长春市老年人口生活质量评价

针对我国老年人口生活质量的具体情况,利用国家人口和计划生育委员会与吉林大学"我国老年人生活状况及养老公共服务需求研究"长春市部分的调研数据,采用中华医学会老年医学流行病学学组会议提出的分等加权综合评分法,对长春市老年人口生活质量进行综合评价。将老年人口划分成不同年龄组及不同性别组,分别从经济生活、医疗健康生活、家庭与社会生活、精神生活方面进行老年人口生活质量评价。研究结果显示,长春市老年人口整体生活质量处于中等偏上的水平;女性老年人生活质量略低于男性老年人生活质量;老年人口的生活质量水平随年龄增大而降低。通过实证分析,综合把握长春市老年人口的生活质量现状,明确影响长春市老年人生活质量的相关因素,发现阻碍老年人口生活质量提高的不利因素,就改善长春市老年人生活质量提出对策建议。     

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

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

Objective and Subjective Quality of Life: an Interactive Model

This paper reviews the relationship between objective and subjective quality of life indicators. It proposes that the interaction of these variables occurs within a system that homeostatically maintains subjective quality of life within a narrow range. Due to the capacity of this system to adapt to varying environmental circumstances, the objective and subjective indicators are normally poorly correlated. However, it is also proposed that very poor objective conditions can defeat homeostasis and, once this occurs, the objective and subjective indicators display stronger covariation. Empirical data are provided to support this model and the implications for understanding the QOL construct are discussed.     

中国人口增长率与人口文化素质相关分析

依据1990-2000年人口统计资料,运用相关分析方法,对我国人口增长率的降低与人口文化素质的提高进行了相关分析。结果表明,我国人口增长率的降低与人口文化素质的提高存在强相关关系,特别是大学(含大专)文化程度人口所占人口比重与人口增长率存在明显的负相关,同时初中文化程度人口所占比重与人口增长率之间也存在明显负相关。     

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 Dimensionality and Gender Differential Item Functioning of the Mini Asthma Quality of Life Questionnaire (MiniAQLQ)

The present study investigated the factorstructure and item analysis of the Mini AsthmaQuality of Life Questionnaire (MiniAQLQ) in asample of 258 community-dwelling asthmaticadults between the ages of 16 and 87 years. The mean age was 56 years for males (N = 99) and50 years for females (N = 159). This studycompared the fit of three factor solutionsusing a maximum likelihood confirmatory factoranalysis. Based on the fit indices, supportwas found for a hierarchical factor structurewith a second-order factor of quality of lifeand four first-order factors of symptoms,activity limitation, emotional function andenvironmental stimuli. Given that the data fitan essentially unidimensional model, genderdifferential item functioning (DIF) wasexplored using Zumbo's (1999) ordinal logisticregression method with corresponding logisticregression effect size estimators. Aftermatching males and females on the underlyingvariable of quality of life, gender DIF wasfound on the cigarette smoke and weather or air pollution items. Thesefindings indicate that gender influences how anindividual endorses these particular items onthe MiniAQLQ.     

Service and Life Quality: The Case of Palermo

The research aims at analysing the ``quality' of some services offered to the citizens by the Commune of Palermo. The data available were gathered thanks to a sampling survey carried out in October 1997. The sample is made up of 1008 residents in the city of Palermo and is proportionally stratified according to the quarter of residence. Information was gathered by means of a telephone questionnaire. The answering rate was rather high and a great interest in the subjects dealt was taken.The research wants to individuate the degree of efficiency of the Commune of Palermo, also at administrative level, with some questions concerning the municipal council, taking the expectations of the citizens of the city into account through an analytic survey of the indicators measuring the judgement of the citizen towards the main services. This result will be the starting point of an exhaustive analysis aiming at the individuation of the ``quality of life' in Palermo, which is tightly connected with the services offered.     

Multidimensional Quality of Life: A New Measure of Quality of Life in Adults

This paper presents a new measure for assessing quality of life (QOL) –the Multidimensional Quality of Life (MQOL)– and describes its derivation, characteristics, structure and several applications. Reasons for developing the MQOL include the restricted range of assessed domains and the heavy emphasis on health in many standard assessment tools. The MQOL was derived by meaning probes into QOL in different samples. It is a 60-item self-report tool of high reliability and validity covering various themes and forming, in line with factor and cluster analyses, 17 scales that constitute five factors according to confirmatory factor analysis. It has been applied with thousands of individuals, in English, Hebrew, Russian and Arabic, and is adequate for healthy and physically or mentally sick individuals, under regular or challenging circumstances. Described studies present findings in samples of sick or healthy individuals (e.g., unemployed, members of a collapsing Kibbutz); relations between the MQOL and coping strategies in partners of sick individuals; and interrelations of overall and scale scores in new and old immigrants. Conclusions focus on the structure of the MQOL, the specificity of coping effects, and the stabilizing mechanisms of QOL.     

Gender Differences in the Relationship of Social Activity and Quality of Life in Community-Dwelling Taiwanese Elders

This study explores the gender differences in the relationship between social activity and quality of life (QOL). A cross-sectional survey of 220 community-dwelling elderly people was conducted in southern Taiwan. Social activity was classified into six categories. The brief version of the World Health Organization QOL (WHOQOL-BREF) was used to measure QOL. Findings revealed that the associations of six types of social activities with QOL were weaker among women than men. The regression analyses further showed that for women, only religious activity was positively related to total QOL, while for men only involvement in formal group activity was positively related to total QOL.     

人口文化素质对人口数量安全和结构安全的影响

人口安全是非传统安全中的重要组成部分,人口数量、人口结构、人口素质、人口迁移等均是影响人口安全的重要因素,而在这些因素内部也存在着相互影响、相互制约的关系,采用定量和定性相结合的研究方法,就影响人口安全的人口文化素质因素对人口数量和人口结构因素的作用分别进行纵向和横向的研究,并且在横向的实证研究中利用SPSS软件包将全国各省份的人口安全程度作聚类分析,以期更好地确定人口文化素质对人口数量和结构的影响程度。     

论中国人口逆淘汰：驳斥一个伪命题

本文对中国人口（素质）逆淘汰问题进行定性和定量的分析,认为不能简单的以城乡生育率的差异去考量人口的整体素质变化。人口的整体素质变动是一个动态的过程,以静态的、封闭的人口观点去看待人口素质问题必然得出与事实不相符合的结论。把城镇、农村人口当作两个封闭的群体。同时忽视农村人口素质快速提升的的现实,得出的中国人口逆淘汰的结论必然是一个伪命题。     

Relationships Between Population Density and the Perceived Quality of Neighbourhood

Two overseas survey-based scales measuring perceived quality of neighbourhood were adapted and replicated in a New Zealand context. An Italian study (Bonaiuto, Fornara, and Bonnes. (2003). Landscape and Urban Planning, 65, 41–52) measuring Perceived Residential Environmental Quality (PREQ) and an American study (Carp and Carp. (1982). Journal of Environmental Psychology, 2, 295–312) using the Perceived Environmental Quality Indices (PEQI) were applied to a sample of Auckland residents, separated into low, medium, and high population density areas. The surveys measured attitudes towards subjects such as noise, neighbours, accessibility, green areas, welfare services, recreational services, safety, maintenance, environmental health, transport services, and characteristics of an ideal neighbourhood, and were completed by 369 respondents. Primary analyses examined differences in perception across the three density groups. The factor structures of both scales were replicated with the Auckland sample, and differences across densities were found for subscales of the PREQ. The results are discussed in relation to the cross-cultural similarities of perceived environmental quality, and the concept that environmental satisfaction is based on balancing aspects of the residential environment is proposed. This research was conducted for the Foundation for Research, Science, and Technology under contract OPSX401.     

Spiritual Needs and Quality of Life in Estonia

This paper reports on three field studies using the WHOQOL-100 and WHOQOL-BREF instruments that utilized three different samples (N = 1,801) to get a better understanding of how important the person’s spiritual needs are for quality of life. The most striking negative difference between the Estonian and World Health Organization samples was in the WHOQOL-100 spirituality domain. We found that the quality of life index significantly correlated with the WHOQOL-100 spirituality score. Also, spirituality was related to all quality of life domains (physical health, psychological well-being, level of independence, social relationships and environment). Regarding psychological well-being, spirituality correlated with self-esteem, positive feelings, and thinking, learning, memory, and concentration, on the other. Our findings suggest that spirituality occupies an important place in the person’s perception of their quality of life in a changing socio–economic environment as the one in Estonia.     

Interpreting the WHOQOL-Brèf: Preliminary Population Norms and Effect Sizes

Since publication use of the WHOQOL-Brèf has rapidly risen. However, as yet no population norms have been published as a reference point against which researchers can interpret their findings. This study provides preliminary population norms for this purpose. Randomly sampled community residents from two studies were pooled and used to examine the properties of the WHOQOL-Brèf by age group, gender and health status. The results showed that general norms for the WHOQOL-Brèf domains were 73.5 (SD=18.1) for the Physical health domain, 70.6 (14.0) for Psychological wellbeing, 71.5 (18.2) for Social relationships and 75.1 (13.0) for the Environment domain. In general scores declined slightly by age group. For females scores were stable across the lifespan with an accelerated decline after the age of 60 years. Males exhibited a more consistent and even decline across the lifespan. There were significant differences in WHOQOL-Brèf scores when reported by health status, with those in poor health obtaining scores that were up to 50% lower than those in excellent health. Effect sizes between different health status levels are reported. These preliminary norms and effect sizes may be used as reference points for interpreting WHOQOL-Brèf scores. They provide additional information to the numerous national studies already reporting on the validity of the WHOQOL-Brèf.     

Family Life Quality and Emotional Quality of Life in Chinese Adolescents with and Without Economic Disadvantage

Chinese secondary school students (N = 2758) responded to measures of perceived family life quality (parenting quality and parent–child relational quality) and emotional quality of life (hopelessness, mastery, life satisfaction and self-esteem). Parenting quality included different aspects of parental behavioral control (parental knowledge, expectation, monitoring, discipline and demandingness as well as parental control defined in terms of indigenous Chinese concepts), parental psychological control, and parental responsiveness whereas parent–child relational quality included satisfaction with parental control, child’s readiness to communicate with the parents, parental trust of the child, and child’s trust of the parent. Results showed that parenting quality and parent–child relational quality in poor families were generally poorer than those of non-poor families and the differences were more pronounced in paternal parenting quality and father–child relational quality than in maternal parenting quality and mother–child relational quality. Emotional quality of life of adolescents experiencing economic disadvantage was also found to be poorer than that of adolescents not experiencing economic disadvantage. The present findings replicate the previous research findings in the literature and generate a pioneering dataset based on Chinese adolescents at Secondary 2 level in Hong Kong.     

Health Condition and Quality of Life in Older Adults: Adaptation of Qolie-89

This study aimed at adapting the Questionnaire Quality of Life in Epilepsy (QOLIE-89 version 1.0: Vickrey et al., 1993), Quality of Life in Epilepsy QoLIE-89 RAND (Santa Monica, CA)] so that it may be used to measure quality of life (QoL) of older adults, healthy or suffering from various chronic illnesses. The participants were 202 older adults recruited from the Pathology Clinic of a general hospital in Thessaloniki, Greece, and from Community Centers for Older adults. The mean age was 71 years. Of them, 51 suffered from diabetes, 50 from cardiovascular disease, 52 suffered from arthritis/myoskeletal diseases, and 49 were healthy. The QOLIE-89 inventory comprises 89 items that measure 17 topics. Exploratory factor analysis revealed 3 factors, namely, health (i.e., physical health and functioning), cognition, and social behavior. Cronbach’s α for the various topics in each group of participants ranged from 0.60 to 0.90 with a number of exceptions with very low α. Concurrent validity was tested through correlations with measures of subjective well being, affect, life satisfaction, and adaptation to old age. A series of ANOVAs showed differences between the healthy and the chronic illness groups of participants but no clearcut differences between the three chronic illness groups. Further study on the adaptation of QOLIE-89 is needed so that its potential as a general measure of QoL in older adults is determined.     

Living Arrangements and Quality of Life Among Chinese Canadian Elders

This paper examines the role of living arrangements in thequality of life of community-dwelling Chinese elders (aged 65 andover) currently residing in Vancouver and Victoria, BritishColumbia. Data are based on a random sample of 830 persons[response rate = 71.5%], who were interviewed in their homes inthe language of their choice in 1995–96. Three dimensions ofquality of life – satisfaction, well-being and social support –are examined for married men and women [living with spouse alonevs. living intergenerationally] and widowed women [living alonevs. living intergenerationally]. Few differences are found formarried persons, especially women; for widows, living alonesignificantly reduces quality of life in a number of areas.Regression analyses indicate that living arrangements are not asignificant predictor of life satisfaction or well-being formarried men and women. For widows, living arrangements determinewell-being but not life satisfaction.Overall, age, health status, and social support (havingfriends/confidante) are better predictors of quality of life forelderly Chinese Canadians than are living arrangements. Findingshighlight the importance of: empirically distinguishing maritalstatus and living arrangements in studying the quality of life ofelders; not homogenizing Chinese Canadian seniors with regard toliving arrangements; and focussing on Chinese elderly widows wholive alone as a group at risk of low well-being.     

Construct and Criterion Validity of a Norwegian Instrument for Health Related Quality of Life Among Elderly Women Living at Home

Purpose of the study: The aim of the current study is to validate an instrument consisting of five items and first used in the Nord-Trondelag Health Survey (HUNT-5), as a measure of health related quality of life (QOL) in a population of elderly women living at home. Design and methods: A random sample of 307 women aged 75 years and over (mean 80.8 years, response rate 74.5%) and living at home were interviewed using the HUNT-5 instrument, the 20-question version of the General Health Questionnaire (GHQ-20) and the respondents’ records of their health status and functional ability. Results: No significant relationships were found between age and the sumscores of GHQ-20 and HUNT-5. Factor analysis indicated that HUNT-5 is primarily unidimensional. The Cronbach α for HUNT-5 was 0.79 and that for GHQ-20 was 0.87. The correlation between the HUNT-5 and the GHQ-20 sumscores was 0.75 (p < 0.001). There were significant correlations between some of the health and function items and the two QOL instruments (ranging from 0.14 to 0.68). Implications: This evaluation supports the psychometric validity of HUNT-5 for elderly women living at home. It is important to take into consideration the women’s own experience of their health and functional ability in planning therapy and in obtaining the best possible QOL for them.     

The Impact of Imports and Exports on a Country’s Quality of Life

This paper is a sequel to Sirgy et al. (Social Ind. Res. 68(3) (2004) 251), “The Impact of Globalization on a Country’s Quality of Life: Toward an Integrated Model” published in Social Indicators Research. That paper conceptualized globalization in terms of the free flow of four major components: (1) goods and services, (2) people, (3) capital, and (4) information. The current paper focuses on the free flow of goods and services, one of the four major components of globalization. Specifically, we (1) articulate the trade globalization construct, (2) show the complex mediating effects between trade globalization and QOL, and (3) describe under what conditions these positive vs. negative QOL effects are likely to occur. We develop a set of theoretical propositions to capture these mediating and moderating effects. Based on the theoretical model, we suggest the following public policy recommendations: (1) Encourage exporting firms not to outsource jobs. (2) Encourage firms to export more products in ways that can enhance their production efficiency. (3) Discourage firms from exporting culturally sensitive (and possibly offensive) products to culturally distant countries. (4) Encourage firms to export more products with potential for technology transfer. (5) Encourage firms in industries with a significant comparative advantage to increase exports. (6) Encourage imports of products that do not compete with high employment domestic industries where workers cannot easily transition to more productive employment. (7) Impose trade barriers as short-term solution to help␣threatened industries while helping those industries retool to become more competitive. (8)␣Assist displaced workers by re-training them to shift to industries with comparative advantage.     

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

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