The Determinants of Child Health in Pakistan: An Economic Analysis

This paper estimates linear structural models using LISREL and employs MIMIC models to find out factors determining child health in Pakistan. A distinction has been made in permanent and transitory health states that lend support to Grossman’s (1972) stock and flow concepts of health. The paper addresses the issue of health unobservability and finds out that latent variables using MIMIC models best represent underlying child health states. To overcome problems of poor income data, factor analysis is applied to extract measures of housing and durables as indicators of socio-economic well-being of children in Pakistan. The results of the study show that child health states, both permanent and transitory, are affected significantly by factors such as parental education, socio-economic conditions, and health care variables.     

Optimism,hardiness, and explanatory style as predictors of general well-being among attorneys

Three personality constructs, optimism, hardiness, and explanatory style have been identified as dispositions that bolster health (Roben and Salovey, 1989). This research focused on individual differences in optimism, hardiness, and explanatory style among professional adults and their relative contribution to general well-being. A survey was mailed to attorneys, who were members of the County Bar Association, in a large midwestern city. The results showed only optimism and the positive internal facet of explanatory style to be significantly related to general well-being. Canonical analysis indicated that this relationship was mainly due to the components of general well-being that are traditionally psychological in nature. The experiential and physical components were significantly related but of less importance.     

Subjective Welfare, Well-Being, and Self-Reported Food Hypersensitivity in Four European Countries: Implications for European Policy

This study estimates the effects of food hypersensitivity on individuals?? perceived welfare and well-being compared to non-food hypersensitive individuals. Study respondents were recruited in the Netherlands, Poland, Spain and UK. The difference in welfare between food hypersensitive respondents and those asymptomatic to foods was estimated using a subjective welfare approach, including income evaluation. Well-being was measured using the Cantril Ladder-of-Life Scale, and health status using the Self-Perceived Health Scale. The difference in well-being, welfare and health status between participant groups was explained further using a number of background variables. No significant within-country differences in welfare between food hypersensitive respondents and respondents asymptomatic to foods were found. In terms of well-being, adult food hypersensitive respondents and their spouses reported significantly less happiness than respondents and their spouses asymptomatic to foods in the Netherlands and Poland. In Spain, the spouses of the food hypersensitive respondents were significantly less happy than respondents aymptomatic to foods. The well-being of children did not significantly differ between groups. The degree of severity of food hypersensitivity was negatively related to overall health status. In Poland, food hypersensitive respondents reported worse health status compared to asymptomatic respondents. In Spain, the converse was true. Food hypersensitive respondents were generally less happy with their life as a whole than respondents asymptomatic to foods, presumably because they experienced more negative effects, which were not related to perceived health status.     

Revisiting the Structure of Subjective Well-Being in Middle-Aged Adults

Subjective well-being is a broad, multifaceted construct comprising general satisfaction with life, satisfaction with life domains (health, family, people, free time, self, housing, work, and finances), positive affect, and negative affect. Drawing on representative data from middle-aged adults (N = 738), the authors used three different structural models to analyze the interrelationships among these facets of subjective well-being. In a top-down model, a single factor representing global subjective well-being explained the correlations found among the more specific facets of subjective well-being and exerted the strongest influence on general satisfaction with life, satisfaction with health, and satisfaction with finances. In a bottom-up model, satisfaction with the latter two domains had the strongest effect on global subjective well-being. The authors discuss the implications of their findings for research on subjective well-being.     

Does Women’s Empowerment in Agriculture Matter for Children’s Health Status? Insights from Northern Ghana

Given that women in rural communities in developing countries are responsible for the nutrition and health-related decisions affecting children in their care, their empowerment may influence the health status of their children. The association between women’s empowerment, measured by using a recently developed Women’s Empowerment in Agriculture Index, and children’s health status is examined for a sample of households in Northern Ghana applying a Multiple Indicators Multiple Causes (MIMIC) model. The MIMIC approach is used to link multiple indicator variables with multiple independent variables through a “single underlying” latent variable. Height-for-age and weight-for-height z-scores are used as indicators of the underlying children’s health status and women’s empowerment in agriculture and control variables are used as the multiple independent variables. Our results show that neither the composite empowerment score used to capture women’s empowerment in agriculture nor its decomposed components are statistically significant in their association with the latent children’s health status. However, the associations between children’s health status and control variables such as mother’s education, child’s age, household’s hunger scale and residence locale are statistically significant. Results also confirm the existence of the ‘single underlying’ common latent variable. Of the two health status indicators, height-for-age scores and weight-for- height scores, the former exhibited a relatively stronger association with the latent health status. While promoting women’s empowerment to enhance their ability to make strategic life choices, it is important to carefully consider how the achievement of these objectives will impact the women’s well-being and the well-being of the children in their care.     

Adolescent Health in Hong Kong: Disturbing Socio-Demographic Correlates

Relationships between self-assessed health status and socio-demographic variables were examined among 4,502 Chinese adolescent secondary school students in Hong Kong, a modern society with traditional Chinese ethno-cultural origin. Health status was self-rated in four aspects: overall health, physical health, mental health, and health effects on usual activities. In both the bivariate and multivariate analyses, there was health advantage for adolescent males relative to females, and there were inverse relationships between health level and age/level of study, in all four health aspects. Family structure was an important risk factor for all health aspects. Two-parent family was associated with significantly higher health levels than those living with father only, or with no parent/single parent and other adults, but not those living with mother only. Mainland-born adolescents had higher risks of low health level than the local-born in the aspect of overall health status. Finally economically well-being was associated with lower level of mental health.     

The Subjective Well-Being of Immigrants Aged 50 and Older in Israel

The present study evaluated the integration of elderly people who migrated to Israel during their lifetimes. Subjective well-being, as measured by the immigrants’ perception of quality of life, satisfaction with life and emotional state, served as a general indicator of integration. The integration of elderly immigrants has not received adequate attention in the literature. A unique database (SHARE-Israel) that was recently released has made study of this topic possible. The current study sample was composed of former migrants aged 50 and older (n = 930). The analytic model examined ethnic origin and migration variables in relation to the respective subjective outcomes, controlling for sociodemographic background, human and social capital and health. The findings show that in general, ethnic origin seems to matter less for the evaluation of immigrants’ subjective well-being than other socio economic factors such as economic status, social capital and health status. However, recent arrivals from the Former Soviet Union do differ from all other immigrant groups in their lower levels of well-being. In addition, the study points to the importance of language proficiency as a central means for integration in the destination country.     

The Personal and the Political: Israelis' Perception of Well-Being in Times of War and Peace

This study investigated the perception of personal well-being among different segments of Israeli society for various levels of national stress. The three measures utilized (health worries, happiness, and coping) were derived from 203 surveys of national samples conducted between June 1967 and August 1979 (N = 112,005). Gender, education, age, religiosity, and ethnic origin were correlated with these indicators during periods of low, medium, and high national stress. In general, lower levels of well-being were reported by women, the less educated, the older age groups, the religious, and those of Eastern origin, as predicted. Contrary to expectation, health worries decreased during times of high national stress. The results are discussed in the context of differences between measures of well-being, the intensity of stress on the national level, and the role of each of the above sociodemographic variables as a resource, buffer or handicap, in dealing with stress.     

Experienced health in older women with rheumatoid arthritis

This study explored how older women with chronic illness and disability experience their own health. Data were collected in in-depth interviews with ten older women with rheumatoid arthritis. Data analysis and interpretation was carried out within a phenomenological- hermeneutic frame of understanding, which revealed five major themes: health as coping with everyday life, health as freedom, health as absence of inconvenience, health as togetherness and health as mental well-being. For older people with chronic illness and disability, good health found expression in general well-being. It was perceived as a state of equilibrium that the respondents sought to maintain through their own active choices.     

Subjective and Occupational Well-Being in a Sample of Mexican Workers

This article examines the well-being of workers, observing that subjective and occupational well-being are interrelated but independent dimensions and analyzing their interaction with their modulating factors. Specifically, the relationships between well-being and personal value structures are examined, hypothesizing that congruence between personal and socially predominant values improves the well-being of workers. The influence of various occupational and personal factors is also analyzed. We studied 209 workers of a multinational company in Mexico using different standardized questionnaires. The results demonstrate that subjective and occupational well-being are related but are independent variables influenced by differentiated variables. Specifically, the occupational wellbeing of workers is influenced by the nature of their work, whereas subjective well-being is affected by their social values and level of education. We present a model for the interaction of these variables and their consequences with the intention of the worker to stay with or leave the company. We discuss some practical issues raised by the study and make recommendations for future.     

On the Predictive Effect of Multidimensional Importance-Weighted Quality of Life Scores on Overall Subjective Well-Being

This study aimed to examine the effectiveness of importance weighting in predicting outcome variables in a hierarchical and multidimensional measurement context. A total of 146 undergraduate students (female = 76; mean age = 20.25) from two universities in Taiwan and China participated in this study. They evaluated their quality of life on 22 facets from the WHOQOL-BREF scale, which covers four domains (i.e., physical health, psychological health, social relationships, and environmental health). They were also asked to rate the importance of these 22 facets and items for three general subjective well-being indices, including overall quality of life, general health, and life satisfaction. A multiplicative formula was used to create importance-weighted scores for each facet, and four domain scores were obtained by averaging facet scores under specific domains. Results of regression analysis revealed that after applying the weighting procedure, the four domain scores did not account for more variances in the three indices for overall subjective well-being, and predictive effects of the four domain scores became less differential. Our findings suggest that importance weighting did not have its expected benefits but instead may negatively impact the predictive effects.     

Child Well-Being in Advanced Economies in the Late 2000s

This paper aimed at comparing the well-being of children across the most economically advanced countries of the world while discussing the methodological issues involved in comparing children’s well-being across countries. A Child Well-being Index was constructed to rank countries according to their performance in advancing child well-being. The Index used 30 indicators combined into 13 components, again summarised in 5 dimensions for 29 rich countries. Data from various sources were combined to capture aspects of child well-being: material well-being, health, education, behaviour and risks, housing and environment. The scores for the countries on all variables and combinations of variables were discussed in detail. The Child Well-being Index revealed that the Netherlands and the Scandinavian countries (excluding Denmark) did relatively better than the other countries while Romania and the United States performed well below the average. Overall, serious differences existed in child well-being across countries suggesting that in many, improvement could be made in the quality of children’s lives.     

The Influence of Water Access in Subjective Well-Being: Some Evidence in Yucatan, Mexico

The literature on happiness or subjective well-being has explored the determinants of happiness without taking into consideration the role that water plays. In this paper we attempt to draw attention to water in subjective well-being studies. Approximately one hundred million people do not have access to water. A lack of clean water causes diseases such as diarrhea and cholera, responsible for around 5% of the total deaths in the world. Access to water should therefore be a necessary asset in life. In order to consider access to water, we estimate its influence on subjective well-being using data from rural Yucatan, Mexico. Residents in Yucatan suffer from low quality access to water and there are also imperfections in the management of the service, such as water cuts. We estimate the influence of water on subjective well-being, finding a positive and significant relationship. In a second stage of the research, we relate water access variables to subjective well-being, the health and the water domain of life, finding significant results. These results make it possible to formulate political measures concerning access to water and happiness maximization. We demonstrate that access to water is important for well-being in Yucatan and might be important in many other places; we therefore encourage future research to contemplate water satisfaction and water variables in their analysis.     

Subjective Well-being in a Multicultural Urban Population: Structural, and Multivariate Analyses of the Ontario Health Survey Well-being Scale

The validity of a scale, from the OntarioHealth Survey, measuring the subjective senseof well-being, for a large multiculturalpopulation in Metropolitan Toronto, is examinedthrough principal components analysis withoblique rotation. Four factors are extracted. Factor 1, is a stress and strain factor, andconsists of health worries, feeling exhaustedand worn out, and feeling tense. Factor 2,interpreted as a sense of control, consists ofno health worries, and ability to handlefeelings. Factor 3, interpreted as positiveaffect, consists of having an interesting life,feeling cheerful and light-hearted, feelingloved, feeling relaxed and full of vitality. Factor 4 is interpreted as a despondency factorconsists of feeling lonely, having a boringlife, inability to control feelings and feelinglow. The statistic of multiple discriminantanalysis between the variables, sex, age, andethnic groupings, as independent discriminatingvariables and the four factor scores asdependent variables, is calculated. Theresults show that the observed mean variance inthe well-being factor scores cannot beexplained by the respondents being eitherfemale or male, or being a certain age or bybelonging to specific cultural groupings. These results are discussed in relation toother studies on the dimensions of subjectivewell-being.     

婚姻匹配结构与主观幸福感——来自中国大样本微观数据的实证研究

本文利用2006年中国综合社会调查（ CGSS ）数据,研究首次婚姻中,夫妻个人经济状况匹配和家庭经济状况匹配的不同组合与婚后生活幸福感之间的关系。本文发现,无论是男性还是女性,在控制了年龄、年龄的平方、受教育年限、民族、政治面貌、户口、宗教信仰、工作满意程度、个人健康满意程度、人际关系满意程度、住房状况、家庭经济状况、家庭关系满意程度以及省份哑变量等变量的情况下,相对于“门当户对”,家庭经济状况为“男低女高”婚配结构的生活会更幸福。在分组回归中,本文进一步发现,以“个人经济状况和家庭、经济状况同为门当户对”作为基准组,“个人经济状况为门当户对,且家庭经济状况为男低女高”的婚配结构会更幸福。如果家庭经济状况为“男低女高”是男女双方为了追求爱情而冲破传统“门第”观点的结果,那么,本文发现的引申含义是基于爱情的婚姻会更幸福。     

Women’s Well-Being in Iran: Territorial Analysis Using a Multidimensional Approach

This paper employs a multidimensional index for assessing women’s well-being in Iranian provinces using demographic and health survey macro data. Besides economic status as a traditional dimension for objective well-being, other factors such as health, education, risk, and technology as well as self-reported life satisfaction and happiness (psychological well-being) have been included as non-material well-being dimensions. We found that the values of women’s well-being are distributed unequally across the provinces. Southern provinces demonstrate the worst performances and central provinces have the best. Generally, Iranian women are in poor condition in terms of economic variables (e.g. income and participation in the job market), psychological well-being (life satisfaction), HIV literacy, use of the internet, and access to mass media. On the other hand, in recent years, they have made significant progress in education (such as the rate of literacy, high school degree), and health (safe pregnancy care and nutritional supplements).     

What Kind of Self-Care Strategies Do People Report Using and is There an Association with Well-Being?

Objectives: The aim of this study was to describe what kind of self-care strategies people report using to improve or maintain their well-being. Furthermore, we also wanted to investigate whether reports of using self-care strategies were associated with well-being. Methods: A selected sample (n=871), aged between 20 and 64 years, living in Stockholm County, answered an open-ended question about self-care strategies. Well-being was assed using the WHO (Ten) well-being index. Results: Ten different categories were found. The most commonly reported self-care strategy was physical exercise, followed by social support and engaging in pleasurable activities. Physical exercise, social support, relaxation, and physical health were associated with a better well-being, social support being strongest correlated. Conclusion: The results suggest that reports of using certain self-care strategies are associated with a better well-being.     

Validation and Psychometric Properties of Academic Major Satisfaction Scale Among Korean College Students

The purpose of this research was to adapt and validate the 6-items Academic Major Satisfaction Scale (AMSS, Nauta in J Career Assess 15(4):446–462, 2007) for use in Korea. The scale was tested using 275 college students in South Korea. Results indicated adequate internal-consistency reliability of 0.87, and adequate test–retest reliability of 0.84. Confirmatory factor analysis demonstrated a unidimensional structure and measure invariance tests showed equivalent structure across gender groups. Correlations with career decision self-efficacy and variables related to subjective well-being ranged from moderate-tohigh and were all significant. All the results suggest suitable fit among the population of Korean college students. Suggestions for usage of and future research on the AMSS in the Korean context are discussed.     

Linking green space to health: a comparative study of two urban neighbourhoods in Ghent, Belgium

This paper investigates the nature of the relationship between the greenness of the local environment and the health and well-being of its inhabitants by looking at a number of possible mediators within the same study: physical activity, perceived stress, ability to concentrate, social cohesion and neighbourhood satisfaction. Data were collected through a survey of residents in two neighbourhoods that differ objectively in green space provision, but which are largely similar in demographics, socio-economic factors, housing conditions and other environmental characteristics, apart from green space. Of the three dependent variables of interest: self-reported general health, bodily functioning and general well-being (happiness), it was self-reported happiness that differed significantly between the two neighbourhoods, with greater happiness in the greener neighbourhood. Amongst the possible mediators, people??s satisfaction with their neighbourhood differed significantly: those living in the greener neighbourhood were more satisfied. Mediation analysis indicated that neighbourhood satisfaction fully mediates the relationship between neighbourhood greenness and happiness. Among the specific (environmental and social) neighbourhood qualities asked about, perception of neighbourhood greenness was found to be the most important predictor of neighbourhood satisfaction. Additional analysis showed that the view from the living room??green or not green??fully mediates the relationship between neighbourhood greenness and neighbourhood satisfaction. This study underscores the importance of nearby green space for people??s overall well-being and suggests the need for green space to be evaluated in terms of visual proximity, that is, whether and how it is experienced from the street and the home.