Correspondence in Residents' and Staff Members' Assessments of the Quality of Life of Children in Residential Care Facilities

This paper employs Shye's (1979, 1985, 1989)Quality of Life (QOL) model to examine the QOLof 920 boys and girls in 46 Residential CareFacilities in Israel, from the perspective ofboth the residents and the staff. Specifically, it examines the degree ofcorrespondence in the residents' and staffs'assessments of the residents' QOL and theassociation between the degree ofcorrespondence and the quality of the facility. Findings showed that while residents and staffmade similar assessments in various areas ofthe residents' cultural and social QOL, theresidents rated their physical QOL higher andtheir psychological QOL lower than the staffdid. Findings also showed that while residentsand staff agreed on the residents' QOL in thepoorest facilities, they disagreed in theothers. In the better facilities, the staffrated the residents' QOL lower than theresidents' did; in the poorer facilities, theresidents rated their QOL lower than the staff. These findings raise concern about staffawareness of the psychological hardships anddistress of the juveniles in their care, aswell as about their ability under thesecircumstances to provide adequate psychologicalcare.     

The Use of Common Area <Emphasis Type="Italic">k</Emphasis>-Sample Test in Evaluating Targeting Methodologies: An Application to the Case of Egypt

The quality of life (QOL) is a measure of social wellbeing and life satisfaction of individuals in an area. Measuring its spatial dynamics is of great significance as it can assist the policy makers and practitioners in improving the balance between urbanization and living environment. This study proposes an approach to spatially map and examine the relationships between QOL, land use/land cover (LULC) and population density in an urban environment. The city of Lahore, Pakistan was selected as the case study area. The QOL was evaluated through the data related to physical health, psychological, social relationships, environment (natural and built), economic condition and development, and access to facilities and services. The weights/relative importance of each QOL domain was determined through the analytic hierarchy process by processing the data collected from local field experts. Overall QOL was computed by applying the domain weights to the data; spatial mapping of QOL domains and overall QOL was conducted afterwards. The spatial dynamics of QOL were examined, and its interrelationships with LULC and population density were analyzed. The relationship between these three variables turned out to be spatially dynamic. The proposed approach assists the spatial mapping and analyses of QOL, LULC and population, and by examining the spatial dynamics of these variables, contributes to devising appropriate land management and QOL improvement strategies and policies in the metropolitan regions.     

Correlates of Quality of Life in New Migrants to Hong Kong from Mainland China

The concept of Quality of life (QOL) has received considerable attention from different disciplines. The aim of this study was to identify what are the correlates of QOL among Chinese new immigrants in Hong Kong. Data were collected through a cross-sectional survey among 449 Hong Kong new immigrants from Mainland China. Bivariate and multiple regression analyses were performed to examine the association between immigrants’ QOL and their demographic characteristics, socio-economic factors, optimism, sense of control, perceived social support, perceived neighborhood disorder, collective efficacy, pre-migration planning, depressive symptoms and acculturation stress. Our findings demonstrated that depressive symptom is the most prominent factor in reducing immigrants’ level of QOL, perceived social support and optimism are the two important factors that enhance the QOL of these depressed immigrants. Our results indicate that preventive measures must be developed, and professional counseling and psychological support services must be provided to new immigrants in Hong Kong, especially those who have depressive symptoms.     

Gender Differences in the Relationship of Social Activity and Quality of Life in Community-Dwelling Taiwanese Elders

This study explores the gender differences in the relationship between social activity and quality of life (QOL). A cross-sectional survey of 220 community-dwelling elderly people was conducted in southern Taiwan. Social activity was classified into six categories. The brief version of the World Health Organization QOL (WHOQOL-BREF) was used to measure QOL. Findings revealed that the associations of six types of social activities with QOL were weaker among women than men. The regression analyses further showed that for women, only religious activity was positively related to total QOL, while for men only involvement in formal group activity was positively related to total QOL.     

Gender differences in the relationship of social activity and quality of life in community-dwelling Taiwanese elders

This study explores the gender differences in the relationship between social activity and quality of life (QOL). A cross-sectional survey of 220 community-dwelling elderly people was conducted in southern Taiwan. Social activity was classified into six categories. The brief version of the World Health Organization QOL (WHOQOL-BREF) was used to measure QOL. Findings revealed that the associations of six types of social activities with QOL were weaker among women than men. The regression analyses further showed that for women, only religious activity was positively related to total QOL, while for men only involvement in formal group activity was positively related to total QOL.     

Do Cultural Values Affect Quality of Life Evaluation?

Schwartz defines cultural values as motivational types, where each value reflects goals and objectives to be achieved. According to Schwartz, cultural values are related to an orientation that is individualistic (values referred to as power, achievement, hedonism, stimulation and self-direction), collectivistic (benevolence, tradition and conformity) or mixed (security and universalism). Today, there is a theoretical consensus that cultural values are mediators in the evaluation of quality of life (QOL); nonetheless, there are few published studies to date relating them to QOL. To determine whether a significant relationship exits between cultural values and QOL in three Spanish-speaking countries. A total of 821 persons participated: 321 from Chile, 200 from Spain and 300 from Cuba. The Schwartz Cultural Values Survey and the WHOQOL-BREF Quality of Life Scale were used. Analysis of variance, and correlation and regression analyses were preformed after collecting data. Only hedonism was significantly correlated with the global evaluation of QOL in Spain and Chile. Few correlations were found in all three countries between cultural values and the QOL domains evaluated, with the exceptions of the value of self-direction, which was related to physical well-being, and the value stimulation, which was correlated with psychological as well as social well-being in all three countries. Certain values may be associated with a better perception of QOL, depending on the particular culture of the population evaluated.     

Health Literacy and Happiness: A Community-based Study

The relationship between health literacy and happiness was explored using a cross-sectional survey of community-dwelling older primary-care patients. Health literacy status was estimated with the following previously validated question: “How confident are you in filling out medical forms by yourself?” Happiness was measured using an adapted Subjective Happiness Scale. Of all patients (n = 383), 62% were younger than 65, 28% were men, and 39% were African–American. In bivariate analysis, health literacy was positively correlated with happiness (Spearman’s ρ = 0.261; p < 0.001). Multivariable logistic regression revealed that lowest-quartile happiness was associated with poverty (OR: 2.25; 95% CI: 1.17–4.31), unfavorable self-rated health (OR: 4.16; 95% CI: 2.34–7.40), and lower health literacy (OR: 2.31; 95% CI: 1.23–4.32). The results suggest that inadequate health literacy may be an obstacle to happiness above and beyond its effect on poverty and health, and offers partial support for the inclusion of general and health literacy scores in composite quality-of-life and human development indices. Though alternative explanations are possible, we speculate that the association between health literacy and happiness might be mediated by a sense of personal control.     

Quality of Life Predictors and Normative Data

This study identifies predictors and normative data for quality of life (QOL) in a sample of Portuguese adults from general population. A cross-sectional correlational study was undertaken with two hundred and fifty-five (N = 255) individuals from Portuguese general population (mean age 43 years, range 25–84 years; 148 females, 107 males). Participants completed the European Portuguese version of the World Health Organization Quality of Life short-form instrument and the European Portuguese version of the Center for Epidemiologic Studies Depression Scale. Demographic information was also collected. Portuguese adults reported their QOL as good. The physical, psychological and environmental domains predicted 44 % of the variance of QOL. The strongest predictor was the physical domain and the weakest was social relationships. Age, educational level, socioeconomic status and emotional status were significantly correlated with QOL and explained 25 % of the variance of QOL. The strongest predictor of QOL was emotional status followed by education and age. QOL was significantly different according to: marital status; living place (mainland or islands); type of cohabitants; occupation; health. The sample of adults from general Portuguese population reported high levels of QOL. The life domain that better explained QOL was the physical domain. Among other variables, emotional status best predicted QOL. Further variables influenced overall QOL. These findings inform our understanding on adults from Portuguese general population QOL and can be helpful for researchers and practitioners using this assessment tool to compare their results with normative data.     

Does Perceived Social Support Buffer the Negative Effects of Type C Personality on Quality of Life of Breast Cancer Patients?

The present study investigated possible Type C personality–quality of life (QOL) relationship, and the moderating role of perceived social support in this relation among 101 postoperative breast cancer patients. Participants were from different cities in Turkey but receiving treatment in the capital, Ankara. Obtained data were analyzed by moderated regression analysis. According to the results, Type C personality was not related to the QOL of participants, however, higher perceived social support was associated with better QOL in patients. Also, perceived social support moderated Type C personality–QOL relation. Accordingly, patients high on Type C personality and perceived social support had the highest QOL. In contrast, patients high on Type C personality and low on perceived social support had the lowest QOL. Findings, as well as the strengths and limitations of the study, were discussed in the light of the relevant literature. As a possible clinical implication, enhancement of social support networks of the patients were suggested.     

Quality of Life as a Social Representation in China: A Qualitative Study

This study explores the meaning of quality of life (QOL) in China from the perspective of social representations. The data were collected by open-ended individual interviews with 16 ordinary Chinese people. The study shows that social thinking about QOL in Chinese society is activated in five critical domains of life: health, family, work, social relations and the natural environment. Meanwhile, “having” and “being”, the two antinomic, yet dialogical interdependent, interpretive repertoires, have an overarching generative and normative power over the discourse about QOL. They permeate and underpin the different domains of life. Dominated by an “economic logic”, the “having” repertoire constructs these life domains through a set of economic consequences and posits them as resources leading to material possessions. While dominated by an “existential logic”, the “being” repertoire confesses existential meanings to the same life domains, and emphasises the joy derived from them. Thereby, it infers that QOL as a social representation is generated from, and organised around, a central thema of “having” and “being”.     

“Doing the month” and postpartum depression among Chinese women: A Shanghai prospective cohort study

BackgroundThe Chinese postpartum custom of “doing the month” characterized by generous social support available through the traditional cultural practices was considered to protect women from postpartum depression in early puerperium.MethodsThis study used data from the Shanghai Birth Cohort, a study of 2615 postpartum women from Shanghai, China, that was conducted between 2013 and 2016. Detailed information on the traditional “doing the month” practices and the on the Edinburgh Postnatal Depression Scale scores was collected from questionnaires administered on the 42nd day after childbirth. Logistic regression models were used to examine the association between the adopting traditional puerperium practices and postpartum depression.ResultsThe estimated prevalence of postpartum depression in women from the Shanghai area in China was 11.8% (n = 308) at six weeks postpartum. Women who went outside their homes during the first month postpartum showed higher risks of postpartum depression compared with those who never left the house (1–2 times: OR = 1.9, 95% CI = 1.4–2.4; 3–5 times: OR = 2.3, 95% CI = 1.5–3.5; ≥6 times: OR = 2.5, 95% CI = 1.2–5.1). Women with average sleep of 6 h or less per night were more likely to suffer from postpartum depression compared with those who slept 8 h (6 h: OR = 1.7, 95% CI = 1.2–2.4; less than 6 h : OR = 3.3, 95% CI = 2.2–5.0). Women who opened the house windows most of the time exhibited decreased risks of postpartum depression compared to those who never or rarely opened the windows (often: OR = 0.6, 95% CI = 0.4–0.9; always: OR = 0.4, 95% CI = 0.3–0.7).ConclusionsOur results suggested that not all the activities of “doing the month” provided protection against developing PPD. This study emphasized the need for flexibility to fit and adjust the ritual into the modern life to enhance the positive effects of traditional practices on maternal health.     

农村大龄未婚男性的生活质量及其影响因素分析——以冀北地区调查为基础

利用2010年冀北C县农村调查数据,借鉴生活质量的概念和研究框架,分析农村大龄未婚男性的生活质量现状及影响因素。研究结果表明,与已婚男性相比,未婚男性的客观生活质量和主观生活质量均明显偏低;居住方式和父母在世情况显著影响他们所获得的生活支持,工作、收入和社会保障显著影响他们的经济满意度;年龄、生理、心理和收入是影响未婚男性生活总体满意度的重要因素。经济满意度和生活总体满意度之间具有显著的正向相关关系,社会交往满意度和生活总体满意度之间的关系不显著。分析农村大龄未婚男性的生活质量有利于把握其生存状态,也有利于理解其对社会公共安全的影响。     

A Comparison of Alternative Models of Individual Quality of Life for Social Service Recipients

There is considerable debate in the area of individual quality of life research regarding the factor structure of the QOL construct that is focused on the number and composition of QOL factors and domains, and its hierarchical nature. The main goal of this study involve testing by means of confirmatory factor analyses five models that have been pointed out by recent scientific literature: firstly, an unidimensional model; secondly, a QOL model that consisted of eight inter-correlated domains proposed by Schalock and Verdugo (2002); thirdly, a model composed of these eight 1st-order factors and one 2nd- order factor; the forth and five are model with the eight 1st-order factors and three 2nd-order factor that has been denominated in other studies ‘Salamanca model’ and ‘Schalock model’. Data were collected from 3.029 social service recipients from Catalonia (Spain) who completed the GENCAT Scale, an objective QOL questionnaire. The best fit of the eight inter-correlated and 1st order domains was empirically demonstrated. Implications for future research are also discussed.     

Factors associated with early cessation of breastfeeding in women with gestational diabetes mellitus

AimTo determine factors associated with early cessation of breastfeeding (≤3 months) in women with recent gestational diabetes mellitus (GDM).MethodsA cross-sectional online survey of women aged ≥18 years, diagnosed with GDM in 2010 and registered with the National Diabetes Services Scheme in Australia. The 59 questions examined breastfeeding duration, intention, attitudes, exclusivity and support.Results738 women completed the survey (15% response rate). Data was analysed for 729 eligible respondents. Of these 97% reported ‘ever’ breastfeeding and 19% had breastfed for ≤3 months. Cessation of breastfeeding at or before 3 months was associated with breastfeeding problems at home [adjusted odds ratio 8.01, 95% confidence interval (4.57, 14.05)], return to work prior to three months [OR 3.39 (95% CI 1.53, 7.55)], inadequate breastfeeding support [OR 1.88 (95% CI 1.10, 3.22)], caesarean delivery [OR 1.70 (95% CI 1.04, 2.76)], low socioeconomic status (SEIFA 1 unit increase) [OR 0.89 (95% CI 0.81, 0.97)] and BMI (2 unit increase) [OR 1.08 (95% CI 1.01, 1.57)]. Being married or de facto [OR 0.14 (95% CI 0.03, 0.62)] was a protective against early cessation of breastfeeding.ConclusionStrategies to improve breastfeeding duration in women with GDM need to address those most at risk of early cessation and provide appropriate postpartum breastfeeding support in this group.     

Socioeconomic Status,Income Inequality,and Health Complaints: A Basic Psychological Needs Perspective

Socioeconomic status (SES) and income inequality are now recognized as important determinants of health, and there is growing interest in uncovering the intermediary psychosocial pathways through which the socioeconomic context affects physical well-being (Marmot in The status syndrome: how social standing affects our health and longevity, Henry Holt, New York, 2004; Wilkinson and Pickett in The Spirit Level: why more equal societies almost always do better, Allen Lane, London, 2009). We adopted the applied framework of self-determination theory (SDT; Deci and Ryan in Psychol Inq 11:227–268, 2000) and hypothesized that fulfillment of the basic psychological needs for autonomy, competence, and relatedness would mediate the relationships that SES and income inequality have to self-rated health. An online community sample of American participants (N = 1,139) completed a detailed demographic survey and provided self-reports of need fulfillment and health complaints. Structural equation models controlled for impression management and self-deceptive enhancement. Controlling for sex and age, need fulfillment was predicted positively by subjective SES and objective household income and negatively by state-level income inequality; in turn, need fulfillment predicted lower levels of health complaints. These findings suggest that SDT provides a useful framework for the study of SES, income inequality, and health, and that basic psychological needs are an important mechanism through which socioeconomic contexts influence health.     

Risk factors for severe perineal trauma during vaginal childbirth: A Western Australian retrospective cohort study

AimTo determine rates and risk factors for third and fourth degree perineal tears (severe perineal trauma) in a Western Australian context.Design and settingA retrospective hospital-based cohort study was performed using computerised data for 10,408 singleton vaginal deliveries from 28 weeks gestation.MethodsWomen with severe perineal trauma were compared to those without. Logistic regression analysis, stratified by parity, was used to assess demographic and obstetric factors associated with perineal trauma.ResultsSevere perineal trauma incidence was 3% (338/10408), 5.4% (239/4405) for primiparas and 1.7% (99/5990) for multiparas (p < 0.001). Adjusted risk factors associated with trauma and common across parity included Asian or Indian ethnicity, shoulder dystocia and assisted delivery. Epidural analgesia (OR 0.72, 95% CI 0.54–0.96), preterm birth (OR 0.40, 95% CI 0.23–0.72) and episiotomy (OR 0.54, 95% CI 0.39–0.74) were protective in primiparas, while episiotomy was associated with increased risk in multiparas (OR 2.01, 95% CI 1.18–3.45). Additional factors among primiparas were occipito posterior (OP) delivery (OR 3.35, 95% CI 1.75–6.41) and prolonged second stage (OR 1.98, 95% CI 1.46–2.68), and among multiparas included gestational diabetes (OR 1.78, 95% CI 1.04–3.03) and birth weight >4000 g (OR 1.86, 95% CI 1.10–3.15).ConclusionParity differences in risk factors such as episiotomy, infant weight, OP delivery, gestational diabetes and prolonged second stage warrant investigation into clinical management. Although rates differ internationally, and replication evidence has confirmed consistency for certain demographic and obstetric factors, the development of internationally endorsed clinical guidelines and further research around interventions to protect the perineum are recommended.     

From the Editor

This study examined risk factors associated with self-reported health (SRH) in a genetically informative sample of older African American female twins. An interview was conducted with a national sample of 180 African American female twin pairs. Questions included: SRH, demographics, health behaviors, chronic diseases, and functional status. SRH was dichotomized into negative (fair/poor) and positive (good/very good/excellent). Logistic regression for clustered data was used to estimate the odds ratios and 95% confidence intervals. In multivariable analyses, IADL limitations (OR?=?1.5, 95% CI?=?1.7–2.0) and a chronic disease index (OR?=?1.9, 95% CI?=?1.4–2.5) were associated with negative SRH. In multivariate within-twin pair analysis, controlling for genetics/shared familial environment, IADLs (OR?=?1.8, 95% CI?=?1.1–2.7), and increasing numbers of chronic diseases (OR?=?2.0, 95% CI?=?1.3–3.2) remained significantly associated with negative SRH.     

Midwives and sexual violence: A cross-sectional analysis of personal exposure,education and attitudes in practice

BackgroundAround one in three women experience sexual violence during their lifetime. They may need trauma-sensitive maternity care that takes sexual trauma triggers into account. Midwives are similarly likely to have experienced sexual violence in their lifetime. It is unknown whether midwives with a personal sexual violence history have a different professional approach to the topic than their colleagues without such history.AimTo explore whether midwives with a personal sexual violence history are more likely to have received or need education about sexual violence and whether they approach sexual violence differently in practice.MethodsAn exploratory online survey was conducted amongst practicing midwives in high resource countries. Odds ratios were calculated for differences between midwives with and without a personal sexual violence history.FindingsOf the 288 participating midwives, 48.6% disclosed a personal sexual violence history. Midwives with a personal sexual violence history showed higher uptake of post-graduate education (OR 2.05, 95% CI 1.23–3.44), more accurate prevalence estimation (OR 3.42, 95% CI 2.10–5.57) and more confidence to identify sexual violence history (OR 1.94, 95% CI 1.19–3.15). We found no differences in requiring future education, screening practices, other aspects of confidence or time and discomfort barriers.ConclusionsAs fellow survivors, midwives with a personal sexual violence history have a unique standpoint towards sexual violence in maternity care practice that may make them more sensitive to the issue.     

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.     

Declining Quality of Life Costs Governments Elections: Review of 13 OECD Countries

I review studies of national elections from 13OECD countries over 30 years to examine theeffect of declining or increasing Quality ofLife (QOL) on citizens' voting behavior. Theresults are consistent with the theory thatcitizens hold the incumbent party responsiblefor increases or decreases in QOL during theirterm in office, and vote against an incumbentparty that fails to deliver improved QOL. Studies show that this ``responsibilityhypothesis'' holds not only for economicvariables such as GDP/capita, but for murderrates, violent crime rates, nutrition, andinequality. The platform and qualification ofcandidates also has an effect on voting, butthe macro-variables composing QOL occur priorto and act to shape the platform and strategyof candidates. These results hold importantimplications for constructing indexes of QOL,because researchers can use national votingbehavior to recover the weights that voters usein combining domains of QOL. By using theseweights from the `representative voter',researchers can create a unified index of QOLfor social reports.