Perceptions of Fortune and Misfortune in Older South African Households: Social Assistance and the ‘Good Life’

It is commonly assumed that better living standards will boost subjective well-being. The post-apartheid South African government subscribes to this idea; its social policies aim to provide ‘a better life for all’. Since the coming of democracy in 1994, the state has built over 3 million houses and supplied electricity and clean water to poor households. By 2009, an estimated 43 % of households were beneficiaries of social grants. The question is whether this investment in services and social assistance translates into higher well-being of citizens. It is argued that older people’s experience of positive change in their life circumstances can be taken as a litmus test of progress in society. The paper reports results of a sample survey conducted in 2009 that inquired into the living circumstances and well-being of 1,000 older low-income households in two provinces linked by a labour migration route. Older households were defined as ones with a member 55 years and older. The sample was drawn among three approximately equal-sized subgroups: Rural black households in the former ‘homelands’ of the Eastern Cape Province, and black and coloured households in Cape Town in the Western Cape Province. The majority of the households in the survey had been interviewed in an earlier survey conducted in late 2002. Both material and non-material changes had occurred in the household situation over the 6-year period between 2002 and 2009. Access to housing and infrastructure had improved but financial difficulties and debts continued to plague many of the surveyed households. Rural black households appeared to be worst off among the three categories of older households with the lowest level of living; coloured households best situated with the highest level of living. Urban black households, many of whom were immigrants to Cape Town, appeared to have experienced the greatest fluctuations in their material circumstances between 2002 and 2009 and a mix of fortune and misfortune. Results indicated that social grants, which provided a modicum of financial security and peace of mind, made the crucial difference between fortune and misfortune for vulnerable households. Securing a social pension and other grants appeared to be the main route to good fortune for the rural households in the study. Households in Cape Town required wage income in addition to grant income to get by in the city. This mix of income sources diluted urban households’ dependence on social assistance. Regression model results suggest that income and financial security play a significantly more important role in boosting the well-being of low-income older households than access to services. Pooling of income, a common practice in pensioner households, contributed significantly to household satisfaction.     

The Importance of General Self-Efficacy for the Quality of Life of Adolescents with Chronic Conditions

We investigated the influence of general self-efficacy perceived by adolescents with chronic conditions and parents on quality of life. This cross-sectional study used the general self-efficacy scale and DISABKIDS condition-generic module to survey adolescents (92/293; 31 %) with type I diabetes, juvenile rheumatoid arthritis, cystic fibrosis, kidney/urological conditions, and neuromuscular disorders; and parents (121/293; 41 %). Self perceived and parents’ perceived general self-efficacy of adolescents was compared using paired t-tests, and adolescents’ quality of life and general self-efficacy were compared among conditions using analysis of variance. Bivariate correlations between general self-efficacy and quality of life were identified, and multiple regression sought predictors of quality of life after controlling for background variables. Social quality of life was lowest among those with neuromuscular disorders. General self-efficacy was highest among adolescents with cystic fibrosis and lowest among those with urological conditions. Parents’ perceptions of general self-efficacy were higher than adolescents’ (p ≤ 0.05), although absolute differences were small. General self-efficacy perceived by parents and adolescents was related to emotional, physical, and social quality of life. Adolescents’ perceived self-efficacy predicted all quality of life domains. Parents’ perceptions of the adolescents self-efficacy predicted the adolescents’ social quality of life (β = 0.19; p ≤ 0.01). General self-efficacy of adolescents with chronic conditions as perceived by themselves and their parents is important for adolescents’ quality of life. Interventions to improve general self-efficacy should benefit quality of life among these adolescents.     

Does National Income Inequality Affect Individuals’ Quality of Life in Europe? Inequality,Happiness, Finances,and Health

This paper analyses the effect of income inequality on Europeans’ quality of life, specifically on their overall well-being (happiness, life satisfaction), on their financial quality of life (satisfaction with standard of living, affordability of goods and services, subjective poverty), and on their health (self-rated health, satisfaction with health). The simple bivariate correlations of inequality with overall well-being, financial quality of life, and health are negative. But this is misleading because of the confounding effect of a key omitted variable, national economic development (GDP per capita): Unequal societies are on average much poorer (r = 0.46) and so disadvantaged because of that. We analyse the multi-level European Quality of Life survey conducted in 2003 including national-level data on inequality (Gini coefficient) and economic development (GDP) and individual-level data on overall well-being, financial quality of life, and health. The individual cases are from representative samples of 28 European countries. Our variance-components multi-level models controlling for known individual-level predictors show that national per capita GDP increases subjective well-being, financial quality of life, and health. Net of that, the national level of inequality, as measured by the Gini coefficient, has no statistically significant effect, suggesting that income inequality does not reduce well-being, financial quality of life, or health in advanced societies. These result all imply that directing policies and resources towards inequality reduction is unlikely to benefit the general public in advanced societies.     

Contribution of forest provisioning ecosystem services to rural livelihoods in the Miombo woodlands of Zambia

This paper examines the contribution of forest provisioning ecosystem services (FPES) to rural households and assesses the contributions of forests to the annual incomes of households in Africa’s Miombo woodlands. The study employed focus group meetings, in-depth interviews, and interviews of households, as stratified by wealth class and head of household gender in Copperbelt, Zambia. The results show that FPES are vitally important in providing food, medicine, fodder, and construction materials to rural livelihoods. FPES provided 43.9 % of the average household’s income and contributed a 10 % income equalisation effect among households, as revealed by the Gini-coefficient analysis. Poorer households received a lower mean annual income from forests than did their intermediate and wealthy counterparts, but in relative terms, forest income made the greatest contribution to the total household incomes of poor households. When stratified by gender, forests contributed 44.4 and 41.8 % of the income of male- and female-headed households, respectively. The study indicates that wealth, rather than gender, was the key determinant of a household’s engagement in the sale of FPES. The inter- and intra-community differentiation in the use and sale of FPES, as revealed in this study, enables more effective targeting of forest management interventions and informs efforts to reconcile the goals of poverty reduction and forest conservation.     

Household Financial Access and Use of Alternative Financial Services in the U.S.: Two Sides of the Same Coin?

Financial access, or the household use of formal financial services, includes the ability to access transaction, credit, and investment products and services from formal financial institutions. In contrast, households that use Alternative Financial Services (AFS), or products and services from non-bank sources, lack full financial access and are considered financially excluded. Financial access is a necessary component of strong household financial well-being. Some researchers discuss the two as opposite sides of the same construct, or “two sides of the same coin” because they are closely related features of one idea. Using national data from the 2015 Financial Capability Study (n = 27,564), this study sought to explore the nature of the relationship between financial access and AFS use using confirmatory factor analysis. Results suggest that the two concepts are weakly and positively related, which suggests that they are not “two sides of the same coin”. The determinates of AFS use are complex, and may include social factors. A holistic approach to expanding financial access may be most effective. Policy implications are also discussed.     

Adaptation and Dissonance in Quality of Life: A Case Study in Mekelle,Ethiopia

This study aimed to determine predictability of life satisfaction by focusing on social support, substance abuse, socio-demographic factors as well as received health services from medical and traditional centers in the elderly with dementia. The subjects were 1,210 non-institutionalized Malaysian elderly with cognitive problems. In addition, age, ethnicity, sex differences, marital status, educational level, social support, substance abuse and receiving health services were evaluated to predict the risk of falls in samples. Social support was measured by Lubben score. Substance abuse was referred to smoking per day, addiction to alcohol consumption as well as dependency to medications. Health care supports, which were received by individuals included medical and traditional treatments. Life satisfaction was measured by asking in general ‘Are you satisfied with your current life’. The multiple logistic regression analysis was used to determine the effects of contributing variables on life satisfaction in respondents. Approximately 83 % of subjects reported that they were satisfied with their current life. The results of multiple regression analysis showed that marital status (OR = 1.98), traditional treatments (OR = 0.43), social support (OR = 2.28) and educational level (OR = 1.79) significantly affected life satisfaction in samples (p < 0.05). Furthermore, age, ethnicity, sex differences, substance abuse and medical treatments were not significant predictors of life satisfaction (p > 0.05). It was concluded that social support, being married and education increased life satisfaction in subjects but traditional treatments decreased life satisfaction.     

Postnatal quality of life — A content analysis of qualitative results to the Mother-Generated Index

Background

The Mother-Generated Index (MGI) assesses postnatal quality of life (QoL) without providing a predefined checklist, thus offering mothers the opportunity to identify areas of life affected by having a baby.

Constituents of Quality of Life and Urban Size

Do cities have an optimal size? In seeking to answer this question, various theories, including Optimal City Size Theory, the supply-oriented dynamic approach and the city network paradigm, have been forwarded that considered a city’s population size as a determinant of location costs and benefits. However, the generalised growth in wealth that has been experienced over the last 50 years in developed countries has changed what have traditionally been seen as man’s needs. Thus, Inglehart’s post-materialist approach and Maslow’s theory of human needs force us to re-examine the traditional costs and benefits of cities. Here, we assume that costs and benefits enter the utility function of households through the quality of life concept. The relation between the constituents of quality of life and traditional and new theories of city size are considered here. Finally, we test these relations empirically in a specific dynamic, local framework: the city of Barcelona (Spain) in the period 1991–2000.     

Poverty,Inequality and Deprivation in South Africa: An Analysis of the 1993 SALDRU Survey

This paper analyses poverty and inequality in South Africa based on data from a comprehensive multi-purpose household survey undertaken in 1993 to provide baseline statistics on poverty and its determinants to the new government. The paper shows that South Africa has among the highest levels of income inequality in the world and compares poorly in most social indicators to countries with similar income levels. Much of the poverty in the country is a direct result of apartheid policies that denied equal access to education, employment, services, and resources to the black population of the country. As a result, poverty has a very strong racial dimension with poverty concentrated among the African population. In addition, poverty is much higher in rural areas, and particularly high in the former homelands. Poverty among female-headed households and among children is also higher than average. Moreover, poverty is closely related to poor education and lack of employment. The poor suffer from lack of access to education, quality health care, basic infrastructure, transport, are heavily indebted, have little access to productive resources, and are heavily dependent on remittances and social transfers, particularly social pensions and disability grants. The paper uses an income-based definition of poverty for most of the analysis. In addition, it develops a broad-based index of deprivation including income, employment, wealth, access to services, health, education, and perceptions of satisfaction as its components. While on average the two indicators correspond fairly closely, the income poverty measure misses a considerable number of people who are severely deprived in many of the non-income measures of well-being. This group of severely deprived not identified by the income poverty measure consists predominantly of Africans living in rural areas, concentrated particularly in the province of KwaZulu/Natal.     

Theory and social practice of agency in combining breastfeeding and employment: A qualitative study among health workers in New Delhi,India

BackgroundWomen's agency, or intentional actions, in combining breastfeeding and employment is significant for health and labour productivity. Previous research in India showed that mothers use various collaborative strategies to ensure a “good enough” combination of breastfeeding and employment. Bandura's theoretical agency constructs previously applied in various realms could facilitate the exploration of agency in an Indian context.AimTo explore manifestations of agency in combining breastfeeding and employment amongst Indian health workers using Bandura's theoretical constructs of agency and women's experiences.MethodsQualitative semi-structured interviews were conducted with ten women employees within the governmental health sector in New Delhi, India. Both deductive and inductive qualitative content analyses were used.FindingsBandura's features and modes of agency revealed that intentionality is underpinned by knowledge, forethought means being prepared, self-reactiveness includes collaboration and that self-reflectiveness gives perspective. Women's interviews revealed four approaches to agency entitled: ‘All within my stride or the knowledgeable navigator’; ‘Much harder than expected, but ok overall’; This is a very lonely job’; and ‘Out of my control’.ConclusionsAgency features and their elements are complex, dynamic and involve family members. Bandura's theoretical agency constructs are partially useful in this context, but additional social practice constructs of family structure and relationship quality are needed for better correspondence with women's experiences of agency. The variation in individual approaches to agency has implications for supportive health and workplace services.     

Remeasuring ageing in Hong Kong SAR; or ‘keeping the demographic window open’

Hong Kong SAR has among both the lowest fertility rates and highest life expectancy in the world. Under the current calculation of the Old Age Dependency Ratio (OADR), Hong Kong is, understandably, ageing extremely rapidly. This is a cause of significant concern among policy makers. However, OADR assumes that the entire population aged above 65 is both ‘old’ and ‘dependent’, neither of which is clearly defined, and that all aged below 65 are active in the labour force. Furthermore, because the rate is fundamentally based upon a European/North American model of pension and retirement it is arguably less appropriate to areas of the world where retirement ages are more fluid and pension systems less developed. We apply and extend a method for Hong Kong, designed by Sanderson and Scherbov, to ‘remeasure ageing’ by taking remaining life expectancy as the constant, rather than years lived by using projected life tables and 1 × 1 population projections. In doing so, we show that Sanderson and Scherbov’s new ‘prospective’ measurements of ageing more accurately reflect the increased longevity and vitality of Hong Kong’s population. Rather than passively accepting fate as a ‘rapidly ageing’ population, East Asian economies can be active in rethinking society’s relationship to work and other activities across the life-cycle. By adapting existing measurements to take into account the different welfare regimes in East Asia, we can radically alter the timeframe in which population ageing becomes ‘critical’. This allows more time to develop a more holistic life-course view of the relationship between work, longevity and fertility and to actively tackle ageing in an optimistic way.     

Cross-Cultural Adaptation,Validity and Reliability of the Escala Pessoal de Resultados

The present article aims to examine the validity and reliability of the Portuguese version of Personal Outcomes Scale the Escala Pessoal de Resultados (EPR). This scale represents an instrument to measure the quality of life (QOL) in people with intellectual disabilities (ID). The study was initiated with the application of international guidelines in cross-cultural adaptation, culminating with an evaluation of 10 experts for the quantitative evidence of the content validity. All EPR’s items were considered relevant and there was a moderated agreement (k > .40) among the experts in the calculation of Cohen’s kappa, finding some coefficients’ that are considered as an excellent agreement (k > .75). In test field, our sample comprised 335 adults with ID on level of intermittent and limited support needs, even as the respective proxies. The scale showed an excellent internal consistency (α = .94). EPR’s construct validity indexes are also reported and discussed. The study provides EPR as a valid instrument for assess the QOL in ID field, and the scale seems to be useful for improvement of Portuguese rehabilitation practices and services.     

Gender and geographic differences in Medicare service utilization during the last six months of life

ABSTRACT

End-of-life issues are important for senior women, particularly rural women, who are more likely than their urban counterparts to live alone. The role of residence as a factor for health-care utilization among Medicare beneficiaries during the last six months of life has yet to be investigated. The purpose of this study is to examine whether service utilization in the last six months of life differs across gender and rurality. The sample was restricted to fee-for-service Medicare beneficiaries who died between July 1, 2013, and December 31, 2013 (n = 39,508). The odds of rural beneficiaries using home health (aOR 0.87; 95% CI 0.81–0.93) and/or hospice (aOR 0.82; 95% CI 0.77–0.87) in the last six months of life were lower than urban beneficiaries. Female beneficiaries were more likely to use support services such as hospice (aOR 1.24; 95% CI 1.18–1.29) and/or home health services (aOR 1.07; 95% CI 1.02–1.13) than male beneficiaries. The odds of female beneficiaries using inpatient (aOR 1.14; 95% CI 1.08–1.20) and/or outpatient (aOR 1.06; 95% CI 1.01–1.12) were higher than male beneficiaries. This research is important as we examine the range of health services used during the last six months of life, by gender and rurality. Future research is needed to understand how access to health services, residential isolation, and age- and disease-related factors relate to women’s observed greater use of inpatient, outpatient, hospice, and home health services in the last six months of life.     

Poverty and Headship in Post-apartheid South Africa, 1997–2006

In this paper, I investigate the characteristics and poverty status of female- and male-headed households in South Africa using nationally representative household survey data from the October Household Surveys (1997 and 1999) and the General Household Surveys (2004 and 2006). This decade (1997–2006) represents a period for which there is an extensive poverty literature documenting (particularly in the 2000 s) an overall decrease in the poverty headcount rate. At the same time, however, there is evidence to suggest that female-headed households have a far higher risk of poverty and that the poverty differential between female- and male-headed households widened over the period. The aim of this paper is to identify some of the main reasons that female-headed households are more vulnerable to poverty in post-apartheid South Africa and why poverty has decreased by more in male-headed households (relative to female-headed households). The study examines the key features which distinguish female- and male-headed households and whether these have changed over time. In order to link these characteristics with the poverty differential between female- and male-headed households, I then examine whether (and by how much) controlling for the observable differences between female- and male-headed households reduces the significantly greater risk of poverty in female-headed households.     

Settler Welfare on Tropical Forest Frontiers in Latin America

Because of urgent concerns to protect tropical forests in Latin America, social science research on them has been generally ‘forest-centred.’ This forest-centred approach considers the people who inhabit the frontier as agents of land use change and forest conversion focusing on how their actions affect forest cover. Welfare indicators for forest frontier populations (income, education, health, access to basic services) are addressed only incidentally in terms of how they influence land use. ‘People’ centred research, which asks questions from the perspective of human welfare such as, ‘Are frontier settlers better off than they were before?’ or ‘What kind of socio-economic impacts does frontier life have on the people who live there?” and “How can their lives be improved?,” has been less common. As a result, we know much about the impacts, especially adverse impacts, which settler activity on the frontier has on forest cover but little about the impacts settlement has on settlers, themselves. This paper attempts to shift discussion towards these kinds of questions and a more people centred approach by reviewing existing research that directly addresses the welfare of settlers in tropical forest frontiers in Latin America. We also review research that touches on settler welfare by considering the concept of ‘sustainability’ on the forest frontier and stakes out a comprise position between ‘forest’ and ‘people’ centred questions or concerns. Settler welfare is defined primarily in economic terms. Household income, wealth, and agricultural productivity are interpreted a proxies for welfare in most cases. We also consider welfare in terms of access to basic services (health and education) and living conditions. We particularly consider how settler welfare indicators may change over time on the frontier. Tropical forests, defined as tropical, moist, broadleaf forests, are the main ecological setting of interest. These forests are generally the largest unoccupied areas in many Latin American countries and are thus, also the main ‘agricultural frontier’ or areas of new settlement by small farmers.     

A user’s guide to Lisbon: mobilities,spatial apprenticeship and migrant urban integration*

This paper engages with the ‘mobility turn’ scholarship in order to provide tools for the study of migrants’ integration to urban space. The analysis of urban mobilities draws attention to the practical know-how that underlies mobility practices. I argue that migrants’ urban apprenticeship – that is, the ways migrants learn (to use) city spaces – shape their access to urban resources and their participation in urban life. Based on fieldwork conducted in Lisbon, Portugal, I explore how migrants’ urban knowledges play out in their everyday practices and resonate with broader concerns over migrant integration.     

Multidimensional Wellbeing: An Index of Quality of Life in a Developing Economy

Human wellbeing indices can shed light on a society’s quality of life. This study ranks human wellbeing by employing objective and subjective indicators of quality of life for hundred districts of Pakistan. Households level data used for the analysis includes ‘The Pakistan Social and Living Standards Measurement Survey’ for the year 2006–2007. The human wellbeing is examined in four domains: education, health, living conditions and economic situation. Principal component analysis is employed for indexing human wellbeing, rated in five quintiles are generated. The paper demonstrates the importance of education, health and living condition domains in determining the human wellbeing. Objective indicators of education i.e., adult literacy rate, net primary enrolment and gender equality in education are important variables in ranking of districts. Economic status of the households and communities are important variables in subjective perception of wellbeing. The results indicate substantial variation in human wellbeing among districts of Pakistan It may be considered that disparity in objective condition and in subjective perceptions are adequately depicting wellbeing differences. Finally, it is argued that objective indicators and subjective wellbeing measures are needed in unison to understand human quality of life and to make informed policy decisions.     

Cultures of Commuting: The Mobile Negotiation of Space and Subjectivity on Delhi’s Metro

Abstract

As part of Delhi’s redevelopment, aimed at creating a ‘global city’, new public transport infrastructure is being built. The Metro, in particular, has become iconic of what city authorities and developers refer to as Delhi’s ‘cosmopolitan’ and ‘world city’ status. Authorities have attempted to change commuting practices embedded in the culture of Delhi, a crowded, economically and culturally diverse city, in line with desired new behaviours including an emphasis on cleanliness, order and quiet. To explore these developments this paper presents findings from a qualitative study (conducted in 2009) analysing the urban mobility of a diverse group of young people. Their experiences of the Metro revealed interacting fields of power in the city, between passengers, and between passengers and those in control of the network. These relationships were situated within wider processes of urban reconstruction that intersect with global flows of capital, technology and ideologies of ‘modernity’ and development. The findings also highlighted the contestation of cosmopolitanism: its use to describe a desired urban imagination and its deployment as everyday competencies of negotiation and flexibility designed to manage change, unfamiliarity and inequality.     

Apparent Quality-of-Life in Nations: How Long and Happy People Live

Quality-of-life in nations can be measured by how long and happy people live. This is assessed by combining data on life expectancy drawn from civil registration with survey data on subjective enjoyment of life as a whole. This measure of ‘apparent’ quality-of-life is a good alternative to current indexes of ‘assumed’ quality-of-life such as the Human Development Index. Data are available for 67 nations in the 1990s. The number of Happy-Life-Years varies considerably across nations. Switzerland is at the top with 63.0 years and Moldavia at the bottom with 20.5 years. China is in the middle with an average of 46.7. Happy lifetime has risen considerably in advanced nations over the last decade.People live longer and happier in nations characterised by economic affluence, freedom and justice. Together these three societal qualities explain 66% of the cross-national variance in Happy-Life-Years. Income equality and generous social security do not appear to be required for a long and happy life.