Body Image and Quality of Life in a Group of African American Women

African American (AA) women’s preference for a larger body size and underestimation of their body weight may affect the relationship between their body weight and weight-related quality of life (QOL). We wanted to examine the relationship between weight-related QOL and body mass index (BMI) in a sample of overweight AA women. Thirty-three overweight AA women completed a clinic visit to measure height, weight, and complete surveys including the Impact of Weight on Quality of Life-Lite (IWQOL-Lite) and the Stunkard Figure Rating Scale. BMI was calculated using measured height and weight. Correlations and linear regression models were estimated using SAS v 9.1. In this sample, the mean total quality of life score was 78.00 ± 17.68 on a 100 point scale. There was a modest correlation between BMI and total weight-related QOL (r = −0.034, p = 0.053). Body image dissatisfaction was the strongest predictor of total quality of life score (p = 0.04). African American women’s unique cultural perception of body image may play a key role in weight-related QOL.     

Quality of Life as Medicine: Interventions that Induce Salutogenesis. A Review of the Literature

This paper reviews the medical (salutogenic) effect of interventions that aim to improve quality of life. Review of studies where the global quality of life in chronically ill patients was improved independently of subjective and objective factors (like physical and mental health, yearly income, education, social network, self-esteem, sexual ability and problems or work). The methods used were subtypes of integrative medicine (non-drug CAM) like mind body medicine, body psychotherapy, clinical holistic medicine, consciousness-based medicine and sexology. In about 20 papers on QOL as medicine, in cancer, coronary heart disease, chronic pain, mental illness, sexual dysfunction, low self-esteem, low working ability and poor QOL, the most successful intervention strategy seems to be to create a maternal, infantile bonding induced by a combination of conversation therapy and bodywork. The papers examined the treatments of over 2,000 chronically ill or dysfunctional patients and more than 20 different types of health problems. Global QOL measured by SEQOL, QOL5, QOL1, self-rated physical health, self-rated mental health, self-rated sexual functioning, anorgasmia, genital pain, self-rated working ability, self-rated relation to self, well-being, life-satisfaction, happiness, fulfillment of needs, experience of temporal and spatial domains, expression of life’s potentials, and objective functioning. We found “QOL as medicine” able in the treatment of physical disorders and illnesses including chronic pain (Number Needed to Treat (NNT) = 1–3, Number Needed to Harm (NNH) > 500), in mental illness (NNT = 1–3, NNH > 500), in sexual dysfunctions (NNT = 1–2, NNH > 1,000), self-rated low working ability (NNT = 2, NNH > 500), and self-rated low QOL (NNT = 2, NNH > 2,000). We found that QOL improving interventions helped or cured 30–90% of the patients, typically within one year, independent of the type of health problem. “QOL as medicine” seems to be able in improving chronic mental, somatic and sexual health issues without side effects.     

Examining the appropriateness of importance weighting on satisfaction score from range-of-affect hypothesis: hierarchical linear modeling for within-subject data

This study examines the range-of-affect hypothesis in a within-subject context using the weighting situation faced in quality of life (QOL) measurement. Data collected in Wu and Yao’s (2006b) study were used (332 undergraduates at National Taiwan University). The mean age was 19.80 years (std = 1.98). They completed a QOL questionnaire and indicated satisfaction, importance, and perceived have–want discrepancy on 12 life domains. Hierarchical linear modeling with a random-coefficients regression model was applied. At the first level (within-individual level), the satisfaction scores for each item were regressed on the have-want discrepancy, importance, and the interaction between have-want discrepancy and importance (have-want discrepancy ×  importance) of the same item. At the second level (between-individual level), the intercept, coefficients of have-want discrepancy, importance and the interaction between have-want discrepancy and importance at the first level were regarded as varying randomly over all participants. Results of this study supported the range-of-affect hypothesis, showing that the relationship between item have-want discrepancy and item satisfaction is stronger for high importance items than low importance items for a given individual. Implications for important weighting on item satisfaction scores were discussed.     

Health-Related Quality of Life Among Abused Women One Year After Leaving a Violent Partner

This is the first follow up study measuring quality of life among abused women who have left their abusive partner. The women (n = 22) answered a questionnaire while staying at women’s shelter and one year later. The aim was to examine long-term effects of intimate partner violence against women on health-related quality of life. Health-related quality of life was measured using the SF-36 Health Survey and the WHOQOL-BREF. The meantime for living in a violent partnership was 11 years, most of the women had children under 10 years living with them, low income and were on sickness absence or disability pension. About half of the women had experienced threats of violence and 6 had experienced violent acts after leaving their partner. SF-36 scores after one year were significantly better in vitality (t-test, P < 0.001), mental health (t-test P < 0.001) and social domains (t-test, P < 0.04). WHOQOL-BREF scores did not change significantly from baseline, showing that the SF-36 showed more responsiveness in this population. Regression analysis showed that serious physical violence reported at baseline predicted significantly less improvement in physical and mental health and role-emotional in the SF-36 and in social relationships and environmental health in the WHOQOL-BREF. High psychological violence at baseline predicted significantly less improvement in mental health in the SF-36 and in social relationships and environmental health in the WHOQOL-BREF.     

Assessing the Use of the Family Affluence Scale as Socioeconomic Indicators for Researching Health Inequalities in Taiwan Adolescents

This study examined the reliability and validity of the Family Affluence Scale (FAS) and explored the relationship between FAS and health in a general adolescent population of Taiwan. Our data was obtained from a 2009 school-based survey. In total, 3,368 students (1,741 boys, 1,627 girls) in grades 6–10 in Kinmen County, Taiwan completed a modified WHO Health Behaviour in School-Aged Children (HBSC) questionnaire. Indicators of the family’s social position were their parents’ occupation and education. Indicators of material affluence were number of cars, number of holiday travel, whether the participant had his or her own room and number of computers (FAS items). A higher proportion of the participants completed the four family affluence items than their parents’ occupation and education items (≧98% vs. 90% and 88%; respectively). Analysis of the FAS showed a moderate internal reliability (Cronbach’s alpha = 0.35). The associations between the FAS scores and parental occupation and education were moderate (P < .001). Consistent gradients were found for the association between FAS and positive health and health promoting behaviours. In conclusion, the Taiwan version of the FAS had a high completion rate and moderate internal reliability and external validity. The clear associations between the FAS and health indicators confirm the findings of previous studies and suggest that the FAS can be used as an additional measure of socioeconomic status among Taiwan adolescents.     

Socio-demographic Differences in Self-reported Psychological Distress Among 25- to 64-Year-Old Finns

Background Mental health problems are a major public health issue worldwide. The aim of this study was to assess the relative importance of socio-demographic characteristics associated with different domains of psychological distress in Finland. Methods Data source was a nationwide survey “Health Behaviour and Health among the Finnish Adult Population” (AVTK), from years 2002 to 2003 (N = 5425; response rate 66%). Psychological distress was measured by self-reported questions of general mental health (MHI-5), depression, insomnia and stress. Socio-demographic factors included education, employment status, partnership and children living in the household. Main analyses were conducted by multivariate logistic regression. Results Education, employment and partnership were associated with most of the psychological distress outcomes. Respondents with a lower educational level had poor mental health in both genders but less insomnia and stress in men. Those with an intermediate education had the least stress in women. The unemployed and retired were at a higher risk for poor mental health and depression. Moreover, employment status was associated with insomnia and stress in men. Respondents not having a partner showed a higher risk of psychological distress according to all measures. Not having children living in the household was associated with insomnia in women and with less stress in men. Conclusions Socio-demographic factors, such as having a partner and employment status, are associated with several measures of psychological distress indicating the importance of social and economic factors to psychological well-being. The association of education and of having children living at home varies by the domain of psychological distress measure.     

Effect of Changes in Living Conditions on Well-Being: A Prospective Top–Down Bottom–Up Model

Using the German Socio-Economic Panel, we examined life-satisfaction and housing satisfaction before and after moving (N = 3,658 participants from 2,162 households) with univariate and bivariate two-intercept two-slope latent growth models. The main findings were (a) a strong and persistent increase in average levels of housing satisfaction, (b) no increase in average life-satisfaction, (c) low stability in individuals’ level of housing satisfaction, and (d) high stability in individuals’ level of life-satisfaction. The results are discussed in the context of top–down and bottom–up models as well as adaptation theories of well-being. We conclude that moving or living in a better home is unrelated to life-satisfaction judgments for two reasons. First, housing makes a small contribution to life-satisfaction judgments. Second, positive effects of better housing are undermined by the greater costs of living in a better home. The results provide no support for the prediction of adaptation theory that shifting aspirations undermine the benefits of living in a better home.     

Housing Well-Being: Developing and Validating a Measure

Housing well-being refers to the home resident’s cumulative positive and negative affect associated with the purchase, preparation, ownership, use, and maintenance of the current home, and the selling of the previous home. Housing well-being is assumed to occur when the home is bought with the least amount of effort (purchase), the home is prepared for use to meet the needs of the new occupants (preparation), ownership signals status and enhances the home owner’s financial portfolio (ownership), the home serves the housing needs of the residents (use), the maintenance, renovation, and repair in the home are minimal, least costly, and effortless (maintenance), and the sale of the home is transacted with the least amount of effort and most financial gain (selling). Based on this conceptualization of housing well-being, we conducted an exploratory study to identify the sources of satisfaction related to the purchase, preparation, ownership, use, and maintenance of the current home, and the selling of the previous home. The exploratory study also helped us articulate a theoretical model describing the interrelationships among the housing well-being constructs and their consequence: the perceived quality-of-life (QOL) impact of the home. The exploratory study helped us also to develop survey measures, which in turn were validated through two additional studies involving surveys of home owners in the US and Korea.     

A probabilistic interpretation of the United Nations’ 1995–2005 population projections

I develop probabilistic interpretations for the United Nations’ 10-year population forecasts by comparing 1995 projections for 212 countries to the population sizes reported for 2005. Errors in the estimation of the intrinsic rate of increase, presumably caused by erroneous assumptions about birth, death and/or immigration rates, appear to be more consequential than errors based on inaccurate estimation of the starting, or ‘jump-off’, population size. For only about 20% of the countries did the ‘actual’ 2005 population size fall between the United Nations’ low- and high-variant projections. I propose prediction intervals for country-specific population sizes 10 years in the future of the form [ N_i^￠ (t+10) / k ,  k ·N_i^￠ (t+10) ],[ N_i^{\prime} (t+10) / k , \, k \cdot N_i^{\prime} (t+10) ], where N _i ′(t + 10) is the medium-variant prediction for year t + 10 made in year t, and k is a number that varies with starting population size. Based on the 1995–2005 United Nations’ data, values of k giving 95% coverage range from 1.11 for countries with a population on the order of 10⁹, to 1.45 for countries with a population of 10⁵.     

Investigating the Structural Validity of Ryff’s Psychological Well-Being Scales Across Two Samples

Ryff’s (1989b) Psychological Well-Being (PWB) scales measure six related constructs of human functioning. The present paper examined the validity of Ryff’s 6-factor PWB model, using data from a life events study (N = 401) and an organisational climate study (N = 679). Previous validation studies, using Confirmatory Factor Analysis (CFA), have identified alternative PWB models, but limitations include the use of shorter scale versions with items relating to a number of life domains within the same PWB factor, and failure to examine the influence of participants’ socio-demographic characteristics on PWB. In this study, Exploratory Factor Analysis (EFA) mostly found consistency in the PWB items and structure between the two studies whereby a 3-factor model delineated between items relating to Autonomy, Positive Relations and a super-ordinate factor comprising the other PWB factors. Using CFA, Goodness of Fit indices reached acceptable levels for the adjusted PWB model identified by the EFA, whilst differences between adjusted models of PWB previously identified in the literature were hardly evident. Post-hoc analysis by gender demonstrated socio-demographic effects on the structure and items that comprise PWB. Further development of PWB measures is needed to reflect its hierarchical and multi-dimensional nature. In the scales’ current form, the construct validation of the PWB factors will continue to be problematic and will fail to adequately evaluate the nature and impact of PWB.     

Validation of the WeDQoL-Goals-Thailand Measure: Culture-Specific Individualised Quality of Life

The aim of this study was to validate an individualised measure of quality of life (WeDQoL-Goals-Thailand). Three hundred and sixty-nine Thai people completed the WeDQoL by interview. Respondents rated (0–2) the perceived necessity for wellbeing of 51 goals (goal necessity), then rated (0–3) their satisfaction with the same goals (goal satisfaction). Weighted goal attainment (possible range 0–6) was computed (necessity x satisfaction). Psychometric validation used frequency distributions, Principal Components Analysis (PCA), and Cronbach’s alpha. Analysis of variance, t-tests, Kruskal–Wallis, Mann–Whitney U, Spearman’s correlation and multiple regression explored socio-demographic, geographic and economic differences. Respondents were aged 15–89 (mean 45.7, SD 18.0); 169 men, 200 women. For weighted goal attainment scores, PCA found a 44-item scale (α = 0.91) and three subscales (community/social/health, α = 0.90; house and home, α = 0.80; nuclear family, α = 0.81). Thai Individualised Goal Attainment (TIGA) scale and the three subscales were computed as the mean of contributing weighted goal attainment scores, after excluding goals considered ‘not necessary’ to each individual. Unweighted and individualised scores differed significantly with socio-demographic, geographic and economic indicators. In multiple regression, both Thai Unweighted Goal Satisfaction (TUGS) and TIGA scale scores were predicted by being married, living in the South and in a non-urban location. TIGA scores were also predicted by being over 25 years old. WeDQoL-Goals-Thailand has excellent psychometric properties. Individualised scores reflect each person’s perspective on wellbeing and are sensitive to subgroup differences. However, unweighted satisfaction scores give a broadly similar picture and involve less complex computation.     

Healthy postmenopausal women- physical activity and forearm bone mineral density: the Nord-Trøndelag health survey

The aim of this study was to analyze the association between Physical Activity (PA) and forearm bone mineral density (BMD) in healthy postmenopausal women. During 1984-1986, a population-based health survey (HUNT-1) was conducted in Nord-Tr?ndelag county, Norway. The second follow-up survey (HUNT-2) was conducted during 1995-1997. The subjects consist of all healthy postmenopausal women (N = 2,924). Higher intensity of recreational PA in HUNT-1 was associated with higher BMD ultradistally (slope = +0.0084, p = 0.0009). The summary score of duration, frequency and intensity of recreational PA in HUNT-1 was associated with lower risk of being below the 20th percentile ultradistally (OR = 0.90, p = 0.01, after adjustment for covariates). The trends for mean distal and ultradistal BMD and percent low BMD lacked statistical significance when we used the PA score that combined the recreational and occupational PA in HUNT-1 and HUNT-2. CONCLUSION: Higher intensity of prior recreational PA (HUNT-1) was associated with a protective effect on BMD measured in the forearm (HUNT- 2).     

Gender, Social Change, and Living Arrangements Among Older Egyptians During the 1990s

We compare older Egyptian women’s and men’s propensities to live with unmarried children only, any ever-married children, and alone, and we assess “kin-keeping” versus “modernization” hypotheses about the effects of social change on living arrangements during 1988–2000. Socioeconomic differences among women and men accounted for much of their crude differences in living arrangements during the period. Propensities to live with any ever-married children declined, and propensities to live alone or with unmarried children only rose. Compared to men, women continued to live more often with any ever-married children and less often with unmarried children only, and the 1988 gender gap in solitary residence disappeared by 2000. Increasing coresidential demands from unmarried dependent children, less frequent coresidential support from ever-married children, and rapidly increasing rates of solitary living especially among older men suggest emerging needs for non-coresidential instrumental support, especially among older Egyptians who are economically disadvantaged.

Importance has been Considered in Satisfaction Evaluation: an Experimental Examination of Locke’s Range-of-affect Hypothesis

Importance weighting is a common practice in quality of life (QOL) measurement research. Based on the widespread idea that important domains should make a greater contribution to individuals’ QOL total score, the weighting procedure of multiplying item satisfaction by an item’s importance has been adopted in many QOL instruments. Locke’s [1969, Organizational Behavior and Human Performance 4, 309–336; 1976, Handbook of Industrial and Organizational Psychology. Rand McNally, Chicago, pp. 1297–1343] range-of-affect hypothesis indicated that a satisfaction evaluation is determined by the have-want discrepancy, importance, and the interaction of the have-want discrepancy and importance, implying that a satisfaction evaluation incorporates the judgment of importance and weighting the satisfaction score with the importance score is unnecessary. The purpose of the current study was to address the issue of importance weighting by examining Locke’s range-of-affect hypothesis in the context of QOL research. A within-subject experiment was conducted to see if, given a varying amount of discrepancy, participants would reveal whether or not satisfaction/dissatisfaction is related to the dimension of importance placed on the object. Forty undergraduate students at National Taiwan University participated in the current study. Results revealed that the association between have-want discrepancy and object satisfaction is stronger on the high important dimension than the less important dimension. Generally, the results were consistent with Locke’s range-of-affect hypothesis, revealing that a satisfaction evaluation has incorporated the judgment of item importance, suggesting that the procedure of importance weighting is unnecessary. This paper was a part of the first author’s Master’s Thesis.     

An Exploratory Analysis of Societal Preferences for Research-Driven Quality of Life Improvements in Canada

Research in the humanities, arts, and social sciences (HASS) tends to have impacts that enhance quality of life (QOL) but that are not amenable to pricing in established markets. If the economic value of ‘non-market’ research impacts is ignored when making the business case for HASS research, society will under-invest in it. My goal in this research was to quantify priorities and tradeoffs Canadians were willing to make between broad QOL attributes. A national sample (N = 1,612; 14,571 observations) cleaved into five distinct latent classes, each of which varied according to their preferences and willingness to pay for QOL impacts. One class, comprising 21% of the sample, placed a strong priority on QOL indicators relating to people, community, and culture, and was willing to pay, on average, 892 per household per year for improvements across a full range of QOL attributes. While willing to pay892 per household per year for improvements across a full range of QOL attributes. While willing to pay 1,393 per household per year in total, a second segment, comprising 20% of the sample, focused heavily on benefits more likely to be derived from science and technology research. Willingness to pay for specific and aggregate improvements amongst the balance of the sample was lower. Diverse preferences regarding potential QOL impacts suggest that researchers will need to consider both the source and magnitude of public benefits arising from HASS research in the future.     

Pet Dogs Benefit Owners’ Health: A ‘Natural Experiment’ in China

This paper reports results from a ‘natural experiment’ taking place in China on the impact of dogs on owners’ health. Previous Western research has reported modest health benefits, but results have remained controversial. In China pets were banned in urban areas until 1992. Since then dog ownership has grown quite rapidly in the major cities, especially among younger women. In these quasi-experimental conditions, we hypothesise that dog ownership will show greater health benefits than in the West. Results are given from a survey of women aged 25–40 in Beijing, Shanghai and Guangzhou (N = 3031). Half the respondents owned dogs and half did not. Owners reported better health-related outcomes. They exercised more frequently, slept better, had higher self-reported fitness and health, took fewer days off sick from work and were seen less by doctors. The concluding section indicates how these results may be integrated and suggests further research on the potential economic benefits of pets.

Evaluating Item Discrimination Power of WHOQOL-BREF from an Item Response Model Perspectives

Quality of life (QOL) has become an important component of health. By using the methodology of psychometric theory, we examine the item properties of the WHOQOL-BRIEF. Samejima’s graded response model with natural metrics of the logistic response function was fitted. The results showed items with negative natures were less discriminating. Items written in a specific way were more suitable to assess certain subgroups. The national items showed variation in discriminatory power. Questions measuring objective and specific issues performed worse than items assessing general aspects of the QOL.     

Personal Wellbeing Index in a National Cohort of 87,134 Thai Adults

Satisfaction with life correlates with other measures of subjective wellbeing and correlates predictably with individual characteristics and overall health. Social indicators and subjective wellbeing measures are necessary to evaluate a society and can be used to produce national indicators of happiness. This study therefore aims to help close the gap in wellbeing data for Thailand. The specific aims are to: (1) calculate the Thai PWI and domain scores using a large scale sample; (2) examine the level of life satisfaction of Thais when compared to international standards; (3) examine the Thai PWI and domains in relation to demographic, socioeconomic, and geographic characteristics. Our report derives from the findings on the Personal Wellbeing Index (PWI) in a large national cohort of Sukhothai Thammathirat Open University adult students living all over Thailand (n = 87,134). This Thai cohort had an overall PWI of 70.0 on a scale from 0 to 100 which is consistent with Western populations. The ‘spirituality and religion’ domain had the highest average score. ‘Standard of living’, ‘future security’ and ‘achievement in life’ made the largest contribution to overall ‘satisfaction in life as a whole’. These domains also show a positive trend with increasing age, being married, higher income, more education, more household assets, and rural residence. The PWI will be an important tool for policymakers to understand the subjective wellbeing of population groups especially as Thailand is undergoing a political and economic transition.     

Reimagining the General Health Questionnaire as a measure of emotional wellbeing: A study of postpartum women in Malta

BackgroundPostpartum health has been subject to a focus on psychological morbidity, despite positive associations between postpartum recovery and maternal emotional wellbeing. There are currently many validated tools to measure wellbeing and related concepts, including non-psychiatric morbidity. The General Health Questionnaire, 12 items (GHQ-12) is one such instrument, widely used and validated in several languages. Its use in postpartum settings has been documented with disagreement about the instrument's utility in this population, particularly in relation to scoring method and threshold. The GHQ-12 has never been translated into Maltese. This study explored the psychometric properties of the GHQ-12 in a Maltese postpartum population to consider if the use of a different scoring method (visual analogue scale) in the GHQ-12 can determine postpartum wellbeing.MethodsOne hundred and twenty-four postpartum women recruited from one hospital in Malta completed the translated and adapted GHQ-12 as a wellbeing measure (GHQ-12(WB)) at four postpartum time points. The psychometric properties of the GHQ-12(WB) were explored using confirmatory factor analysis, discriminant and divergent validity and reliability analysis.ResultsThe GHQ-12(WB) demonstrated good divergent and known-groups validity and internal consistency. No models offered a good fit to the data. The overall consistent best-fit to the data was an eight item, two factor model (GHQ-8). Model fit improved across all models in terms of CFI at 13 weeks.ConclusionFindings generally support the reliability and validity of the Maltese version of the GHQ-12(WB). Model fit changes over time reflect the dynamic nature of postpartum recovery. Further evaluation of the GHQ-8(WB) is recommended.     

The Subjective Well-Being of Immigrants Aged 50 and Older in Israel

The present study evaluated the integration of elderly people who migrated to Israel during their lifetimes. Subjective well-being, as measured by the immigrants’ perception of quality of life, satisfaction with life and emotional state, served as a general indicator of integration. The integration of elderly immigrants has not received adequate attention in the literature. A unique database (SHARE-Israel) that was recently released has made study of this topic possible. The current study sample was composed of former migrants aged 50 and older (n = 930). The analytic model examined ethnic origin and migration variables in relation to the respective subjective outcomes, controlling for sociodemographic background, human and social capital and health. The findings show that in general, ethnic origin seems to matter less for the evaluation of immigrants’ subjective well-being than other socio economic factors such as economic status, social capital and health status. However, recent arrivals from the Former Soviet Union do differ from all other immigrant groups in their lower levels of well-being. In addition, the study points to the importance of language proficiency as a central means for integration in the destination country.