Quality of Life in Older Adults: Benefits from Caring Services in Hong Kong

Many older adults are in need of care. Therefore, older people would generally benefit from the use of caring services, notably including home care, residential care, nursing, and medical services. The contributory factors underlying caring services tend to be a caring perspective that aspires to sustain older peoples social relationships and real-life involvement. To gauge the benefits from various social and health services, the present study relies on a large-scale survey of 3000 older adults in Hong Kong, using quality of life as a criterion. Results showed that an older adult who had used (ordinary or enhanced) home care services for a longer time turned out to have appreciably more improvement in quality of life. Besides, those who joined an interest group more frequently were higher in quality of life, including the health domain. On the other hand, frequent use of medical and meal-to-home services were signals that reflected problems detrimental to the older users quality of life. Despite this, the quality of clinics or hospitals, as perceived by the older adult, was the most beneficial. As such, caring services that foster older adults interests, cater to their health care needs, and embody quality can have principal contribution to their users quality of life.     

Quality of Life of Some Under-Represented Survey Respondents: Youth, Aboriginals and Unemployed

Examining an aggregated sample (N=8800) of residents who responded to one of 16 surveys undertaken in Prince George, British Columbia in the period from November 1997 to February 2005, it was found that satisfaction with the quality of life of unemployed residents is lower than that of residents with Aboriginal backgrounds and that satisfaction with the quality of life of the latter is still lower than that of young people. Nevertheless, satisfaction with the quality of life of young people was significantly lower than that of the total sampled population, as well as that of the selected mid-life and retirement groups. Regarding predictors of our three global dependent variables (satisfaction with life as a whole and with the overall quality of life, and happiness) for the three groups (unemployed, Aboriginals and youth) and the total population, we found that the Aboriginal group was most different from all others. Satisfaction with one’s own self-esteem was the most influential predictor of each global indicator for every group except Aboriginal residents. For the latter, self-esteem satisfaction was only the strongest predictor of satisfaction with the overall quality of life. The strongest predictor of life satisfaction for the Aboriginal group was satisfaction with friendships, and there were two domain satisfaction scores tied (friendships and living partner) for most influential predictors of happiness. Self-esteem satisfaction ranked second in strength of influence on Aboriginal happiness and life satisfaction.     

The Relationship between Health Survey and Medical Chart Review Results in a Rural Population

The objective of this study was to understand the relationship between health survey and medical chart based information. The study population consisted of adult patients (17 years of age and older) attending the Bella Coola Medical Clinic who also completed a detailed Health and Quality of Life Survey. A total of 674 adults completed the Health and Quality of Life Survey. Demographically there was excellent agreement between self-report and clinic data for age, sex, height, weight and Aboriginal ancestry. For morbidity, there was excellent agreement between self-reported and clinically recorded diabetes. Good agreement was observed for diagnoses of cancer, heart problems, hypertension, arthritis and breathing problems. Poor agreement was observed for diagnoses of depression, back/neck problems, eye problems, walking problems, stroke, hearing problems and bone/joint problems. There was poor agreement between the number of self-reported and charted clinic visits. Excellent agreement was shown between self-reported height and weight and clinic height and weight. When BMI was calculated good agreement was achieved between self-report and chart data. It can be concluded that the relationship between chart review and self-report health information observed in this rural population is similar to findings from other populations. Researchers who use self-report data on co-morbidity and obesity measures should be aware of possible error in their estimates and how these errors could affect their findings.     

"Barebacking": intentional condomless anal sex in HIV-risk contexts. Reasons for and against it

Intentional condomless anal sex in HIV-risk contexts ("barebacking") has been heatedly debated in gay circles, the gay media, and, to a lesser degree, the mainstream media. Yet it has received little attention in the scientific literature. In order to better understand the reasons behind this behavior, we conducted a content analysis of messages posted on an Internet message board following Gay.com's decision to close a company-sponsored bareback chat room. Individuals posting messages self-identified in their online profiles as being mostly White/ European gay men residing in the US, with an average age of 35 years. Out of 130 messages, 62 (48%) were pro-barebacking, 55 (42%) were against barebacking, and 13 (10%) referred to other topics. The content analysis of the messages showed that both those in favor of and against barebacking felt well-informed about HIV/AIDS and the risks of HIV transmission. Those in favor considered condomless sex more enjoyable than sex with condoms (both in actual experience and in erotic imagery), felt that condomless sex conferred a sense of freedom, minimized the risks involved in barebacking (assuming that practitioners were already HIV infected and that the risk of superinfection was small), and ultimately believed that barebacking was a personal decision and responsibility. Those against barebacking believed the behavior was dangerous, advocated for condom use and personal and social responsibility, and felt barebackers needed to be sensitized to the burdens of HIV disease. Implications of these results are discussed, pointing out the need for further scientific inquiry in this area.     

When to Carry Eccentric Products? Optimal Retail Assortment under Consumer Returns

To understand whether retailers should consider consumer returns when merchandising, we study how the optimal assortment of a retailer is influenced by its return policy. The retailer selects its assortment from an exogenous set of horizontally differentiated products. Consumers make purchase and keep/return decisions in nested multinomial logit fashion. Our main finding is that the optimal assortment has a distinct structure for relatively strict return policies: it is optimal to offer a mix of the most popular and most eccentric products when the refund amount is sufficiently low, which can be viewed as a form of risk sharing between the retailer and consumers. In contrast, if the refund is sufficiently high or when returns are disallowed, the optimal assortment is composed of only the most popular products (a common finding in the literature). We provide preliminary empirical evidence for one of the key drivers of our results: more eccentric products have higher probability of return—conditional on purchase. In light of our analytical findings and managerial insights, we conclude that retailers should take returns into account when merchandising.     

A reassessment of the association between social disorganization and youth violence in rural areas

Objective: To study the association between social disorganization and youth violence rates in rural communities. Method: We employed rural Missouri counties (N = 106) as units of analysis, measured serious violent victimization data via hospital records, and the same measures of social disorganization as Osgood and Chambers (2000). Controlling for spatial autocorrelation, the negative binomial estimator was used to estimate the effects of social disorganization on youth violence rates. Results: Unlike Osgood and Chambers, we found only one of five social disorganization measures, the proportion of female-headed households, to be associated with rural youth violent victimization rates. Conclusion: Although most research on social disorganization theory has been undertaken on urban areas, a highly cited Osgood and Chambers (2000) study appeared to extend the generalize ability of social disorganization as an explanation of the distribution of youth violence to rural areas. Our results suggest otherwise. We provide several methodological and theoretical reasons why it may be too early to draw strong conclusions about the generalize ability of social disorganization to crime rates in rural communities.     

Breaking down ideas and institutions: the politics of tax policy in the USA and the UK

As the existing comparative policy literature suggests, both ideational and institutional analyses have clear analytical value in their own terms but, under many circumstances, it is the combination of the two perspectives that allows for a full understanding of policy trajectories. In this article we suggest that, to improve our understanding of how ideas and institutions interact to produce change, it is important to break down these two overly broad concepts. This is because beyond general arguments about how ‘ideas’ and ‘institutions’ interact, students of public policy should itemize ‘ideas’ and ‘institutions’ into more focused, and empirically traceable, subcategories while recognizing the changing and contingent nature of their interaction, over time. To illustrate this, we turn to the politics of tax policy in the United States of America and the United Kingdom, tracking developments from the rise of the New Right and an aggressive income tax cutting agenda, personified by President Reagan and Prime Minister Thatcher, through to the revived debate about the legitimacy of increasing taxes on those earning the highest incomes that emerged in the era of austerity that followed the Great Recession of 2008.     

Comments on papers for the special issue onGlobal Report on Student Well-Being

This is an overview and brief response to articles published in this special issue of the journal which deal with follow-up studies based on Multiple Discrepancies Theory (MDT) and myGlobal Report on Studies Well-Being.     

Criminal offenses in gamblers anonymous and hospital treated pathological gamblers

The purpose of this study was to compare the nature and prevalence of gambling and non-gambling related offenses in samples of pathological gamblers seeking behavioural treatment from a hospital-based program and those attending Gamblers Anonymous. A semi-structured interview schedule obtaining demographic data and details of the nature, frequency, and consequent legal action of criminal offenses committed was administered to 152 consecutive hospital treated pathological gamblers, and 154 Gamblers Anonymous attendees who volunteered to participate in the study. Of the total sample, 59% admitted a gambling-related offense, and 23% to a conviction. There was no difference in the proportion of hospital treated and Gamblers Anonymous subjects who offended. The most common gambling-related offenses were larceny, embezzlement and misappropriation. Gamblers committed a median of ten offenses over an average ten year period of pathological gambling with a median value of $ A 300¹ per offense. The median value for each non-gambling-related offense was $ A 130. Except for the significantly older mean age of Gamblers Anonymous subjects, hospital treated gamblers did not differ from Gamblers Anonymous attenders on relevant demographic features or parameters of gambling behaviour. Findings were interpreted to suggest a possible causal link between pathological gambling and the commission of non-violent property offenses.This study was supported by a grant from the Criminology Research Council. The views expressed are the responsibility of the authors and are not necessarily those of the Council. The contribution of Anna Frankova, Research Assistant, is gratefully acknowledged.