Testing a Moderated Model of Satisfaction with Urban Living using Data for Brisbane-South East Queensland,Australia

Using survey data collected from households living in the Brisbane-South East Queensland region, a rapidly growing metropolis in Australia, path analysis is used to test links between urban residents’ assessment of various urban attributes and their level of satisfaction in three urban domains-housing, neighbourhood or local area, and the wider metropolitan region – moderated by selected demographic characteristics of respondents. The analysis also shows the relative contribution of those urban domains to overall life satisfaction. Neighbourhood satisfaction is shown to be much less important in predicting overall life satisfaction than is satisfaction with housing and the region. However, neighbourhood satisfaction impacts indirectly on overall life satisfaction, mediated by regional satisfaction and housing satisfaction. In predicting regional satisfaction, the cost of living and government service provision are shown to be most important, with pollution important for younger people and parents, while improvements to transport systems are more important for the baby boomer generation. Neighbourhood satisfaction is best predicted by neighbourhood interaction and perceived crime, with neighbourhood interaction being more important for older people, while perceived crime is more important for younger and single people. Access to facilities is a poor predictor of neighbourhood satisfaction, except for parents. Satisfaction with housing is shown to be best predicted by housing age, temperature and home ownership. However, larger homes are important for parents, while young people prefer smaller homes. The importance of various urban attributes does not vary between genders. While material concerns like the cost of living and the provision of services are shown to be primary factors underlying overall satisfaction with urban living, the importance of environmental issues and demand for smaller homes might be expected to increase over time.     

Uneven dynamics and regional disparity of multidimensional poverty in China

Qualifying the official minimum of “Two no worries and three guarantees” (certainty of food and clothing, guarantees of compulsory education, basic medical care, and housing) is essential to evaluate the targeted poverty alleviation program since 2013 in China. Using the poverty monitoring dataset and the multidimensional poverty indicator system, the uneven dynamics and regional disparity of multidimensional poverty and its driving factors in poverty-stricken areas in China during 2014–2018 are explored in this paper. The incidence rate of multidimensional poverty was reduced by 61.72%, and the poverty reduction rate within the six dimensions ranged from 52.29 to 76.36%. Multidimensional poverty and its six dimensions displayed narrowing regional disparity. Impoverished and moderately poor areas shrank, whereas low-poverty areas expanded. All 22 provinces have become low-poverty areas in 2018. The contribution of each dimension to multidimensional poverty varies for different types at different stages. Income and expenditure contribute the most to poverty status, followed by transportation, housing conditions, education, communication, and medical care and health. The contribution of each indicator among different dimensions varied with different trends from 2014 to2018. This paper helps incorporate the official minimums of “Two no worries and three guarantees” into a more operational evaluation system to promote sustainable policies for governments at all levels by 2020 and beyond, as well as provide valuable references for poverty alleviation in other developing countries worldwide.

     

城市社区养老服务质量评价--基于粗糙集方法的数据挖掘

客观公正的养老服务质量评价对完善社区养老体系建设有重要意义。本文基于粗糙集的研究方法,分别从生活照料、医疗护理、安全保障、精神慰藉以及社会参与五个维度对显著影响社区养老服务质量评价的指标进行了约简,进而确定质量评价体系的指标和权重,并对吉林市22个社区养老服务的质量进行了评价。结果显示,质量评价平均水平介于“一般”和“比较满意”之间;年龄越高的老年人对社区养老服务质量评价越低;社区养老建设试点小区的评分显著高于非试点小区。由此可见,我国社区养老试点建设已经取得明显成效,但亟须进一步推行和完善。     

The Latent Profiles of Life Domain Importance and Satisfaction in a Quality of Life Scale

The present study aimed to use a latent profile analysis to distinguish between populations in terms of life domain importance and satisfaction profiles. Then, a multinomial logistic regression was used to determine how background variables (e.g., gender, living areas, and school levels) and self-perceived health predict each latent quality of life (QoL) profile. We also investigated how the latent groups of adolescents predicted negative and positive well-being indicators (e.g., problem behaviors and overall life satisfaction). The sample consisted of 720 Taiwanese secondary school students. Three latent groups were established as follows: “unimportant-unsatisfied,” “important-unsatisfied,” and “important-satisfied.” The results indicate the following: (a) boys were more likely to fall into the “unimportant-unsatisfied” group than were girls; (b) better health increased the likelihood of being in the “important-satisfied” group; (c) high school students were more likely to be in the “unimportant-unsatisfed” group than were middle school students; and (d) no relationship was found between latent groups and living areas. The function of importance rating was not present when evaluating the importance-satisfaction profiles and their relationship with problem behaviors and overall life satisfaction. The problems of the “unimportant-unsatisfied” profile among youth are discussed.     

High Rates of Access to Health Care,Disclosure of Sexuality and Gender Identity to Providers Among House and Ball Community Members in New York City

The House and Ball community is an important cultural manifestation of resiliency for Black and Latino gay and bisexual men and transgender women. Participants at the August 2013 House of Latex Ball in New York City were surveyed about insurance coverage, health care access, experiences in health care, and housing instability. The sample (n = 367) was 58% Black/African American and 20% Hispanic/Latino, with a mean age of 31. Fifty-five percent were gay and bisexual men. Although only 6% identified as transgender, nearly one half were gender nonconforming. Strong majorities had health insurance, were in regular medical care, and were “out” to their providers. Some were unstably housed and had recently exchanged sex for shelter or money. High rates of health care access and disclosure indicate resiliency and agency. Unstable housing and income insecurity may be structural drivers of vulnerability for this population to HIV infection and other health risks.     

The impact of professional and personal satisfaction on perceptions of rural and urban: Some analytic evidence

Studies of rural-urban location decisions traditionally used ana priori definition of rural/urban based on population size. A group of 29 physicians (study group) practising in communities of less than 10 000, that were part of a larger sample, perceived their communities as ‘urban’. A matched group of physicians (control group) in the same communities, who perceived the communities as ‘rural’, was selected. The research question raised was: Are there personal and professional factors that could reliably predict the perception of rural and urban? A logistic regression analysis was done using professional and personal satisfaction items as predictors of the two groups. The analysis gives some evidence that, once the effect of community size is removed, the perception of rural urban can be explained by satisfaction with the following: (i) access to specialist expertise, (ii) quality of education for children, (iii) quality of life for children and (iv) quality of housing; satisfaction with size of community was not a significant predictor of rural/urban perception.     

Determinants of Poverty and Their Variation Across the Poverty Spectrum: Evidence from Hong Kong,a High-Income Society with a High Poverty Level

This study aims to investigate into the determinants of poverty in Hong Kong. Previous research on poverty, which usually adopted a logistic regression model to examine individuals’ probabilities of being poor, could not adequately reveal the heterogeneity in experiences among people across the poverty spectrum, therefore has limited policy effort to address diverse needs of individuals struggling with poverty. In the present study, this concern is addressed by using a quantile regression model to examine the differential effects of the determinants of poverty across the poverty spectrum. Data were drawn from the Hong Kong Panel Survey for Poverty Alleviation (n?=?1668). Logistic regression indicated that being elderly, being female, not having a partner, from a single-parent household, not being employed, living in public rental housing, have lower educational attainment, and have poor self-rated health, increased the probability of being poor. Informational support was a protective factor of poverty, while several negative life events, such as having family member(s) with disabilities/chronic diseases and having financial burden, were risk factors of poverty. Quantile regression analysis was adopted to further examine the extent to which determinants of poverty unfold across poverty spectrum, which was captured by five groups of “extremely poor”, “deeply poor”, “at the poverty line”, “near poverty” and “marginally poor”. Quantile regression indicated that people living across the poverty spectrum were similarly affected by not having a partner, living in single-parent households and not working. However, extremely poor and deeply poor were more adversely affected by old age than those near poverty and marginally poor. It is also discovered that public rental housing buffered the poverty risks more in those who lived in deep poverty than those who were near poverty and marginally poor. University education protected the near poverty and marginally poor to a larger extent than those who were extremely poor and deeply poor. Information support also buffered the poverty risks, and people living across the poverty spectrum were equally benefited from it.

     

Transitions Between Compensated Work Disability,Joblessness, and Self-Sufficiency: A Cohort Study 1997–2010 of Those Jobless in 1995

Associations between unemployment, work, and disability have been researched in many studies. The findings are often based on cross-sectional data and single outcomes. The present study analysed multiple outcomes over a period of 15 years among long-term unemployed individuals. Based on all individuals aged 20–40 living in Sweden in 1995, prospective cohort analyses were conducted. Individual annual labour market proximity 1995–2010 was estimated and categorised into three mutually exclusive categories: “Jobless”, “Self-sufficient” (i.e. main income from work), or “Disabled”. Individuals in the category “Jobless” (n = 638,622) in 1995 constituted the study population. Using autoregressive multinomial logistic regression, transitions between the three states during 1997–2010 were analysed. Socio-economic factors, previous inpatient care, and national unemployment rates in different time periods were included in the regression models. Among those “Jobless” in 1995, 17 % were also “Jobless” in 2010, while 10 % were “Disabled” and 61 % “Self-sufficient”. The transitions were stable over time periods for transitions into “Self-sufficient” and “Disabled” but less so for “Jobless”. Previous state was the best predictor of subsequent state. “Jobless” individuals with previous morbidity had a higher transition probability into “Disabled” and a lower transition probability into “Self-sufficient”. The transition rates into “Self-sufficient” were higher in periods with lower unemployment levels. The study supports the interpretation that return to work was affected both by the individuals’ previous health status and by the national unemployment level. Transition from being “Jobless” into “Disability” may be influenced by previous ill health and by negative health effects of being “Jobless”.     

The Guardianship Experience of Women: The Relationship Between Older Wards and Their Guardians

SUMMARY

This research examined how 156 female legal caregivers responded to difficulties of being a guardian, how they derived meaning from their guardianship activities, and how the role of guardian influenced their perception of aging. The most frequent activities in which guardians engaged were visiting, providing emotional support, and to a lesser extent, giving instrumental assistance. Guardians described their emotional relationships with their wards as either “sympathetic,” “sad,” “challenged,” or “hostile.” Despite hardships associated with the duties of being a guardian, most of the women perceived benefits and expressed satisfaction from this role. Guardians reported that the relationship with their female wards shaped their perception of aging and the conception of their own aging.     

论城市少数民族流动人口的社会保障问题

由于户籍制度的限制和现行政策的不完善,城市少数民族流动人口在就业、教育、医疗、住房等领域缺乏必要的社会保障．这对社会的稳定和发展造成了消极影响。文章讨论了城市少数民族流动人口的社会保障问题应该坚持的原则和主要对策,认为从长远来看,要运步构建有利于少数民族流动人口在城市中社会融入的经济、社会和文化条件。     

利还是弊:“啃老”对老年生活满意度的影响

本文利用中国健康与养老追踪调查数据(CHARLS)2011年数据,实证分析子女"啃老"对老年人生活满意度的影响。在考虑了数据聚类特征的情况下,发现老年人向子女提供经济支持有利于老年人生活满意度的提高,而照看孙子女则降低了老年人的生活满意度。而且,上述影响在不同老年人群体间缺乏一致性,也就是存在性别、城乡、年龄、不同经济状况间的差异。此外,老年人的健康状况、年龄、受教育程度、个人经济状况及所在社区情况都会对老年人生活满意度产生影响。     

Urban Growth and Housing Quality in Iran

Rapid urban population growth and the lack of effective policies in order to desired population settlement, has encountered Iran’s major cities with multiple social, economic and environment problems. Physical expansion of cities in order to settlement the increasing population, causes the formation of new textures surrounding old urban textures. In the new textures, urban housing is formed with the modern approach and least logical connection with common practice in the old textures. Therefore, the main objective of this paper is to evaluate the housing quality and identify strengths and weaknesses in old and new urban textures to improve the quality of urban housing in Iran. Household survey were conducted to collect the needed data in the old and new textures in Khorramabad city. Results showed that the satisfaction level of housing quality in new texture is far more than old ones. The highest satisfaction level in both textures are related to housing basic facilities domain. However, satisfaction level of this domain in new texture is much greater compared to the old texture. The lowest level of satisfaction is related to the quality of neighborhood domain in old texture and to the access to public services domain in the new one. Results from the factor analysis to identify the dimensions of housing quality in old and new textures illustrated that housing quality is a multidimensional concept, studying of which requires considering all dimensions and aspects.     

Learning to listen: epistemic injustice and gothic film in dementia care education

Listening is a critical and under-theorized dimension to struggles against injustice and marginalization. In the wake of critiques from the disability movement of the pre-eminence of expert medical voices, educating professionals to listen to health service users has become particularly critical. The utterances of people with dementia have frequently been subject to, in Miranda Fricker’s terms, “testimonial injustice”: that is, seen as irrational, unreliable, and not to be believed. This article will examine the way in which the generic conventions of the gothic, more specifically what Mary Ann Doane has described as “the paranoid women’s film,” are used in a short film, Darkness in the Afternoon, widely screened in dementia care education in the UK and internationally. Drawing on interviews with dementia care trainers, analysis of training materials, and the film itself, this article proposes that gender and genre is used in this film as a strategy to reorient the listening and affective practices and testimonial sensibilities of health and aged care workers.     

Sex role effects on female response to illness

This study of sex differentials in health behavior and health service choice among the Korean rural population is based on 1421 individuals aged 14 and over who received medical care at hospitals or clinics, pharmacies, a government health center, or through Chinese medical practices. Logistic regression is used to explore the relationship between the dichotomous variable, the log of the odds of the probability of using formal health care services, and the independent variables (sex, age, education, marital status, perceived health status, perceived medical care need, illness days in bed, limited activity days, total sick days, date of illness). A profile of rural Korea shows for all ages fewer adult females than males, but more females 65 years who have been previously married, which suggests higher male mortality rates in the middle ages. Health service usage is higher among the elderly. Higher level of education is associated with greater use of formal medical service. The results of binomial and multinomial analysis indicate that women receive less medical care from the formal system in spite of complaints and restricted activity, and least of all from health centers. It is suggested that personnel at health centers may reduce the desire for care because of incompatible social backgrounds (young single males who are inexperienced, city bred, and completing required service). A woman must carefully choose from the formal system and may more easily use the informal system of pharmacies and Chinese medicine practice. The responses to self rated health showed many differences; males report better health than females and older people consider themselves more unhealthy than young or adult groups. Those with lower educational attainment also consider themselves unhealthy, and indicate greater need for health services. Females and older age groups also stated their need for professional medical care for an illness within 15 days prior to the survey. The mean number of bed days followed a similar pattern as the perceived need and self rated health. However, women had a lower volume of bed days than men in contrast to typical Western trends. Females reported more restricted days of activity. The old age group had the same restricted days but more bed days than the adult group. Reported chronic diseases were greater for lower socioeconomic groups.     

Subjective Well-Being,Discrimination and Cultural Conflict: Iranians Living in The Netherlands

This study focuses on subjective well-being of Iranian refugees in the Netherlands. Relations with perceived discrimination and cultural conflict with life satisfaction, and positive and negative affect were examined. Additionally, the mediating role of self-esteem, mastery and ethnic identity was studied as well as demographic variables. A path model showed two pathways leading to well-being. In a first path perceived discrimination led to higher ethnic identification which had a negative effect on mastery, which in turn led to lower well-being. In a second path, cultural conflict had an indirect effect on negative affect via self-esteem, and a direct effect on positive affect and life satisfaction. Legal status, level of education, lenght of residence and number of family members in the country had an independent effect on different aspects of the path model.     

The Well-Being of the Canadian Arctic Inuit: The Relevant Weight of Economy in the Happiness Equations

Which of the three dimensions of Allardt’s model, “having, loving, and being”, best predicts the incidence of subjective feeling of well-being among the Canadian Arctic Inuit adults? To answer this question, two logistic regression equations have been constructed, one based on a negative assessment of well-being (feeling of despair), and the other on a positive assessment (satisfaction with life in the community). Each of them took first the form of a global model, and then of three scale models, one for each dimension of the Allardt’s model. The equations are likely to be more effective for predicting the incidence of Inuit’s feeling of satisfaction than for anticipating their feeling of despair. Furthermore, the “being” scale model is the one that will have contributed most to the predictive performance of the global model. In other words, what the Inuit “ARE” contributes more to the incidence of their satisfaction with life than what they “HAVE” or what they “LOVE”.     

Life Satisfaction Among Ethnic Minorities: The Role of Discrimination and Group Identification

For most immigrants and ethnic minority groups, everyday life in the country of settlement raises question of adaptation and belonging. Aside from factors such as lower income, lower education and poorer health, being an ethnic minority member carries additional factors that can lower general life satisfaction. Using data from two studies the present paper shows that ethnic minority group members (Turkish-Dutch) have lower general life satisfaction than a comparable majority group (Dutch) because they are less satisfied with their life in the country of settlement. In addition, Study 2 showed that higher perceived structural discrimination was associated with lower life satisfaction in the country of settlement, but also with higher ethnic group identification that, in turn, made a positive contribution to general life satisfaction.     

Health Care Service Needs and Correlates of Quality of Life: A Case Study of Elderly Chinese Immigrants in Canada

This study explored the health care service needs and the major correlates of quality of life among 127 community-dwelling elderly Chinese immigrants in a western Canadian city. Participants were interviewed in their homes by trained, bilingual interviewers employing a structured questionnaire that covered a wide range of topics including health care service needs, living arrangements, health status, social network, life satisfaction, and socio-demographic information. Results demonstrated that ethnic nursing homes, senior centres that provide programs and services, and homemaker services were respondents’ major service needs. Multiple ordinary least-squares regression analysis revealed that respondents who emigrated from Mainland China and those who exhibited greater psychological well-being, reported being physically more mobile, perceived fewer service needs, and expressed satisfaction with the quality of their neighbourhood demonstrated higher levels of life satisfaction.     

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.