Measuring and understanding the well-being of South Africans: Everyday quality of life in South Africa

South Africa has a Gini co-efficient of 62, one of the world’s highest (Finmark: Project FinScope 2004 and 2005, FinMark Trust, Johannesburg). Hence, measures of wealth are ubiquitous social indicators in South Africa. However, a growing emphasis in government towards measurable service delivery targets and remedial action to redress the inequalities of our past makes the reliable measurement of people’s quality of life in greater depth in quantitative terms an imperative.We have developed a simple framework to measure people’s quality of life in key domains that extend beyond that simply of wealth, using composite indices to allow progress to be tracked and to make valid comparisons across our diverse population. Termed the Everyday Quality of Life Index (EQLi), it comprises a suite of measures encompassing socio-economic status (with special reference to poverty), urbanisation, health (nutrition, exercise and fitness), stress/pressure, quality of the environment, satisfaction of human needs, connectivity, optimism, subjective well-being (happiness, after Diener and Lucas: 2000, in M. Lewis, J.M. Haviland (eds.), Handbook of Emotions. (2nd ed) (Guilford, New York)), and the overall measure of well-being, the EQLi itself.The initial framework was developed from a structured questionnaire administered to a probability sample of 2000 South African adults in 2002. From this, a 52-item shortlist was derived to create the series of measures. This has been tested and refined in three subsequent annual studies, each of 3500 people across urban and rural South Africa. In 2004, items involving work as well as determining the balance of skills and challenges at work using the concept of “flow” (Csikszentmihalyi: 1990, Flow: The Psychology of Optimal Experience (Harper and Row, New York)) were added.This paper outlines the rationale behind the selection and development of these measures, describes the EQL of South Africans using these and other key measures and concludes with implications for policy-makers and service providers in South Africa. Some marketing implications are also given: there is a growing emphasis worldwide on corporate social investment initiatives and, particularly in South Africa, on community upliftment and development – poverty alleviation and improving the lives of the disadvantaged (“people” rather than “consumers”). Further, people’s well-being affects how they react to marketing activities.     

Gender differences in health promotion behaviors and quality of life among community-dwelling elderly

The differences of basic attributes, health promotion behaviors, and quality of life between elderly males and females in Taiwan were compared. Several scales were used to examine the gender differences and the factors associated with quality of life. Regression analysis revealed that gender, education level, depression level, and healthy diet were key factors influencing the overall quality of life. The education level of females was lower, and their depression level was higher; however, females had healthier diets. With regards to their satisfaction in the quality of life, elderly males scored higher than females in both the physical and psychological domains.     

The quality of life in historical perspective France: 1695–1990

Attempts to evalute the quality of life in historical perspective have been hindered by the absence of data on the perceptions that people held about their well-being as well as by the absence of a broad base of social indicators concerning their physical environment. Given these constraints, in this paper we develop a framework for discussing the well-being of the inhabitants of Aix-en-Provence during the past three centuries. We discuss the quality of life implications of the historical changes in life styles as expressed in the socio-economic structure and in family and work arrangements as well as those based on a limited knowledge of their physical environment as measured by the Physical Quality of Life Index.We presented an earlier version of this paper in Bielefeld, Germany at the XIII World Congress of Sociology, July, 1994. Grand Valley State University provided financial support for research and travel. We thank the staffs of the various French archives who helped us locate historical documents. Bernard Bernos of the University of Provence suggested several historical works that provided us with useful insights about the evolution of human well-being in France. Our longtime colleague and mentor, Doh Shin, located references for us when we were far from an American library and contributed extensive intellectual counsel from which we benefitted enormously.     

Changes in quality of life perceptions in Saskatoon,Saskatchewan: comparing survey results from 2001 and 2004

There is a growing interest in quality of life (QoL) as an integrated approach to addressing key social, environmental and economic determinants of health. The University of Saskatchewan’s Community-University Institute for Social Research (CUISR) has examined the process and results of a multi-stakeholder approach to the ongoing sustainability of Saskatoon, Saskatchewan as a healthy city with an improving and a more equitably distributed QoL. Using quantitative and qualitative analysis, this research has examined QoL across three locales in Saskatoon—representing Low, Middle and High socio-economic status neighbourhoods. Two large telephone surveys were conducted with residents of the city in 2001 and 2004. This paper presents the major findings from these two surveys according to four overarching research questions posed by the CUISR QoL team. The questions relate to a number of QoL issues including the socio-demographic characteristics of respondents, place related measures, aspects influencing excellent or very good QoL in Saskatoon and feelings of a strong sense of place. The paper also assesses the changes in the results of the four questions between 2001 and 2004.

Changes in the quality of life of Durban’s people

Durban, the busiest port and second largest industrial hub in South Africa, has a developmental vision that sees its residents living in ‚acceptably serviced housing’ and enjoying a ‚generally high quality of life that can be sustained’. This vision is in response to South Africa’s transitional aspirations to move from an inequitable apartheid state to a democratic society with greater socio-economic parity. Since 1998 the eThekwini Municipality, which is the local authority responsible for the city of Durban, has conducted annual surveys to monitor the changes in the quality of life of Durban’s people. Structured questionnaire interviews were administered in 14 300 dwellings between 1998 and 2005. The samples drawn each year were representative of the city’s demographics and covered a wide range of housing types. Results indicate that parity of life satisfaction between race groups is as far apart in 2005 as it was in 1998. The paper undertakes trend analysis, from a local government perspective, of key objective and subjective variables in the surveys. It identifies the domains that have the greatest impact on satisfaction with life, and reports the salient issues for black householders, who have the lowest level of life satisfaction.The Research Locale:  Durban, which is a port city on the east coast of South Africa, has a population of over 3 million people. The population is comprised of the following groups: Asian (20%), black (68%), coloured (3%) and white (9%). It is Africa’s busiest port and is South Africa’s second largest industrial hub. It provides key trade linkages to Johannesburg, which is South Africa’s largest industrial hub. The major economic sectors are manufacturing, tourism, finance and transport. The complex topography is intersected by 19 rivers that flow to 98 kms of coastline.     

Fear of childbirth and depressive symptoms among postnatal women: A cross-sectional survey from Chhattisgarh,India

Background

Prevalence rates of Fear of Birth and postnatal depressive symptoms have not been explored in Chhattisgarh, India.

Theory and social practice of agency in combining breastfeeding and employment: A qualitative study among health workers in New Delhi,India

BackgroundWomen's agency, or intentional actions, in combining breastfeeding and employment is significant for health and labour productivity. Previous research in India showed that mothers use various collaborative strategies to ensure a “good enough” combination of breastfeeding and employment. Bandura's theoretical agency constructs previously applied in various realms could facilitate the exploration of agency in an Indian context.AimTo explore manifestations of agency in combining breastfeeding and employment amongst Indian health workers using Bandura's theoretical constructs of agency and women's experiences.MethodsQualitative semi-structured interviews were conducted with ten women employees within the governmental health sector in New Delhi, India. Both deductive and inductive qualitative content analyses were used.FindingsBandura's features and modes of agency revealed that intentionality is underpinned by knowledge, forethought means being prepared, self-reactiveness includes collaboration and that self-reflectiveness gives perspective. Women's interviews revealed four approaches to agency entitled: ‘All within my stride or the knowledgeable navigator’; ‘Much harder than expected, but ok overall’; This is a very lonely job’; and ‘Out of my control’.ConclusionsAgency features and their elements are complex, dynamic and involve family members. Bandura's theoretical agency constructs are partially useful in this context, but additional social practice constructs of family structure and relationship quality are needed for better correspondence with women's experiences of agency. The variation in individual approaches to agency has implications for supportive health and workplace services.     

Leisure and quality of life in an international and multicultural context: what are major pathways linking leisure to quality of life?

This paper aims at advancing the conceptualization of leisure as a contributor to quality of life (QOL) in an international and multicultural context, based on an extensive and critical review of literature on leisure and QOL from a global, international perspective. Given the central role of culture in conceptualizing this notion, this paper gives attention to various cultural contexts world-wide. To illustrate the diversity of our societies, examples are introduced specifically from three culturally unique contexts in this paper – i.e., Asian, Middle-East, and Indigenous contexts. Also, some examples are drawn from other cultural groups in global and international contexts, particularly, in non-western contexts. Then, the final section of this paper aims at integrating and synthesizing the knowledge gained from this review to develop a tentative/working proposition about how leisure can contribute to QOL from international and cross-cultural perspectives. Specifically, based on such integration, this paper identifies and describes major pathways linking leisure to QOL. Overall, an overarching theme common to almost all cultural contexts examined appears to be the role of leisure-like activities as a context or space for creating meanings which then help to promote the quality of people’s lives. Major pathways or mechanisms that can facilitate meaning-making and life-quality-enhancement highlighted in this review include: (a) positive emotions and well-being experienced from leisure, (b) positive identities and self-esteem gained from leisure, (c) social and cultural connections and a harmony developed through leisure, and (d) leisure’s contribution to learning and human development across the life-span. Also, emphasized in this paper is the role of leisure as a context for realizing and utilizing human strengths and resilience. It is important, however, to stress that in people’s quest for a meaningful life, the benefits of meaning-making through leisure involve both “remedying the bad” and “enhancing the good,” as shown throughout this paper. Despite these benefits, we should not ignore that leisure experiences are socially and culturally constructed and shaped by the inequalities of society. Thus, the reality of power imbalance and inequalities should be acknowledged and appropriately addressed socially, culturally, and politically. Particularly, providing culturally relevant and meaningful leisure opportunities for less privileged population groups world-wide is clearly a top priority.     

Gender and geographic differences in Medicare service utilization during the last six months of life

ABSTRACT

End-of-life issues are important for senior women, particularly rural women, who are more likely than their urban counterparts to live alone. The role of residence as a factor for health-care utilization among Medicare beneficiaries during the last six months of life has yet to be investigated. The purpose of this study is to examine whether service utilization in the last six months of life differs across gender and rurality. The sample was restricted to fee-for-service Medicare beneficiaries who died between July 1, 2013, and December 31, 2013 (n = 39,508). The odds of rural beneficiaries using home health (aOR 0.87; 95% CI 0.81–0.93) and/or hospice (aOR 0.82; 95% CI 0.77–0.87) in the last six months of life were lower than urban beneficiaries. Female beneficiaries were more likely to use support services such as hospice (aOR 1.24; 95% CI 1.18–1.29) and/or home health services (aOR 1.07; 95% CI 1.02–1.13) than male beneficiaries. The odds of female beneficiaries using inpatient (aOR 1.14; 95% CI 1.08–1.20) and/or outpatient (aOR 1.06; 95% CI 1.01–1.12) were higher than male beneficiaries. This research is important as we examine the range of health services used during the last six months of life, by gender and rurality. Future research is needed to understand how access to health services, residential isolation, and age- and disease-related factors relate to women’s observed greater use of inpatient, outpatient, hospice, and home health services in the last six months of life.     

Representing sex workers in video games: feminisms,fantasies of exceptionalism,and the value of erotic labor

This article critiques the representation of sex workers in “AAA” video games, with a focus on the devaluing of erotic labor. Existing feminist commentary has interpreted these representations as examples of the objectification of female game characters, perpetuating harmful misconceptions of sex work as fundamentally exploitative. By contrast, taking cues from feminist media studies, porn studies, and sex workers rights activism, I argue that what makes these representations of sex workers problematic is not their engagement in erotic labor but the ways that the games in which they appear devalue that labor, through both dialogue and interactive elements. Across their many appearances in AAA games, it is strikingly common for sex workers to offer their services to player-characters for free or at a discount, or for games to allow players to take their money back after erotic labor has been performed. This contributes to a gendered fantasy of exceptionalism in which a player-character’s masculinity is tied to being too attractive or too powerful to pay for sex. Critiquing these representations demonstrates how AAA video games prompt players to reenact widespread cultural biases against sex work. It also points toward the need for a diversity of feminisms within game studies.     

The narrowing sex differential in life expectancy in high-income populations: Effects of differences in the age pattern of mortality

Using data from the Human Mortality Database for 29 high-income national populations (1751–2004), we review trends in the sex differential in e(0). The widening of this gap during most of the 1900s was due largely to a slower mortality decline for males than females, which previous studies attributed to behavioural factors (e.g., smoking). More recently, the gap began to narrow in most countries, and researchers tried to explain this reversal with the same factors. However, our decomposition analysis reveals that, for the majority of countries, the recent narrowing is due primarily to sex differences in the age pattern of mortality rather than declining sex ratios in mortality: the same rate of mortality decline produces smaller gains in e(0) for women than for men because women's deaths are less dispersed across age (i.e., survivorship is more rectangular).     

Perception of health,well-being,and quality of life in female caregivers: Comparative study of a sample of adult and older women in Spain

In a study on informal or unpaid care, it is difficult to identify the consequences and effects of care provision on the caregiver’s daily life. Thus, it is important to analyze the perceptions of the individual caregiver. This study describes the perceptions of health, well-being, support networks, and quality of life of 13 women aged between 45 and 70 years after completing an intervention program. The data indicate that caregivers’ health and quality of life worsen with the intervention, and their well-being and social relations (through new technologies) improve.     

乡城流动背景下低收入地区农村男子的择偶困境——对甘肃省东部蔡村的调查

论文采用访谈和观察的方法,对甘肃省东部蔡村青年男子的择偶困境进行了研究。论文指出,青年农民工的流动使得流出地农村青年男子的择偶难度加大：彩礼飞涨,家庭负担加重;凑合婚增多,婚姻的不稳定性提高等等。贫困地区青年男子的择偶难问题成为中国在发展过程中尤其是城市发展过程中,从婚恋方面对于农村的又一次剥夺。应该把解决农民工的婚姻问题纳入关乎社会和谐与整个社会发展的意识形态中来。论文是对有关农民工婚姻问题研究的重要补充。     

中国高龄老人生活自理能力多变量多状态生命表分析

基于中国高龄老人健康与长寿纵向调查的 1 998年、 2 0 0 0年和 2 0 0 2年数据和多变量风险回归模型 ,本文用曾—顾—兰德改良多状态生命表方法从性别、城乡居住地、民族、文化程度、经济自立状况、婚姻状况和居住安排角度计算并讨论了中国高龄老人的生活自理预期寿命     

Making the Best of a Bad Situation: Satisfaction in the Slums of Calcutta

Eighty three people in the slums of Calcutta,India were interviewed, and responded toseveral measures of subjective well-being. Therespondents came from one of three groups:Those living in slum housing, sex workers(prostitutes) residing in brothels, andhomeless individuals living on the streets.They responded to questions about lifesatisfaction and satisfaction with various lifedomains, as well as to a memory recall measureof good and bad events in their lives. Whilethe mean rating of general life satisfactionwas slightly negative, the mean ratings ofsatisfaction with specific domains werepositive. The conclusion is that the slumdwellers of Calcutta generally experience alower sense of life satisfaction than moreaffluent comparison groups, but are moresatisfied than one might expect. This could bedue, in part, to the strong emphasis on socialrelationships and the satisfaction derived fromthem.     

The Heart in Haart: Quality of Life of Patients Enrolled in the Public Sector Antiretroviral Treatment Programme in the Free State Province of South Africa

This paper reports on the quality of life of patients enrolled in the public sector antiretroviral treatment programme in the Free State province of South Africa. Statistical analysis of cross-sectional data reveals that it is not access to treatment per se that enhances the quality of life of those who have come forward for ART. Rather, it is the health benefits associated with treatment, levels of stigmatisation, quality health care services, and the ability of persons to access support and care, both from within and outside the health care sector, that are independently associated with improvements in and differences in levels of quality of life.     

Genetic changes of life history and behavioral traits during mass-rearing in the melon Fly,Bactrocera cucurbitae (Diptera: Tephritidae)

Quantitative genetic studies for life history and behavioral traits are important in quality control for insect mass-rearing programs. Firstly, a brief history of quality control in mass-reared insects is described. Next, the differentiation of many traits of wild and mass-reared melon flies,Bactrocera cucurbitae, in Okinawa is reviewed, and the factors which have caused variation in these traits are considered. As artificial selection pressures are thought to be more important than inbreeding depression and genetic drift in the mass-reared strain of the Okinawan melon fly, two artificial selection experiments were conducted to evaluate genetic variations and genetic correlations among life history and behavioral traits. These are divergent selections for age at reproduction and for developmental period. The genetic relationship among 5 traits, i.e. longevity, age at reproduction, developmental period, circadian period, and time of mating was clarified and discussed in relation to genetic changes of traits during the mass-rearing. The results suggest that the genetic trade-off relationships between traits should be taken into account in mass-rearing programs.     

新生代农村流动人口内部生活满意度差异研究--以江苏省为例

新生代农村流动人口正逐渐成为中国农村流动人口的主体。与老一代相比,新生代农村流动人口具有较为不同的客观经济社会属性和主观认知特征,而其生活满意度又将影响其未来的市民化决策。本文基于2012年江苏省外出青年农村流动人口调研,运用结构方程模型研究发现,新生代农村流动人口内部已出现较为明显的年龄差异。对于影响生活满意度的因子,新生代农村流动人口客观属性上的差异主要体现在所处生命周期的不同,而主观认知的不同则更多体现了时代背景的变化。     

Subjective Quality of Life in Zhuhai City,South China: A Public Survey Using the International Wellbeing Index

The study of subjective quality of life and its connotations in the People’s Republic of China is at a preliminary stage. Although there is an emerging body of literature on this topic, there are few datasets representative of the general public, particularly in Mainland China. This paper reports the findings of a public survey (N = 449) conducted in Zhuhai City, South China using the International Wellbeing Index (IWI). There were four main aims: (1) to judge whether residents were satisfied with their lives; (2) to compare the data with recent findings from Hong Kong and Macau; (3) to investigate the equivalence of the IWI in terms of its psychometric properties; and (4) to determine the applicability of the ‘Theory of Homeostasis Wellbeing’. The data indicated a moderate level of personal (PWI score = 64.4.) and national (NWI score = 57.4) wellbeing, consistent with recent findings from Hong Kong and Macau. The PWI score was within the normative range for non-Western countries, which indicates that the residents were, on the whole, satisfied with their lives. Although previously reported objective measures of quality of life in Zhuhai are lower than in Hong Kong and Macau, this is not reflected in this study’s subjective measures. This finding was interpreted in terms of the ‘Theory of Subjective Wellbeing Homeostasis’, and the specific situation in Zhuhai, as there seems to be an absence of factors (i.e., no harsh economic or social situation) which could drive subjective wellbeing below normal. Last, that the IWI demonstrated good psychometric performance in terms of its reliability, validity, and sensitivity, and concurred with previous published reports, it seems that the scale’s robustness generalises to Chinese samples.     

Connecting Knowledge and Policy: The Promise of Community Indicators in the United States

There are over 200 identified community based indicator projects in the United States. This paper reviews the factors that contribute to the success and failure of community indicator projects and discusses the types of desired outcomes that communities are trying to achieve. Both organizational and political factors contributing to the success of community indicators projects are discussed. Appendices include information on many of the community indicator projects in the United States. Advice for communities seeking to launch an indicator project are outlined.