Measures of self-reported well-being: their affective,cognitive, and other components

This investigation begins from the hypothesis that social indicators of perceived well-being — e.g., people's assessment of their own life quality — will, like other attudes, reflect two basic types of influences: affect and cognition. In addition, the indicators were expected to include two other components: unique variance (mainly random measurement error) and correlated measurement error. These ideas are investigated using a structural modeling approach applied to 23 assessments of life-as-a-whole from a national survey of Americans (N=1072) and/or a survey of urban residents in England (N=932). In both sets of data, models that included affective and cognitive factors fit significantly better than more restricted models. Furthermore, as expected, measures of (a) ‘happiness’, ‘fun’, and ‘enjoyment’ tended to be relatively more loaded with affect than were measures of (b) ‘satisfaction’, ‘success’, and ‘meeting needs’; and (c) measures designed to tap both affect and cognition tended to fall between the first two groups. In addition, the results suggest that measures employing relatively many scale points and direct assessments yield more valid indicators of people's evaluations of life-as-a-whole than do measures based on three-point scales or on explicit comparisons with other times or groups. These results contribute to basic knowledge about the nature of life quality assessments, help to explain some previously puzzling relationships with demographic factors such as age and education, and may be useful to designers of future studies of perceived well-being.     

The maternity experiences of women seeking asylum in high-income countries: a meta-ethnography

ProblemThe maternity care experiences and perinatal outcomes of women seeking asylum in high-income countries (HICs) are poorer than the general population of pregnant women in that HIC. There is a paucity of literature on the maternity experiences of women seeking asylum in HICs.BackgroundThere is an increasing number of women seeking asylum in HICs due to escalating violence and human rights abuses. Asylum-seeking women are a distinct group whom are likely to have different needs to refugees or migrants as a result of their undocumented status.AimThis literature review aimed to explore the emotional, physical and health information needs of women seeking asylum in the perinatal period in HICs, to provide insights to better address their maternity needs.MethodA meta-ethnography described by Noblit and Hare, was applied to analyse the studies, to reflect the voices of women seeking asylum, hosted in HICs in their perinatal period.FindingsEight studies were included in the review. The overarching theme was ‘just having to survive.’ Four sub-themes were revealed which highlighted the vulnerability of asylum-seeking women. They included: ‘I was never sure if I had understood’, ‘feeling ignored and alone’, ‘ongoing dislocation and recurrent relocation’ and ‘knowing there’s someone who cares for you’.DiscussionImproved maternity care for women seeking asylum requires culturally appropriate respectful maternity care and supportive strategies such as consistent access to language services.ConclusionIt is recommended that future research is targeted to explore the maternity experience of women seeking asylum in HICs, such as Australia.     

Social Cohesion and the Labour Market: Societal Regimes of Civic Attitudes and Labour Market Regimes

The aim of this paper is to test the connections between the indicators used in the literature on social cohesion, which usually reflect ‘general’ values or behaviours, and indicators specific to a particular space, namely the labour market. A key question is the stability of the social cohesion’s indicators when moving from a societal level to the labour market. Based on data from the World Value Survey, and following a restrictive definition of social cohesion, a comparison is done, for European countries. Examination of the situation in the two spheres makes it possible to identify more or less homogeneous groups of countries and also to point to instabilities. ‘Regimes’ of social cohesion begin to emerge. As in most analyses, the Nordic countries (excluding Finland) have high scores in all the dimensions. Conversely, most of the new EU member states from the former Eastern bloc have low scores, particularly in the horizontal dimension of trust between individuals.     

Quality of life indicators: A preliminary investigation

Concern over the ‘quality of life’ in the United States seems to have increased proportionally with technological advancement and growth in material wealth. Growing public interest in social, economic, political and environmental conditions has led to the search for indicators which adequately reflect the overall ‘health’ of the nation and its citizens' well-being. This paper developed a systematic methodology for assessing social, economic, political, and environmental indicators to reflect the quality of life in the U.S. Nine indicators, including Individual Status, Individual Equality, Living Conditions, Agriculture, Technology, Economic Status, Education, Health and Welfare and State and Local Governments were compiled from more than 100 variables for 50 states and the District of Columbia. Based primarily on 1970 data, QOL indexes were generalized and the states were rated. Comparisons among similar studies were made and analyses among indicators were also performed.     

Measures of accessibility as social indicators: A note

Although accessibility to jobs, services and amenities is an important component of the quality of life, it is rarely articulated in operational definitions of the concept. This note stresses the importance of physical accessibility to social well-being in cities, and outlines and reviews several measures which could be used to reflect territorial variations in accessibility to specific ‘goods’. One measure-a modified version of the gravity model-is elaborated in detail, and its utility as a social indicator is illustrated using the example of accessibility to primary medical care in Edinburgh, Scotland.     

‘It requires something drastic’: Interviews with health care leaders about organisational responses to social disadvantage

ProblemPersisting disparities in maternal and child health outcomes in high income countries require new insights for health service response.BackgroundSignificant social hardship, including factors related to migration, are associated with perinatal morbidity and mortality. The universality of maternity and child health care offers opportunities to reduce health disparities. Process evaluation of health service initiatives to address refugee health inequalities in Melbourne, Australia, is the setting for the study.AimTo explore the views of health service leaders about health system and service capacity to tailor care to address social adversity and reduce disparities in maternal and child health outcomes.MethodsIn-depth interviews with leaders of maternity and maternal and child health services with questions guided by a diagram to promote discussion. Thematic analysis of transcribed interviews.FindingsHealth care leaders recognised the level of social complexity and diversity of their clientele. The analysis revealed three key themes: grappling with the complexity of social disadvantage; ‘clinical risk’ versus ‘social risk’; and taking steps for system change.DiscussionPriority given to clinical requirements and routine practices together with the rising demand for services is limiting service response to families experiencing social hardship and hampering individualised care. System change was considered possible only if health service decision makers engaged with consumer and community perspectives and that of front-line staff.ConclusionAchieving equity in maternal and child health outcomes requires engagement of all key stakeholders (communities, clinicians, managers) to facilitate effective system re-design.     

Whatever Happened to Social Indicators in Africa? Whatever Happened Indeed! A Developing World Perspective on the Kenneth C. Land and Alex C. Michalos Report on ‘Fifty Years After the Social Indicators Movement’

Africa is a latecomer to the Social Indicators Movement. The first social indicators for Third World countries were developed by outsiders and covered almost exclusively topics related to basic needs and development. In response to Kenneth Land’s and Alex Michalos’ historical assessment and their agenda for future ‘social indicators/quality of life/well-being’ research, the commentary traces how South Africa and sub-Saharan countries—with a little help from many friends who are pioneers in the movement—have succeeded in developing their own home-grown social indicators movement. Addressing some of the themes outlined in the agenda that Land and Michalos set for future research, the commentary discusses the importance of monitoring social change occurring in African society in a ‘post-industrialized and much more globalized, and digitized-computerized-roboticized’ era: How will new values and norms impact on the quality of life of future generations of African people?     

Indicators of development in Wisconsin counties: 1970

This research focused on the problem of measuring economic and social ‘development’. Existing theories of economic and social change were used to select important indicators of development. For each indicator, principal components analysis was used to collapse several related variables into a single index. The indexes were labeled economic base, economic growth, personal economic opportunity, health inputs, health status, educational inputs, and educational attainment. In each case, selection of variables and indexes were constrained by two factors: (1) the data had to be available from secondary sources; (2) the selection of the indicators, and the procedure, had to be easily understood and cheaply and quickly repeatable by state or local agency personnel. In general the indexes were consistent with each other and the variables enter into the indexes with the expected sign. The high correlation among the indexes suggests that they may indeed measure some underlying attribute, development. There is no rigorous or absolute measure of development against which to check the validity of the indexes. However, the results have been judged ‘reasonable’ measures of development by the state agency staff and local development groups which have utilized the indexes.     

Some neglected social indicators

The attention now being given in the social sciences to time series indicators that measure the ‘Social Health’ of the nation is a most welcome development. Too often, sweeping claims of social change have very little hard supporting evidence. The new trend indicators offer the opportunity for more rigorous analysis of diverse subjects than is often employed in the ‘soft sciences’. Public opinion indicators show a decline in favor for U.S. business which has resulted in Congressional legislation of business, labor reform, restrictions on the environment, consumerism, and inflation. More restrictions can be expected if the social indicators are correct. Political indicators tell us that Republican party loyalty and allegiance have steadily declined since the 1950s and perhaps the ‘emerging Republican majority’ is merely a myth. There are vast implications to be derived from indicators that show the birth rate nearing zero population growth; religion steadily losing influence in America over the past 30 years; and, the youth are far more sober than the rebellious few who draw mass media attention. Social indicators have been very predictive of the future but largely ignored. A clearinghouse is needed to systematically monitor existing social indicators to avoid waste, duplication and downright reglect of important information.     

Women's experiences of participation in a pregnancy and postnatal group incorporating yoga and facilitated group discussion: A qualitative evaluation

BackgroundThis paper reports on a small qualitative research study which explored women's experiences of participation in a pregnancy and postnatal group that incorporated yoga and facilitated discussion. The group is offered through a community based feminist non-government women's health Centre in Northern NSW Australia.QuestionThe purpose of the research was to explore women's experiences of attending this pregnancy and postnatal group.MethodsAn exploratory qualitative approach was used to explore women's experiences of attending the group. Fifteen women participated in individual, in-depth face-to-face interviews. Interviews were recorded and transcribed verbatim. Thematic analysis was undertaken to analyse the qualitative data.FindingsSix themes were developed, one with 3 subthemes. One theme was labelled as: ‘the pregnancy and motherhood journey’ and included 3 sub-themes which were labelled: ‘preparation for birth’, ‘connecting with the baby’ and ‘sharing birth stories.’ The other five themes were: ‘feminine nurturing safe space’, ‘watching and learning the mothering’, ‘building mental health, well-being and connections’, the “group like a rock and a seed’ and ‘different from mainstream’.ConclusionThis research adds to the overall body of knowledge about the value of yoga in pre and postnatal care. It demonstrates the value of sharing birth stories and the strong capacity women have to support one another, bringing benefits of emotional and social well-being, information, resources and support derived from group based models of care.     

The quality of life in large American cities: Objective and subjective social indicators

The concept of ‘quality of life’ as a tool of comparative social indicators research is analyzed. Inter-city comparisons of objective and subjective measures of well being are presented and the distinctiveness of these two dimensions of the quality of life is documented. The paper concludes with some observations on the implications that this distinctiveness has for the use of the concept ‘quality of life’ in future social indicators research.     

Childbearing women’s experiences of the maternity care system in Australia during the first wave of the COVID-19 pandemic

BackgroundSubstantial changes occurred in Australian healthcare provision during the COVID-19 pandemic to reduce the risk of infection transmission. Little is known about the impact of these changes on childbearing women.AimTo explore and describe childbearing women’s experiences of receiving maternity care during the COVID-19 pandemic in Australia.MethodsA qualitative exploratory design using semi-structured interviews was used. Women were recruited through social media and self-nominated to participate in an interview. Maximum variation sampling was used. Twenty-seven interviews were conducted with women from across Australia. Data was analysed thematically.FindingsThree primary themes and nine sub-themes emerged: ‘navigating a changing health system’ (coping with constant change, altered access to care, dealing with physical distancing restrictions, and missing care), ‘desiring choice and control’ (experiencing poor communication, making hard decisions, and considering alternate models of care), and ‘experiencing infection prevention measures’ (minimising the risk of exposure and changing care plans to minimise infection risk).DiscussionThe substantial changes in care delivery for pregnant and postpartum women during the pandemic appear to have reduced woman-centred care. In most cases, care was perceived as impersonal and incomplete, resulting in a very different experience than expected; consequences included missing care. The presence of a known care provider improved women’s sense of communication, choice, and control.ConclusionThis study provides unique insight into the experiences of childbearing women across Australia. The importance of respectful woman-centred care cannot be forgotten during a pandemic. The findings may inform future service planning during pandemics and disaster situations.     

Women's experiences of self-reporting health online prior to their first midwifery visit: A qualitative study

Background

Information and communication technologies are increasingly used in health care to meet demands of efficiency, safety and patient-centered care. At a large Danish regional hospital, women report their physical, mental health and personal needs prior to their first antenatal visit. Little is known about the process of self-reporting health, and how this information is managed during the client-professional meeting.

Education Enrollment Level and Income Inequality: A Case of SAARC Economies

This article introduces ‘critical open-mindedness’ as a new sociological construct, which can be employed particularly in the studies of social attitudes and attitude change, social values, social identities, cross-cultural relations and social discrimination. By drawing on the data collected through the 2005 World Values Survey in Australia, we have operationalized the construct into an integrative social index, called ‘critical open-mindedness index’ consisting of five dimensional composite indicators (CIs; i.e. the social, political, cultural, economic, and environmental). We have adopted an integrative approach to constructing these composite indicators in which we pragmatically select and incorporate a variety of techniques with the purpose of maximizing the validity of the end results. The findings with respect to Australians’ critical open-mindedness, both in general and in reference to its five dimensions are discussed. We have also developed and examined a social psychological index of ‘socio-cognitive open-mindedness’ inspired by a number of commonly used international scales and by drawing on the same dataset. We have shown that these two types of open-mindedness are qualitatively different. Our analysis does not support the idea that individuals’ social psychological open-mindedness determines their critical open-mindedness. It is rather the opposite which is the case.     

Regional disparities in Malaysia

Visualizing the level of living as a level of satisfaction of the needs of the population assured by a given flow of goods and services in a unit of time, several sets of components which are judged capable of representing the various aspects of the level of living are chosen for eleven states of Malaysia. Indices of levels of living disparities, within the framework developed by Frederick Harbison and associates, which are called ‘pattern of development’ and ‘measure of development’ are established for eleven states of Malaysia based on 16 socio-economic indicators in order to get a clear picture of regional socio-economic disparities in this country.     

Time-use auditing: An approach to validating social indicators

Following McCal,, ‘quality of life’ is defined as objective social conditions necessary to the general happiness, where ‘happiness’ is understood in the broad sense, as including all forms of intrinsically valuable experience, not just ‘feeling happy’. The argument is then made that in order for this definition to be fully implemented happiness in the broad sense must also be assessed. The latter half of the paper is devoted to describing a set of procedures, collectively called ‘time-use auditing’, for determining the extent to which an individual person is happy, in the broad sense, in a stated interval of time. Intrinsically valuable experience is analyzed into two dimensions: duration and level. The first is determined by time-budgeting and the second (in a general way) by Maslow's hierarchy of needs. Specifically, Maslow's hierarchy is spelled out in concrete terms by means of “time-use rating structures’, each one specific to a particular time-use category; the authors have written rating structures for adolescents of either sex, ages 12 to 17 inclusive. By way of illustration, an audit of three weeks in the life of a 16-year-old girl is presented. The paper concludes with a discussion of what remains to be done, with special stress on writing time-use rating structures for other age groups and modifying structures already in existence to reflect the values of particular social groups.     

The Development of the Good Relations Measurement Framework in Britain: A Template for Experiential Social Measurement

This article explores the development of the Good Relations Measurement Framework (GRMF), the first attempt in Britain to create a framework designed to measure how people experience their lives, specifically in relation to their interactions with each other. It provides a reference point for others seeking to construct social indicator measurement frameworks which capture the experiential in the social policy field. In a wider sense, it provides a case study of the use of social indicators within the policy process in the modern polity. The overall objective of the GRMF is to measure the state of Good Relations in Britain. Seven key areas emerged as being crucial for the development of measurement frameworks during the construction of the GRMF. Firstly, a decision has to be taken about the extent to which social measurement frameworks are confined to measurement only or are to have a normative element. Secondly, a working definition of the subject area is needed early in the process. Thirdly, an element of consultation with the public is important. A fourth issue relates to the practical method of construction through the use of ‘long lists’ of potential indicators, and finding a balance between an ‘ideal’ list of potential indicators emerging from public consultation and a second list of existing indicators drawn from existing surveys. A fifth issue relates to the availability of social indicator data at an appropriate geographical level. A sixth issue is that social indicators drawn from different surveys are not always comparable. A final factor is that while quantitative indicators are useful as a tool of social measurement, qualitative research adds a further dimension which is especially important in particular circumstances.     

老年人医疗保健支出水平及其影响因素分析——慢性病高发背景下的老年人医疗保健制度改革

选取年内绝对和相对医疗支出两个指标,采用Tobit模型,检验影响老年人医疗保健支出的因素。研究发现慢性病、收入、居住地、社会保障对老年人医疗保健支出的影响突出,其中慢性病的影响尤为显著,在此基础上提出调整城乡医疗资源配置结构,健全社会保障政策,在医疗保健制度中增加预防性保险与服务的政策性建议。