A test of the utility of social indicators for behavioral health service planning

Given current imperatives for more effective, responsive, and economical government, policy planners and administrators are seeking increasing assistance from social scientists. Here the usefulness of social indicators to the processes of policy planning and implementation in the delivery of mental health, alcohol and drug abuse services is investigated to determine whether social indicator data can contribute to more effective policy planning. In a two part study, the relationship between social indicators and Specific sources of these data were: population total, subdivided by geographic area and race (Caucasian, Black, and Other, which in Arizona is virtually all Native Americans) from the 1975 special census; population by age and ratio of dissolutions to marriages from the Arizona Statistical Review for 1977; crime rates from the Arizona State Justice Planning Agency for 1975; and cause of death rates from the Bureau of Vital Statistics, Arizona Department of Health Services for 1975. Subjective measures of psychological well-being were not available for the internal validational component of the study. state wide service utilization rates and The Negative Affect Scale measures the individual's level of anxiety, worry, loneliness, and sadness, and is associated with other measures that have been used in epidemiological studies to identify persons with psychological difficulties. The Psychiatric Screening Inventory assesses an individual's level of psychiatric impairment as evidenced by the frequency with which he or she reports having experienced each of the 22 psychological and psychosomatic symptoms on the scale. It has also been used in numerous epidemiological studies to investigated levels of impairment among various populations. The Positive Affect Scale reflects the degree to which the person is involved with, interested in, and experiences control over his or her physical and social environment. Active involvement with the world and frequent social participation are considered to be conducive to the experience of positive affect. The Perceived Quality of Life Scale measures the degree to which the persons is satisfied with the quality of his or her life. The score on this scale is a composite of the respondent's level of satisfaction in different areas of life such as standard of living, health, personal functioning, and family life. The greater the satisfaction in these separate areas, the higher will be the individual's overall evaluation of the quality of his or her life. psychological well-being in the community is examined. Both objective and subjective social indicators were studied. Both types of indicators were found to be useful and complementary in identifying service needs and states of well-being in the community.     

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.     

Quality of life

What is sought is a definition of Quality of Life (QOL). Other authors have defined QOL in terms of actual happiness or perceived satisfaction/dissatisfaction. The present paper defines it not as a summation of the individual happiness-states of all members of a society, but as the obtaining of the necessary conditions for happiness throughout a society. These conditions being necessary not sufficient, high QOL is compatible with actual unhappiness. The necessary conditions in question are identified with the availability of means for the satisfaction of human needs rather than human desires, and a Maslowian analysis of the former is proposed in default of ay more satisfactory analysis. The paper concludes with a discussion of how maximizing needsatisfaction (as opposed to want-satisfaction) automatically guarantees fair distribution of needed goods. This ensures that in at least some respects high-QOL societies are societies characterized by justice.     

New money,and old man/lady and ‘Two's company’: Subjective Welfare in the NORC General Social Surveys, 1972–1982

The nine surveys, dozens of variables, and more than ten thousand cases in the NORC General Social Surveys, 1972–1982, allow one to test a variety of cross-sectional and over-time hypotheses about Subjective Welfare (Happiness). I used discrete multivariate analyses to test five hypotheses: (1) the Economist's prediction that Happiness is a function of income; the Sociologist's hypotheses that Happiness is a function of (2) rank on various evaluated dimensions and (3) number of social ties; and the Psychologist's hypotheses that Happiness is affected by (4) social comparisons and (5) adaptation. None of the five is supported impressively, but three variables emerge as good cross-sectional predictors — Race (Blacks are less Happy, but not necessarily because of discrimination), Marital Status (all categories of nonmarried are less happy) and Financial Change (those whose finances are improving are happier, those who finances have turned for the worse are less happy). When Marital Status and Recent Financial Change are used in a year-to-year social indicator model, fluctuations in the predictors produce significant but small changes in Happiness.     

Plans for the 1971 census of Canada

This article describes the plans which have been developed for the Census of Canada to be taken June 1, 1971. One of the most important features of this census will be the use of the Self-enumeration technique for the great majority of respondents. Other topics touched upon include the User Liaison Programme which established requirements, the Testing Programme which determined the methodology and some highlights of the Data Collection and Processing Phases of the operation. There is a brief discussion of the use of sampling in 1971 with particular emphasis on the benefits to be derived in increased quality and reliability of data, increased timeliness and reduction in respondent burden. The Quality Control procedures are described. The Post-censal Evaluation and Data Dissemination programmes are also dealt with.     

The effect of the Great Blackout of 1965 on births in New York City

A comparison of the number of births in New York City nine months after the Great Blackout of 1965 with comparable periods for the previous five years shows no increase in births associated with the blackout.     

A pilot study in the use of the quality of life interview schedule

The purpose of this study was to refine the Quality of Life Interview Schedule (QUOLIS¢) approach to measuring the quality of life of developmentally handicapped adults who are unable to complete a written questionnaire or a verbal interview. Emphasis was placed on the evaluation of intra- and inter-rater agreement. Ten interviews were conducted. Informants were primarily parents and residential counselors. The results indicate that the QUOLIS¢ approach is generally acceptable to informants, the rating scales are sensitive, and the majority of scores have substantial to almost perfect correlations of intra- and inter-rater agreement.     

Nowcasting Indicators of Poverty Risk in the European Union: A Microsimulation Approach

The at-risk-of-poverty rate is one of the three indicators used for monitoring progress towards the Europe 2020 poverty and social exclusion reduction target. Timeliness of this indicator is critical for monitoring the effectiveness of policies. However, due to complicated nature of the European Union Statistics on Income and Living Conditions (EU-SILC) poverty risk estimates are published with a 2–3 years delay. This paper presents a method that can be used to estimate (“nowcast”) the current at-risk-of-poverty rate for the European Union (EU) countries based on EU-SILC microdata from a previous period. The EU tax-benefit microsimulation model EUROMOD is used for this purpose in combination with up to date macro-level statistics. The method is validated by using EU-SILC data for 2007 incomes to estimate at-risk-of-poverty rates for 2008–2012 and to compare the predictions with actual EU-SILC and other external statistics. The method is tested on eight EU countries which are among those experiencing the most volatile economic conditions within the period: Estonia, Greece, Spain, Italy, Latvia, Lithuania, Portugal and Romania.     

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.     

Evaluation of family planning program performance: A critical review

Family Planning Program Evaluation is not a well-developed art, much less an exact science. The evaluation of the performance of such programs has received a good deal of attention but the methodologies are still controversial and the results inconclusive. This is due to a wide variety of constraints, not all of which are technical, and most of which are not unique to family planning. The prospects for improvement of FPPE depend, to a great extent, on overcoming these constraints.     

The effects of formal church affiliation and religiosity on the fertility patterns of Mexican-American catholics

The effects of religion on the fertility patterns of Mexican Americans are examined with two different path models, the Institutional Model using formal affiliation with the Roman Catholic Church as a measure of religion, and the Religiosity Model using a measure of religiosity. Each model, tested separately for husbands and wives, examines the effects of religion on types of contraceptive methods used and on wanted family size. Although the majority of Mexican Americans are Catholics and tend to have large families, religion does not seem to have the same effect on their fertility patterns as on that of other Catholics in the United States. Among the men, neither formal affiliation nor religiosity affect the fertility patterns in any way, while among the women the effect is slight. Considering the Catholic Church’s position on contraceptive usage, it is especially noteworthy that religion does not affect the use or non-use of the more effective means of contraception, a factor contributing to the generally weak association between the measures of religion and wanted family size. The last section attempts a partial explanation of why the results turned out as they did.     

Urbanization and de-urbanization of the black population before the civil war

Pre-Civil War black urbanization is examined using data from federal census records, 1790 to 1860. The black population is found to be as urban as the white population initially, but its urbanization underwent relative decline in the last two decades before the Civil War. Foreshadowing current patterns, the northern black population was heavily concentrated in the largest cities, and the free black population was the most urban of all groups. The timing of black urban decline in the North, as well as regional and size of place differences in that decline, suggest that both competition with immigrants in major eastern seaboard cities and the passage of the Fugitive Slave Law in 1850 contributed to black de-urbanization. For the South, the explanations of black urban decline proposed by Wade, Conrad and Meyer, Goldin, and Bonacich are evaluated, and Bonacich’s split labor market theory is judged to be most consistent with the demographic trends.     

The Philippine social indicators project

The Social Indicators Project of the Development Academy of the Philippines (1974) aimed to formulate a measurement system capable of objectively depicting periodic changes in national development. It identified the following as basic Philippine social concerns: (1) Health and Nutrition, (2) Learning, (3) Income and Consumption, (4) Employment, (5) Non-human Productive Resources, (6) Housing, Utilities, and the Environment, (7) Public Safety and Justice, (8) Political Values, and (9) Social Mobility. This list is unique in considering political welfare. A multi-disciplinary research team selected 30 major indicators pertinent to these concerns. Although the majority are already encompassed by the Philippine statistical system, certain new indicators were proposed, including disability due to illness, human capital created by schooling, net beneficial product, families below a food threshold, an index of housing adequacy, an air pollution index for Greater Manila, an index of perceived public safety, indices of political mobility and efficacy, and indices of occupational mobility and perceived social mobility. A survey of 1000 households was used to demonstrate the feasibility of gathering needed new primary data, particularly those attitudinal in nature. An analysis of time series showed that certain aspects of Philippine welfare have been notably improving, but that others have been worsening; the direction of national progress can only be ascertained by admitting value-judgments on the relative importance of the several components of welfare.     

Social indicators and spatial disparities in Papua New Guinea

This study attempts to identify and classify the 87 districts of Papua New Guinea by their levels of development. With the aid of factor analysis applied to 30 elementary indicators, six major dimensions or features associated with development are uncovered. The factor scores of the more important features (education status, urbanization, nutrition status) are mapped. Various measures are used to compute the overall status of a district. Next cluster analysis is used to classify districts on the basis of their similarity on certain combinations of attributes. Comments are made on the agricultural and urban sectors in the context of Papua New Guinea's first 5-year National Development Plan. A set of possible planning regions comprising the less developed districts is suggested.     

Indicators of societal concern for mentally retarded persons

Mentally retarded persons, as a sub-population found in every culture, provide a test of a society's manner of coping with its deviant members. To obtain an objective device for measuring societal treatment, the present effort was to develop and validate a set of indicators of concern. Although the immediate applicability is at the level of the individual state (within the United States), the instrument is adaptable for comparison across nations as well as the discernment of trends over time. After the crucial first step of conceptualization, the task was to obtain consensual validation from a representative group of authorities. With a few exceptions, the respondents reactions did validate the assumptions and value-orientations of the instrument. Beyond the specific responses item by item, it was possible to infer consensual judgments on a number of underlying themes; and the individual volunteered comments supported the interpretations. The final step was to re-formulate the instrument, on the basis of the responses, in such a way as to permit the gathering of factual and quantitative information. The outcome was a series of 105 items, grouped under eight headings: Living Arrangements; Economic Security; Health Services; Education; Social Services; Work; Legal Rights and Liberties; Government Services and Funding.     

Disparities in levels of regional development in Ghana

The paper highlights the need for the use of indicators other than Gross-Domestic Productive and its derivatives to measure development. It reviews some of the techniques for analysing socio-economic indicators and selects the Wroclow Taxonomic Analysis for more detailed analysis. The main attributes of this technique are presented and the model is then applied to measure the levels of development of the regions in Ghana. Applying the Wroclow Taxonomic Technique to 10 socio-economic variables the paper finds that the Greater Accra Region, which is the seat of the Central Government, is far more developed than any other region. It categorizes the regions into four groups: More Developed Region, Developed Regions, Developing Regions and Less Developed Regions. It thus provides a basis for regional development in Ghana as well as a pattern for equitable distribution of the ten social amenities on a regional basis.     

Rethinking population distribution policies

Developed and developing nations are generally dissatisfied with the spatial distributions of their populations. Dissatisfaction is particularly acute on the part of developing nations which view their problems of population distribution as more serious than those of natural increase. The overwhelming majority of governments have already adopted policies to affect rates and patterns of internal migration or the configuration of their rural and urban populations. However, recent reviews of these policies suggest they have been only partially successful. Apparent policy deficiencies are reviewed and possible remedies suggested in regard to the need for intervention, the scope of policies, their objectives, instruments, and evaluation.     

The contribution of medical measures to the decline of mortality from respiratory tuberculosis: An ageperiod-cohort model

The decline of mortality in the more developed nations has been related to two major influences, economic development and the introduction of medical measures. The contribution of medical measures has been a source of continuing controversy. Most previous studies employ either a birth cohort or calendar year arrangement of mortality data to address this controversy. The present study applies an age-period-cohort model to mortality from respiratory tuberculosis in England and Wales, Italy, and New Zealand in an attempt to separate economic influences from that of medical measures. The results of the analysis indicate that while the overall contribution of medical measures is small when examined by calendar year, specific birth cohorts both in Italy and in England and Wales benefited substantially from these measures. The environmental conditions in New Zealand, however, were such that the introduction of medical measures barely affected declining mortality levels from respiratory tuberculosis.     

Self reported morbidity in London and Manchester: Intra-urban and inter-urban variations

Evidence of self reported morbidity from two household surveys, carried out in London and Manchester is discussed. These data permitted intra-urban and interurban comparisons of patterns of morbidity reporting. The morbidity reported in response to two different instruments is compared: for the items used in the British General Household Survey (GHS) Health Section, and for the Nottingham Health Profile. The results from the London survey are analysed in more detail to examine the nature of self reported morbidity in the inner and outer city. The influence of interviewer effects is analysed, showing that the GHS items were more liable to interviewer effect than the NHP. The type and number of illnesses reported in response in response to the GHS also appeared to vary between the inner and outer London samples: The NHP appeared to be less affected by interviewer effects and variation in interpretation.