Quality of Life in Mexico: A Formative Measurement Approach

Improving quality of life for community members has become increasingly important for policy makers and society in general. This article presents the results from a representative sample of citizens from south-western Mexico. Because it is argued that quality of life indexes are formative rather than reflective, an advanced statistical method (partial least square) is used to analyze the data. The quality of life index used in the study includes the domains of health, income, work, education, safety, public services, non-governmental community services, social contact, and happiness. The results suggest that monetary-oriented indicators such as income and work are less important for respondents than domains such as happiness, social contact, or community services. However, for some of the domains, age and gender inequalities are observed.     

Happiness, Mental Health, and Socio-Demographic Associations Among a National Cohort of Thai Adults

Research on happiness has been of interest in many parts of the world. Here we provide evidence from developing countries; this is the first analysis of happiness among a cohort of Thai distance learning adults residing throughout the country (n?=?60,569 in 2009). To measure happiness, we tested use of the short format Thai Mental Health Indicators (TMHI), correlating each domain with two direct measures of happiness and life satisfaction. Several TMHI domains correlated strongly with happiness. We found the mental state and the social support domains moderately or strongly correlated with happiness by either measure (correlation coefficients 0.24–0.56). The other two TMHI domains (mental capacity and mental quality) were not correlated with happiness. Analysis of socio-demographic attributes and happiness revealed little effect of age and sex but marital status (divorced or widowed), low household income, and no paid work all had strong adverse effects. Our findings provide Thai benchmarks for measuring happiness and associated socio-demographic attributes. We also provide evidence that the TMHI can measure happiness in the Thai population. Furthermore, the results among Thai cohort members can be monitored over time and could be useful for comparison with other Southeast Asian countries.     

Quality of Life and Health State of Long – Term Unemployed in Older Production Age

The aim of the study was to evaluate the changes in the subjective quality of life (QoL) and health state of unemployed people at the age of 45 and older in the city environment. The study also aimed at evaluating some social and demographic factors on the quality of life and health of the unemployed. A group of 454 unemployed people aged 45 and older, registered in labour offices in the city of ?ód?, Poland were included in the study. Two groups were formed: short-term and long-term unemployed. QoL was measured with the WHOQOL-Bref questionnaire. The main problems formulated in the study were: Does QoL and health state decrease during the period of unemployment and in what aspects? What factors can modify the changes of QoL of the unemployed? The findings of the analysis indicate that unemployment entails many negative health consequences and the long-term stress connected with being out of work leads to the decline in the quality of life and worsening of mental state. The multidimensional effects of unemployment depend not only on the economic situation of the particular household, but also on perceived health status, personal relationships and the sense of ability to work.     

Evaluation of Life Quality and its Spatial Mismatch with Local Economic Development in Large Chinese Cities

Quality of life (QoL) is an important factor which influences local economic development (LED). The study aims to evaluate the quality of life in large Chinese cities and explore the relationship between life quality and local economic development. By constructing the index system of QoL of large cities, this study analyses the spatial pattern of QoL in 39 largest cities across China and then introduces the spatial mismatch method to analyse the relationship between QoL and LED. The results point to the significant differences in QoL among large Chinese cities and unlock the spatial mismatch between QoL and LED in these cities. The quality of life is generally better than local economic development in large cities across Western China and different cities display various spatial mismatch features. This study also shows that local economic development can promote quality of life, though they do not merely stand in a quantitative relation. Quality of life is related more to the economic structure. It is suggested that future urban development focus on high value-added and environmental-friendly industries, which can improve both local economic development and quality of life.

     

Happiness and Leisure Across Countries: Evidence from International Survey Data

We study the statistical link between leisure and happiness. Using survey data from 33 countries in 2007, we find that (1) certain leisure activities, leisure’s role in self-fulfillment and social interaction, and leisure’s relation to work and other spheres of life are significantly linked to individual happiness; (2) the effect of leisure quantity is not as important as other aspects of leisure; and (3) some leisure activities can be negatively associated with happiness. Consistent with findings in previous studies, family income and individual demographic variables such as age and health condition are significantly associated with happiness. National unemployment and political stability also have robustly significant effects on happiness.     

Conceptualising dimensions of quality of life in poverty

Are existing health‐related quality of life (QoL) measures adequate for use in poverty? Focus groups of development researcher‐practitioners were convened to discuss QoL in the low–middle‐income countries of Ethiopia, Bangladesh, Peru and Thailand. Newly elicited themes were mapped onto the QoL concept consisting of 25 original facets from the WHOQOL‐100, plus 24 additional facets derived from five subsequent WHOQOL modules (49 facets) organized in seven domains. Qualitative themes and importance ratings were used to identify seven novel themes that relate to poverty in these countries. Most are not included in QoL instruments: physical fitness & survival, social status, community relations, family life, work opportunity and environment, fairness and equality, and perception of political institutions. Community relations extended the social domain, and a political rights and freedoms domain was consolidated as a seventh domain. This cross‐national study provides a new conceptual foundation for the international assessment of QoL in poverty. Copyright © 2008 John Wiley & Sons, Ltd.     

RESPONSIBILITY AND DISABILITY

Abstract: This essay explores the boundaries of the moral community—the collection of agents eligible for moral responsibility—by focusing on those just inside it and those just outside it. In particular, it contrasts mild mental retardation with psychopathy, specifically among adults. For those who work with and know them, adults with mild mental retardation are thought to be obvious members of the moral community (albeit not full-fledged members). For those who work with and theorize about adult psychopaths, by contrast, they are not members of the moral community (albeit not in such a full-fledged fashion as the insane). Both psychopaths and adults with MMR have a disability, and the essay is interested in how disability sometimes exempts one from the moral community and sometimes doesn't. It will be through two associated puzzles that we will eventually come to see the complicated tripartite relation between disability, responsibility, and moral community.     

Adaptation in very old age: exploring the role of resources, beliefs, and attitudes for centenarians' happiness

When individuals reach very old age, accumulating negative conditions represent a serious challenge to their capacity to adapt and are likely to reduce the quality of life. By examining happiness and its determinants in centenarians, this study investigated the proposal that psychological resilience may come to an end in extremely old age. Data from the population-based Heidelberg Centenarian Study indicated high levels of happiness. Basic resources (i.e., job training, cognition, health, social network, extraversion) explained a substantial proportion of variance in happiness, but some resource effects were mediated through self-referent beliefs (e.g., self-efficacy) and attitudes toward life (e.g., optimistic outlook). Results challenge the view that psychological resilience reaches a critical limit or that the self-regulatory adaptation system loses its efficiency in very advanced age.     

The role of spousal relationships in fibromyalgia patients’ quality of life

Fibromyalgia (FM) is a chronic pain syndrome that includes debilitating symptoms such as widespread pain and tenderness, fatigue, and poor physical functioning. Research has shown FM patients’ choice of coping style and relationship quality with their spouse can impact their mental quality of life (QoL), but no known study has examined the protective nature of relationship quality and coping behaviors on both patient physical and mental QoL in the context of chronic pain. We examined 204 patients with FM on the (a) roles of coping styles and relationship quality on patient quality of life, and (b) moderating effect of relationship quality on the association between negative coping style and patient QoL. A series of multiple regressions found patients’ coping styles were not significantly associated with physical QoL, but were significantly associated with mental QoL. Patients’ relationship quality with their spouse was significantly associated with mental QoL, but not physical QoL and no significant interactions with negative coping style were found. Our results emphasize the importance of coping styles and relationship quality between patients and their spouses in the context of chronic pain. Clinicians can incorporate the patient’s relationship as part of a more holistic approach to care and improving outcomes.     

Social Support from Family and Friends and Subjective Well-Being of Older African Americans

This study examines the impact of informal social support from family and friends on the well-being of older African Americans. Analyses are based on a nationally representative sample of older African Americans from the National Survey of American Life (n = 837). Three measures of well-being are examined: life satisfaction, happiness and self-esteem. The social support variables include frequency of contact with family and friends, subjective closeness with family and friends, and negative interactions with family. Results indicate that family contact is positively correlated with life satisfaction. Subjective closeness with family is associated with life satisfaction and happiness and both subjective closeness with friends and negative interaction with family are associated with happiness and self-esteem. There are also significant interactions between family closeness and family contact for life satisfaction, as well as friendship closeness and negative interaction with family for happiness. Overall, our study finds that family and friend relationships make unique contributions to the well-being of older African Americans. Qualitative aspects of family and friend support networks (i.e., subjective closeness, negative interactions) are more important than are structural aspects (i.e., frequency of contact). Our analysis verify that relationships with family members can both enhance and be detrimental to well-being. The findings are discussed in relation to prior research on social support and negative interaction and their unique associations with well-being among older African Americans.     

Prioritizing Happiness has Important Implications for Mental Health,but Perhaps Only if you Already are Happy

Happiness is frequently posited as an important outcome of quality of life and characteristic of well-adjusted and functioning individuals. Happy individuals are less likely to report adverse mental health. Understanding the importance that individuals place on happiness is less clearly articulated and inconsistent. Valuing or placing higher importance of happiness appear to confer both benefits and risk for mental health outcomes. The primary aim of this study was to examine the relationship between the importance of happiness and mental health outcomes and whether the relationship between happiness and mental health is moderated by the importance individuals place on happiness. We utilised data from two studies, a university student sample (n = 413) and a community sample (n = 248) to examine the study aims. Mental health was operationalised in terms of psychological distress and symptoms of depression and anxiety. Happiness and the level of importance individuals ascribed to happiness were associated with adverse mental health outcomes. In multi-variate analyses, level of happiness was more strongly related to mental health. Interactions between happiness and the importance of happiness revealed that the effect of happiness was moderated by the importance that individuals placed on happiness. Overall happiness and to a lesser extent, the importance of happiness, are significantly associated with mental health outcomes. Happiness was most strongly related to mental health amongst those who rated the importance of happiness more highly.

     

A Study of Real Dilemmas in Adulthood

The aim of this work is to study real contextualised dilemmas and relevant events of the biographies offered by a group of adult men and women, in order to analyse the contextual and personal factors that influence moral reasoning during this stage of the life cycle. To this end, we interviewed 60 adults who were asked to recount real contextualised dilemmas. The themes of the real dilemmas were later categorised in relation to the stage of moral reasoning reached and then linked to the ecological contexts in which they took place. The results show that the themes related to proximal processes and contexts (family, parenthood) are the most frequent and are related to the conventional level of moral reasoning. However, in relation to social themes and coherence, the reasoning level obtained is more mature. Finally, there are contextual differences regarding the contents of the real dilemmas related to local conflicts or socio-political concern for one??s own community.     

Some demographic,personality, and role variables as correlates of women's well-being

This study examined the contributions of some demographic (age and education), personality (extraversion and neuroticism), and role variables (role occupancy and role quality) as predictors of happiness and symptoms of psychological distress in a sample of employed and non-employed English women (N= 145). Using multiple regression analysis, the results showed that personality variables accounted for the largest proportion of explained variance in the well-being measures. The results, however, did not support the predictions made by the transactional model of stress and that the three sets of predictor variables (demographic, personality and roles) combined additively in their effects on women's psychological well-being. Finally, the results showed that happiness and distress, though related, had different correlates. These findings are discussed in relation to current issues within the literature on women's work and family roles in relation to their well-being.     

Happiness and Domain Satisfaction in Taiwan

Happiness and life satisfaction are two empirically correlated but nobreak conceptually different measures of well-being. As an emotional state, happiness is sensitive to sudden changes in mood, whilst satisfaction is regarded as a cognitive or judgmental state. Using estimations from two empirical models, the aim of this study is to examine the determinants of happiness and satisfaction amongst nobreak Taiwanese people in a number of life domains. First of all, we attempt to investigate the individual characteristics of happiness by using an ordered probit model. Secondly, using ordinary least squares, we include an individual's value or attitude variables as nobreak determinants of the level of satisfaction with different life domains.Our results suggest that higher income is associated with a higher level of subjective well-being. Measures of comparison income are significantly negatively correlated with the reported level of happiness and job satisfaction, which supports the hypothesis that well-being depends on income relative to a reference group. Consistent with the results from other countries, married people report a higher degree of happiness and satisfaction, whilst the past experience of unemployment significantly reduces subjective well-being. There is little gender difference in happiness or satisfaction with different domains. Furthermore, individual's personal values have strong effects on both marital satisfaction and job satisfaction. The findings of this paper confirm that the effects of personal characteristics are fundamentally different in terms of happiness and satisfaction with specific domains of life.     

Sub-national Fiscal Activity as a Determinant of Individual Happiness: Ideology Matters

Though there has been a recent outpouring of studies on the determinants of individual happiness, there remains a paucity of research on the influence of specific sub-national government policies. Additionally, theoretical expectations about how fiscal variables influence happiness are unclear, making further empirical research imperative. Combining survey data and aggregate information about state and local government revenue and expenditures within the United States, we draw inferences about whether or not such activities affect individual happiness. We find no indication that the overall level of state or local fiscal activity affects life satisfaction. However, we offer evidence that personal happiness could be increased with an increase in the percentage of sub-national expenditure devoted to public safety. We also find that there are notable differences across ideological groups (conservatives, moderates, and liberals) with respect to how much public safety influences happiness, as well as how some other fiscal variables influence happiness. We conclude that ideology mediates the impact of fiscal variables on life satisfaction.     

Predicting Behavioral Health Outcomes Among Low-Income Families: Testing a Socioecological Model of Family Resilience Determinants

Over the past decade, the concept of family resilience among impoverished families has increased as a main focus area for family scholars. Similarly, individual, family, and community-level factors that promote family resilience and their impact on behavioral health outcomes have particularly received increased amounts of attention. To date, however, few empirical studies have simultaneously validated the socioecological determinants of family resilience within multi-dimensional conceptual frameworks. In the current study, we test such a model using a cross-sectional design among 380 women and men with an average age of 35 experiencing poverty as a chronic stressor, the majority of whom are ethnic minorities. Individual, family and community determinants of family resilience are examined for their differential effect on outcomes of physical and mental health, as well as risks for substance abuse. Results from structural equation modeling provide support for the model. Findings suggest that community-level determinants impact health through indirect pathways. In this case, community factors predict family and individual-level determinants, and individual factors then directly predict health. Similarly, the relationship between family-level determinants and health was indirect through individual-level factors. Although, a strong positive relationship was found between individual-level determinants and health, the relationship between individual-level factors and substance abuse was also found to be indirect through health. Methodological limitations and implications for family life education, clinical interventions, policy, and future research that are socioecologically-informed are discussed.     

Happiness,morality, and politics

The idea that politics should promote the happiness of the population is rather common in the community of happiness researchers. This political view is sometimes based on the happiness principle, the fundamental ethical view that we have a strong moral reason to do what we can to maximize the happiness and minimize the suffering in the world. The first main purpose of this paper is to investigate (1) what role this principle play in ethics as a whole, how it should be weighed against other moral considerations, and (2) how exactly it should be understood, i.e. which possible version of the principle that is most plausible. This is the only way to arrive at well-founded theory of the fundamental moral (and political) significance of happiness and suffering (an “ethics of happiness and suffering”). The idea that politics should promote happiness is sometimes accompanied by the notion that we should introduce some kind of happiness index, and that it is a central goal of politics to maximize the value of this index. The second main purpose of this paper is to examine this suggestion. I will first ask (3) how such an index should be constructed, assuming that it might be a good idea to construct an index in the first place. I assume that an index of this kind cannot be plausible unless it incorporates a number of moral considerations, and that (3) is very closely related to (2). I will then ask (4) whether the suggestion is plausible, or whether there are better ways to put a politics of happiness into practice, e.g. to simply apply the knowledge we have about the determinants of happiness.     

Stigma,Expressed Emotion,and Quality of Life in Caregivers of Individuals with Dementia

Expressed emotion (EE) is a measure of a caregiver's critical and emotionally overinvolved (EOI; e.g., intrusive, self‐sacrificing) attitudes and behaviors toward a person with a mental illness. Mounting evidence indicates that high levels of these critical and EOI attitudes and behaviors (collectively termed high EE) in family members are associated with a poorer course of illness for people with a range of disorders, including dementia (Nomura et al., 2005). However, less is known about factors that might trigger high EE and how high EE might impact dementia caregivers’ own mental health. In this study we propose that caregivers who perceive stigma from their relative's illness may be more likely to be critical or intrusive (high EOI) toward their relative in an attempt to control symptomatic behaviors. We further hypothesized that high EE would partially mediate the link between stigma and quality of life (QoL) as there is some evidence that high EE is associated with poorer mental health in caregivers themselves (Safavi et al., 2015). In line with study hypotheses and using a sample of 106 dementia caregivers, we found that greater caregiver stigma was associated with both high EE (for criticism and EOI) and with poorer QoL. Mediational analyses further confirmed that high EE accounts for much of the association between stigma and poorer QoL. Study results suggest that addressing caregiver stigma in therapy could reduce levels of high EE and indirectly therefore improve caregiver QoL. Intervening directly to reduce high EE could also improve caregiver QoL.