Abstract
Most epidemiological studies agree that economically disadvantaged populations are the groups most vulnerable to mental health problems and report lower quality of life among these populations. However, it appears that access to social support plays a role in protecting against the chronic stress resulting from conditions such as poverty. This study is an attempt to clarify the relative contribution of social support to the quality of life of economically disadvantaged populations in two low-income neighbourhoods of Montreal. A random sample of 417 social assistance recipients were interviewed in the respondents’ homes. The Quality of Life scale used was the Satisfaction with Life Domains Scale. The availability of social support components was assessed using the Social Provisions Scale. Social support measures were entered into a multidimensional model that included a number of variables identified as having a relationship to mental health. Among the 17 variables included in a multiple regression analysis, emotional support and support providing reassurance of worth accounted for most of the variance in the QOL predicted by the model. Psychological distress also accounted for a fair amount of variance in QOL and younger people and people experiencing food insecurity showed a lower QOL.
This is a preview of subscription content, access via your institution.


References
Atkinson, M., Zibin, S., & Chuang, H. (1997). Characterizing quality of life among patients with chronic mental illness: A critical examination of self-report methodology. American Journal of Psychiatry, 154, 99–105.
Baker, F., & Intaglia, J. (1982). Quality of life in the evaluation of community support systems. Evaluation and Program Planning, 5, 69–79.
Baker, F., Jodrey, D., & Intaglia, J. (1992). Social support and quality of life of community support clients. Community Mental Health Journal, 28, 397–411.
Barry, M. M. (1997). Well-being and life satisfaction as components of quality of life in mental disorders. In H. Katschnig, H. Freeman, & N. Sartorius (Eds.), Quality of life in mental disorders (pp. 31–42). Chichester, UK: Wiley.
Bijl, A., Ravelli, G., & van Zessen, G. (2003). Prevalence of psychiatric disorder in the general population: Results of the Netherlands Mental Health Survey and Incidence Study (NEMESIS). Health, 38(1), 1–20.
Boyer, R., Lavallée, M., Boucher, C. (1999). La détresse psychologique et le suicide chez les personnes en processus d’alphabétisation. Paper given to the 5th scientific day of the RSMQ. Quebec, June, 1999.
Boyer, R., Préville, M., Légaré, G., & Valois, P. (1993). La détresse psychologique dans la population du Québec non institutionalisée: résultats normatifs de l’enquête santé Québec. Revue canadienne de psychiatrie, 38, 339–343.
Brown A. H. (1972). The city below the hill: A sociological study of a portion of the city of Montreal, Canada. Social History of Canada Series. Format: Microfiche (Illustrated), 116 pages, Publication Date: January 1972.
Caron, J. (1996a). Una teoria ecologica de la intervencion comunitaria: acceso y conservacion de los recursos. Intervencion psicosocial, 5(14), 53–68.
Caron, J. (1996b). L’Échelle de Provisions Sociales: la validation québécoise du Social Provisions Scale. Santé Mentale au Québec, 21(2), 158–180.
Caron, J., Latimer, E., & Tousignant, M. (2007). Predictors of psychological distress in low income populations of Montreal. Canadian Journal of Public Health, 98, 35–44.
Caron, J., Lecomte, Y., Stip, E., & Renaud, S. (2005a). Predictors of quality of life in schizophrenia. Community Mental Health Journal, 41(4), 399–417.
Caron, J., & Liu, A. (2010a). A descriptive study on the prevalence of psychological distress and mental disorders in the Canadian population: Comparison between low-income and non low-income populations. Chronic Diseases in Canada, 30(3), 87–98.
Caron, J., & Liu, A. (2010b). Predictors of psychological distress in the Canadian population: A comparison of low-income and non low-income populations. Community Mental Health Journal. Online Firstâ„¢, 28 April 2010. doi:10.1007/s10597-010-9306-4.
Caron, J., Mercier, C., Diaz, P., & Martin, A. (2005b). Socio-demographic and clinical predictors of quality of life in patients with schizophrenia or schizo-affective disorders. Psychiatry Research, 137, 203–213.
Caron, J., Mercier, C., Martin, A., Stip, E. (2005c). Le rôle du soutien social, du fardeau familial et de la satisfaction des services dans la détresse psychologique et la qualité de vie des familles de personnes atteintes de schizophrénie. Santé mentale au Québec, 30(2), 165–182.
Caron, J., Mercier, C., & Tempier, R. (1997). L’Échelle de Satisfaction des Domaines de la Vie: la validation québécoise du Satisfaciton with Life Domain Scale. Santé Mentale au Québec, 22(2), 195–217.
Caron, J., Tempier, R., Mercier, C., & Leouffre, P. (1998). Components of social support and Quality of life, in long term psychiatric patients, in low income individuals and in general population. Community Mental Health Journal, 34(5), 459–475.
Carpinielo, B., Pariante, C. M., & Rudas, N. (1997). Symptoms, standards of living, and subjective quality of life: A comparative study of schizophrenic and depressed out-patients. Acta Psychiatrica Scandinavica, 89, 27–82.
Catalano, R. (1979). Health, behaviour and the community: An ecological perspective. New York: Pergamon Press.
Cattell, V. (2001). Low-income people, low-income places, and low-income health: The mediating role of social networks and social capital. Social Science and Medicine, 52(10), 1501–1516.
Cohen, S., Doyle, W. J., Skoner, D. P., Rabin, B. S., & Gwaltney, J. M., Jr. (1997). Social ties and susceptibility to the common cold. Journal of the American Medical Association, 277, 1940–1944.
Cohen, S., Gottlieb, B. H., & Underwood, L. G. (2000). Social relationships and health. In S. Cohen, L. G. Underwood, & B. H. Gottlieb (Eds.), The provisions of social support measurement and intervention (pp. 3–25). New York: Oxford University Press.
Coyle, S. B. (2009). Health-related quality of life of mothers: A review of the research. Health Care for Women International, 30, 484–506.
Cummins, R. (2000). Objective and subjective quality of life: An interactive model. Social Indicators Research, 52, 55–72.
Cummins, R. (2002). Subjective well-being from rich and low-income. In W. Glatzer (Ed.), Rich and low-income: Disparities, Perceptions, concomintants (pp. 137–156). Netherlands: Kluwer Academic Publishers.
Cutrona, C. E., & Russell, D. W. (1987). The provisions of social support and adaptation to stress. Advance in Personal Relationship, 1, 37–67.
Cutrona, C. E., & Russell, D. W. (1990). Type of social support and specific stress: Toward a theory of optimal matching. In B. R. Sarason, et al. (Eds.), Social support an interactional view. New York: Wiley.
Defrances, C. J. (1996). The effects of racial ecological segregation on Quality of Life: A comparison of middle-class blacks and middle-class whites. Urban Affairs Review, 31(6), 799–806.
Dohrenwend, B. P. (1998). Adversity, stress, and psychopathology. New York: Oxford University Press.
Dyson, J., Cobb, M., & Forman, D. (1997). The meaning of spirituality: A literature review. Journal of Advanced Nursing, 26, 1183–1188.
Friedli, L. (2000). A matter of faith: Religion and mental health. International Journal of Mental Health Promotion, 2(2), 7–13.
Ghate, D., & Hazel, N. (2002). Parenting in low-income environments: stress, support and coping. London: Jessica Kingsley Publishers.
Gonçalves, H., González, D. A., Araújo, C. L., Anselmi, L., & Menezes, A. M. B. (2010). The impact of sociodemographic conditions on quality of life among adolescents in a Brazilian birth cohort: A longitudinal study. Revista Panamericana de Salud Publica, 28(2), 71–79.
Hamelin, A. M. (1999). L’insécurité alimentaire des ménages dans la région de Québec: une exploration. Doctoral dissertation. Université Laval, 1999.
Hansen, T., Slagsvold, B., & Moum, T. (2008). Financial satisfaction in old age: A satisfaction paradox or a result of accumulated wealth? Social Indicators Research, 89(2), 323–347.
Ilfeld, F. W. (1976). Further validation of a Psychiatric Symptom Index in a normal population. Psychological Reports, 39, 1215–1228.
International literacy survey. (1995). Literacy, Economy and Society: Results of the first International Adult Literacy Survey database Organisation for Economic Co-operation and Development and Statistics Canada 1995.
Jia, H., Moriarty, D. G., & Kanarek, N. (2009). County-level social environment determinants of health-related quality of life among US adults: A multilevel analysis. Journal of Community Health, 34(5), 430–439.
Katschnig, H., Freeman, H., & Sartorius, N. (Eds.). (1997). Quality of life in mental disorders. Chichester, England: Wiley.
Kawachi, I., & Berkman, L. F. (2001). Social ties and mental health. Journal of Urban Health, 78(3), 458–467.
Kendall, A., Olson, C. M., & Frongillo, E. (1995). Validation of the radimer/cornell hunger and food insecurity measures. Journal of Nutrition Education, 125, 2793–2801.
Kennedy, B., Kawachi, I., Glass, R., & Prothrow-Stith, D. (1998). Income distribution, socioeconomic status, and self rated health in the United States: Multilevel analysis. British Medical Journal, 317, 917–921.
Keyes, C. L. M. (2006). Subjective well-being in mental health and human development research worldwide: An introduction. Social Indicators Research, 77, 1–10.
Kim, D., & Kawachi, I. (2007). US State-level social capital and health-related quality of life: Multilevel evidence of main, mediating, and modifying effects. Annals of Epidemiology, 17(4), 258–269.
Koivumma-Honkanen, H.-T., Viinamäki, H., Honkanen, R., Transkanen, A., Antikainen, R., Niskanen, L., et al. (1996). Correlates of life satisfaction among psychiatric patients. Acta Psychiatrica Scandinavia, 94, 372–378.
Krueger, P. M., & Chang, V. W. (2010). Being low-income and coping with stress: Health behaviors and the risk of death. American Journal of Public Health, 98(5), 889–896.
Lee, S. (1998). Marital status, gender, and subjective quality of life in Korea. Development and society, 27(2), 35–49.
Lehman, A., Rachuba, L. T., & Postrado, L. (1995). Demographic influences on quality of life among persons with chronic mental illnesses. Evaluation and Program Planning, 18(2), 155–164.
Lehman, A. F., Slaughter, J. G., & Myers, C. P. (1992). Quality of life experiences of the chronically mentally ill. Gender and stages of life effects. Evaluation and Program Planning, 15, 7–12.
Levin, K. A., Torsheim, T., Vollebergh, W., Richter, M., Davies, C. A., Schnohr, W., Due, P., Currie, C. (2010). National income and income inequality, family affluence and life satisfaction among 13Â year old boys and girls: A multilevel study in 35 countries. Social Indicators Research. doi:10.1007/s11205-010-9747-8.
Luttik, M. L., Jaarsma, T., Veeger, N. J. G. M., & van Veldhuisen, D. J. (2006). Marital status, quality of life and clinical outcome in patients with heart failure. Heart and Lung, 35, 3–8.
Mackenbach, J. (1997). Socioeconomic inequalities in morbidity and mortality in Western Europe. Lancet, 349, 1655–1659.
Mercier, C., Péladeau, N., & Tempier, R. (1998). Age, gender and quality of life in schizophrenia. Community Mental Health Journal, 34(5), 487–500.
Murphy, G. C., & Athanasou, J. A. (1999). The effect of unemployment on mental health. Journal of Occupational and Organizational Psychology, 72(1), 83–99.
Pappa, E., Kontodimopoulos, N., Papadopoulos, A. A., & Niakas, D. (2009). Assessing the socio-economic and demographic impact on health-related quality of life: Evidence from Greece. International Journal of Public Health, 54(4), 241–249.
Park, J., Turnbull, A., Turnbull, I. I. I., & Ruthorford, H. (2002). Impact of Poverty on quality of life in families with children disabilities. Exceptional Children, 68(2), 151–172.
Pearlin, L. I. (1999). The stress process revisited: Reflections of concepts and their interrelationships. In C. S. Aneshensel & J. C. Phelan (Eds.), Handbook of theory of mental health (pp. 395–416). New York: Kluwer Academic Press.
Préville, M., Potvin, L., & Boyer, R. (1995). The structure of psychological distress. Psychological Reports, 77, 275–293.
Pukrop, R., Shlaack, V., Möller-Leinkümle, A. M., Albus, M., Czernick, A., Klosterkötter, J., et al. (2003). Reliability, and validity of quality of life assessed by Short-Form 36 and the Modular System for Quality of Life in patients with schizophrenia. Psychiatry Research, 119, 63–79.
Radimer, K. L., Olson, C. M., Greene, J. C., Campbell, C., & Habicht, J. C. (1992). Understanding hunger and developing indicators to assess it in women and children. Journal of Nutrition Education, 24, 36S–45S.
Sarason, B. R., Sarason, I. G., & Pierce, G. R. (1990). Social support: An interactional view. NewYork: Wiley.
Selye, H. (1974). Stress sans détresse. Montreal: Édition La Presse.
Statistic Canada. (2002). Canadian Community Health Survey 1.2: Mental health and well-being 2002. www.statcan.gc.ca/imdb…/5015-eng.htm.
Stephens, T., Dulberg, C., & Joubert, N. (1999). La santé mentale de la population canadienne. Maladies chroniques au Canada, 20(3), 118–126.
Stockdale, S. E., Wells, K. B., Tang, L., Belin, T. R., Zhang, L., & Sherbourne, C. D. (2007). The importance of social context: Neighborhood stressors, stress-buffering mechanisms, and alcohol, drug, and mental health disorders. Social Science and Medicine, 65(9), 1867–1881.
Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics. New York: McGraw Hill.
Tousignant, M., & Caron, J. (2005). Quand le malheur frappe les bénéficiaires de la sécurité du revenu. Sur qui peuvent-ils s’appuyer? Santé mentale au Québec, 30(2), 85–103.
Turner, R. J., & Avison, W. R. (2003). Status variations in stress exposure: implications for the interpretation of research on race, socioeconomic status, and gender. Journal of Health and Social Behavior, 44, 488–505.
Turner, R. J., & Lloyd, D. (1999). The stress process and the social distribution of depression. Journal of Health and Social Behavior, 40, 374–404.
Turner, H. A., & Turner, R. G. (2005). Understanding variations in exposure to social stress. Health: An Interdisciplinary Journal for the Social Study of Health Illness and Medicine, 9(2), 209–240.
Turner, R. J., Wheaton, B., & Lloyd, D. A. (1995). The epidemiology of social stress. American Sociological Review, 60, 104–125.
Vandiver, V. L. (1998). Quality of life, gender and schizophrenia: a cross-national survey in Canada, Cuba and USA. Community Mental Health Journal, 34(5), 501–511.
Wallace, C., Pichler, F., & Haye, B. C. (2007). First European Quality of Life Survey: Quality of work and life satisfaction. Dublin: European Foundation for the Improvement of Living and Working Conditions, 2007.
Wills, T. A., & Shinar, O. (2000). Measuring perceived and received social support. In S. Cohen, L. G. Underwood, & B. H. Gottlieb (Eds.), Social support measurement and intervention (pp. 86–135). New York: Oxford.
Yanos, P. T., Rosenfield, S., & Horwitz, A. V. (2001). Negative and supportive social interactions and quality of life among persons diagnosed with severe mental illness. Community Mental Health Journal, 37(5), 405–419.
Zavala, M. W., Maliski, S. L., Kwan, L., Fink, A., & Litwin, M. S. (2009). Spirituality and quality of life in low-income men with metastatic prostate cancer. Psycho-oncology, 18(7), 753–761.
Zissi, A., Barry, M. M., & Cochrane, R. (1998). A mediational model of quality of life for individuals with severe mental health problems. Psychological Medicine, 28, 1221–1230.
Acknowledgments
Support for this study was granted by the Canadian Population Health Initiative of the Canadian Institute of Health Information.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Caron, J. Predictors of Quality of Life in Economically Disadvantaged Populations in Montreal. Soc Indic Res 107, 411–427 (2012). https://doi.org/10.1007/s11205-011-9855-0
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11205-011-9855-0