Abstract
The aim of this study is to provide cross-cultural empirical support that endorses the scientific nature of Quality of Life (QoL), which a review of definitions reveals as a nomothetic and multidimensional concept (personal and environmental circumstances), made up of a set of subjective and objective indicators. Although this is commonly accepted, many instruments and authors reduce it to subjective and personal conditions. Bearing in mind the aim described, multi-group Structural Equation Modelling analysis was applied to two representative samples made up of 1217 participants aged over 60 from Mexico and Spain, recruited both at random (through the random route procedure), who completed the CUBRECAVI (Brief Questionnaire of Quality of Life). In this model two third-order latent variables are considered for QoL: personal and external factors, both made up of objective and subjective indicators. As predicted, the results permit us to state that the structural model is invariant across the two countries—that is, although the QoL construct has the same structure in the two countries, the importance of the indicators (factor loadings) and the relationships between them are not equivalent.
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References
Andrews, G. R., Sidorenko, A. V., Gutman, C., Gray, J. E., Anisimov, V. N., Bezrukov, V. V., et al. (2006). Research on ageing: priorities for the European region. Advances in gerontology = Uspekhi gerontologii/Rossiiskaia akademiia nauk. Gerontologicheskoe obshchestvo, 18, 7–14.
Ashkanasy, N. M. (2011). International happiness: A multilevel perspective. The Academy of Management Perspectives, 25(1), 23–29.
Blanchflower, D. (2011). International happiness: A new view on the measure of performance. Academy of Management Perspectives, 25(1), 6.
Bowling, A. (2004). A taxonomy and overview of Quality of Life. In J. Brown, A. Bowling, & T. Flynn (Eds.), Models of quality of life: A taxonomy and systematic review of the literature. Sheffield: University of Sheffield, FORUM Project.
Bowling, A., & Gabriel, Z. (2004). An integrational model of quality of life in older age: Results from the ESRC/MRC HSRC quality of life survey in Britain. Social Indicators Research, 69(1), 1–36.
Bowling, A., Gabriel, Z., Dykes, J., Dowding, L. M., Evans, O., Fleissig, A., et al. (2003). Let’s ask them: a national survey of definitions of quality of life and its enhancement among people aged 65 and over. The International Journal of Aging and Human Development, 56(4), 269–306.
Brett, C. E., Gow, A. J., Corley, J., Pattie, A., Starr, J. M., & Deary, I. J. (2012). Psychosocial factors and health as determinants of quality of life in community-dwelling older adults. Quality of Life Research, 21(3), 505–516.
Brown, T. A. (2006). Confirmatory factor analysis for applied research. New York: Guilford Press.
Brown, J., Bowling, A., & Flynn, T. (2004). Models of quality of life. A taxonomy and systematic review of the literature. Sheffield: European Forum on Population Ageing Research/Quality of life.
Byrne, B. M. (2001). Structural equation modeling with AMOS, EQS, and LISREL: Comparative approaches to testing for the factorial validity of a measuring instrument. International Journal of Testing, 1(1), 55–86.
Campbell, A. (1981). The sense of well-being in America: Recent patterns and trends. New York: McGraw-Hill.
Chen, F. F. (2007). Sensitivity of goodness of fit indexes to lack of measurement invariance. Structural Equation Modeling, 14(3), 464–504.
Diener, E., Sandvik, E., Seidlitz, L., & Diener, M. (1993). The relationship between income and subjective well-being: Relative or absolute? Social Indicators Research, 28(3), 195–223.
Diener, E., & Suh, E. (1997). Measuring quality of life: Economic, social, and subjective indicators. Social Indicators Research, 40(1–2), 189–216.
Farquhar, M. (1995). Elderly people’s definitions of quality of life. Social Science and Medicine, 41(10), 1439–1446.
Fernández, S., Branscombe, N. R., Gómez, Á., & Morales, J. (2012). Influence of the social context on use of surgical-lengthening and group-empowering coping strategies among people with dwarfism. Rehabilitation Psychology, 57(3), 224.
Fernandez-Ballesteros, R. (1998). Quality of life: Concept and assessment. In J. G. Adair, D. Belanger, & K. L. Dion (Eds.), Advances in psychological science. Social, personal and cultural aspects (Vol. I, pp. 387–706). Montreal: Psychological Press.
Fernandez-Ballesteros, R. (2011). Quality of life in old age: Problematic issues. Applied Research in Quality of Life, 6(1), 21–40.
Fernandez-Ballesteros, R., Arias, E. D., Santacreu, M., & Ruvalcaba, N. M. (2011). Calidad de Vida: un estudio comparativo entre Colima, Jalisco (México) y Alicante (España).
Fernandez-Ballesteros, R., Arias-Merino, E. D., Santacreu, M., & Ruvalcaba, N. M. (2012). Quality of life in Mexico and in Spain. In J. L. Powell & S. Chen (Eds.), The global dynamics of aging (pp. 9–30). New York: Nova Science Publisher.
Fernández-Ballesteros, R., & Santacreu, M. (2010). Aging and quality of life. In J. H. Stone, & M. Blouin (Eds.), International encyclopedia of rehabilitation. Available online: http://cirrie.buffalo.edu/encyclopedia/en/article/296/
Fernandez-Ballesteros, R., & Santacreu, M. (2014). Quality of life: Problematic issues. In A. C. Michalos (Ed.), Encyclopedia of quality of life research (pp. 5363–5371). Netherlands: Springer.
Fernandez-Ballesteros, R., & Zamarron, M. D. (1996). New findings on social desirability and faking. Psychological Reports, 79(2), 612–614.
Fernandez-Ballesteros, R., & Zamarron, M. D. (1997, 2007). Cuestionario Breve de Calidad de Vida (CUBRECAVI). Madrid: TEA Ediciones.
Gabriel, Z., & Bowling, A. (2004). Quality of life from the perspectives of older people. Ageing and Society, 24(5), 675–691.
Hall, R. J., Snell, A. F., & Foust, M. S. (1999). Item parceling strategies in SEM: Investigating the subtle effects of unmodeled secondary constructs. Organizational Research Methods, 2(3), 233–256.
Higgs, P., Hyde, M., Wiggins, R., & Blane, D. (2003). Researching quality of life in early old age: the importance of the sociological dimension. Social Policy & Administration, 37(3), 239–252.
Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55.
Kahneman, D., & Krueger, A. B. (2006). Developments in the measurement of subjective well-being. The Journal of Economic Perspectives, 20(1), 3–24.
Kenny, D. A., & McCoach, D. B. (2003). Effect of the number of variables on measures of fit in structural equation modeling. Structural Equation Modeling, 10(3), 333–351.
Kline, R. B. (2011). Principles and practice of structural equation modeling. New York: Guilford press.
Kruger, P. S., & Engelbrecht, S. W. (2010). Happiness around the World the Paradox of Happy Peasants and Miserable Millionaires. Applied Research in Quality of Life, 5(3), 165–169.
Lawton, M. P. (1991). Background: A multidimensional view of quality of life in frail elders. In J. E. Birren, J. Lubben, J. Rowe, & D. Deutchman (Eds.), The concept and measurement of quality of life in the Frail Eldery. San Diego, CA: Academic Press.
Little, T. D. (1997). Mean and covariance structures (MACS) analyses of cross-cultural data: Practical and theoretical issues. Multivariate Behavioral Research, 32(1), 53–76.
Low, G., & Molzahn, A. E. (2007). Predictors of quality of life in old age: A cross-validation study. Research in Nursing & Health, 30(2), 141–150.
Martinez-Martin, P., Prieto-Flores, M., Forjaz, M. J., Fernandez-Mayoralas, G., Rojo-Perez, F., Rojo, J., et al. (2012). Components and determinants of quality of life in community-dwelling older adults. European Journal of Ageing, 9(3), 255–263.
Michalos, A. C., Ramsey, D., Eberts, D., & Kahlke, P. M. (2012). Good health is not the same as a good life: Survey results from Brandon. Manitoba. Social Indicators Research, 107(2), 201–234.
Motel-Klingebiel, A., von Kondratowitz, H., & Tesch-Römer, C. (2004). Social inequality in the later life: cross-national comparison of quality of life. European Journal of Ageing, 1(1), 6–14.
Naughton, M., & Wiklund, I. (1993). A critical review of dimension-specific measures of health-related quality of life in cross-cultural research. Quality of Life Research, 2(6), 397–432.
Netuveli, G., & Blane, D. (2008). Quality of life in older ages. British Medical Bulletin, 85, 113–126.
O’Boyle, C. A. (1997). Measuring the quality of later life. Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences, 352(1363), 1871–1879.
Palys, T. S., & Little, B. R. (1983). Perceived life satisfaction and the organization of personal project systems. Journal of Personality and Social Psychology, 44(6), 1221–1230.
Pinquart, M., & Sörensen, S. (2000). Influences of socioeconomic status, social network, and competence on subjective well-being in later life: A meta-analysis. Psychology and Aging, 15(2), 187.
Richard, L., Laforest, S., Dufresne, F., & Sapinski, J. (2005). The quality of life of older adults living in an urban environment: Professional and lay perspectives. Canadian Journal on Aging/La Revue canadienne du vieillissement, 24(01), 19–30.
Skevington, S. M. (2002). Advancing cross-cultural research on quality of life: observations drawn from the WHOQOL development. Quality of Life Research, 11(2), 135–144.
Tesch-Roemer, C. (2012). Active ageing and quality of life in old age. Geneva (Switzerland): Unitd Nations Publications.
Veenhoven, R. (1996). Happy life-expectancy. Social Indicators Research, 39(1), 1–58.
Veenhoven, R. (2013). The four qualities of life ordering concepts and measures of the good life. In A. Delle Fave (Ed.), The exploration of happiness present and future perspective (pp. 195–226). Berlin: Springer.
Walker, A. (2005a). A European perspective on quality of life in old age. European Journal of Ageing, 2(1), 2–12.
Walker, A. (2005b). Quality of life in old age in Europe. Suffolk: Open University Press.
Walker, A., & Lowenstein, A. (2009). European perspectives on quality of life in old age. European Journal of Ageing, 6(2), 61–66.
Wettergren, L., Kettis-Lindblad, Å., Sprangers, M., & Ring, L. (2009). The use, feasibility and psychometric properties of an individualised quality-of-life instrument: A systematic review of the SEIQoL-DW. Quality of Life Research, 18(6), 737–746.
WHOQOL Group. (1993). Measuring quality of life: the development of the World Health Organization Quality of Life Instrument (WHOQOL). Geneva, Switzerland: World Health Organization.
Wiggins, R. D., Higgs, P. F., Hyde, M., & Blane, D. B. (2004). Quality of life in the third age: key predictors of the CASP-19 measure. Ageing and Society, 24(5), 693–708.
Zamarron, M. D., & Fernandez Ballesteros, R. (2000). Satisfacción con la vida en personas mayores que viven en sus domicilios y en residencias: factores determinantes. Revista Española de Geriatría y Gerontología, 35(Supl. 2), 17–29.
Zapf, W. (1984). Individuelle Wohlfahrt: Lebensbedingungen und wahrgenommene Lebensqualität. In W. Glatzer, & W. Zapf (Eds.), Lebensqualität in der Bundesrepublik Deutschland. Objektive Lebensbedingungen und subjectives Wohlbefinden (pp. 13–26). Frankfurt/Main: Campus.
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Santacreu, M., Bustillos, A. & Fernandez-Ballesteros, R. Multidimensional/Multisystems/Multinature Indicators of Quality of Life: Cross-Cultural Evidence from Mexico and Spain. Soc Indic Res 126, 467–482 (2016). https://doi.org/10.1007/s11205-015-0906-9
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DOI: https://doi.org/10.1007/s11205-015-0906-9
Keywords
- Quality of Life indicators
- Old age
- Structural equation modelling (SEM)
- Cross-cultural comparisons