Expenditure Decentralization and Citizen Satisfaction with Healthcare: Evidence from Urban China

There has been considerable debate whether fiscal decentralization improves the provision of public goods. Based on individual-level data from a nationally representative survey and county-level data from national compendiums of financial statistics and demographic statistics, this study analyzes the effect of expenditure decentralization on citizen satisfaction with public healthcare in urban China. The results indicate a significantly positive effect of expenditure decentralization on citizen satisfaction with public healthcare. We also find evidence that the impact of decentralization is associated with residency status. Further investigation highlights the importance of local economic development in realizing the potential gains from a decentralized system. This study suggests that decision-making at lower levels of government is more responsive to local needs and that the efficiency gains of decentralization are not necessarily accompanied by equitable distribution of welfare.

     

Mediating Effects of Affect and Loneliness on the Relationship Between Core Self-evaluation and Life Satisfaction Among Two Groups of Chinese Adolescents

This study examined the mediating effects of affect (positive and negative affect) and loneliness on the relationship between core self-evaluations (CSE) and life satisfaction among two groups of Chinese adolescents. Three hundred adolescents (169 males and 131 females) from Shenzhen and Xi’an in China completed the Core Self-evaluations Scale, Positive and Negative Affect Scale, UCLA Loneliness and Satisfaction with Life Scale. Research revealed that positive and negative affect, and loneliness fully mediated the relationship between CSE and life satisfaction. The relationship between CSE and loneliness was partially mediated by positive and negative affect. Loneliness partially mediated the relation between positive and negative affect and life satisfaction. The final model also indicated two significant paths from CSE through positive and negative affect and loneliness to life satisfaction. Furthermore, a multi-group analysis found that the paths did not differ across gender. Limitations of the study are considered and implications of the results for enhancing adolescents’ life satisfaction are discussed.     

Family Functioning and Life Satisfaction and Happiness in South African Households

Families form an integral part of society and in fostering individual well-being. Despite the acknowledged importance of family, the association between family functioning and individual well-being outcomes have remained unexplored in the current body of knowledge. This paper explores the association between family functioning and reported levels of life satisfaction and happiness in South Africa. The paper employs the Family Attachment and Changeability Index (FACI8) to measure family functioning, using data from the 2011 South African Social Attitudes Survey. Four measures of family functioning are utilised, namely the aggregate FACI8 scale, the attachment and changeability sub-scales, and family functioning type. Improvements in the level of family functioning as well as in the levels of attachment and changeability are positively associated with life satisfaction and happiness. In addition, individuals living in midrange or balanced family functioning types are more satisfied with life and happier compared to persons living in extremely or moderately dysfunctional families. The findings highlight the importance of supportive intra-family dynamics in fostering greater individual well-being. This in turn places emphasis on the investigation of likely correlates of family functioning and impact evaluations of family-focused social work interventions’ impact on family functioning as areas for future research.     

Reliability and Validity of an Adapted Version of the Cantril Ladder for Use with Adolescent Samples

There are a number of measures of life satisfaction for use with adolescent samples. The adapted Cantril Ladder is one such measure. This has been collected by the Health Behaviour in School-aged Children (HBSC) study in HBSC member countries across Europe and North America for several survey cycles, dating back to 2002. Although this measure has been piloted in the HBSC member countries, and analysed and reported in several international scientific journals and reports, it has never been formally validated. This study aims to be a first step in validating the adapted Cantril Ladder to establish if it is fit for purpose in the measurement of global life satisfaction among adolescents in Scotland. The study found that across samples of 11–15 year old pupils, the Cantril Ladder showed good reliability, and among 11 year olds, better than that of the Students’ Life Satisfaction Scale, an often used measure in adolescent samples. The Cantril Ladder also showed good convergent validity with other emotional well-being measures, perceived health and subjective health. Gender differences were noted in the convergent analysis suggesting gender differences in factors influencing or influenced by life satisfaction measured using this instrument.     

African urban life: Components of satisfaction in Sierra Leone

This comparative study finds relatively high satisfaction with the quality of life in three Sierra Leonean towns, but there are notable differences between men and women and between the towns in which domains support this satisfaction. The standard of living achieved, and the job and income which make it possible, are the most important factors in satisfaction with the quality of urban life, but the limits on women's mobility are indicated by the greater emphasis they place on housing and neighborhood. Dissatisfaction among the relatively advantaged, with their own position and with the country's progress in development, reflects the political disaffection of some members of this group.     

Welfare Policy and Subjective Well-Being Across Nations: An Individual-Level Assessment

In the vast and diverse literature on determinants of life-satisfaction and happiness, there is a relative dearth of empirical research on the role of specifically political factors. We identify one such possible factor, the industrial welfare state, and assess its impact on how individuals perceive their well-being. The voluminous literature on the welfare state highlights its position as one of the most profound chapters in the latter-day human experience, but focuses on its indirect effects on well-being through economic and social conditions. We contend that the welfare state exerts a more direct effect to the extent that individuals experience very real impacts on their quality of life. Considering individual responses in 18 industrial democracies from 1981 to 2000, we find that welfare state generosity exerts a positive and significant impact on life-satisfaction and happiness. We discuss implications for further research generated by these findings.

The Impact of Democracy on Well-being

Can governance impact directly on well-being? In this paper we examine subjective well-being using data for a cross section of countries from the World Values data set. We find that regional democratic satisfaction impacts on both individual happiness and life satisfaction. However, the impact is less evident for women, rich people and for those in rich countries. The fact that the governance variable analysis is based on regional differences in democratic satisfaction reminds us that governance and indeed happiness often differs within countries as well as between them. The use of regional satisfaction in this manner helps overcome endogeneity problems which would be present if we were to use individual democratic satisfaction. Other significant determinants of happiness include settlement size, marital status, income, unemployment and being part of a linguistic minority/majority grouping.     

Cultural Connection Predicts Perceptions of Financial Security for Māori

This paper examines the impact of relative income on income satisfaction with given absolute income. We conducted an experiment in China where participants earned three different levels of income according to their relative performance in a task. While the treatment group was informed about their relative income, the control group only knew their own absolute income. We found that while controlling for absolute income and other factors, information about relative income increases the satisfaction of the high-income group and reduces the satisfaction of the low-income group. Relative income may interact with individual characteristics, such as gender, to affect income satisfaction. We also found that relative income treatment significantly increases income satisfaction inequality, primarily by causing social comparisons among different income groups, which has some welfare implications.     

Cross-National Variation in Individual Life Satisfaction: Effects of National Wealth, Human Development, and Environmental Conditions

This study adds to the literature on subjective well-being and life satisfaction by exploring variation in individual life satisfaction across countries. Understanding whether and how individual life satisfaction varies across countries is important because if the goal of development is to increase well-being, we must identify the causes of well-being in different national and regional contexts. Using hierarchical linear modeling techniques, I test the hypothesis that individual well-being does vary across countries, and that national wealth, human development and environmental conditions explain this variation. I also test whether the effects of individual characteristics on life satisfaction (including age, marital status, education, income, employment status, and sex) vary across countries, and which country level characteristics explain these variations. Using individual level data from the World Values Survey, I find that there is significant variation in life satisfaction across countries. There is also significant variation in the slopes of individual predictors of life satisfaction across countries and regions. Regional differences in the effects of individual characteristics on life satisfaction explain most of the between country variation in life satisfaction. This indicates that universal development indicators may not adequately reflect differences in life satisfaction across countries, and that development measurements should better reflect regional differences.

Modelling change in perceived quality of life (PQOL)

Almost all previous research on PQOL has examined static relationships. This paper, based on two waves of an Australian panel study (N=677), investigates change. We estimate a model in which changes in PQOL are seen as depending directly on changes in satisfaction with particular domains of life (marriage, job, etc.), which in turn are affected by life events occurring within these domains. This model accords with a “bottom-up” rather than a “top-down” theory of PQOL or well-being (Diener, 1984). Chief interest lies in the strong relationships between domain specific events and changes in domain satisfactions. In previous research life events have been directly linked to PQOL, or to physical or mental illness. The different result here arises from estimating a more appropriate model with an additional link (changes in domain satisfactions) in the chain. From a methodological standpoint, the paper suggests that life events inventories can be valuable research instruments and that recent validity criticisms (e.g. Schroeder and Costa, 1984) have been overstated. The second part of the paper deals with relationships between personality traits, social support and life events. We test hypotheses about links between (1) personality and subsequent life events (2) the “buffering” effects of personality and social support on the impact of adverse events (3) the effects of events on personality. Personality traits apparently do affect the subsequent incidence of life events. Extraversion is associated with favourable subsequent events, and neuroticism with adverse events. Internal locus of control apparently wards off adversity. An alternative hypothesis that these relationships are due to biassed reporting (i.e. personality traits are associated with degrees of bias) appears to be false. Contrary to findings from cross-sectional data, our panel results indicate that neither personality traits nor social support “buffer” the impact of adverse events on PQOL. Finally, life events appears to have small but statistically significant effects in modifying adult personality.     

Life satisfaction and the economic and social characteristics of neighbourhoods

This paper uses data from the Household, Income and Labour Dynamics in Australia (HILDA) Survey to investigate the association between neighbourhood effects and life satisfaction. We find that neighbourhood measures of social support and interaction and the absence of socio-economic deprivation are positively and significantly correlated with individual life satisfaction. Neighbourhood fixed effects, however, explain only an additional 1.5 to 2.5% of the variance in life satisfaction over the 14% explained by individual characteristics.

Psychometric Evaluation of a Serbian Version of the Subjective Happiness Scale

The main aim of this research was to examine the psychometric properties of the Subjective Happiness Scale (SHS; Lyubomirsky and Lepper in Soc Indic Res 46:137–155, 1999) in a sample of young adults in Serbia (N = 605, mean age = 21.99). The SHS demonstrated adequate internal consistency reliability and homogeneity. Exploratory and Confirmatory factor analyses supported the unidimensional structure of the SHS. The results provided support for the convergent validity of the SHS, by significant correlations with measures of subjective well-being (life satisfaction, positive and negative affect, emotional distress), positive expectations (optimism and self-efficacy), meaning in life and personality traits (extraversion and neuroticism). As compared to the Satisfaction with Life Scale, the SHS showed significantly higher correlations with measures of emotional states and personality traits. Hierarchical regression analyses showed that the SHS had incremental validity over and above subjective well-being and personality traits in predicting emotional distress and meaning in life.     

Applied social reporting: A social indicators system for West German Society

This paper presents a ‘system’, i.e. systematic compilation, of about 200 social indicators in 10 areas of life, for the Federal Republic of Germany, 1955–1975. The construction of this indicator system is explained and an abridged version is introduced that can be comprised into one master table. Next, an overall evaluation of welfare development in West Germany is given and four models for a time-sequence interpretation are discussed. Finally, the present effort is put in perspective, e.g. in regard of the OECD program and of recent quality-of-life survey research.     

Contraceptive sterilization in Puerto Rico

For twenty years Puerto Rico has had the world’s highest prevalence of sterilization. From the 1982 Puerto Rico Fertility and Family Planning Assessment we examine whether the probability of obtaining sterilization is changing and what impact sterilization has on fertility, finding that the use of contraceptive sterilization has not declined and will probably continue to increase in Puerto Rico. Nonuse rather than temporary methods of contraception is the second most likely circumstance after sterilization. We also find that sterilization has reduced the total marital fertility rate by over 33 percent, thus having a significant effect on reducing the rate of natural increase; by all indications, it will have a greater effect in the future.     

Welfare participation and welfare dependence among the unemployed

We regard individual unemployment duration as an important determinant of individuals welfare dependence. Welfare receipt is modelled for a unique data set of 4,655 Finnish unemployed individuals. A two-stage binomial hurdle model is applied, and estimations are made by both ML and GMM. Disregarding the full interrelation between unemployment and welfare clearly underestimates the importance of the former. Unemployment has a clear impact on both the probability of welfare participation and on welfare dependence among recipients. Using a finite mixture model we find that there is a small minority of unemployed welfare recipients who are locked-in in welfare dependence.All correspondence to Maria Melkersson. We thank participants at the ESPE 2001 conference, João Santos Silva and two anonymous referees for valuable comments. Financial support from Rektor för Åbo Akademi is gratefully acknowledged (Saarela). Responsible editor: Junsen Zhang.     

Testing Set-Point Theory in a Swiss National Sample: Reaction and Adaptation to Major Life Events

Set-point theory posits that individuals react to the experience of major life events, but quickly adapt back to pre-event baseline levels of subjective well-being in the years following the event. A large, nationally representative panel study of Swiss households was used to examine set-point theory by investigating the extent of adaptation following the experience of marriage, childbirth, widowhood, unemployment, and disability. Our results demonstrate that major life events are associated with marked changes in life satisfaction and, for some events (e.g., marriage, disability), these changes are relatively long lasting even when accounting for normative, age related changes.     

Legal Status and the Stability of Coresidential Unions

Using data from the National Longitudinal Study of the High School Class of 1972, we examine the effect of the legal status of coresidential unions on the likelihood of dissolution. We find that legal unions are much more stable than nonlegal unions. In addition, current legal status is more important for predicting stability of union than is legal status at the initiation of the union. We also find that the effect of current legal status remains constant over various durations of unions and that legalizing a nonlegal union has little effect beyond that expected on the basis of a occupying a particular legal status.     

An evaluation of brass mortality estimates under conditions of declining mortality

An evaluation of the Brass childhood mortality estimates under conditions of declining mortality shows them to overestimate current mortality. Error increases as the rate of mortality decline increases, as the childhood age up to which cumulative mortality is being estimated increases, and as age at onset of childbearing decreases. We use the results to develop a method for correcting the Brass estimates for the effects of quasistability. The method requires an estimate of the rate of mortality decline within the population in addition to information on the pattern of childbearing in the population.     

Rurality and well-being during the middle years of life

Popular stereotypes and theorizing by social scientists suggest that rural people are more satisfied with their communities and happier with their life situations than are their nonrural counterparts. This enhanced well-being is believed to result at least partly from the presence of kinship and friendship ties in the local community and the adherence to traditional religious beliefs. Data from a panel study of nearly 1200 middle aged persons from Pennsylvania surveyed in 1971 and 1984 provided indices of community satisfaction and happiness. When income was controlled, country residents expressed slightly higher levels of community satisfaction than did town or urban dwellers in both time periods. Happiness was not related to residence location. Income was a relatively more important predictor of community satisfaction and happiness among urban than among country residents, while number of friends was relatively more important for rural residents. Number of kin living nearby and adherence to traditional religious beliefs were not related to well-being regardless of residence location.