The Measurement of Ethnic and Religious Divisions: Spatial,Temporal, and Categorical Dimensions with Evidence from Mindanao,the Philippines

Survey research on subjective wellbeing in The Netherlands started in the early 1970s. The time series happiness and life satisfaction that have emerged since then are unfortunately based on slightly different survey items of which one part uses verbal response scales and another part uses numerical response scales. The diversity of the survey items and a number of other measurement issues, such as the effects of changes in survey mode, hamper comparison over time and make it difficult to establish whether life became any better over the last forty years. These problems can be tackled using the recently developed Reference Distribution Method with which responses to equivalent but not identical survey questions can be pooled to obtain long, consistent time series. We applied the Reference Distribution method to pool time series of happiness and life satisfaction. We conclude that in the past 40 years the Dutch have become slightly happier and satisfied with their lives.     

Yea-saying and mood-of-the-day effects in self-reported quality of life

This paper focuses on some of the complications that may arise from errors of measurement in quality of life (QOL) scales based on self-report. It is argued that systematic errors as well as random errors (specifically in the shape of mood-of-the-day effects) will tend to suppress, mask or “wash out” statistical associations between “objective”, sociologically relevant, indicators of well-being and self-reported quality of life. Results from a Norwegian sample of middle-aged and old participants in a health screening operation (N=610) are reported. The findings indicate that response acquiescence (“yea-saying”) may be a source of systematic error even in balanced QOL-scales, and that this bias may lead one to underestimate QOL among the well-educated and overestimate it among older respondents. Utilizing over-time data we are able to show that self-reported QOL appears particularly vulnerable to mood-of-the-day effects among younger females. Implications for sociological research on subjective well-being are pointed out.     

The Role of Leisure in Determining Quality of Life: Issues of Content and Measurement

Traditional approaches to themeasurement of leisure's relationship toquality of life have emphasised place-centredindicators (e.g., the frequency of leisurefacility usage) and tended to ignoreperson-centred criteria (e.g., satisfactionwith leisure experiences). Moreover, theunderlying assumption in subsequent policyoutcomes has been that increasing the number offacilities and services will automaticallyenhance people's QOL. This paper focuses onboth the content and measurement of leisure andits relationship to quality of life. Itreports the results of a study that examinedthe relative importance of selected place andperson-centred leisure attributes in predictingquality of life. The study tested a set ofobjective and subjective indicators that peopleare most concerned with in their leisure lives. Overall, it was found that the person-centredleisure attribute, leisure satisfaction, wasthe best predictor of quality of life. Place-centred attributes failed to influencequality of life. Further analysis revealedthat people who engage in social activitiesmore frequently and who are more satisfied withthe psychological benefits they derive fromleisure, experience higher levels of perceivedquality of life. The results suggest thatthere is a need to reconcile objectiveknowledge with subjective perceptions ofleisure in order to achieve greaterunderstanding and comprehensive measurement ofthis complex domain and its relationship toquality of life.     

The Metrics of Subjective Wellbeing Data: An Empirical Evaluation of the Ordinal and Cardinal Comparability of Life Satisfaction Scores

This paper is motivated by the lack of consensus on the metrics of subjective wellbeing measurement scales. Subjective wellbeing data are frequently treated as though they are cardinally comparable both across and within individuals, though very little evidence exists to support these assumptions. Because wellbeing cannot be observed directly, cardinality must remain an assumption, which is usually imposed based on statistical convenience rather than on reason. The premise of this paper is that it is both possible and useful to make this assumption more informed. The analysis applies the principle of simultaneous conjoint measurement to improve our understanding of what information is contained within subjective wellbeing scores. Specifically, the metrics of the eleven-point numeric life satisfaction scale is evaluated using the MH5 mental health survey instrument. Under the assumption that the response function for MH5 is identifiable by the Rasch model, the shape of the response function for life satisfaction is potentially observable indirectly via the association between life satisfaction and MH5. The results presented here suggest life satisfaction scores are ordinally distinct, in terms of these mental health data, which supports the assumption of ordinal comparability. Under the aforementioned assumption, these scores are also approximately equidistant, which supports cardinal comparability. This pattern is found both across individuals and within individuals across time.     

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.     

Urban Quality of Life: A Case Study of Guwahati

This paper studies quality of life (QOL) in urban environment. The term environment has been used in broader sense, which includes physical, social and economic environment. A framework has been proposed which posits that QOL comprises objective condition of living and satisfaction from such living condition constitutes QOL. Such objective condition refers to objective QOL and satisfaction refers to subjective QOL. Dimension of QOL has been found to be multi dimensional. It has been found that both objective and subjective condition is important dimension of QOL. But correlation between objective and subjective QOL has been found not to be high. At the same time it has been found that satisfaction from condition of traffic is the lowest among all satisfaction variables.     

Satisfied Residents in Different Types of Local Areas: Measuring What’s Most Important

In efforts to enhance subjective urban quality of life (QOL), most empirical research focuses on measuring satisfaction. However, other research suggests most residents are satisfied with where they live because they choose local areas which satisfy them on attributes important to them, within the constraints they face. Thus residents choosing very different local areas tend to have similar satisfaction levels. Rather than focusing on residential satisfaction in local areas, it may be useful to focus on residential preferences to both characterize and improve subjective urban QOL in local areas. This study compares satisfaction and preference measures in four broad types of urban environment in South East Queensland, Australia. As expected, the results showed similar levels of satisfaction across these urban environments (spanning inner city, suburban, outer suburban, and coastal areas) with regard to three broad attributes (access to services and facilities, the natural environment, and the social environment). In contrast, the importance of these attributes for residents varied between these urban environments. Thus residential preferences may characterize subjective urban QOL in different urban environments better than residential satisfaction. Moreover, residential preferences provide additional guidance for maintaining and enhancing subjective urban quality of life in local areas. This paper argues for a renewed focus on importance measures in addition to the existing focus on satisfaction measures in subjective urban QOL research.     

Measuring Quality of Life

This paper considers quality of life (QOL) to be a global, yet unidimensional, subjective assessment of one's satisfaction with life. This conceptualization is consistent with viewing QOL assessments as resulting from the interaction of multiple causal dimensions, but it is inconsistent with proposals to limit QOL to health-related quality of life (HRQOL). We test the unidimensional yet global conceptualization of QOL using data from coronary artery bypass graft (CABG) patients. The Self-Anchoring Striving Scale (SASS) and four other indicators derived from the literature, all seemed to function as indicators of a single concept (QOL) that was repeatedly drawn upon as the patients determined their responses to these indicators. However, only about half the variance in each indicator was attributable to that common QOL source. Several structural equation models are used to assess whether the superior performance of the Life 3 indicator is an artifact of the repetition of an item within this indicator. The data convincingly indicate that the superior performance is not a memory artifact, and that even the repetition of an identically worded item prodded the patients into drawing yet again upon the same QOL factor that grounded all the other measures.     

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.     

Technology and life-quality

This paper examines some of the effects of technology on quality of life (QOL) that are suggested in the classical and more recent literature. It argues that confusion concerning the impact of technology is reduced by using a simple definition of it and by analysing its interrelationships with five other key variables of social structure with also influence QOL. It is argued that economic rationalism which produces mainstream technology and structure may prevent the maximisation of QOL because of their negative effects on health and the quality of relationships. In this case, the introduction of alternative technology and social structure requires a devaluation of material wealth and a more positive valuation of health and the quality of relationships.     

Variability of Quality of Life at Small Scales: Addis Ababa,Kirkos Sub-City

Urban quality of life (QoL) is becoming a subject of urban research mainly for western and Asian countries. Such attention is due to an increasing awareness of the contribution of QoL studies in identifying intervention areas and in monitoring urban planning policies. However, most studies are carried out at city or country level that can average out details at small scales. In this paper we present a case study where the urban QoL at small scale is measured and its variability is evaluated for Kirkos sub-city of Addis Ababa, Ethiopia. The study is based on data from a household survey and some secondary data. Geographic information system (GIS) is applied to extract proximity information (e.g., distance to school facilities) and visualize the spatial distribution of QoL. Statistical methods such as factor analysis are applied to establish an index of objective QoL while coefficient of variation is applied to evaluate spatial variability of subjective QoL. The results of this study reveal that the subjective quality of life (QoL) scores show large variation in the sub-city. The mean QoL score also indicates that the respondents in the sub-city, on average, are dissatisfied with the quality of their life. Respondents with higher education level and income are on average, however, more satisfied with their QoL in the sub-city. The results reveal that the lower the QoL in the Kebele, the larger the variability of QoL within the Kebele. Such indicates how aggregation at large scale can average out the variation of QoL at small scales. The results reveal the presence of QoL variability at small scales. The comparison between the subjective and the objective QoL at Kebele level indicated a state of dissonance, adaptation, deprivation or well-being. Such results suggest that the two measures do not always indicate the same level of QoL.     

Materialism and Satisfaction with Over-All Quality Of Life and Eight Life Domains

Previous research has shown that materialism relates negatively to satisfaction with many life domains. The present study broadens this body of research by examining the relationship between three dimensions of materialism and eight quality of life (QOL) domains in a large, diverse sample of U.S. respondents. Two hypotheses were tested: First, overall measures of materialism and satisfaction with QOL were thought to be inversely related. Second, the three dimensions of materialism and QOL domains were hypothesized to be negatively correlated. Results show that overall materialism and its happiness dimension were consistently negatively related to all eight measures of QOL. Materialism’s centrality and success dimensions were negatively correlated with seven and six of the eight QOL domains, respectively. Findings are discussed in light of Humanistic and Organismic theories, and other implications are considered.     

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.     

The affective and cognitive context of self-reported measures of subjective well-being

Researchers attempting to understand the experience of subjective well-being have relied heavily on self-report measurement. Recent research focused on this method has demonstrated that a number of factors, such as the current mood of the respondent and the cognitive and social context surrounding the response, can significantly influence response to items inquiring about global subjective well-being or satisfaction with life. In the present study, several measurement strategies (e.g., single-item measures, multiple-item scales, and memory search tasks) were compared with regard to their susceptibility to such influences. Although some evidence for effects due to item-placement or transient mood were found, all of the global measures of subjective well-being and life satisfaction has significant convergence with peer-reports, and the single-item measures showed good temporal reliability across a one-month interval. The data provide evidence for a significant degree of stability in subjective well-being and life satisfaction.     

A value based index for measuring national quality of life

A new index of the quality of life (QOL) of nations was created. The measured variables are selected based on a universal set of human values derived from the work of Schwartz (1994). The Basic QOL Index, designed primarily to discriminate between developing countries, includes seven variables: purchasing power, homicide rate, fulfillment of basic physical needs, suicide rate, literacy rate, gross human rights violations, and deforestation. The Advanced QOL Index, designed primarily to assess QOL in highly industrialized nations, includes seven variables: physicians per capita, savings rate, per capita income, subjective well-being, percent attending college, income equality, and environmental treaties signed. Combining the two indices produced a reliable measure of QOL that systematically covers diverse human values. The nations scoring highest on the Combined QOL Index were Canada, Switzerland, Netherlands, U.S.A., and Norway, and those scoring lowest were Ethiopia and Rwanda.     

Development of a social monitoring system at the local level: An experiment in the Southern Region of the Democratic Republic of Sudan

Subjective indicators of life quality are used frequently in the planning and decision making process. The limitations inherent in the use of subjective indicators often go unnoticed among those most likely to use such data in the context of planned change. We direct attention to a potential source of error in subjective evaluations of community services and facilities. Specifically, we utilize repeated measures to test for response bias that results from placing items in alternative sections of the same survey instrument. Evidence concerning the hypothesized presence of systematic bias was mixed. When overall service evaluation items were embedded within a section devoted exclusively to that service, considerable systematic bias was observed. The findings indicate that the choice of question format depends upon the ultimate use to which the data will be put.     

Cross cultural comparisons of quality of life of Thais and Americans

Comparisons of quality of life (QOL) measures across cultures of countries in different stages of economic development have been very scarce. This study attempts to fill the void in the literature by investigating the level of overall life satisfaction and satisfaction with various domains of lives of Thais and Americans. Additionally, the relationships between satisfaction with domains of life and overall life satisfaction in each culture have been explored. The results of this study indicate that Thais are less satisfied with their lives in general and most of the domains of their lives than Americans. However, both Thais and Americans tend to be more satisfied with their personal domains of lives than environmental domains of lives. In addition, satisfaction with material possessions is found to contribute significantly to overall life satisfaction of Thais but not Americans. This suggests that material wealth or economic development is still a vital mechanism for enhancing QOL of people in Thailand, but is not important for enhancing QOL of people in the U.S.     

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.     

Quality of life for students with disabilities in transition from school to adulthood

This paper examines quality-of-life concerns that pertain to secondary level students with disabilities who participate in high school programs in the United States. More specifically, we examine issues and programs that pertain to the “transition period” during which students leave school and begin to assume adult roles in their communities. The paper begins with an overview of major programs that have addressed this area over the past 25 years. We then present some contrasting definitions of quality of life, in order to provide a theoretical context for examining issues and concerns, ending with our recommendations for a taxonomy that can be used for operationally defining quality of life. Research findings from this perspective are presented next, followed by a discussion of ways in which quality-of-life information can beused to influence program and policy and policy decisions at both personal and institutional levels of discourse. We cite and describe several examples of such usage from our own experiences. The paper closes with some recommendations concerning what we must do in the future to improve quality of life for this population.