Quality of life as a mediator of leisure activity and perceived health among older women

Despite consistent evidence to suggest that participating in leisure is associated with perceived health status among older adults, there have been few attempts to determine the possible underlying mechanisms in this relationship, including the role of quality of life (QoL). This study examined the role of perceived quality of life in the relationship between leisure and perceived health in older women. Correlations, regression, and mediation analysis were conducted on data from the Woman’s College Alumnae Women’s Health Study. Results indicate that QoL partially mediates the relationship between leisure and perceived health in older women. Findings further establish the link between leisure and perceived health with QoL playing an important role in the relationship.     

Revisiting the Structure of Subjective Well-Being in Middle-Aged Adults

Subjective well-being is a broad, multifaceted construct comprising general satisfaction with life, satisfaction with life domains (health, family, people, free time, self, housing, work, and finances), positive affect, and negative affect. Drawing on representative data from middle-aged adults (N = 738), the authors used three different structural models to analyze the interrelationships among these facets of subjective well-being. In a top-down model, a single factor representing global subjective well-being explained the correlations found among the more specific facets of subjective well-being and exerted the strongest influence on general satisfaction with life, satisfaction with health, and satisfaction with finances. In a bottom-up model, satisfaction with the latter two domains had the strongest effect on global subjective well-being. The authors discuss the implications of their findings for research on subjective well-being.     

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.     

Determinants of Health and the Quality of Life in the Bella Coola Valley

The aim of this investigation is to obtain some baseline self-reported data on the health status and overall quality of life of all residents of the Bella Coola Valley of British Columbia aged 17 years or older, and to measure the impact of a set of designated health determinants on their health and quality of life. In the period from August to November 2001, a variety of procedures were used to ensure that all eligible residents of the Valley received a copy of our questionnaire, and 687 useable questionnaires were obtained for our working dataset. Health status was measured by SF-36 and the U.S. Centers for Disease Control healthy days items. Thirty-one items were used to measure the Provincial Health Officer’s designated determinants of health in four clusters, namely, biological, social and economic, health behaviours and health services determinants. Quality of life was measured by satisfaction levels in 13 specific domains of life (e.g., family, financial security), four global items (e.g., happiness, life satisfaction) and one global Subjective Well-Being Index. Besides obtaining baseline figures on all our measures for the Valley, we made some comparisons among our figures and those from other areas, e.g., Prince George, BC. Most of the measures indicated that the health status and quality of life of Bella Coola Valley residents were lower than those of Prince George residents. For the sample as a whole, SF-36 scores on the eight dimensions ran from 82.3 (physical functioning) to 50.0 (social functioning), with a mean of 62.7. Residents in the Valley averaged 6.5 days in the past 30 in which their health was physically not good, 5.5 days when it was mentally not good and 4.1 days when their health limited their usual daily activities. Eleven percent of respondents described their general health as “excellent” and another 27% said it was “very good”. On a 7-point scale from 1=very dissatisfied to 7=very satisfied, respondents had average life satisfaction and satisfaction with the overall quality of life scores of 5.5. For specific domains of life, the lowest mean level of satisfaction was reported for federal and provincial government officials (3.3) and the highest was reported for living partners and personal safety around home (5.8). Regarding bivariate relations, each of the eight dimensions of SF-36 was significantly correlated with a single item measure of general health, and five of the eight were significantly correlated with the number of good health days. Happiness and the Subjective Well-Being Index were positively but moderately correlated with six of the eight dimensions, and life satisfaction was positively correlated with five. Age was negatively related to general health, but positively related to life satisfaction. Not being of aboriginal descent was positively related to all of the four global health indicators and to the Subjective Well-Being Index. Education was positively related to the four global health measures but not to the three global quality of life measures. The Social Support and Good Family Indexes were positively related to all seven global measures. There was a positive correlation between six of the seven global measures and the frequency with which respondents participated in activities sponsored by voluntary organizations. Frequency of smoking was negatively associated with every global dependent variable except the Physical Health Index. Frequency of skipping meals was negatively associated and average hours of sleep per night was positively associated with all seven global measures. Turning to multivariate relationships, the four clusters of health determinants explained from 12% (SF-36 Mental Health Index) to 24% (general health) of the variance in the dependent global health variables, and from 20% (happiness) to 26% (Subjective Well-Being Index) of the variance in the dependent global quality of life variables. Adding domain satisfaction scores to the total set of predictors allowed us to explain from 20% (SF-36 Mental health Index) to 29% (general health) of the variance in the dependent global health variables, and from 39% (happiness) to 62% (life satisfaction) in the dependent global quality of life variables. By including measures of social support and good family relationships in our set of health determinants, we practically guaranteed that the latter would be relatively strongly predictive of global quality of life.     

Your House,Your Car,Your Education: The Socioeconomic Situation of the Neighborhood and its Impact on Life Satisfaction in Germany

This study deals with the impact of socioeconomic conditions and social integration into a local neighborhood on individual life satisfaction in Germany. While the majority of ecological studies to date are based on very broad neighborhood concepts, using large research units for defining neighborhood the present study contains micro-geographic information on a representative sample of private households in Germany, including features of their respective residential environments. The data was derived from the German Socio-Economic Panel (SOEP) study and enriched with data from the Micromarketing-Systeme and Consult GmbH (microm) for the years 2000–2006. Our analyses reveal neighborhood effects on various facets of life satisfaction. Controlling for several covariates at the household and individual level, life satisfaction increases when a person lives in a neighborhood with a higher socioeconomic status. In addition, the individual gap between a person’s economic status and the status of the neighborhood also affects individual well-being. However, when comparing with other neighborhood aspects, the strongest effects on individual life satisfaction have social networks.     

Good Health is Not the Same as a Good Life: Survey Results from Brandon,Manitoba

The aim of this investigation was to obtain some baseline self-reported data on the health status and overall quality of life of a sample of residents of the city of Brandon, Manitoba aged 18 years or older, and to measure the impact of a set of designated health determinants, comparison standards and satisfaction with diverse domains of life on their health and quality of life. In May and June 2010, 2,500 households from the city of Brandon, Manitoba were randomly selected to receive a mailed out questionnaire and 518 useable, completed questionnaires were returned. Baseline health status data were obtained using the 8 SF-36 dimensions of health and 13 items from the United States Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System. Determinants of health and overall quality of life included measures of socializing activities, a Good Neighbourhood Index, Social Support Index, Community Health Index, a measure of free-time exercise levels, health-related behaviours, use of drugs, health care issues, a set of domain-specific quality of life items, a set of measures concerning criminal victimization, worries and behaviours concerning victimization and the basic postulates of Multiple Discrepancies Theory. Overall life assessment, dependent variables included Average Health, happiness, a single item measure of satisfaction with life as a whole, a single item measure of satisfaction with the overall quality of life, the Satisfaction With Life Scale, Contentment with Life Assessment Scale and a Subjective Wellbeing Index. Using multiple regression, we explained as much as 75% of the variance in Subjective Wellbeing scores and as little as 45% in happiness scores. Four clusters of health determinants explained from 20% (Happiness) to 44% (Average Health) of the variance in the dependent variables. Adding comparison standards and domain satisfaction scores to the set of health determinants increased our total explanatory power by only 2% points for Average Health (from 44 to 46%), but more than doubled our explanatory power for Happiness (from 20 to 45%) and for satisfaction with the overall quality of life (from 31 to 67%). As well, our explanatory power for the single item of Life Satisfaction increased from 34 to 66%, for the Satisfaction With Life Scale from 39 to 74%, for the Contentment With Life Assessment Scale from 36 to 60%, and for Subjective Wellbeing from 42 to 75%. This provided very clear evidence that self-perceived good health is not equivalent to perceived quality of life, confirming evidence reported in our earlier studies. The three most important take-home messages from this investigation are (1) in assessing the relative influence of any alleged determinants of health and the quality of life, different sets of alleged determinants will appear to be more or less influential for different dependent variables. Therefore, (2) researchers should use diverse sets of determinants and dependent variables and (3) it is a big mistake to use measures of health status as if they were measures of the perceived quality of life.     

Life Satisfaction of Middle-Aged and Older Chinese: The Role of Health and Health Insurance

The Chinese government has launched a series of health reforms to establish universal health insurance coverage, particularly for vulnerable groups, including middle-aged and older adults. However, the current public health insurance system is highly fragmented, consisting of different programs with different levels of premiums and benefits. We analyse whether the universal health insurance system increases the life satisfaction of middle-aged and older Chinese people and to what extent the type of health insurance affects the life satisfaction of this group. Our study is based on data from the China Health and Retirement Longitudinal Study, a nationally representative longitudinal survey of Chinese aged 45 and above, in 2011, 2013, and 2015. We find that the life satisfaction of middle-aged and older adults does not depend on having any health insurance coverage but varies with the type of health insurance coverage, controlling for potential confounding variables such as health status, occupation, hukou status, and other demographic variables. Individuals covered by the most generous program, the Government Medical Insurance, reported a higher life satisfaction. In comparison, individuals covered by the Urban Employee Medical Insurance, the Urban Resident Medical Insurance, and the New Rural Cooperative Scheme reported a lower life satisfaction by 0.155, 0.106, and 0.112 standard deviations, respectively. Our results suggest that establishing a more equitable health insurance system should be the next step in health reforms in China.

     

Health and Other Aspects of the Quality of Life of Older People

Celebrating the United Nations' International Year of Older Persons, in September 1999 a survey research project was undertaken throughout the Northern Interior Health Region (NIHR) of British Columbia. A total of 875 people completed 23-page questionnaires, the average age of the respondents was 69 and the range ran from 55 to 95 years. Responses to the SF-36 questionnaire indicated that for male respondents aged 55–64, the mean score for the 8 dimensions was 74.4. This mean was practically identical to that of the United States norm for such people (74.5) and lower than that for the United Kingdom (77.4). For male respondents aged 65 and older, the mean was 68.3. This was numerically higher but again practically the same as that of the norm for the United States (68.1). For females aged 55–64, the mean score for 8 dimensions was 73. This was superior to that of the United States norm of (70.6) for such people and lower than that for the United Kingdom (74.6). For female respondents aged 65 and older, the mean score was 65.4. This was practically identical to that of the United States (65.5).Comparing 18 average figures for our respondents on satisfaction with specific domains of life (e.g., financial security, health, friendships) and life as a whole with those of average adults in Prince George in November 1999, we found that in all but two cases the older people's scores were higher. Only in the cases of satisfaction with health and overall happiness were older people's scores lower, and the differences were not statistically significant.Eleven percent of our respondents reported that they had been a victim of a crime in the last year, compared to 38% in our 1997 adult victimization survey. Older people had a more benign view than ordinary adults of the growth of crime in their neighbourhood and city, although exactly 64% of both groups thought that crime had increased in Canada. Although older people had a more optimistic view than other adults of the increase in crime in their neighbourhoods, fewer of the former than the latter felt safe out at night. Nevertheless, compared to adults surveyed in 1997, the behaviour of respondents in our survey of older people was not as constrained by concerns of criminal victimization.Two or three of the 8 SF-36 health dimensions explained 37% of the variation in life satisfaction scores, 34% of variation in happiness scores, 34% in satisfaction with the overall quality of life scores and 22% in satisfaction with one's overall standard of living. In every case, Mental Health was the dimension that had the greatest impact on our four dependent variables.When all of our potential predictors were entered into a regression equation simultaneously, we found that they could explain 60% of the variance in life satisfaction scores, 44% in happiness scores, 58% in satisfaction with the overall quality of life scores and 59% in satisfaction with one's overall standard of living scores.     

Examining the Influence of the Wine Festival Experience on Tourists’ Quality of Life

Hosting events and festivals is the best way of providing the wine tourism experience. Wine festivals offer a wide range of experiences that are different from day-to-day living, offer a lifestyle package and are an indicator of lifestyle tourism experience. Tourists travel to wine festivals for wine and other leisure-related experiences, including opportunities for social and/or cultural experiences, interactivity and personal development. Therefore, wine festivals should provide an experience that can influence the quality of life (QoL) of the attending tourist. QoL is influenced by various life domains, which include social, leisure and recreational, intellectual, culinary, and travel life. By its nature, a wine festival is able to influence life domains, thereby decreasing or increasing the level of satisfaction with QoL, according to the level of satisfactory experience. The purpose of this article is to examine the influence of the wine festival experience on the QoL of attending tourists. The structural relationship between the wine festival experience on tourists’ QoL is shown in a structural equation model (SEM), which is based on the notion that the QoL of attending tourists will be influenced by their level of satisfaction in various life domains. A self-administrated questionnaire was distributed during the Wacky Wine Festival in Robertson South Africa. The data from 329 (N) eligible questionnaires was cleaned, captured and analysed using SPSS. Furthermore, Amos was used to test the structural model providing statistical support. From the study’s findings, managerial recommendations were made with the aim of maximising attending wine tourists’ QoL. The research contributes to the literature related to QoL.     

The Assessment of Quality of Life in Transitional Neighborhoods

Quality of life (QoL) is being considered as one of the fundamental concepts in contemporary era. It tries to assess the level of general welfare of the communities. Urban transitional neighborhoods possess specific situation and as a result present distinctive QoL. The major objective of this study is to identify and measure the QoL dimensions in urban transitional neighborhoods using both objective and subjective indices pertaining to Darvazeshemiran neighborhood of Tehran. In order to accomplish this and gather needed data, 244 questionnaires were distributed among Darvazeshemiran’s residents. This study suggests that there exists low level of QoL in the study area. That is 64.3 % of the residents were dissatisfied with the prevailing level of QoL. This in turn is associated with the transitional nature of this neighborhood. The residents were strongly dissatisfied with regard to the environmental qualification as opposed to accessibility status. Furthermore, this study identified five objective factors respectively regarding QoL. There exists low correlation between subjective and objective dimensions. That demands simultaneous consideration of both objective and subjective dimensions. It is argued that individual treatments of each could not accurately represent the QoL of residents.     

Comparing Self-Rated Health, Satisfaction and Quality of Life Scores Between Diabetics and Others Living in The Bella Coola Valley

Objective: To investigate the relative effect that diabetes has on self-rated health, satisfaction with various specific domains of life, and satisfaction with quality of life operationalized as happiness, satisfaction with life as a whole, and satisfaction with overall quality of life. Design: Mixed methods – mailed survey and chart review. Study Population: All people aged 17 years or older, residing in the Bella Coola Valley in September 2001 and having a chart at the Bella Coola Medical Clinic. Main outcome measures: Self-rated health, self-rated stress, rating of self-care received, global life satisfaction (Life as whole; Overall standard of living; Overall quality of life; and Overall happiness); and satisfaction with various domains of life. Results: A total of 968 useable surveys were returned for a response rate of 56 (968/1734). Age was negatively related to General Health, but positively related to Life Satisfaction. Not being of Aboriginal descent was positively related to all of the four global health indicators and to Subjective Well-Being. After accounting for age, race, and weight, we found that diabetics report significantly poorer self-rated health, and lower satisfaction with health scores compared to people without diabetes. Participants with diabetes who were the least compliant with their treatment regimens rated their current health significantly lower than those who were the most compliant. People with diabetes were, however, no more likely to be unhappy or dissatisfied with their lives as a whole or with the overall quality of their lives compared to people without diabetes. Among people with diabetes, however, those who used insulin did report significantly less satisfaction with the overall quality of their lives than those who didn’t use insulin. Conclusion: Diabetics understand they have poorer health than others, but they do not have poorer global life satisfaction scores. This may explain why it is difficult to get diabetics to adopt behaviours which may lower their quality of life – e.g., diet plans, lose weight, engage in exercise programs, or take medications.     

Health Condition and Quality of Life in Older Adults: Adaptation of Qolie-89

This study aimed at adapting the Questionnaire Quality of Life in Epilepsy (QOLIE-89 version 1.0: Vickrey et al., 1993), Quality of Life in Epilepsy QoLIE-89 RAND (Santa Monica, CA)] so that it may be used to measure quality of life (QoL) of older adults, healthy or suffering from various chronic illnesses. The participants were 202 older adults recruited from the Pathology Clinic of a general hospital in Thessaloniki, Greece, and from Community Centers for Older adults. The mean age was 71 years. Of them, 51 suffered from diabetes, 50 from cardiovascular disease, 52 suffered from arthritis/myoskeletal diseases, and 49 were healthy. The QOLIE-89 inventory comprises 89 items that measure 17 topics. Exploratory factor analysis revealed 3 factors, namely, health (i.e., physical health and functioning), cognition, and social behavior. Cronbach’s α for the various topics in each group of participants ranged from 0.60 to 0.90 with a number of exceptions with very low α. Concurrent validity was tested through correlations with measures of subjective well being, affect, life satisfaction, and adaptation to old age. A series of ANOVAs showed differences between the healthy and the chronic illness groups of participants but no clearcut differences between the three chronic illness groups. Further study on the adaptation of QOLIE-89 is needed so that its potential as a general measure of QoL in older adults is determined.     

Health and the Quality of Life

The aim of this investigation was to explain theimpact of peoples self-reported health on theirlevels of satisfaction with their health, and theimpact of these things plus satisfaction with otherspecific domains of their lives on the perceivedquality of their lives. The latter was operationalized as general happiness, satisfactionwith life as a whole and overall satisfaction with thequality of life. Seven hundred and twenty-three (723)usable questionnaires returned from a mailout randomsample of 2500 households of Prince George, BritishColumbia in November 1998 formed the working data-setfor our analyses. Among other things, mean respondentscores on the SF-36 health profile were found to belower than published norms from the UK, USA,Netherlands and Sweden, but higher than scores fromAberdeen, Scotland. Mean scores on the CES-Ddepression scale also indicated that our respondentstended to have more depressive symptoms thancomparison groups in Winnipeg and the USA. A review oftrends in mean scores on 17 quality of life items(e.g., satisfaction with family life, financialsecurity, recreation, etc.) from 1994, 1997 and 1998revealed that there were only 7 statisticallysignificant changes across the four year period andthey were all negative. Multivariate regressionanalysis showed that health status measured with avariety of indicators could explain 56% of thevariation in respondents reported satisfaction withtheir health. A combination of health status plusdomain satisfaction indicators could explain 53% ofthe variation in respondents reported happiness, 68%of reported life satisfaction and 63% of reportedsatisfaction with the overall quality of life. Sixtypercent of the explained variation in happiness scoreswas attributable to self-reported health scores, whileonly 18% of the explained variation in satisfactionwith life and with the overall quality of life scoreswas attributable self-reported health scores.     

Importance is Not Unimportant: The Role of Importance Weighting in QOL Measures

The effect of relative domain importance as a weighting mechanism in quality of life (QoL) measures has been a topic of debate for decades. Studies investigating the role of domain importance in QoL measures have produced mixed results. The mixed results may very well be the consequences of a limited choice of global satisfaction or QoL measures, measurements of domain satisfaction, measurements of domain importance and weighting approaches applied to date. This study investigated the effect of importance weighting without assigning any arbitrary weighting function of domain importance. A cluster analysis was first used to classify individuals into groups, based on their perceived importance of various life domains, and then the relationship between global life satisfaction measure and the composite of domain satisfaction scores between these groups was compared. Results of this study showed that the relationship between global life satisfaction and composite of satisfaction scores did not remain consistent for respondents with different importance rankings of major life domains, which suggested an important effect of domain importance in QoL measures.     

Exploratory Study on Drug Users’ Perspectives on Quality of Life: More than Health-Related Quality of Life?

In drug treatment outcome literature, a focus on objective and socially desirable indicators of change (e.g. no drug use) has predominated, while outcome indicators that are important for drug users themselves (e.g. quality of life, satisfaction with treatment) have largely been neglected. Nonetheless, Quality of Life (QoL) has become an important concept to evaluate effectiveness of treatment in mental health care research and disability studies. Given the almost exclusive focus on Health-related Quality of Life (HRQOL) in substance abuse research and the neglect of clients’ perspectives in this field, we explore in this study the concept of QoL as perceived by drug users. Focus group discussions (n = 9) were organised in various treatment settings and community services for drug users in the region of Ghent, Belgium to identify important dimensions of QoL and their interpretation by drug users. Data were clustered and analysed based on the theoretical framework of Robert Schalock (Quality of life. Volume 1: Conceptualization and measurement, 1996). The domains ‘personal relationships’, ‘social inclusion’ and ‘self-determination’ were discussed most frequently by the participants. They stressed the importance of a supportive social network in particular. It can be concluded that QoL is not primarily associated by drug users with health and it involves much more than the aspects typically represented in measures of HRQOL.     

A first glance into the black box of life satisfaction surrounding childbearing

The vast majority of studies looking into the relationship between childbearing and subjective well-being use overall measures where respondents either report their general level of happiness or their life satisfaction, leaving substantial doubt about the underlying mechanisms. However, life satisfaction and happiness are intuitively multidimensional concepts, simply because there cannot be only one aspect that affects individuals' well-being. In this study, by considering seventeen specific life satisfaction domains, these features come out very clearly. Whereas all the domains considered matter for the overall life satisfaction, only three of them, namely satisfaction with leisure, health and satisfaction with the partnership, change dramatically surrounding childbearing events. Even though we cannot generalise (since these results stem from one particular panel survey, i.e., Household Income and Labour Dynamics in Australia data), it appears that the typical anticipation and post-child decrease of life satisfaction, so often found in existing studies, stems from changes in these three domains.

     

中国老年人闲暇活动参与状况及其影响因素分析

闲暇活动是老年人的重要生活内容,对提高老年人的身心健康有着显著作用。利用中国老龄科研中心在2000年和2006年实施的＂中国城乡老年人口状况一次性抽样调查＂数据和＂中国城乡老年人口状况追踪调查＂数据,本文重点分析了我国老年人闲暇活动的参与状况及其影响因素。分析结果表明：我国老年人在闲暇活动的参与上明显表现出活动内容单一和追求＂解脱＂的特点;人口因素、社会经济因素、健康因素、设施环境因素对老年人的闲暇活动参与状况有着显著影响;在提高老年人的闲暇活动参与上,要强调生命历程的观点,并要在加强老年文化活动设施建设的基础上,进一步针对老年群体的特点丰富相应的活动内容。     

Parallels Between Objective Indicators and Subjective Perceptions of Quality of Life: A Study of Metropolitan and County Areas in Taiwan

This study explores the consistency between objective indicators and subjective perceptions of quality of life in a ranking of survey data for cities and counties in Taiwan. Data used for analysis included the Statistical Yearbook of Hsiens and Municipalities and the Survey on Living Conditions of Citizens in Taiwan, both given for the year 2000. The Quality of life was examined in seven domains: medical services, domestic finances, work, education, leisure, public safety, and environmental quality. Subjective and objective rankings for each domain of quality of life for 23 areas (some areas are cities and some are counties) are compared. Analysis by means of nonparametric correlation coefficients indicates that there is no significant correlation between objective indicators and subjective perceptions, except in Education and Environmental Quality. Objective indicators of Environmental Quality (air pollution and garbage) are positively correlated with subjective satisfaction with residential environment. But inexplicably, higher levels of literacy and educational achievement are negatively correlated with satisfaction with the educational system. It may be considered that disparity in either average objective conditions or in average subjective perceptions may not adequately depict quality of life differences.

Models of well-being and ill-being

The purpose of this paper is to present models of well-being and ill-being which integrate the effects of different types of independent variables. Using the more powerful techniques provided by the LISREL software, the paper replicates and extends analysis previously reported in SIR (Headey, Holmstrom and Wearing, 1984a). A preliminary issue is whether well-being and ill-being constitute different dimensions or whether they are polar opposites. Factor analytic evidence, derived from two waves of an Australian panel study (1981, 1983) with samples of 942 and 878 respectively, confirms that indicators of well-being and ill-being form distinct, although not orthogonal dimensions. In the models of well-being and ill-being estimated from the panel data, we attempt to integrate research dealing with the impact of social background, personality, social networks and satisfaction with particular domains of life. Two key personality traits which influence both well-being and ill-being are self-esteem and personal competence. Social background (SES) has greater influence on ill-being than well-being. Having a well-developed social network, on the other hand, contributes more to enhancement of well-being than relief of ill-being. This is largely because a rich social network is associated with satisfaction with leisure, friends and marriage, which themselves are the life domains most closely connected to feelings of well-being. By contrast, the domain of health is relatively closely associated with ill-being. The conclusion discusses public policy implications of the finding that well-being and ill-being have different correlates and causes. Conventional welfare policies are designed to relieve ill-being. Quite different policies (“positive welfare” policies) are required to enhance well-being.     

A Perception Survey for the Evaluation of Urban Quality of Life in Kocaeli and a Comparison of the Life Satisfaction with the European Cities

Studies on urban quality of life (QoL) have been attracting lots of attention from various countries due to the deterioration of urban environment and decrease of the urban QoL. These studies that have been supported by international organizations such as United Nations, World Bank, OECD, European Commission and EUROSTAT (European Statistics) involve comparative assessment of life satisfaction in the European cities and comparing cities facilitate the exchange of experiment and improve the quality of local policies. The main objective of this study is to measure the local perceptions of QoL in Kocaeli, which is one of the important industrial cities of Turkey and compare the life satisfaction with the European cities. Generally, two different types of indicators have been used: objective and subjective indicators. The objective indicators cover five fields: socio-economic aspects, participation in civic life, education and training, environment and culture, and leisure. The subjective indicators are mainly for valuation of QoL perceptions in a city. In this research, a perception survey will be carried out to measure the local perceptions of QoL in Kocaeli. This survey will present on issues for which the residents in the Kocaeli had widely diverging opinions: employment opportunities, housing costs, safety, cleanliness of city, public transport, air quality and overall satisfaction with the QoL of their city. Thus, the study will become a major reference for local officials to improve QoL in Kocaeli and contribute to researches on QoL in cities.