Gendering Indicators of Health and Well-being: Is Quality of Life Gender Neutral?

The addition of social indicators and quality of life measures to the raft of traditional health indicators used to assess health and well-being has certainly provided a much-needed contextual understanding of health outcomes. However, most quality of life measures remain undifferentiated by gender. Outcomes can be disaggregated along age, class, ethnic, racial and gender dimensions but few quality of life measures (or social indicators for that matter) are sensitive to the subtle effects of gender socialization on health and well-being. Both social epidemiology and quality of life measures need to be gendered and differentiated to fully capture the diversity of womens and mens health experiences.     

Measurement of socio-economic inequality using the Life-Quality Index

As income inequality presents a narrow view of overall inequality prevailing in a society, the paper focuses on its much broader definition, referred to as socio-economic inequality, which considers the disparities in income as well as in mortality, and standard of living. The paper presents a new method for measuring the socio-economic inequality using a composite social indicator, Life-Quality Index, derived from two principal indicators of development, namely, the Real Gross Domestic Product per person and the life expectancy at birth. Income inequality and the associated life expectancy variations are integrated into a quality adjusted income (QAI), to account for the observed differentials in life-quality of various quintiles of the population. The Gini coefficient of the distribution of QAI is introduced as a measure of socio-econmic inequality. The proposed approach is illustrated using data on life expectancy of five income quintiles in urban Canada. It is found that the magnitude of inequality in Canada is higher than that reflected by the traditional measure, the Gini coefficient of income.     

Quality of life indicators and health: Current status and emerging conceptions

Quality of life is an increasingly common theme in the health status and health promotion literatures. Six approaches that consider quality of life and health are reviewed. These are (a) health-related quality of life; (b) quality of life as social diagnosis in health promotion; (c) quality of life among persons with developmental disabilities; (d) quality of life as social indicators; (e) the Centre for Health Promotion (University of Toronto) model, and (f) Lindstrom's quality of life model. Each approach is considered as to its emphasis on objective or subjective indicators, individual or system-level measurement, value-laden or value-neutral assumptions, and potential relationship to social policy and social change goals. The links among the social indicators, quality of life, and health promotions areas are examined.     

Toward macro-social accounting: Measures and scales of racial,sexual, and spatial equality in 243 U.S. SMSA's

This paper develops a set of empirical social indicators of quality between races, sexes, and spatial areas in all U.S. SMSA's. New findings are presented concerning the level of equality by city and region. An eight-step Guttman Scale is developed which suggests a progressive hierarchy of these various of equality. Cities develop higher levels of equality between residents in a patterned building block manner beginning first with favorable levels of spatial equality and culminating in equality between black and white professional employment rates. Finally, a canonical correlation model is hypothesized and empirically estimated to explain variation between these 243 cities in level of inequality. This model linked key economic, demographic and ecological forces to levels of equality in spatial systems.     

Spatial inequalities in Western cities: A comparison of North American and German urban areas

Since metropolitan areas in North America and Western Europe reflect similar social and economic divisions in society; similar degrees of spatial inequality for social and housing indicators are expected. This proposition was tested for seven cities (four in West Germany, two in the United States and one in Canada) for 1960–61 and 1970–71. Eight of the nine social indicators showed approximately equal inequality scores, once scale differences are controlled. Minority groups in American cities were significantly more spatially concentrated than those in German or Canadian cities. Areas of multiple housing deprivation were more clearly defined in American cities and the populations living in these areas were predominantly minority, old, renters and welfare recipients, a sharp contrast to deprived areas in cities in the other two nations. The German urban social mosaic is becoming more ‘Americanized’ as postwar housing shortages give way to increased homeownership, suburbanization and greater social class segregation.     

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.     

The quality of life in large American cities: Objective and subjective social indicators

The concept of ‘quality of life’ as a tool of comparative social indicators research is analyzed. Inter-city comparisons of objective and subjective measures of well being are presented and the distinctiveness of these two dimensions of the quality of life is documented. The paper concludes with some observations on the implications that this distinctiveness has for the use of the concept ‘quality of life’ in future social indicators research.     

Neighborhood selection and the social reproduction of concentrated racial inequality

In this paper, we consider neighborhood selection as a social process central to the reproduction of racial inequality in neighborhood attainment. We formulate a multilevel model that decomposes multiple sources of stability and change in longitudinal trajectories of achieved neighborhood income among nearly 4,000 Chicago families followed for up to seven years wherever they moved in the United States. Even after we adjust for a comprehensive set of fixed and time-varying covariates, racial inequality in neighborhood attainment is replicated by movers and stayers alike. We also study the emergent consequences of mobility pathways for neighborhood-level structure. The temporal sorting by individuals of different racial and ethnic groups combines to yield a structural pattern of flows between neighborhoods that generates virtually nonoverlapping income distributions and little exchange between minority and white areas. Selection and racially shaped hierarchies are thus mutually constituted and account for an apparent equilibrium of neighborhood inequality.     

Is Inequality a Latent Construct? An Assessment of Economic Inequality Indicators and Their Relation with Social Cohesion in Europe

In this article, we analyse the relation between different economic inequality indicators and social cohesion. Previous research usually narrows down economic inequality to income inequality, or distinguishes several types of economic inequality. Little attention has until now been given to how different aspects of economic inequality might be related to each other and can have an effect on social cohesion. This article analyses several indicators of economic inequality and makes a distinction between indicators measuring income inequality, poverty, economic strain and unequal distributions of wealth. Arguing that these indicators represent different aspects of inequality, we hypothesise that they cannot be reduced to one latent concept of inequality and have specific relations with social cohesion. In order to test this hypothesis, we conducted an exploratory factor analysis. This resulted in two different factors: one associated with economic hardship, and one associated with imbalances in market outcomes. This would imply that inequality indicators can be classified into two underlying concepts. Secondly, we related the factor scores of the two latent concepts to the social cohesion indicators via regression analyses. This paper focuses on European countries and uses pooled data from the European Social Survey (period 2006–2012), in combination with macro-level data drawn from the OECD, Eurostat and the World Bank. The results demonstrate that the strength of the link between inequality and citizens’ attitudes depends on the type of inequality indicator we analyse: only the factor economic deprivation can be significantly linked to social cohesion.     

Social indicators: A statistician's view

In the following we consider the problem areas of social indicator research which are of concern to the statistician and in which he can prove helpful. Among these are the purposes of social indicators, what social variables should be considered as conceivable variables related to quality of life, what data should be collected taking in account the difficulty of not being able to directly measure variables of interest, how does one collect the data (which is usually in the form of a time series) guarding against multicollinearity, and how should the collected data be handled and analyzed. We discuss why in social indicator research the secular trends, cyclical movements, seasonal variations and irregular fluctuations must be taken into account. Techniques are discussed for relating lead indicators in one time period to coincident indicators in another period. Finally we present a select bibliography in canonical correlation, forecasting, indicators and index numbers, path analysis, regression analysis, simulation techniques, time series analysis and other areas useful in analyzing social indicator data.     

Subjective and objective indicators of regional quality of life in Switzerland

Mainly because of data limitations, direct comparisons between subjective and objective indicators of local or regional quality of life have been inconclusive until now. The 1978 opinion survey among more than 33 000 Swiss recruits representing about 80% of their age cohort allows one for the first time to disaggregate survey data regionally for all parts of a whole country. The portrait of 97 regions and 25 cantons of Switzerland, based on the recruits' assessments of their native commune, seem adequately to reflect the rich variety of quality of life experiences in this extremely decentralized and culturally heterogenous country. Evidence from several procedures for validating the opinion survey data is presented, among which comparisons between the subjective and selected objective indicators of regional quality of life prove to be most conclusive. In general, the intercorrelations between these two types of social indicators are astonishingly high. Some consequences of this result for the subjective vs. objective social indicator controversy are elaborated. Methodological considerations on the peculiar elusiveness of the quality of life category follow, indicating the outline of a workable methodology of usable social indicators knowledge.     

MEASURING QUALITY OF LIFE: ECONOMIC,SOCIAL, AND SUBJECTIVE INDICATORS

Thinkers have discussed the “good life” and the desirable society for millennia. In the last decades, scientists offered several alternative approaches to defining and measuring quality of life: social indicators such as health and levels of crime, subjective well-being measures (assessing people's evaluative reactions to their lives and societies), and economic indices. These alternative indicators assess three philosophical approaches to well-being that are based, respectively, on normative ideals, subjective experiences, and the ability to select goods and services that one desires. The strengths and weaknesses of the various approaches are reviewed. It is argued that social indicators and subjective well-being measures are necessary to evaluate a society, and add substantially to the regnant economic indicators that are now favored by policy makers. Each approach to measuring the quality of life contains information that is not contained in the other measures.     

Economic inequality,status perceptions,and subjective well-being in China's transitional economy

Situated in the dynamic institutional environment of China's transitional economy, this study investigates the intricate relationships among economic inequality, status perceptions, and subjective well-being. Empirical evidence is drawn from national survey data collected from urban China. Statistical analyses show that multiple indicators of economic well-being exert a significant effect on self-perceived social status and status change and on subjective well-being. Positive status perceptions further enhance one's subjective well-being. Some of these effects are also moderated by contextual inequality. This study advances the literature by moving beyond income-based measures to examine the consequences of economic disparity. It also shows that status perceptions are the key nexus to probe the impacts of economic well-being and the sources of life satisfaction. Findings further direct our attention to important interplays between the individual-level socioeconomic conditions and the contextual inequality in achieving a deeper understanding of the consequences of socioeconomic inequality.     

Basic Minimum Needs,Quality of Life and Selected Correlates: Explorations in Villages in Northern India

For those involved in international development, one of the major goals is an improvement in the quality of life of the poor. Bhargava and Chakrabati (1992: 133) see the “primary objective of development at any given time is to improve the quality of life”. Indeed, the mission statement for an international development organization explicitly commits itself to the improvement of the quality of life for the “poorest of the poor” (DID, 1994). Social indicators, as “transeconomic” measures of quality of life, have “become an integral part of 'development indicators”' (Kao and Liu, 1984: 400; see, also Kahn, 1991). The connection between quality of life and development extends beyond the Third World. For example, in the U.S. Myers (1987) found quality of life influenced inmigration to Austin, Texas, thus affecting its economic development. Undoubtedly the majority of the connections between social indicators and development has been examined at the macro, or national levels using economic, health, education and other objective, comparative indices. Recognizing that such measures as GNP are oftentimes inadequate, assorted indices have been derived to gauge the changes in social development over time, e.g., the well-known Physical Quality of Life Index (PQLI) constructed by the Overseas Development Council (Morris, 1976). Many of these tend to focus on objective, material indicators (commodity possessions) as opposed to the more subjective ones (Anand and Ravallion, 1993). It is not the purpose of this paper to examine the various critics' arguments about the strengths and weaknesses of extant macro versus micro indices, but rather to lend support for the general need to assess development and social change through social indicators, whether macro or micro, objective or subjective. Ultimately, the purpose of the assessment should guide which social indicators are selected. The purpose of this paper is to examine several issues arising from the linkages between development efforts and quality of life (QOL). Using empirical data which were gathered to evaluate a community development project in the Garhwal region of Northern India, several issues, germane to both social indicators and development, will be investigated. These include: (1) the relationship between “Basic Minimum Needs” (BMNs) and QOL, (2) some methodological innovations for measuring both BMNs and QOL, and (3) selected correlates of BMNs and social indicators of QOL for Garhwali villagers. Before describing the project and its findings, we will first place it in the overall development context.     

The Social Indicators Movement at 50: Onwards in Unity or Divided?

Before we can move forward with new topics in quality of life research, it would be useful to settle a number of issues that have been a source of debate over the last 50 years. Broadly speaking, this leads to seven principles for measuring and describing quality of life: the central focus is on people; quality of life is about more than just economics; a full measurement must incorporate both objective and subjective indicators; quality of life incorporates several dimensions; the outcome must be viewed separately from the determinants; there must be attention for distribution and difference; the domains can be combined into an index (though this is not essential). The main debate is perhaps about whether or not there should be an index. An index is necessary if we wish to give social indicators the same status as economic indicators have through GDP. In my view, that is desirable. Once these principles are established, the agenda for future social indicators research can be shaped using a model-based approach incorporating several recommendations from Land and Michalos.     

Whatever Happened to Social Indicators in Africa? Whatever Happened Indeed! A Developing World Perspective on the Kenneth C. Land and Alex C. Michalos Report on ‘Fifty Years After the Social Indicators Movement’

Africa is a latecomer to the Social Indicators Movement. The first social indicators for Third World countries were developed by outsiders and covered almost exclusively topics related to basic needs and development. In response to Kenneth Land’s and Alex Michalos’ historical assessment and their agenda for future ‘social indicators/quality of life/well-being’ research, the commentary traces how South Africa and sub-Saharan countries—with a little help from many friends who are pioneers in the movement—have succeeded in developing their own home-grown social indicators movement. Addressing some of the themes outlined in the agenda that Land and Michalos set for future research, the commentary discusses the importance of monitoring social change occurring in African society in a ‘post-industrialized and much more globalized, and digitized-computerized-roboticized’ era: How will new values and norms impact on the quality of life of future generations of African people?     

Which Inequality Makes People Dissatisfied with Their Lives? Evidence of the Link Between Life Satisfaction and Inequalities

This paper aims at establishing a clear link between different types of inequality and life satisfaction in Europe. We analyse the relationship between life satisfaction and both income inequality and inequality of opportunity using seven waves of the European Social Survey. The results show that in Europe both income inequality and inequality of opportunity reduce people’s life satisfaction. Our main results suggest that all socio-economic groups are dissatisfied with income inequality, whereas primarily low socio-economic individuals worry about inequality of opportunity. We find that expected mobility is very important in explaining the link between inequality and life satisfaction for all socio-economic groups in Europe. We advance the hypothesis that life satisfaction is conditioned by a mix of normative arguments against inequality and by the fear/possibility to lose/gain a good social position. This result complements findings on the mediating role of social mobility in the relationship with subjective well-being.     

中国城市人口生活质量区域性量化研究

改革开放30年来,中国城市人口生活质量得到大幅度提高,但是,国内不同区域人口生活质量存在较大的差异。根据统计分析中因子分析和聚类分析的方法,构建评价生活质量的指标体系,运用社会统计学软件SPSS15.0对2005年中国31个地区16项反映城市人口生活质量的截面数据指标进行量化分析。同时,根据计算结果对中国东中西和东北地区4个区域31个地区城市人口生活质量水平进行等级划分和综合评价。     

The Shape of South African Society and its Challenges

South Africa's negotiated settlement and its transition to democracy reads like a modern fairy tale. A brief review of South Africa's social indicators serves to temper some of optimism about the country's future. The indicators reflect the society's quality of life which has been shaped by its turbulent history. Political “caste formation”, changing political alliances, the reforms intended to forestall the demise of apartheid, and the race for global competitiveness have left indelible marks on the society's social indicators. A comparison of living conditions in South Africa with those of roughly comparable economies indicates that the country lags behind in securing overall and widespread socio-economic upgrading of the population at large. A review of a cross-section of South African indicators and their trends over time shows that South Africa is still a very deeply divided society with a very large backlog in socio-economic development. There is evidence of breakdown in the society's social cohesion. Popular expectations of future quality of life indicate that the euphoria following on the first democratic elections has been replaced by a sense of realism among all sectors of the population. It is concluded that quality of life as reflected in South Africa's social indicators may get worse before it improves. The challenge will be to avoid new forms of economic “apartheid” which would depress the quality of life of marginal sectors of the population at the expense of the economically privileged.     

Your Place or Mine? Beliefs About Inequality and Redress Preferences in South Africa

This article examines the nature of and change in beliefs about inequality and preferences for redistribution in South Africa between 2003 and 2012 using data from the South African Social Attitudes Survey series and 2009 round of the International Social Survey Programme. Inequality aversion, stratification beliefs, perceptions of class tensions and legitimate earnings are tracked, together with support for government redistribution and for specific redress policies. Overall, the findings portray South Africans as keenly aware of the economic inequality that beleaguers their society, and express a preference for greater distributive fairness. Broad support is also reported in relation to state-led redistribution, though a moderate declining trend is observed over the interval. Race and class differences characterise the survey results, though a majority of better-off South Africans (white, tertiary educated and non-poor citizens) still tend to be inequality averse and voice support for redistribution. Greater polarisation is evident with respect to inequality-related social policy, especially those designed to overcome historical racial disadvantage, though these intergroup differences converge considerably when referring to class-based policy measures. One surprising finding is the evidence that South Africa’s youngest generation, known as the ‘Born Frees’, tend to adopt a similar predisposition to redress policy as older generations, thus confounding expectations of a post-apartheid value change. Nonetheless, even though South Africans may not fully agree about the specific elements comprising a socially just response to the country’s inequality problem, there does seem to be a stronger basis for a social compact for an inequality reduction agenda than is typically assumed.