Abstract
The aim of this investigation was to obtain some baseline self-reported data on the health status and overall quality of life of a sample of residents of the city of Brandon, Manitoba aged 18 years or older, and to measure the impact of a set of designated health determinants, comparison standards and satisfaction with diverse domains of life on their health and quality of life. In May and June 2010, 2,500 households from the city of Brandon, Manitoba were randomly selected to receive a mailed out questionnaire and 518 useable, completed questionnaires were returned. Baseline health status data were obtained using the 8 SF-36 dimensions of health and 13 items from the United States Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System. Determinants of health and overall quality of life included measures of socializing activities, a Good Neighbourhood Index, Social Support Index, Community Health Index, a measure of free-time exercise levels, health-related behaviours, use of drugs, health care issues, a set of domain-specific quality of life items, a set of measures concerning criminal victimization, worries and behaviours concerning victimization and the basic postulates of Multiple Discrepancies Theory. Overall life assessment, dependent variables included Average Health, happiness, a single item measure of satisfaction with life as a whole, a single item measure of satisfaction with the overall quality of life, the Satisfaction With Life Scale, Contentment with Life Assessment Scale and a Subjective Wellbeing Index. Using multiple regression, we explained as much as 75% of the variance in Subjective Wellbeing scores and as little as 45% in happiness scores. Four clusters of health determinants explained from 20% (Happiness) to 44% (Average Health) of the variance in the dependent variables. Adding comparison standards and domain satisfaction scores to the set of health determinants increased our total explanatory power by only 2% points for Average Health (from 44 to 46%), but more than doubled our explanatory power for Happiness (from 20 to 45%) and for satisfaction with the overall quality of life (from 31 to 67%). As well, our explanatory power for the single item of Life Satisfaction increased from 34 to 66%, for the Satisfaction With Life Scale from 39 to 74%, for the Contentment With Life Assessment Scale from 36 to 60%, and for Subjective Wellbeing from 42 to 75%. This provided very clear evidence that self-perceived good health is not equivalent to perceived quality of life, confirming evidence reported in our earlier studies. The three most important take-home messages from this investigation are (1) in assessing the relative influence of any alleged determinants of health and the quality of life, different sets of alleged determinants will appear to be more or less influential for different dependent variables. Therefore, (2) researchers should use diverse sets of determinants and dependent variables and (3) it is a big mistake to use measures of health status as if they were measures of the perceived quality of life.
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References
Brandon Regional Health Authority. (2009). Community health assessment. Manitoba: Brandon.
CDC. (2000). Measuring healthy days. Atlanta, Georgia, U.S.: Centers for Disease Control and Prevention.
Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49(1), 71–75.
Dittmann, J., & Goebel, J. (2010). Your house, your car, your education: the socioeconomic situation of the neighborhood and the impact on life satisfaction in Germany. Social Indicators Research, 96(3), 497–513.
Fernandez, R. M., & Kulik, J. C. (1981). A multilevel model of life satisfaction: Effects of individual characteristics and neighborhood composition. American Sociological Review, 46, 840–850.
Garratt, A. M., Ruta, D. A., Abdalla, M. I., Buckingham, J. K., & Russell, I. T. (1993). The SF-36 health survey questionnaire: An outcome measure suitable for routine use within the NHS? British Medical Journal, 306, 1440–1444.
Lavallee, L. F., Hatch, P. M., Michalos, A. C., & McKinley, T. (2007). Development of the contentment with life assessment scale (CLAS): Using daily life experiences to verify levels of self-reported life satisfaction. Social Indicators Research, 83(2), 201–244.
McHorney, C. A., Ware, J. E., Lu, J. F. R., & Sherbourne, C. D. (1994). The MOS 36-item Short-form health survey (SF-36): III tests of data Quality, scaling assumptions, and reliability across diverse patient groups. Medical Care, 32(1), 40–66.
McHorney, C. A., Ware, J. A., & Raczek, A. E. (1993). The MOS 36-item Short-form health survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Medical Care, 31(3), 247–263.
Michalos, A. C. (1985). Multiple discrepancies theory (MDT). Social Indicators Research, 16(4), 347–413.
Michalos, A. C. (1991a). Global report on student well-being, Vol. 1: Life satisfaction and happiness. New York: Springer.
Michalos, A. C. (1991b). Global report on student well-being, Vol. 2: Family, friends, living partner and self-esteem. New York: Springer.
Michalos, A. C. (1993a). Global report on student well-being, Vol. 3: Employment, finances, housing and transportation. New York: Springer.
Michalos, A. C. (1993b). Global report on student well-being, Vol. 4: Religion, education, recreation and health. New York: Springer.
Michalos, A. C. (2002). Policing services and the quality of life. Social Indicators Research, 61(1), 1–18.
Michalos, A. C. (2003). Essays on the quality of life. Dordrecht: Kluwer Academic Publishers.
Michalos, A. C. (2004). Social indicators research and health-related quality of life research. Social Indicators Research, 65(1), 27–72.
Michalos, A. C., Hatch, P. M., Hemingway, D., Lavallee, L., Hogan, A., & Christensen, B. (2007). Health and the quality of life of older people: A replication after six years. Social Indicators Research, 84(2), 127–158.
Michalos, A. C., Hubley, A. M., Zumbo, B. D., & Hemingway, D. (2001). Health and other aspects of the quality of life of older people. Social Indicators Research, 54(3), 239–274.
Michalos, A. C., & Kahke, P. M. (2010). Stability and sensitivity in perceived quality of life measures: some panel results. Social Indicators Research, 98(3), 403–434.
Michalos, A. C., Thommasen, H. V., Read, R., Anderson, N., & Zumbo, B. D. (2005). Determinants of health and the quality of life in the Bella Coola Valley. Social Indicators Research, 72(1), 1–50.
Michalos, A. C., & Zumbo, B. D. (2000). Quality of life in Quesnel, British Columbia. UNBC: Institute for Social Research and Evaluation.
Michalos, A. C., & Zumbo, B. D. (2003). Leisure activities, health and the quality of life. In A. C. Michalos (Ed.), Essays on the quality of life (pp. 217–238). Dordrecht: Kluwer Academic Publishing.
Michalos, A. C., Zumbo, B. D., & Hubley, A. (2000). Health and the quality of life. Social Indicators Research, 51(3), 245–286.
Michalos, A. C., et al. (2010). An approach to the canadian index of wellbeing. Toronto: Atkinson Charitable Foundation.
Pedhazur, E. J. (1982). Multiple regression in behavioral research. New York: Holt, Rinehart and Winston.
Provincial Health Officer. (1994). A report of the health of British Columbians: Provincial health officer’s annual report 1994. Victoria, B.C.: Ministry of Health and Ministry Responsible for Seniors.
Sirgy, M. J., & Cornwell, T. (2002). How neighborhood features affect quality of life. Social Indicators Research, 59(1), 79–114.
Ware, J. E., Kosinsky, M., & Keller, S. D. (1994). SF-36 physical and mental health summary scales: A user’s manual. Boston, Massachusetts: The Health Institute, New England Medical Center.
Ware, J. E., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Medical Care, 30(6), 473–483.
Ware, J. E., Snow, K. K., Kosinski, M., & Gandek, B. (1993). SF-36 health survey: Manual and interpretation guide. Boston, Massachusetts: The Health Institute, New England Medical Center.
Zumbo, B. D., & Michalos, A. C. (2000). Quality of life in Jasper, Alberta. Social Indicators Research, 49(2), 121–145.
Acknowledgments
We would like to thank the Rural Development Institute of Brandon University, Brandon Regional Health Authority, City of Brandon, Manitoba Agriculture, Food and Rural Initiatives and Brandon University for supporting this project, as well as Nancy McPherson, Sandy Trudel, Bev Lischka and Deandra Tousignant for their administrative work and the people of Brandon who generously gave us their time to complete our questionnaire.
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Michalos, A.C., Ramsey, D., Eberts, D. et al. Good Health is Not the Same as a Good Life: Survey Results from Brandon, Manitoba. Soc Indic Res 107, 201–234 (2012). https://doi.org/10.1007/s11205-011-9854-1
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DOI: https://doi.org/10.1007/s11205-011-9854-1