The Relative Contribution of Health Status and Quality of Life Domains in Subjective Health in Old Age

To analyze the influence of different health status dimensions and quality of life (QoL) domains on older adults’ subjective health, and to assess the role that residential satisfaction plays in these relationships. A QoL survey was conducted on a representative sample of the community-dwelling older adult population in Madrid province (Spain). Logistic regression models were applied to studying: the health status dimensions associated with satisfaction with health; the relationship between satisfaction with health and other QoL domains; and, the influence of these domains on satisfaction with life. Sociodemographic and residential characteristics were included in all the models. The determinants of satisfaction with health in the first model were: mobility, usual activities, morbidity, and satisfaction with neighborhood. QoL domains associated with health were: leisure activities, neighborhood, and finances. Satisfaction with life was explained by these three domains, along with age, family and health. In sum, leisure, neighborhood, and finances showed a positive effect on satisfaction with health and with life.     

A Gender Lens on Quality of Life: The Role of Sense of Community,Perceived Social Support,Self-Reported Health and Income

Quality of life (QoL) refers to a subjective evaluation that is embedded in a cultural, social and environmental context. It is a multidimensional concept and its assessment covers four domains: physical health, psychological health, social relationships, and environment. Although many studies report on QoL, literature rarely addressed the question of the QoL predictors from a gender perspective. Present study aimed at investigating gender differences in the determinants of QoL. Specifically, gender was considered as a moderator in the relationship between predictors of QoL (i.e. socio-demographic characteristics, perceived health, income, social support and sense of community) and each dimension of QoL. 654 Italian adults participated in the study. Results show that men outscore women on the physical, the psychological and the environmental domains of QoL. Considering determinants of QoL, sense of community and self-reported health operate in a similar fashion for both genders. On the contrary, social support is more predictive for women’s QoL, whereas the income level is more significant for men’s QoL. Implications are discussed.     

The Relationship Between Physical Activity and Perceived Health Status in Older Women: Findings from the Woman’s College Alumni Study

Using data collected from the Woman’s College (WC) Alumni Study, the purpose of this study was to determine whether perceived health status is related to physical activity in older women. A multiple linear regression analysis was conducted to examine the relationship between amounts of physical activity and self-reported health status. The results of the current study reveal that the level of physical activity is significantly correlated with perceived health status. The findings of this study have implications for the assessment of older individuals’ health and may lead to interventions that are tailored to increase physical activity among older women.     

Quality of life and sexual function in postmenopausal women

This study examined the relationship between quality of life (QoL) and sexual function among postmenopausal women. As a cross-sectional study, it was conducted among 405 postmenopausal women selected using a multistage sampling method. The data-collection tools were the Female Sexual Function Index (FSFI) questionnaire, the WHO Quality of Life-BREF (WHOQOL-BREF) questionnaire, and a researcher-administered questionnaire. Sexual dysfunction was observed in 61% of the participants. The total scores of FSFI had a positive correlation with the WHOQOL-BREF total scores and all QoL domain scores. Therefore, sexual function needs to be covered by health-care packages aiming to improve postmenopausal women’s QoL.     

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.     

Quality of Life in Older Adults: Benefits from Caring Services in Hong Kong

Many older adults are in need of care. Therefore, older people would generally benefit from the use of caring services, notably including home care, residential care, nursing, and medical services. The contributory factors underlying caring services tend to be a caring perspective that aspires to sustain older people’s social relationships and real-life involvement. To gauge the benefits from various social and health services, the present study relies on a large-scale survey of 3000 older adults in Hong Kong, using quality of life as a criterion. Results showed that an older adult who had used (ordinary or enhanced) home care services for a longer time turned out to have appreciably more improvement in quality of life. Besides, those who joined an interest group more frequently were higher in quality of life, including the health domain. On the other hand, frequent use of medical and meal-to-home services were signals that reflected problems detrimental to the older user’s quality of life. Despite this, the quality of clinics or hospitals, as perceived by the older adult, was the most beneficial. As such, caring services that foster older adults’ interests, cater to their health care needs, and embody quality can have principal contribution to their users’ quality of life.     

The Perceived Role of ICTs in Quality of Life in Three Chinese Cities

This study assesses the perceived role of information and communication technologies (ICTs) including the Internet, mobile telephone, CD/MD/MP3, television and VCR/VCD/DVD in raising quality of life (QoL). A comparison is made between three Chinese cities, namely, Beijing, Taipei and Hong Kong, to see if differences exist in the perceived value of various forms of ICTs in the three cities, which share Chinese culture but different levels of development. Household interviews with probability samples were conducted in the three cities in 2002–2003. The findings show that the Internet and mobile phone are considered as the most and second most important medium respectively in raising quality of life in all three cities, while television ranks third and other ICTs trail behind. Based on the findings, the authors advance four propositions for the perceived role of ICTs in QoL. First, there are four basic needs related to ICT’s role in QoL. These “ICT-QoL” needs are the need for interaction, need for being in touch, need for instantaneous communication, and need for entertainment. Second, people’s assessment of an ICT’s value in raising their QoL varies with the penetration rate of that ICT—the higher the penetration, the more positive is the assessment of that ICT’s role in QoL. Third, the perceived value of an ICT in QoL declines with time—the longer the ICT has been around after reaching full penetration rate, the lower the value is attached to its contribution to QoL. Finally, education has strong influences on the assessment of the Internet’s role in QoL. Highly educated people tend to value the Internet most as a QoL raiser irrespective of the city they reside in. As a QoL raiser, the Internet is favored more by highly educated while mobile and fixed phone are favored more by lowly educated people.     

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.     

Ageing, Leisure, and Social Connectedness: How could Leisure Help Reduce Social Isolation of Older People?

This study investigates the relation between leisure activities and the social status of the elderly based on a heterogeneous sample of the Dutch population. Close relationships are also analyzed to identify which people could serve as successful stimulators of leisure participation. The social profile confirms that older people have fewer social contacts and often feel lonely. This study shows that leisure activities explain a significant part of older people’s social connectedness. Voluntary work, cultural activities, holiday, sports, reading books, hobbies and shopping are found to be successful predictors for social connectedness of older people. Watching TV, listening to the radio, and spending time behind the computer (passive activities) were not associated with social connectedness. Friends correlate positively to participation in leisure activities. Partners play a role in participation in cultural activities and sports; parents play a role in participation in voluntary work and holidays; siblings play a role in voluntary work and sports; and children play a role in cultural activities, reading books, and shopping. Local communities can use these close relationships and develop special programs to increase social connectedness and hence improve quality of life for older adults.     

Promoting Older Women's Health and Well-Being Through Social Leisure Environments: What We Have Learned from the Red Hat Society®

ABSTRACT

The purpose of this study was to describe the ways that participation in a leisure organization contributed to the health and well-being of middle-aged and older women. We analyzed 1,693 members' responses to a query about meaningful experiences garnered through participation in the Red Hat Society®. Results suggested that older women's lives have been enriched and changed by their experiences, with the women in this study citing multiple psychosocial health benefits from their participation in the Red Hat Society®. Main themes encapsulating these health benefits were creating happy moments, responding to transitions and negative events, and enhancing the self. These findings are related to research on positive psychology, social support and coping, transformative leisure processes, and social identity formation. We conclude by providing suggestions for applying these findings to leisure and health promotion programming to enhance women's health and well-being in later life.     

Perceived Quality of Life and Self-Rated Health among First-Year University Students

This study compares health status and qualityof life assessments of first-year universitystudents with those of their same-age workingcounterparts. Subjects and materials for eachgroup were gathered in 1999 from twocross-sectional data sets from the Swedishregion of Östergötland, covering malesand females aged 20–34 years. Subjects'perceived quality of life (QoL) and self-ratedhealth (SRH) were assessed on a 10-point scale(Ladder scale) and a five-point scale,respectively. Gender-based comparison revealedthat, for both males and females, first-yearuniversity students' average perceived QoL waslower than that of their working counterparts(p < 0.0001 in all instances). A higherproportion of students than expected ratedtheir health as ``average' or as ``low'(p < 0.0001). Perceived QoL was significantlycorrelated with SRH in both groups. Differencesin perceived QoL and SRH exist between studentsand their full-time working peers, and thedeterminants of these differences deservesgreater attention. Knowledge of thedeterminants of SRH and perceived QoL amonguniversity students might then be translatedinto sound and effective public-health practiceand intervention programs.     

Determinants of quality of rural life in Nigeria: The women's view

This study investigated rural women's perception of quality of life. The study attempted to determine (a) the extent to which rural women in Nigeria actually understand the term “quality of life’, (b) the components of a good quality of rural life in Nigeria and (c) to compare the present quality of life with that enjoyed by the last generation. Based on a sample survey of 308 rural women in eleven villages in Oyo State; the study found that the ability to have plenty of children, good health, wealth and good personality were highly perceived as measures of essential components of quality of life in rural areas. Overall, the women indicated that their present living conditions in rural areas were better than the conditions in which the last generation lived.     

Promoting older women's health and well-being through social leisure environments: what we have learned from the Red Hat Society

The purpose of this study was to describe the ways that participation in a leisure organization contributed to the health and wellbeing of middle-aged and older women. We analyzed 1,693 members' responses to a query about meaningful experiences garnered through participation in the Red Hat Society. Results suggested that older women's lives have been enriched and changed by their experiences, with the women in this study citing multiple psychosocial health benefits from their participation in the Red Hat Society. Main themes encapsulating these health benefits were creating happy moments, responding to transitions and negative events, and enhancing the self. These findings are related to research on positive psychology, social support and coping, transformative leisure processes, and social identity formation. We conclude by providing suggestions for applying these findings to leisure and health promotion programming to enhance women's health and well-being in later life.     

A Systematic Review of the Assessment of Quality of Life in Adolescents

This study examined how the quality of life (QoL) affects an individual’s disaster preparedness behavior (PB); furthermore, it also considered and examined the mediating effects of trust in government (GT) and the moderating effects of self-efficacy (SE). One way analysis of variance (ANOVA) was applied to test the differences in QoL, GT, SE, and PB, by socio-demographic, and the study hypotheses were verified by using hierarchical regression analysis based on 1682 samples. The Johnson–Neyman technique was used to test the conditional effects of SE on QoL and PB. All the hypotheses presented in this study were supported: (1) QoL had a positive effect on PB; (2) QoL had a positive effect on GT; (3) GT had a positive effect on PB; (4) GT mediated the relationship between QoL and PB; (5) SE moderated the relationship between QoL and PB. Specifically, when SE was high, the positive relationship between QoL and PB increased; (6) SE moderated the relationship between GT and PB. Specifically, when SE was high, the positive relationship between GT and PB increased; and (7) SE moderated the indirect effect of QoL on PB. Specifically, when SE was high, the mediating effect of GT on the relationship between QoL and PB increased. This study makes significant contributions in terms of identifying the mechanisms of QoL on PB based on the moderated mediation model. Improving individuals’ QoL is not only an important societal goal, but also an effective way to enhance people’s positive behavioral outcomes. Therefore, QoL improvement should be considered in the top-level design of government policies, and it should also be regarded as an important indicator of government performance assessment.

     

子女教育影响老年父母健康的机制及其异质性

基于2018年中国健康与养老追踪调查(CHARLS)数据,运用Logit计量方法考察子女教育对老年父母健康的影响。结果发现子女教育提高1年,老年父母健康状况改善的可能性显著提高4.28%,异质性检验发现这种影响不存在城乡和性别差异。基于人力资本代际传递理论和社会资本理论,将子女教育影响老年父母健康的渠道归纳为资源转移、健康行为和社会性支持,结果发现:子女教育主要通过向父母转移资源和帮助老年父母优化健康行为习惯来改善父母健康,未能通过社会支持渠道产生健康促进效应。其中通过资源转移渠道和以适度饮酒、运动及休闲为代表的健康行为渠道分别解释了子女教育对老年父母健康促进效应的27.78%和9.78%,提高资源转移能力是子女教育影响老年父母健康的主要渠道。在我国老龄化背景下,需要重视子女教育对父母健康的促进作用。同时,采取积极措施拓展社会支持渠道,降低父母对子女的资源依赖,并加强健康教育,优化健康行为。     

The Relationships between Activity and Quality of Life for Older Men and Women at Different Ages in Taiwan

This study investigated the relationships between types of activity and quality of life (QOL) for older men and women at different ages. Based on cross-sectional data that included 220 community-dwelling elderly persons aged 65 and older in southern Taiwan, the results showed that the participation rates in many activities declined with age for both genders. Social activity and solitary leisure activity were significantly associated with QOL for old-old men, but not for young-old men. Only social activity was significantly associated with QOL for young-old women, but there was no significant association between any activity and QOL for old-old women.     

Quality of Life and Well-Being Ranking of Selected Districts of Khyber Pakhtunkhwa,Pakistan

Quality of life (QoL) is a multidimensional concept encompassing many aspects of an individual’s existence. It is not just a measure of material resources but of intangible environments which affect quality of life. The study concentrates on the province of Khyber Pakhtunkhwa, Pakistan, and looks at the QoL and well-being in thirteen districts representing the province’s major population. It followed an integrative approach to measuring quality of life. Principal component analysis was used to tackle with multidimensionality. Weighted factor scores were used as an index for ranking QoL and well-being on the basis of social indicators chosen in different life domains. The results show that districts having high urban disposition top the ranks in QoL in Khyber Pakhtunkhwa, like Peshawar, Mardan, Swat and Charsadda, while Bannu, Kohat and Lower Dir fall amongst the bottom districts in terms of QoL. The rural/urban ranking also follows similar patterns with a few exceptions.     

Transforming mental health services to address gender disparities in depression risk factors

ABSTRACT

Depression in older women is a significant and growing problem. Women who experience life stressors across the life span are at higher risk for developing depression than their male counterparts. Research has focused primarily on identifying and reducing the symptoms of depression for the general aging population, disregarding gender-specific differences in the foundational causes of depression. This article examines how women’s unique experiences influence the development of depression and highlights how the current mental health system could better meet older women’s needs by moving from a gender-neutral model to one that emphasizes women’s experiences.     

Women’s childbirth experience emphasizing own capacity and safety: A cross-sectional Rwandan study

Problem and aimWomen’s childbirth experience is central when assessing intrapartum care quality. This study accordingly measures women’s childbirth experience in Rwandan health facilities, focusing on own capacity and perceived safety.MethodsA cross-sectional health facility-based study was conducted December 2014 to January 2015 in Kigali City and the Northern Province. Childbirth experience was assessed before discharge using an overall assessment and two subscales, Own capacity and Perceived safety, of the Childbirth Experience Questionnaire, with high scores reflecting a good experience. The questionnaire was translated from English into Kinyarwanda. Reliability was tested using Cronbach’s alpha; and mean scores between groups were compared using Mann–Whitney U test.FindingsAll invited women (n = 817) agreed to participate after informed consent. Mean age was 27.8 years and 63.6% were multiparous. A majority of women (82.3%) reported an overall positive childbirth experience (≥8 out of 10). Cronbach’s alpha indicated good reliability for Own capacity (0.78) and Perceived safety (0.76). In both subscales multiparous women had higher mean scores than primiparous, married women scored higher than unmarried, older women (>35) scored higher than younger (<35), and women with higher level of education scored higher than those with lower level. Women with HIV scored lower on perceived safety.ConclusionA majority of the women reported a positive overall childbirth experience. Own capacity and perceived safety are important dimensions of childbirth experience and should be addressed in building high-quality intrapartum care. Further research is needed and should include exploration of specific groups.     

Predictors of Life Satisfaction among Urban Iranian Women: An Exploratory Analysis

This paper explores life satisfaction among married and unmarried Iranian women in urban areas. Data is analyzed from a sample of 335 women of which 61% are married and 39% are unmarried (i.e., single, divorced, or widows). Data is collected through the use of self-reported questionnaires administered during 1992 and 1994. A series of path analysis and cross tabulations suggest that for married women life satisfaction is directly linked to their satisfaction with marriage, employment, and their leisure experiences. There is an inverse relationship between satisfaction and the women's activity, however. For unmarried women, satisfaction is affected by their leisure experiences and educational level. The study suggests that any effort to reduce or increase the educational, employment, or leisure activities of women will directly affect women's general satisfaction and therefore affect Iranian society as a whole.