take into consideration the women’s own experience of their health and functional ability in planning therapy and in obtaining the best possible QOL for them.     

Arthritis Impact on U.S. Life Quality: Morbidity and Mortality Effects From National Health Interview Survey Data 1986–1988 and 1994 Using QWBX1 Estimates of Well-Being

Objective: To estimate the impact ofarthritis using a general health index andNational Health Interview Survey (NHIS) data.Methods: Morbidity data came from NHISPublic Use data, from the years 1986–1988 and1994. The data are 423 400 cases, representing975 421 153 person-years. Quality ofWell-being Scale (QWB) morbidity scores wereimputed from NHIS questions about healthconditions and limitations in functioning. Both the QWB and multiple linear regressionwere used to estimate the effects of arthritiswith and without adjustments for co-morbidity. Mortality data for NHIS-sampled adults weredrawn from the National Death Index by staff ofthe National Center for Health Statistics.Results: The mean QWB for those withself-reported arthritis was 0.608 on a scaleranging from 0.0 (for death) to 1.0 (for fullyfunctional without symptoms or problems). Thisobserved mean for arthritis is 39.2% below the1.000 comparison standard. QWB morbidityscores for self-reported arthritis appear(0.701 – 0.608=) 9.3% more severe than meaneffects of all other health conditions. Mortality adds an average 13.8% to themorbidity burden. Persons with arthritisconstitute 4.7% of the population, but accountfor 9.6% of Quality-Adjusted Life Years(QALYs) lost to morbidity.Conclusions: Self-reported arthritis isassociated with very significant losses inQuality-Adjusted Life in the US population.     

Quality of life

What is sought is a definition of Quality of Life (QOL). Other authors have defined QOL in terms of actual happiness or perceived satisfaction/dissatisfaction. The present paper defines it not as a summation of the individual happiness-states of all members of a society, but as the obtaining of the necessary conditions for happiness throughout a society. These conditions being necessary not sufficient, high QOL is compatible with actual unhappiness. The necessary conditions in question are identified with the availability of means for the satisfaction of human needs rather than human desires, and a Maslowian analysis of the former is proposed in default of ay more satisfactory analysis. The paper concludes with a discussion of how maximizing needsatisfaction (as opposed to want-satisfaction) automatically guarantees fair distribution of needed goods. This ensures that in at least some respects high-QOL societies are societies characterized by justice.     

Community Subjective Well-being,Personality Traits and Quality of Life Therapy

In this study, factors that are instrumental in improving individuals' aswell as communities' subjective well-being (SWB) and Quality of Life (QOL)such as positive and negative relationships, personality characteristics ortraits as defined by family members or spouse, perceptions of the future aslooking good, and psychological factors (such as congruency,thriving/resilience personality, belongingness, external and internal powerand psychoallostasis), demographic variables, and religion were examined.The findings indicate that congruency with one's community values andexpectations, belongingness, thriving personality, psychoallostasis andpositive relationships or closeness to people in one's community, and theperception of the future both for the individual and for the community asbright, are important indicators of Quality of life and increased Subjectivewell-being. Additionally, family or spousal ratings of personalitycharacteristics as desirable affected SWB only if the ratings correspondedto the individuals' rating. Path analysis indicate that the high levels ofhappiness experienced by people living in Individualistic-sub-collectivisticcultures such as Appalachia is strongly linked to communal homeostasis andpsychoallostasis lifestyles prevalent in these communities. Implications ofthese findings to Quality of life therapy (QOLT) and healthy psychology atboth the individual level and community level are discussed.     

Stability and Change of Regional Quality of life in Switzerland, 1978–1996

Data from surveys on local quality of life (QOL) in Switzerland amongthree age cohorts of a combined 87 000 recruits doing their basicmilitary training in 1978, 1987 and 1996 are used in this study in orderto answer the following questions: How stable was the QOLprofile of the whole country since 1978, and how much QOLprofiles changed since then at the four disaggregationlevels of the 26 cantons, 106 regions, 169 urban communities and 91neighborhoods or suburbs of the 7 largest urban agglomerations ofSwitzerland? At the first three disaggregation levels, most of theone-item measures used seem to be rather valid, i.e., they tended infact to generate stable as well as plausible results in unchangingsituations, or to react sensitively to “objectively” changingconditions of life. Where in public discourse QOL attributes arediffuse, i.e. where they are only loosely coupled to acertain village, town, region etc., or where the QOL profiles of smallerterritories are only based on answers of a few respondents, the strongerimpact that unknown measurement errors have under these conditions makesinterpreting the results of some single variables moredifficult. Especially at the level of cantons and regions, however, QOLprofiles defined by spatially well-focused sets of subjectiveindicators are easily interpretable and very stable. Through all threesurveys, they depict and preserve the distinctive characteristics of acanton or region remarkably well. In general, interpreting these surveyresults from the perspective of discursive social psychology proves tobe advantageous.

     

Exploratory Study on Drug Users’ Perspectives on Quality of Life: More than Health-Related Quality of Life?

In drug treatment outcome literature, a focus on objective and socially desirable indicators of change (e.g. no drug use) has predominated, while outcome indicators that are important for drug users themselves (e.g. quality of life, satisfaction with treatment) have largely been neglected. Nonetheless, Quality of Life (QoL) has become an important concept to evaluate effectiveness of treatment in mental health care research and disability studies. Given the almost exclusive focus on Health-related Quality of Life (HRQOL) in substance abuse research and the neglect of clients’ perspectives in this field, we explore in this study the concept of QoL as perceived by drug users. Focus group discussions (n = 9) were organised in various treatment settings and community services for drug users in the region of Ghent, Belgium to identify important dimensions of QoL and their interpretation by drug users. Data were clustered and analysed based on the theoretical framework of Robert Schalock (Quality of life. Volume 1: Conceptualization and measurement, 1996). The domains ‘personal relationships’, ‘social inclusion’ and ‘self-determination’ were discussed most frequently by the participants. They stressed the importance of a supportive social network in particular. It can be concluded that QoL is not primarily associated by drug users with health and it involves much more than the aspects typically represented in measures of HRQOL.     

Development and Application of Environmental Quality of Life Scale Among People Residing Near Three Types of Industrial Areas, Southern Thailand

To compare QOL among rural people living in three different industrial areas and one non-industrial area in southern Thailand. A questionnaire based on the WHOQOL-BREF with environmental assessment was initially developed. After consultation with experts and pilot study, it was tested to check internal reliability and further modified as necessary. The final version was then used to survey residents of three rural areas close to organic industries, a gas refinery, and an electricity power plant and residents from a non-industrial area. The developed scale has acceptable reliability coefficient (0.76). The overall QOL scores among those living in all study areas were high (mean > 3.75 out of 5). Only environmental QOL domain was slightly low (mean = 3.7) among these living close to the gas refinery area where people were distinctively disturbed by various types of pollution. Unpleasant odours were reported by residents living close to the power plant and areas of organic industries. After adjustment for age, education, income level and marital status, the residents of industrial areas were more than two times likely to have an unfavorable QOL. The level of pollution in the study industrial area should be reduced.     

Parallels Between Objective Indicators and Subjective Perceptions of Quality of Life: A Study of Metropolitan and County Areas in Taiwan

This study explores the consistency between objective indicators and subjective perceptions of quality of life in a ranking of survey data for cities and counties in Taiwan. Data used for analysis included the Statistical Yearbook of Hsiens and Municipalities and the Survey on Living Conditions of Citizens in Taiwan, both given for the year 2000. The Quality of life was examined in seven domains: medical services, domestic finances, work, education, leisure, public safety, and environmental quality. Subjective and objective rankings for each domain of quality of life for 23 areas (some areas are cities and some are counties) are compared. Analysis by means of nonparametric correlation coefficients indicates that there is no significant correlation between objective indicators and subjective perceptions, except in Education and Environmental Quality. Objective indicators of Environmental Quality (air pollution and garbage) are positively correlated with subjective satisfaction with residential environment. But inexplicably, higher levels of literacy and educational achievement are negatively correlated with satisfaction with the educational system. It may be considered that disparity in either average objective conditions or in average subjective perceptions may not adequately depict quality of life differences.

城乡老年人生活质量与人口社会学特征关联初探

人口老龄化使我国老年人口数量迅速增长,呈现出老龄化+少子化的人口结构新常态。江苏省老龄化比例为20.57%,居全国各省区之首,老龄化区域和城乡差异也更加显著。兴化地区地处苏北农村,呈现小城市大农村结构,经济欠发达,城乡人群的生活水平差距较大。本研究目标人群为兴化城乡老年人群,通过调查城乡老年人群人口社会学和生活质量的变化特征和相关性,为政府和社会对老龄化事业的发展与决策提供依据。总计305例60岁以上的老年人群参与调查。结果显示,城市老年人群已婚、与子女住、文化程度、退休和自觉家庭经济情况良好等人口社会学特征维度好于农村人群（P≤0.01）;而农村丧偶、独居、没有工作和自觉家庭经济情况差等维度高于城市人群（P≤0.01）;男性老年人群文化程度显著高于女性（P<0.01）;冠心病患病构成比上,农村老年人群显著高于城市老年人群（P<0.01）,男性老年人群高于女性（P<0.05）;而女性老年人群患高脂血症构成比显著高于男性（P<0.01）。结果提示,兴化地区城乡老年人群生活质量差异显著,但城乡老年人群在躯体健康和疾病防治中的差异已经明显缩小,说明老年人生活质量的变化与人口社会学特征相关联。在经济持续发展和人口结构老龄化的新常态下,社会和家庭应更多地关注和改善老年人群,尤其是农村老年人群的生存环境,提高他们的生活质量。     

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.     

Body Image and Quality of Life in a Group of African American Women

African American (AA) women’s preference for a larger body size and underestimation of their body weight may affect the relationship between their body weight and weight-related quality of life (QOL). We wanted to examine the relationship between weight-related QOL and body mass index (BMI) in a sample of overweight AA women. Thirty-three overweight AA women completed a clinic visit to measure height, weight, and complete surveys including the Impact of Weight on Quality of Life-Lite (IWQOL-Lite) and the Stunkard Figure Rating Scale. BMI was calculated using measured height and weight. Correlations and linear regression models were estimated using SAS v 9.1. In this sample, the mean total quality of life score was 78.00 ± 17.68 on a 100 point scale. There was a modest correlation between BMI and total weight-related QOL (r = −0.034, p = 0.053). Body image dissatisfaction was the strongest predictor of total quality of life score (p = 0.04). African American women’s unique cultural perception of body image may play a key role in weight-related QOL.     

A Mixed Method Approach to Quality of Life Research: A Case Study Approach

Increased use of qualitative and quantitative methods in quality of life projects necessitates an examination of how to effectively work within a mixed method framework. The research objectives of this paper are to (1) operationalize the two goals of mixed method research (confirmation and comprehension) and (2) develop a strategy for using mixed methods in quality of life research. Face-to-face interview (qualitative) and telephone survey (quantitative) data from the Community–University Institute for Social Research Quality of Life (CUISR QoL) project in Saskatoon, Saskatchewan were used for operationalization. Overall, confirmation and comprehension were challenging concepts to operationalize. Seven benefits and four guidelines were developed and are presented as dynamic, rather than definitive, structures.     

Exploring the Quality of Life of People in North Eastern and Southern Thailand

The assumption that development brings not only material prosperity but also a better overall quality of life lies at the heart of the development project. Against this, critics assert that development can undermine social cohesion and threaten cultural integrity. Rarely, however, is the impact of development on well-being rigourously analysed using empirical data. This is what the Wellbeing in Developing Countries Group at the University of Bath aims to do drawing on fieldwork carried out in four developing countries, which addresses the themes of resources, needs, agency and structure, and subjective Quality of life (QoL). The first phase of the QoL research in Thailand aimed to explore the categories and components of quality of life for people from different backgrounds and locations with the aim of developing methods for QoL assessment in the third phase of the WeD QoL research. The study presents data obtained from rural and peri-urban sites in Southern and Northeastern Thailand (two villages in Songkhla and three in Khon Kaen, Mukdaharn, and Roi-et). Participants were divided into six groups by gender and age, and were divided again by religion (Buddhist and Muslim) and wealth status in the South. Data collection was conducted between October and December 2004 using focus group discussions, semi-structured interviews, and the Person Generated Index. Content analysis was used for data analysis. The use of a qualitative approach enabled the gathering of empirical data that reflects the sources of difficulty and happiness in the lives of participants. Respondents identified 26 aspects to their quality of life, including family relations, health and longevity, income and having money, jobs, housing, education, debt, and so on. The results reveal clear similarities and differences in the role of traditions, religious beliefs, and values in the lives of people living in remote rural or peri-urban areas in Northeastern and Southern Thailand. These results, together with the findings from Peru, Ethiopia, and Bangladesh, will inform the rest of the WeD research and be used to develop measures to assess the quality of life of people living in developing countries.     

Quality of Life from the Voting Booth: The Effect of Crime Rates and Income on Recent U.S. Presidential Elections

Quality of Life (QOL) is often measured with surveys of citizen’s satisfaction. In contrast, the current research uses already-existing voting data to infer citizens’ perceptions of QOL. Under this model, citizens decide how much their QOL has improved (or declined) since the last election, and then vote to reward (or punish) the incumbent party accordingly. Analysis of the popular vote for the incumbent party then allows inference on how citizens judge their QOL and how they weight the various domains. Previous research has concluded that voters reward an incumbent who improves the economic domain prior to election. I test whether voters also reward declining crime rates, and estimate how citizens weight the relative importance of each in determining QOL. I analyze the vote shares by state from U.S. presidential elections from 1972 to 1996. Results show that changes in crime rates do influence vote share, consistent with the responsibility hypothesis, but to a smaller degree than the economic domain does. The method described provides convergent evidence that citizens weight domains differentially, and can provide the weights for a national QOL index.