Quality of life is the subject of much research. However it lacks an agreed theoretical basis. In studies with older populations(ill) health has been used as a proxy measure for quality of life (QoL). We have developed a needs satisfaction measure of QoL in early old age. Our measure has four ontologically grounded domains: conal, autonomy, pleasure, and self-realization. The measure was piloted with focus groups, a self-completion pilot, and cognitive interview testing. This produced a 22-item scale that was included in a postal questionnaire and sent to 286 people aged 65-75 years.A 92% response rate was achieved. The scale was reduced to 19 items on the basis of statistical analysis. The domains have Cronbach's alphas between 0.6 and 0.8. Correlations between the four domains range from 0.4 to 0.7. A second order factor analysis revealed a single latent QoL factor. The scores for the 19-item scale are well distributed along the range although they exhibit a slight negative skew. Concurrent validity was assessed using the Life Satisfaction Index--wellbeing. A strong and positive association was found between the two scales (r= 0.6, p = 0.01). The CASP-19 appears to be a useful scale for measuring QoL in older people.
Drawing on British data from two annual sweeps of the ISSP eight years apart in 1994 and 2002, for modules focusing on 'Family and Changing Gender Roles', this paper examines the extent to which changes in women's labour market participation, changing ideologies/discourses of gender and changing forms of intimate relationships are affecting the ways in which couples organize household money, and the implications of such changes for recent theories of intimate relationships. The analysis indicates that by 2002, the type of relationship respondents had established, together with their social class position, were both independently related to the ways in which they managed money, after controlling for socio-economic and cultural or discursive factors. Our findings also provide a degree of support for the thesis of a partial decline in the male breadwinner model of gender, as indicated by small declines in the use of the relatively inegalitarian female whole wage and housekeeping allowance systems which were most likely to be used by married couples and cohabiting fathers, expressing relatively traditional ideologies/discourses of breadwinning - and a slight increase in the use of the partial pool, which was most likely to be used by childless cohabiting couples in which male partners expressed less traditional ideologies of breadwinning and women were in middle-class jobs with incomes high enough to facilitate partially separate finances. We also suggest, however, that in so far as cohabiting couples earning different amounts define equality as contributing equally to household expenditure, it is possible that rather than being associated with shifts to greater equality in access to money for personal spending and saving, the partial pool may be associated with marked inequalities, because it may enable gender inequalities generated in the labour market to be more directly transposed into inequalities within households, despite the decline of traditional discourses of male breadwinning and the increasing importance of egalitarian ideologies of co-provisioning.
This article aims to identify and analyse the lifecourse and contextual factors that influence the quality of life in early old age. We conceptualise quality of life as distinct from the factors which influence it, and employ a model of the quality of life that is derived from an explicit theory of human need. The operational measure consists of 19 Likert-scaled items which cover four theoretical domains: control, autonomy, self-realisation and pleasure. A postal questionnaire was sent to 286 British people aged 65-75 years who were members of the sample for the 1930s Boyd-Orr study of health and diet and who had been followed up through retrospective interviews during the late 1990s. The 286 were broadly representative of their age group. The survey's response rate was 92 per cent. Respondents provided information on a number of contextual influences on their quality of life in early old age, notably social support and participation, the quality and quantity of social contact, feelings of trust and reciprocity about the local neighbourhood, health and financial security. In the analyses reported here, a series of conceptual and operational influences on quality of life in early old age is identified using block regression models. Finally, the relative impact of each predictor on CASP-19 is examined. The findings suggest that the legacy of the past tends to be best captured by people's feelings about the adequacy of their pensions and their status as owner-occupiers as well as a feeling that the area in which they live is deprived. The quality of the social contact people describe and how close they feel to those around them will ameliorate the negative impacts of the past and the immediate environment. In addition, we must recognise that people remain vulnerable to the impact of loss : recent bereavement, and major illnesses can impact on a person's quality of life.KEY WORDS -quality of life, Casp-19, third age.
Measurement of quality of life has become a major feature of much social and epidemiological research in health and social care settings. It is seen as an important alternative to more processbased outcome measures but remains poorly defined. A major weakness is the absence of any coherent theoretical underpinning whether sociological, psychological or philosophical. Into this conceptual vacuum proxies for quality of life have been introduced. Quality of life [QoL] research into older populations has focused on measures of health and illness as equivalents of QoL. This paper argues that this response is inadequate as it reduces old age to a dimension of health, disability and disease. Instead, we argue that it is necessary to create a theoretically based measure of QoL in early old age which relates to those aspects of later life that are not defined by health. We present a model of QoL that is derived from aspects of contemporary social theory as they relate to the ontology of late modernity. In particular, we utilize a model based upon needs satisfaction. The model contains four domains: Control, Autonomy, Pleasure and Self-realization. The measure consists of a -item scale. The four domains load on to a single latent QoL factor. We argue that the CASP scale offers an approach to QoL that integrates a sociologically based model of quality of life with a meaningful and valid research instrument.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.