Quality of Life Among Older Women with Rheumatoid Arthritis

The purpose of this study was twofold: (1) to identify perceptions of quality of life among a sample of 35 older women with rheumatoid arthritis; and, (2) to describe the strategies they employ to improve the quality of their lives. The responses of these women were consistent with other studies examining dimensions of quality of life; however, these participants also revealed specific self-care actions that were planned and deliberate, aimed at making their lives more enjoyable. This study also underscored the impact of chronic illness on the economic well-being of oIder women.     

The Quality of Life Among U.S. States

Categories of Schwartz and Mukherjee are used to select twelve measures with direct or indirect influence on QoL of the 50 States and the D.C. Included are such recognized indicators as health, housing, longevity, a toxic-free environment, crime, etc. From a factor analysis of these data, four factors emerge, identified as Security, Mastery, Harmony and Autonomy. Three partially-independent measures provide verification of the QoL measures: the KIDS COUNT Index, the Southern Regional Council QoL of workers Index and a state-by-state Stress Index. I then test hypotheses relating to QoL: the economic hypothesis that the production of wealth enhances welfare (QoL), a demographic hypotheses concerning migration and urbanization, an hypothesis that religious adherents influence QoL, and psychological hypothesis that a better QoL generates less stress, and others.     

Living Arrangements and Quality of Life Among Chinese Canadian Elders

This paper examines the role of living arrangements in thequality of life of community-dwelling Chinese elders (aged 65 andover) currently residing in Vancouver and Victoria, BritishColumbia. Data are based on a random sample of 830 persons[response rate = 71.5%], who were interviewed in their homes inthe language of their choice in 1995–96. Three dimensions ofquality of life – satisfaction, well-being and social support –are examined for married men and women [living with spouse alonevs. living intergenerationally] and widowed women [living alonevs. living intergenerationally]. Few differences are found formarried persons, especially women; for widows, living alonesignificantly reduces quality of life in a number of areas.Regression analyses indicate that living arrangements are not asignificant predictor of life satisfaction or well-being formarried men and women. For widows, living arrangements determinewell-being but not life satisfaction.Overall, age, health status, and social support (havingfriends/confidante) are better predictors of quality of life forelderly Chinese Canadians than are living arrangements. Findingshighlight the importance of: empirically distinguishing maritalstatus and living arrangements in studying the quality of life ofelders; not homogenizing Chinese Canadian seniors with regard toliving arrangements; and focussing on Chinese elderly widows wholive alone as a group at risk of low well-being.     

Quality of Community Life Among Rural Residents: An Integrated Model

The purpose of this research was to explore the relationships among housing satisfaction, community attachment and community satisfaction and the complex mechanisms involved in predicting community satisfaction among residents in rural communities. The role of housing satisfaction and community attachment in predicting community satisfaction was of particular interest. A structural equation model of community satisfaction was tested with mail survey data drawn from a randomly selected rural sample of 974 households. The results of this study confirmed the influences and mediating role of community attachment and housing satisfaction in predicting community satisfaction. “Spillover” effects from “lower levels of life concerns” (e.g., satisfaction with local services, assessment of current housing conditions) in perceived community satisfaction were found that support previous research (Sirgy and Cornwell in Social Indicators Research 59:79–114, 2002).     

Associations Between Systemic Quality of Life and Burnout Among French Canadian Workers

Social Indicators Research - Burnout has very often been studied from a work-life specific perspective. However, a recent field of research leads to wonder about the impact that life events can...     

Role Strain Among Female Employees Caring for Frail Parents

This study of 114 employed female caregivers of frail parenls investigated predictors of role strain. Findings revealed that respondents with thi heaviest caregiving responsibaities, the most demanding jobs, the least supportive work environments, and the most work interferences were the most conflicted about their ability to perform well in both their work and parent care roles. The parent's impairment level had the greatest affect on work and family role conflict. Fudermore, these parent care duties spilled over into the work life. The female respondents' most frequently requested workplace changes were for counseling for themselves and long term care insurance for their parents. Implications of study findings are discussed.     

Personal Versus Collective Quality of Life And South Africans' Evaluations of Democratic Government

In this paper, we examine the political consequences of quality of life, focusing on the link between perceived well-being and people's support for democratic government. We make two key distinctions. First of all, with regard to quality of life, we distinguish between assessments of personal, or household, quality of life, and assessments of collective (national, community) quality of life. Secondly, we follow David Easton in distinguishing between specific support (attitudes about specific leaders, parties and policies) and diffuse support (attitudes toward the political system in general). We find that personal quality of life is only weakly and inconsistently connected to specific or diffuse support. Perceptions of collective quality of life, however, are strongly related to both specific and diffuse support. Thus, South Africans are holding their government accountable to their perceptions of national well-being. Of greater concern, however, is that they also appear to be holding the democratic system accountable to such developments. Teaching people to distinguish between their evaluations of a specific government and their evaluations of the larger system of democratic government appears to be a key challenge confronting the development of a democratic political culture in South Africa.     

Determinants of Subjective Quality of Life Among Rural Adolescents: A Developmental Perspective

This study examines youths' experiences of loneliness and community connectedness in relation to seven domains of subjective quality of life among pre-adolescents, early adolescents, and middle adolescents. Participants consisted of 464 youth, ranging in age from 11 to 17 years, from two rural towns. Youth reported on their subjective experiences of loneliness and their perceptions of their community environments (neighbourhood and school). Hierarchical regressions indicated the importance of loneliness in accounting for subjective quality of life for early adolescents, and less so for middle and pre-adolescents. Community factors significantly accounted for additional variance in pre-adolescents' reports of their quality of life, compared with early and middle adolescents' reports. Discussion highlights the importance of understanding the determinants of quality of life from an individual, community, and developmental perspective.     

Health-Related Quality of Life Among Abused Women One Year After Leaving a Violent Partner

This is the first follow up study measuring quality of life among abused women who have left their abusive partner. The women (n = 22) answered a questionnaire while staying at women’s shelter and one year later. The aim was to examine long-term effects of intimate partner violence against women on health-related quality of life. Health-related quality of life was measured using the SF-36 Health Survey and the WHOQOL-BREF. The meantime for living in a violent partnership was 11 years, most of the women had children under 10 years living with them, low income and were on sickness absence or disability pension. About half of the women had experienced threats of violence and 6 had experienced violent acts after leaving their partner. SF-36 scores after one year were significantly better in vitality (t-test, P < 0.001), mental health (t-test P < 0.001) and social domains (t-test, P < 0.04). WHOQOL-BREF scores did not change significantly from baseline, showing that the SF-36 showed more responsiveness in this population. Regression analysis showed that serious physical violence reported at baseline predicted significantly less improvement in physical and mental health and role-emotional in the SF-36 and in social relationships and environmental health in the WHOQOL-BREF. High psychological violence at baseline predicted significantly less improvement in mental health in the SF-36 and in social relationships and environmental health in the WHOQOL-BREF.     

Subjective Quality of Life Among Individuals who are Homeless: A Review of Current Knowledge

The purpose of this article was to review the current literature on subjective quality of life (SQOL) in individuals who are homeless, with a focus on differences in SQOL (a) between homeless individuals and the general population, (b) based on housing situation, and (c) associated with demographic characteristics (such as age and gender), physical and mental health, and external variables such as service program type. A literature search was conducted of the online databases PubMed and PsycInfo for relevant studies published from January 1981 to August 2011. Although this review showed that individuals who are homeless tended to have lower levels of SQOL compared to the general population or housed individuals, it was also evident that our current understanding of the relationships between SQOL and various demographic, health, and other variables is based on very limited information. More information about the relationships between various characteristics and experiences of individuals who are homeless and SQOL is clearly needed to aid researchers, service providers, and policy-makers in addressing the needs of this population and examining the effectiveness of interventions to end homelessness and improve health among homeless individuals.     

Internalized Homophobia,Coping, and Quality of Life Among Nigerian Gay and Bisexual Men

ABSTRACT

Despite high levels of homophobia in Nigeria, no studies have investigated the quality of life (QOL) of Nigerian gay and bisexual (GB) men. The associations between QOL and minority stress may differ from those reported in developed countries and may indicate alternative interventions. This study investigated internalized homophobia (IH) and coping strategies among gay and bisexual men in Nigeria and the relationships with overall QOL. Eighty-nine GB men were recruited with a snowball sampling technique. QOL (outcome), IH (predictor) and coping strategies (covariates) were assessed using standardized questionnaires. Relationships were investigated using linear regression analyses. Participants used adaptive more frequently than maladaptive coping strategies. The relationship between IH and QOL was nonlinear (β = ?0.27, 95% CI = ?0.48, ?0.06), and the positive component was attenuated by adaptive coping strategies. Adaptive strategies can be reinforced as a therapeutic intervention to improve wellbeing among gay and bisexual men in Nigeria.     

Subjective Residential Environment and its Implications for Quality of Life Among University Students in Hong Kong

This paper reports the results of a convenient sample survey of 500 Hong Kong university students conducted in May 2003. The main aim of the survey was to investigate the respondents perception of the residential environment and its implications for the quality of life (QOL). Results indicated that the respondents were generally satisfied with the residential environment, scoring a mean satisfaction rating of 3.32, on a 5-point Likert scale. The type, size and age of a respondents home, years of occupancy and attending university were found to be significantly related to the overall satisfaction. Transport (4.37), environmental quality (4.30), and public utilities (4.25) were reported to be the most important infrastructures for the QOL, but environmental quality (3.21), education (3.11) and greening (2.98) were considered to be the least satisfactory ones. The desirable distribution of facilities and services was defined by their functions and the new urban designs were appreciated by the respondents. Although available space was less than the ideal and public transport was a serious concern, the respondents had adapted well to the high-density environment and enjoyed the urban life in Hong Kong. It is hoped that the results and findings of this study can provide a reference for the formulation of future development strategy in Hong Kong.     

Subjective Residential Environment and its Implications for Quality of Life Among University Students in Hong Kong

This paper reports the results of a convenient sample survey of 500 Hong Kong university students conducted in May 2003. The main aim of the survey was to investigate the respondents’ perception of the residential environment and its implications for the quality of life (QOL). Results indicated that the respondents were generally satisfied with the residential environment, scoring a mean satisfaction rating of 3.32, on a 5-point Likert scale. The type, size and age of a respondent’s home, years of occupancy and attending university were found to be significantly related to the overall satisfaction. Transport (4.37), environmental quality (4.30), and public utilities (4.25) were reported to be the most important infrastructures for the QOL, but environmental quality (3.21), education (3.11) and greening (2.98) were considered to be the least satisfactory ones. The desirable distribution of facilities and services was defined by their functions and the new urban designs were appreciated by the respondents. Although available space was less than the ideal and public transport was a serious concern, the respondents had adapted well to the high-density environment and enjoyed the urban life in Hong Kong. It is hoped that the results and findings of this study can provide a reference for the formulation of future development strategy in Hong Kong.     

Psychological Well-Being,Job Strain and Education Among Young Finnish Precarious Employees

This study examined the effect of precarious work (temporary and part-time present employment and unstable work history) on psychological well-being among young employees at age 31, controlling for prior mental disorders, education and job strain. The data of 1,070 women and 1,030 men was derived from the prospective unselected population-based Northern Finland 1966 Birth Cohort study. Results of univariate logistic regression models showed that among men, precarious work associated with all psychological well-being outcomes. Among women, only depressive symptoms at 31 years associated with precarious work. Among both genders, the association between precarious work and well-being outcomes diminished to a statistically non-significant level in multivariate analyses including prior mental diagnosis, education level and job strain. In the final multivariate logistic regression models, job strain and education level were the strongest factors associating with the well-being outcomes. The association between depression symptoms and precarious work was strongest in the highest educational class among men. These results emphasize the role of education and job strain in the enhancement of psychological well-being among young employees doing precarious work. The role of education seems to differ among genders, so that for women education acts as a resource also in precarious work while among highly educated men, not having a stable employment history increases the risk for depressive symptoms.     

Impact of Acts of Discrimination on Quality of Life Among Injecting Drug Users in Delhi, India

The study examines the association between quality of life (QOL) and discrimination perpetrated against a vulnerable population like injecting drug users (IDU). Given that QOL affects self efficacy which in turn affects behavior, it is relevant to examine QOL among IDUs in the context of HIV prevention, and to study whether discriminations and human rights abuses impact QOL in this population. A cross sectional study was conducted in two research sites in Delhi, India among 343 IDUs recruited through a respondent driven sampling. A Hindi version of the WHOQOL Bref survey along with a survey questionnaire of discrimination were used to interview participants. After controlling for demographic characteristics, experiencing physical and verbal abuse (OR: 0.46, CI 0.27–0.79),arrests and imprisonment for carrying needles and/or using drugs (OR: 0.53, CI 0.31–0.90) and lacking health information (OR: 0.49, CI 0.29–0.85)was associated with lower social QOL, while being denied health care services was associated with lower psychological QOL. The more discrimination experienced, the lower was the quality of life in the social and psychological domains. Participants’ perceived well being in the four domains was related to their living conditions, discriminatory acts and to perceptions of social support. Discriminatory acts and abuses appeared to have a greater toll on their psychological well being and social relationships, thus indicating the need for human rights advocacy in order to influence law enforcement practices and to reduce stigma, while expanding social support through an extended comprehensive IDU programme.     

Italian Quality of Life

The paper begins with a presentation of the quality of life in Italy as compared to other countries in the European Union. Several of the major socio-demographic and economic and life satisfaction (as revealed by the Eurobarometer survey) indicators are considered. Then, the Italian situation is discussed at greater length in the light of the transformations it has undergone in the past ten years. Thus it is possible to evaluate the following demographic themes: the profound process of aging; transformations in the family; and transformations in urban areas. The following economic themes are considered: the principal characteristics of the marketplace, in particular, the problem of unemployment; and household income and consumption. Finally, the time series of certain objective indicators are placed alongside those of life satisfaction.     

Measuring Quality of Life

This paper considers quality of life (QOL) to be a global, yet unidimensional, subjective assessment of one's satisfaction with life. This conceptualization is consistent with viewing QOL assessments as resulting from the interaction of multiple causal dimensions, but it is inconsistent with proposals to limit QOL to health-related quality of life (HRQOL). We test the unidimensional yet global conceptualization of QOL using data from coronary artery bypass graft (CABG) patients. The Self-Anchoring Striving Scale (SASS) and four other indicators derived from the literature, all seemed to function as indicators of a single concept (QOL) that was repeatedly drawn upon as the patients determined their responses to these indicators. However, only about half the variance in each indicator was attributable to that common QOL source. Several structural equation models are used to assess whether the superior performance of the Life 3 indicator is an artifact of the repetition of an item within this indicator. The data convincingly indicate that the superior performance is not a memory artifact, and that even the repetition of an identically worded item prodded the patients into drawing yet again upon the same QOL factor that grounded all the other measures.     

Quality of Life and Its Influencing Factors Among Centenarians in Nanjing,China: A Cross-Sectional Study

Social Indicators Research - As centenarians are the most vulnerable social group among older adults, their quality of life (QoL) is of great significance for the realization of healthy aging and a...     

Multidimensional Quality of Life: A New Measure of Quality of Life in Adults

This paper presents a new measure for assessing quality of life (QOL) –the Multidimensional Quality of Life (MQOL)– and describes its derivation, characteristics, structure and several applications. Reasons for developing the MQOL include the restricted range of assessed domains and the heavy emphasis on health in many standard assessment tools. The MQOL was derived by meaning probes into QOL in different samples. It is a 60-item self-report tool of high reliability and validity covering various themes and forming, in line with factor and cluster analyses, 17 scales that constitute five factors according to confirmatory factor analysis. It has been applied with thousands of individuals, in English, Hebrew, Russian and Arabic, and is adequate for healthy and physically or mentally sick individuals, under regular or challenging circumstances. Described studies present findings in samples of sick or healthy individuals (e.g., unemployed, members of a collapsing Kibbutz); relations between the MQOL and coping strategies in partners of sick individuals; and interrelations of overall and scale scores in new and old immigrants. Conclusions focus on the structure of the MQOL, the specificity of coping effects, and the stabilizing mechanisms of QOL.