Construct and Criterion Validity of a Norwegian Instrument for Health Related Quality of Life Among Elderly Women Living at Home

Purpose of the study: The aim of the current study is to validate an instrument consisting of five items and first used in the Nord-Trondelag Health Survey (HUNT-5), as a measure of health related quality of life (QOL) in a population of elderly women living at home. Design and methods: A random sample of 307 women aged 75 years and over (mean 80.8 years, response rate 74.5%) and living at home were interviewed using the HUNT-5 instrument, the 20-question version of the General Health Questionnaire (GHQ-20) and the respondents’ records of their health status and functional ability. Results: No significant relationships were found between age and the sumscores of GHQ-20 and HUNT-5. Factor analysis indicated that HUNT-5 is primarily unidimensional. The Cronbach α for HUNT-5 was 0.79 and that for GHQ-20 was 0.87. The correlation between the HUNT-5 and the GHQ-20 sumscores was 0.75 (p < 0.001). There were significant correlations between some of the health and function items and the two QOL instruments (ranging from 0.14 to 0.68). Implications: This evaluation supports the psychometric validity of HUNT-5 for elderly women living at home. It is important to take into consideration the women’s own experience of their health and functional ability in planning therapy and in obtaining the best possible QOL for them.     

Stability and Sensitivity in Perceived Quality of Life Measures: Some Panel Results

The aim of this study was to test a fundamental assumption concerning 27 of the most frequently used measures to assess aspects of the quality of people’s lives, e.g., measures concerning happiness, satisfaction with life as a whole, with the quality of one’s life, with domains of life (job, marriage, friendships), and with perceived gaps between what one has compared to what one wants, what one’s neighbor has and so on. The assumption is that such measures are sensitive to changes in the circumstances of one’s life measured by self-perceptions of change and by self-assessments of the net balance of salient positive and negative events one has experienced in some specified period of time. A total of 462 residents of British Columbia distributed across 3 different panels completed mailed-out questionnaires at 3 points in time in 2005, 06 and 07. Among other things, we found that measuring year-by-year changes in respondents’ life circumstances by reports of their own perception and experienced life events, on average the values of the 27 variables changed in ways that were consistent with respondents’ reported changes in 49.7% of the cases examined. The success rate of the assumption using self-perceptions of change (61.7%) was much higher than the success rate using a net balance of experienced events (37.3%).     

Impact of Arts-Related Activities on the Perceived Quality of Life

The aim of this investigation was to measure the impact of arts-related activities on the perceived or experienced quality of life. In the fall of 2006 a questionnaire was mailed out to a random selection of 2000 households in each of five British Columbia communities, and 1027 were returned completed. The total and individual community samples should be regarded as merely representative of some British Columbian residents who had some interest in the arts. Sixty-six kinds of arts-related activities were identified in the questionnaire, and five indexes were created to help explain people’s motives for engaging in such activities. Seven different scales were used to measure respondents’ overall assessment of their lives, (1) self-reported general health (5-point scale), (2) satisfaction with life as a whole (7-point scale), (3) satisfaction with the overall quality of life (7-points), (4) happiness with life as a whole (7-points), (5) satisfaction with life as a whole (5-item index), (6) contentment with life (5-item index), (7) subjective wellbeing (4-item index). In the context of all our predictors, based on the relative impact of all the arts-related activities and the satisfaction obtained from those activities on our seven overall life assessment variables, it is fair to say that such activities and their corresponding satisfaction contributed relatively little. While this may seem incredible (especially to arts enthusiasts), it is important to keep in mind the initial condition “in the context of all our predictors” and the qualifier “relatively”. Our inability to discover greater marginal or total impacts of arts-related activities on the perceived quality of life may be the result of our use of the wrong search instruments for the great variety of values involved. It is an open question whether we used the best tools and found as much as there was to find or whether better tools would have found more.     

Normative Life Satisfaction in Chinese Societies

Research over several decades about subjective life satisfaction has led to the conclusion that the majority of people seem to be satisfied with their lives when their social and physical needs are met. In empirical studies which have used self-report instruments, this trend is reflected in respondents’ consistent preference for the positive end of scales. This led to the suggestion that there is a normative range for life satisfaction, which should hold true for general population data and, therefore, serve as a reference point, or a gold standard, for comparison (Cummins Social Indicators Research, 35, 179–200, 1995, Social Indicators Research, 43, 307–334, 1998). Subsequent research has shown that Western and non-Western samples generally conform to the normative range, but more data are needed from Chinese societies. In an attempt to remedy this situation, this paper investigates normative life satisfaction there. This paper reanalyses published and unpublished data from various Chinese societies (People’s Republic of China, Hong Kong, Macau, Singapore, and Taiwan) in order to confirm whether or not they lie within the normative range for non-Western countries. The results provide support for the relevance of Cummins’s normative range in Chinese societies. That the normative range generalised to the present study is a very useful finding, as it supports its utility for Chinese samples, and adds support to a theoretical explanation – i.e. the Wellbeing Homeostatisis theory—in Chinese groups.     

Divorced Fathers’ Proximity and Children’s Long-Run Outcomes: Evidence From Norwegian Registry Data

This study examines the link between divorced nonresident fathers’ proximity and children’s long-run outcomes, using high-quality data from Norwegian population registers. We follow (from birth to young adulthood) each of 15,992 children born into married households in Norway in the years 1975–1979 whose parents divorced during his or her childhood. We observe the proximity of the child to his or her father in each year following the divorce and link proximity to educational and economic outcomes for the child in young adulthood, controlling for a wide range of observable characteristics of the parents and the child. Our results show that closer proximity to the father following a divorce has, on average, a modest negative association with offspring’s outcomes in young adulthood. The negative associations are stronger among children of highly educated fathers. Complementary Norwegian survey data show that highly educated fathers report more post-divorce conflict with their ex-wives as well as more contact with their children (measured in terms of the number of nights that the child spends at the father’s house). Consequently, the father’s relocation to a more distant location following the divorce may shelter the child from disruptions in the structure of the child’s life as they split time between households and/or from post-divorce interparental conflict.     

Arts and the Perceived Quality of Life in British Columbia

The aims of this investigation were (1) to measure the impact of arts-related activities on the perceived quality of life of a representative sample of British Columbians aged 18 years or more in the spring of 2007, and (2) to compare the findings of this study with those of a sample of 1,027 adults drawn from five B.C. communities (Comox Valley, Kamloops, Nanaimo, Port Moody and Prince George) in the fall of 2006. Seven hundred and eight British Columbians responded to a mailed out questionnaire, and the working data set was weighted by age and education to match the 2006 census statistics for the province, yielding a fairly representative sample. Speaking quite generally, about 62.0% of the results for the two samples are very similar. In particular, in both surveys we found that (a) among arts-related activities in which people participate relatively infrequently (i.e., participation is counted in times per year rather than in hours per week), live theatre is supreme in the strength of its positive correlation with respondents’ perceived quality of life measured in 7 different ways, and (b) compared to 4 demographic variables (age, education, household income and body mass index), household income had the highest average, positive correlation with 7 different measures of respondents’ overall life assessments, namely, self-assessed general health, satisfaction with life as a whole (single item), happiness, satisfaction with the quality of life, satisfaction with life as a whole (5-item index), contentment with life (5-item index) and subjective wellbeing (4-item index). Different results were found in the province-wide versus the five-communities survey for the following, among other things, (a) compared to all 7 life assessment measures, for the province, satisfaction with the quality of life and happiness had the largest number of significant correlations with arts-related activities measured in hours per week engaged, while for the five communities, the single measure of satisfaction with the quality of life had the largest number of significant correlations, and (b) For the province, compared to all 7 life assessment measures, satisfaction with the quality of life had the largest number of significant correlations with arts-related activities measured in times per year engaged; for the five communities, compared to all 7 life assessment measures, self-assessed general health had the largest number of significant correlations with arts-related activities measured in times per year engaged.     

Are Generation X’ers Different than Late Boomers? Family and Earnings Trends among Recent Cohorts of Women at Young Adulthood

This article examines emerging trends in childbearing, marital status, and earnings for U.S. women over young adulthood across recent birth cohorts spanning the late baby boom and Generation X. We use a unique dataset that matches the 1990, 1996, and 2004 fertility and marital history modules of the Survey of Income and Program Participation with Social Security Administration longitudinal earnings records derived from survey respondents’ own tax records. While there have been some cohort-level changes, we find little empirical evidence of large-scale shifts in the family and earnings histories of young adult women born toward the end of Generation X, particularly college graduates, relative to their late baby-boom counterparts at the same stage of the life course. The broader implications of our findings and directions for further research are discussed.     

Building Financial Satisfaction

This paper aims to contribute further research on the conceptualization of individual financial satisfaction as a particular domain of satisfaction with life as a whole. Based on the 2003 Survey on Living Conditions and Poverty for Andalucía (Spain) and using a self-reported measure of welfare, ordered probit models are used to analyze the extent to which individual financial satisfaction can be solely explained by income in absolute terms, or alternatively, by taking into account the importance of relative income in its two dimensions: (1) personal aspirations as individual’s adaptation to previous and future income levels (intra-individual comparisons), and (2) social comparisons as individual’s concern for her peer’s income (inter-personal dependency).     

Do Siblings’ Fertility Decisions Influence Each Other?

Individuals’ fertility decisions are shaped not only by their own characteristics and life course paths but also by social interaction with others. However, in practice, it is difficult to disentangle the role of social interaction from other factors, such as individual and family background variables. We measure social interaction through the cross-sibling influences on fertility. Continuous-time hazard models are estimated separately for women’s first and second births. In addition to individual socioeconomic variables, demographic variables, and an unobserved factor specific to each sibling pair, siblings’ birth events and their timing enter as time-varying covariates. We use data from longitudinal population-wide Norwegian administrative registers. The data cover more than 110,000 sibling pairs and include the siblings’ fertility, education, income, and marital histories. Our results indicate that cross-sibling influences are relatively strong for the respondents’ first births but weak for the second parity transition.     

Self-Reported Fears as Indicators of Young Children’s Well-Being in Societal Change: A Cross-Cultural Perspective

Our main interest in this paper is in studying children’s well-being by using children themselves as informants and fear as an indicator of insecurity from cross-cultural and longitudinal perspectives. More specifically our paper documents the changes in the content and prevalence of children’s fears in two neighboring countries, Finland and Estonia, during the last decade. The study was carried out in 1993 and replicated in 2002/2003 in both countries with the random samples of total number of 420 five to six-year-old children (in Estonia 115 in 1993 and 91 in 2002; in Finland 105 and 109, respectively). For both countries the decade in question was a period of social, political and economic transition including post-socialist transformation in Estonia. Especially informationalization and globalization had a profound impact on the everyday life of parents and children. The increase of insecurity among children in both countries was expected. Children’s fears were investigated by means of an individual semi-structured and picture-aided interview. The most important findings are: the prevalence of children’s self-reported fears has generally increased during the ten years, especially among the Estonian children. The most significant increase was observed in both countries in fears of imagination-related things including television-related fears, fears of imagined creatures and of nightmares parallel to children’s increased media-exposure in daily life. Despite the increase of␣general welfare in both countries our results suggest the opposite tendency among young children; decrease of safety and increase of insecurity. The level of children’s insecurity was higher in Estonian than in Finland at both times. It is noteworthy that some fears of young children are ‚universal’ (fear of getting lost, fear of darkness, fear of being alone), while some fears are more context dependent (television-induced fears, fear of strange people). Young children proved to be competent informants of their condition and well able to provide essential and invaluable information about their problems and well-being. An erratum to this article can be found at     

Mental Health of Parents and Life Satisfaction of Children: A Within-Family Analysis of Intergenerational Transmission of Well-Being

This paper addresses the extent to which there is an intergenerational transmission of mental health and subjective well-being within families. Specifically it asks whether parents’ own mental distress influences their child’s life satisfaction, and vice versa. Whilst the evidence on daily contagion of stress and strain between members of the same family is substantial, the evidence on the transmission between parental distress and children’s well-being over a longer period of time is sparse. We tested this idea by examining the within-family transmission of mental distress from parent to child’s life satisfaction, and vice versa, using rich longitudinal data on 1,175 British youths. Results show that parental distress at year t − 1 is an important determinant of child’s life satisfaction in the current year. This is true for boys and girls, although boys do not appear to be affected by maternal distress levels. The results also indicated that the child’s own life satisfaction is related with their father’s distress levels in the following year, regardless of the gender of the child. Finally, we examined whether the underlying transmission correlation is due to shared social environment, empathic reactions, or transmission via parent–child interaction.     

Importance has been Considered in Satisfaction Evaluation: an Experimental Examination of Locke’s Range-of-affect Hypothesis

Importance weighting is a common practice in quality of life (QOL) measurement research. Based on the widespread idea that important domains should make a greater contribution to individuals’ QOL total score, the weighting procedure of multiplying item satisfaction by an item’s importance has been adopted in many QOL instruments. Locke’s [1969, Organizational Behavior and Human Performance 4, 309–336; 1976, Handbook of Industrial and Organizational Psychology. Rand McNally, Chicago, pp. 1297–1343] range-of-affect hypothesis indicated that a satisfaction evaluation is determined by the have-want discrepancy, importance, and the interaction of the have-want discrepancy and importance, implying that a satisfaction evaluation incorporates the judgment of importance and weighting the satisfaction score with the importance score is unnecessary. The purpose of the current study was to address the issue of importance weighting by examining Locke’s range-of-affect hypothesis in the context of QOL research. A within-subject experiment was conducted to see if, given a varying amount of discrepancy, participants would reveal whether or not satisfaction/dissatisfaction is related to the dimension of importance placed on the object. Forty undergraduate students at National Taiwan University participated in the current study. Results revealed that the association between have-want discrepancy and object satisfaction is stronger on the high important dimension than the less important dimension. Generally, the results were consistent with Locke’s range-of-affect hypothesis, revealing that a satisfaction evaluation has incorporated the judgment of item importance, suggesting that the procedure of importance weighting is unnecessary. This paper was a part of the first author’s Master’s Thesis.     

An Exploratory Study on the Quality of Life of older Chinese People Living alone in Hong Kong

This study successfully interviewed 109 randomly selected Chinese people aged 60 and over living alone in two public housing estates in an urban area of Hong Kong. The results show that mental health status, number of days staying in hospital, life satisfaction, age, and self-esteem are significant factors in predicting the life quality of older Chinese respondents living alone. The explanatory power of this model is 56.4. The results of this study are consistent with previous findings reported in the west and in Hong Kong. A subgroup analysis of those older Chinese respondents living alone who have offspring also living in Hong Kong shows that belief in childrens support in old age, good walking ability, and better self-reported health status via life satisfaction as the mediating variable, better self-reported health status and satisfactory self-reported financial status via self-esteem as the mediating variable, are crucial predictors of quality of life. This model explains 64.2% of the variance in quality of life from a subset of the predictor variables.     

The Relative Importance of Health

This article seeks to extend Michalos’ [Social indicators research and health-related quality of life (QoL) research. Social Indicators Research, 65, 27–72, 2004] discussion on bridging social indicators research and health-related QoL (HRQoL) research through an examination of (1) the relative importance of satisfaction with one’s own health to another common measure of QoL—Life satisfaction, and (2) the relative importance of health in relation to other major life domains. Using data from two surveys, this article found that individuals may perceive health as most important in relation to other major life domains but satisfaction with one’s own health may not necessarily be the most important determining factor (in relation to satisfaction with other major life domains) of QoL as measured by life satisfaction. These findings support Michalos’ (Social indicators research and HRQoL research. Social Indicators Research, 65, 27–72, 2004) call for caution regarding the interpretation of research results on HRQoL since many HRQoL measures are measures of satisfaction with one’s own health and should not be considered as measures of QoL.     

Identifying race and ethnicity in the 1979 National Longitudinal Survey of Youth

The 1979 National Longitudinal Survey of Youth is among the few surveys to provide multiple reports on respondents’ race and ethnicity. Respondents were initially classified as Hispanic, black, or “other” on the basis of data collected during 1978 screener interviews. Respondents subsequently self-reported their “origin or descent” in 1979, and their race and Hispanic origin in 2002; the latter questions conform to the federal standards adopted in 1997 and used in the 2000 census. We use these data to (a) assess the size and nature of the multiracial population, (b) measure the degree of consistency among these alternative race-related variables, and (c) devise a number of alternative race/ethnicity taxonomies and determine which does the best job of explaining variation in log-wages. A key finding is that the explanatory power of race and ethnicity variables improves considerably when we cross-classify respondents by race and Hispanic origin. Little information is lost when multiracial respondents are assigned to one of their reported race categories because they make up only 1.3% of the sample.

The analysis of early life courses: Complex descriptions of the transition to adulthood

The quantitative analysis of life courses has to deal with a complex pattern of interrelated events and trajectories. Such a complex pattern needs complex measurement tools, even if only to describe the experience of cohorts. This paper addresses the methodological issue of describing the transition to adulthood from a life course perspective, following an event-based definition. New proposals are developed and traditional approaches are discussed, using Italy as an example. A generalization of survivor functions for the analysis of the temporal relationships between two events is introduced and applied. The paper then deals with the problem of describing the process of transition to adulthood as a whole, making use of the sequence analysis approach with special emphasis on the empirical analyses of the ‘standardization vs individualization’ hypotheses.     

Personal Wellbeing Index in a National Cohort of 87,134 Thai Adults

Satisfaction with life correlates with other measures of subjective wellbeing and correlates predictably with individual characteristics and overall health. Social indicators and subjective wellbeing measures are necessary to evaluate a society and can be used to produce national indicators of happiness. This study therefore aims to help close the gap in wellbeing data for Thailand. The specific aims are to: (1) calculate the Thai PWI and domain scores using a large scale sample; (2) examine the level of life satisfaction of Thais when compared to international standards; (3) examine the Thai PWI and domains in relation to demographic, socioeconomic, and geographic characteristics. Our report derives from the findings on the Personal Wellbeing Index (PWI) in a large national cohort of Sukhothai Thammathirat Open University adult students living all over Thailand (n = 87,134). This Thai cohort had an overall PWI of 70.0 on a scale from 0 to 100 which is consistent with Western populations. The ‘spirituality and religion’ domain had the highest average score. ‘Standard of living’, ‘future security’ and ‘achievement in life’ made the largest contribution to overall ‘satisfaction in life as a whole’. These domains also show a positive trend with increasing age, being married, higher income, more education, more household assets, and rural residence. The PWI will be an important tool for policymakers to understand the subjective wellbeing of population groups especially as Thailand is undergoing a political and economic transition.     

Indonesia’s social capacity for population health: the educational gap in active life expectancy

In this paper, we lay the initial groundwork for anticipating Indonesia’s future burden of disease by developing a demographic model of population health. We develop this model within the analytic framework of a Markov-based multistate life table model to calculate an important indicator of the burden of disease, the expected years of active life of elderly Indonesians. The magnitude of the gap points to the potential consequences of improvements in the nation’s educational level for the future burden of disease. The results show that having some education increases life expectancy but it also expands the expected years with a major functional problem. Overall educational attainment levels, however, are very low, indicating that Indonesia’s elderly are at the leading edge of improvements in the nation’s social capacity for health. The life tables suggest that at the early stages of development, longer life is accompanied by an expansion of morbidity.     

Health Care Service Needs and Correlates of Quality of Life: A Case Study of Elderly Chinese Immigrants in Canada

This study explored the health care service needs and the major correlates of quality of life among 127 community-dwelling elderly Chinese immigrants in a western Canadian city. Participants were interviewed in their homes by trained, bilingual interviewers employing a structured questionnaire that covered a wide range of topics including health care service needs, living arrangements, health status, social network, life satisfaction, and socio-demographic information. Results demonstrated that ethnic nursing homes, senior centres that provide programs and services, and homemaker services were respondents’ major service needs. Multiple ordinary least-squares regression analysis revealed that respondents who emigrated from Mainland China and those who exhibited greater psychological well-being, reported being physically more mobile, perceived fewer service needs, and expressed satisfaction with the quality of their neighbourhood demonstrated higher levels of life satisfaction.     

The Well-Being of 12 - to 16-Year-Old Adolescents and their Parents: Results from 1999 to 2003 Spanish Samples

This study adopts satisfaction with life as a whole and satisfaction with specific life domains as indicators to analyse the relationships between the well-being of 12 to 16-year-old adolescents and some related constructs such as self-esteem, perceived control and perceived social support. Well-being indicators from a 2003 Spanish sample using an 11-point scale (N = 1,634) are compared with an equivalent 1999 Spanish sample using a 5-point scale (N = 1,618). The different results obtained from the 2003 sample with a Principal Component Analysis (PCA) using a shorter and a longer list of life domains are also discussed. A sub-sample of the adolescents’ results from the 2003 sample are compared with their parents’ answers, using the same well-being indicators. Using a list of 8 life domains, and despite the change of scale used, overall results show no relevant changes in adolescents’ satisfaction with life domains between 1999 and 2003 in Spain and are in agreement with normative data expected from western societies [Cummins: 1998, Social Indicators Research 43, pp. 307–334; Cummins et al.: 2001, Australian Unity Well-being Index (Australian Centre on Quality of Life, Deakin University, Melbourne)]. Adolescents’ overall life satisfaction has been shown to correlate consistently with the other well-being related constructs. However, it clearly decreases with age over the period studied. The results also show that increasing the list of life domains has a major impact on the structure of the results obtained. When we compare results from parents with those from their own child, outstanding differences in well-being appear between generations: few domain satisfaction dimensions show significant correlation between parents and children and more than 20% of the population studied shows high discrepancies in the answers in four domains.