Social Indicators Research and Health-Related Quality of Life Research

The aim of this essay is to build a bridgebetween two intersecting areas of research,social indicators research on the one hand andhealth-related quality of life research on theother. The first substantive section of thepaper introduces key concepts and definitionsin the social indicators research tradition,e.g., social indicators, positive, negative,input and output indicators, social reports andquality of life. After that, there is asection reviewing some historical origins andmotives of social indicators researchers,beginning roughly with Jeremy Bentham's`felicific calculus' and ending with the searchfor a comprehensive accounting scheme capableof measuring the quality of human existencewith social, economic and environmentalindicators.Results of eleven surveys are reviewed whichwere undertaken to explain happiness on thebasis of levels of satisfaction thatrespondents got from a dozen specific domainsof their lives, e.g., satisfaction with theirjobs, family relations and health. On average,for the eleven samples, we were able to explain38% of the variance in reported happiness fromsome subset of the predictor variables. Satisfaction with one's own health was never the strongest predictor of happiness inany sample. In five of the eleven samples,satisfaction with one's own health failed toenter the final explanatory regression equationfor lack of statistical significance. Theresults in this section of the essay show thatdifferent groups of people with different lifecircumstances, resources and constraints usedifferent mixtures of ingredients to determinetheir happiness.After examining some research revealing therelative importance of people's satisfaction with their health to theiroverall happiness, I consider some studiesrevealing the importance of people's self-reported health to their overallhappiness. Self-reported health is measuredprimarily by the eight dimensions of SF-36.When a variety of additional potentialpredictors are entered into our regressionequation, 44% of the variance in happinessscores is explained, but only one of the eightdimensions of SF-36 remains, namely, MentalHealth. The latter accounts for a mere four%age points out of the total 44. Thus,self-reported health has relatively little tocontribute toward respondents' reportedhappiness, and its measured contribution issignificantly affected by the number and kindsof potential predictors employed.Two approaches to explaining people'ssatisfaction with their own health areconsidered. First, using the same set ofhealth-related potential predictors of overallhappiness, we are able to explain 56% of thevariance in respondents' satisfaction withtheir own health. Then, using MultipleDiscrepancies Theory, we are able to explainabout 51% of the variation in satisfactionwith one's own health scores for 8,076undergraduates, with highs of 76% for a sampleof Finnish females and 72% for Korean males.Accordingly, it is reasonable to conclude thatif one's aim is to explain people'ssatisfaction with their own health, thepotential predictors assembled in MDT canprovide quite a bit and sometimes even moreexplanatory power than a reasonably broad setof measures of self-reported health.In the penultimate section of the essay it isargued that there are good reasons forcarefully distinguishing ideas of health andquality of life, and for not interpreting SF-36and SIP scores as measures of the quality oflife. It is suggested that we might all bebetter off if the term `health-related qualityof life' is simply abandoned. However, sincethis is unlikely to happen, it is stronglyrecommended that researchers be much morecareful with their usage of the phrase andtheir interpretation of purported measures ofwhatever the phrase is supposed to designate.     

THE QUESTION CUBE: A MODEL FOR DEVELOPING QUESTION REPERTOIRE IN TRAINING COUPLE AND FAMILY THERAPISTS

This paper presents a three-dimensional model for teaching questioning to those wishing to develop skills in couple and family therapy. The model breaks questions into their component parts of format (the style of the question: open, closed, forced choice, rating, or ranking); orientation (the person who is being inquired about: self or other), and subject (the content of the question: behavior, feelings, beliefs, meaning, or relationship). The model is presented in the context of our post-Milan version of couple and family therapy training. The model is useful in that it allows students gradually to increase their repertoire of questions in a way that offers step-wise learning and integrates with their existing skills.     

Social structure and homicide in post-Soviet Russia

The Russian homicide rate is among the highest in the world. Local rates are not uniform, however, but instead show tremendous variation throughout this large nation. As a result of varying levels of development, differential access to natural resources, past Soviet economic and social policies, and the varying pace of the social, political, and economic transition, there are also large differences across Russia in structural factors thought to be related to interpersonal violence. In this study, newly available vital statistics and socioeconomic data were employed to estimate the effects of social structural characteristics on homicide rates in the Russian regions (n = 78). Results revealed that commonly tested covariates such as poverty and single-parent households were positively associated with regional homicide victimization rates, as was a proxy for heavy drinking. Further, homicide rates in the Northern Caucasus and the regions east of the Ural mountains are significantly lower and higher, respectively, than in the rest of the country. These results are discussed in terms of the current Russian situation and integrated into the broader literature on social structure and homicide.     

Preelection Polls in Israel: Structural Constraints on Accuracy

This article examines the last two Israeli election campaignsof 1981 and 1984, and suggests that structural variables greatlyaffect the accuracy of reported preelection polls. Pollsters'quest for more detail and refinement driven by competition andmass media pressures for highly processed predictions is liableto result in less accurate reports. The kind of errors in polls'projections are situation-bound and greatly depend on the natureof the floating vote in the system. Interpollster accuracy,however, is mainly determined by pollster–sponsor dependencies.Pollsters working for political parties projected results morefavorable to their sponsors or less favorable to their sponsors'opponents. Moreover, the stronger the pollster–sponsorstructural dependencies, the greater the inaccuracy.     

Limit theorems for a general weighted process under random censoring

Necessary and sufficient conditions for weak and strong convergence are derived for the weighted version of a general process under random censoring. To be more explicit, this means that for this process complete analogues are obtained of the Chibisov-O'Reilly theorem, the Lai-Wellner Glivenko-Cantelli theorem, and the James law of the iterated logarithm for the empirical process. The process contains as special cases the so-called basic martingale, the empirical cumulative hazard process, and the product-limit process. As a tool we derive a Kiefer-process-type approximation of our process, which may be of independent interest.     

Does a Reactor Need a Safety Backfit? Case Study on Communicating Decision and Risk Analysis Information to Managers

An approach to communicating decision and risk analysis findings to managers is illustrated in a real case context. This article consists essentially of a report prepared for senior managers of the Nuclear Regulatory Commission to help them make a reactor safety decision. It illustrates the communication of decision analysis findings relating to technical risks, costs, and benefits in support of a major risk management decision: whether or not to require a safety backfit. Its focus is on the needs of decision makers, and it introduces some novel communication devices.     

Three years later: the adaptation process of 1980 (Mariel) Cuban and Haitian refugees in South Florida

In recent years, southern Florida has experienced rapid new inflows of immigrants from Central America and the Caribbean. Since the arrival in 1980 of Mariel (Cuban) and Haitian immigrants to this area, a great deal of speculation has emerged as to the adaptation of these two groups to south Florida and the impact which their presence has wielded on the social and economic arenas of that region. In this paper, we present selected background characteristics of representative samples of both groups and discuss our empirical findings with regard to the labor market experiences, social networks, and educational experiences of the immigrants included in our sample. While the two groups minimally differ from earlier cohorts of their compatriots entering south Florida, their experiences since arriving in Florida have been quite different. Both the Cuban and Haitian immigrants arriving in 1980 demonstrate higher levels of unemployment than their counterparts who arrived earlier; however, the existence of the Cuban economic enclave in Miami did facilitate the entry of a greater number of Cubans than Haitians into the formal labor market. Initial evidence indicates that significant numbers of individuals from both groups participate in the informal labor market, often receiving less than the minimum wage.This study was conducted with the support of the Sociology Program, National Science Foundation (Grant #SES-8215567).     

SOLUTION-FOCUSED THERAPY: TOWARD THE IDENTIFICATION OF THERAPEUTIC TASKS*

Brief therapy has often been regarded as “problem solving therapy.” This article discusses the development of a solution-focused approach to clinical practice. Solution-focused therapeutic tasks and interventions are described.     

An Assessment of the Determinants of Religious Participation*

Variations in patterns of church attendance are examined for a 1974 national sample of American Protestants and Catholics. Contrary to past results, socioeconomic status and alienation contribute little, but sociodemographic variables contribute more to the explained variance in church attendance. Region and sex affect church attendance more than education, occupation, or income. Religiosity and confidence in the clergy are the most important determinants of church attendance and together account for half of the total variance explained in church attendance.     

An application of multiple discrepancies theory (MDT) to seniors

MDT posits that satisfaction and happiness are functions of 7 perceived discrepancies, viz., between what one has and wants, relevant others have, needs, deserves, has had in the past, expected to have and expects to have. The theory and its historic antecedents are explained. The theory was applied to a sample of 450 seniors from 4 areas of Ontario. Briefly, MDT accounted for about a third of the variance in reported life satisfaction for the whole group and both sexes separately, and about a quarter of the variance in happiness.