scholarly journals The impact of the livelihoods and income fortification and socio-civic transformation project on the quality of life, wellbeing, self-esteem, and quality of neighbourhood social environment among the youth in slum areas of in Kampala, Uganda

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Andre M. N. Renzaho ◽  
Daniel Doh ◽  
Rashidul A. Mahumud ◽  
Moses Galukande ◽  
Joseph K. Kamara

Abstract Background Various interventions to improve the quality of life (QoL) among slum dwellers across sub Saharan Africa have been implemented. However, the interventions impacts remain less understood. We assessed the impact of the Urban Program on Livelihoods and Income Fortification and Socio-civic Transformation (UPLIFT) project on QoL, psychological wellbeing, self-esteem, and the quality of neighbourhood social environment of young people aged 13–25 years in slum areas of Makindye and Nakawa Divisions in Kampala, Uganda. Methods The study was designed as a mixed method evaluation using repeated cross-sectional survey and grounded theory in both the intervention and comparison communities. The intervention effect was estimated using the difference-in-differences Kernel propensity-score matching technique, with bootstrapping. The “rcs” option was used given that data were from repeated cross-sectional surveys. A thematic analysis was adopted for the qualitative data to triangulate and complement the quantitative data. Results The UPLIFT project led to an improvement in QoL, psychological wellbeing, and self-esteem of young people. In terms of QoL, the project led to a six-percentage point increase in quality of living conditions scores (where higher scores reflect better living conditions; lower ones, worse living conditions). However, a negative effect was observed for personal independence whilst the project did not have any impact on social relations. In terms of self-esteem and psychological wellbeing, the project led to a 4.6-point increase in self-esteem scores, a 5.4-point increase in self-acceptance scores, a 5.3- point increase in purpose in life scores, a 5.7 - point increase in personal growth, and a 10.7-point increase in autonomy scores. However, the project had a negative effect on personal independence; and had no impact on environmental mastery and the quality of neighbourhood social environment. Conclusion Functional community-owned assets accumulation and capacity building initiatives for young people in slum areas improved their psychological wellbeing and quality of life. However, such initiatives do not appear to address social relationships and personal independence of young people in slum areas.

2020 ◽  
pp. 68-89
Author(s):  
T.G. Bokhan ◽  
◽  
E.D. Galazhinsky ◽  
O.V. Terekhina ◽  
A.L. Ul'yanich ◽  
...  

At present, to solve the problem of the life quality of the population has become an integral criterion for evaluating the effectiveness and success of the state's socio-economic policy. The appeal to the study of the quality of life among young people in its objective, subjective and person’s aspects is determined by the fact that youth as a social group differs from other groups of the population. It is more active, has relevant knowledge and skills, an accelerated adaptation process, greater migration mobility and material needs. It faces the task of self-determination in socio-economic and political changes and the choice of life orientations. The aim is to determine the contribution of personal resources to the subjective assessment of the quality of life among representatives of socio-demographic youth groups with different perceptions of self-realization opportunities in living conditions. The research is based on the newly developed conceptual working model of the quality of life by D.A. Leontiev (2020), which integrates objective, subjective and person’s factors of environmental assessment. The methods used are: the questionnaire «Quality of life and satisfaction», «Life satisfaction» scale, «Self-realization satisfaction index in living conditions», questionnaire «Self-organization activity», questionnaire «Differential diagnosis of reflexivity», «Self-determination of personality and basic beliefs» scale. Sample is 280 people aged 18 to 40 years, including 140 people living in the rural municipality of the North of the Tomsk region (Siberian region), and 140 residents of the city of Tomsk. As a result, we have found out that there is some general dissatisfaction with the quality of life, but the representatives of rural youth are less satisfied with the quality of their lives than the representatives of urban working youth. Personal resources are significantly more pronounced in the urban working youth group; many representatives of rural youth have deficits in personal resources. It is revealed that such a personal resource as self-identity can me-diate the impact of assessing the opportunities for self-realization in environmental conditions on the quality of life among urban and rural youth. At the same time, we have identified specific personal resources that can serve as mediators in assessing opportunities for self-realization in living conditions and the quality of life among urban and rural youth. However, a small percentage of variance indicates the need to refine the results and include new personal resources in the search for mediators of this relationship. The data revealed in both groups on the mediation nature of assessing the possibility of self-realization in living conditions indicate the importance of creating conditions for self-realization for young people, both in urban and rural living environments.


BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Catherine Arnaud ◽  
Carine Duffaut ◽  
Jérôme Fauconnier ◽  
Silke Schmidt ◽  
Kate Himmelmann ◽  
...  

Abstract Background Effective inclusion in society for young people with disabilities is increasingly seen as generating opportunities for self-development, and improving well-being. However, significant barriers remain in the vast majority of activities meaningful for young adults. Research argues that various personal (disabilities, health) and environmental (access to the resources needed, accessible environment, discrimination, lack of personal economic independence) factors contribute to limited participation. However, previous studies conducted in young people with cerebral palsy (CP) mainly investigated the transition period to adulthood, and did not fully consider the whole range of impairment severity profiles or environmental barriers. In this study, we will use the follow-up of the SPARCLE cohort and a comparison group from the general population (1) to investigate the impact of the environment on participation and quality of life of young adults with CP, (2) to determine predictors of a successful young adulthood in educational, professional, health and social fields, (3) to compare quality of life and frequency of participation in social, work and recreational activities with the general population, (4) to document on participation and quality of life in those with severe disabilities. Methods The SPARCLE3 study has a combined longitudinal and cross-sectional design. Young adults with CP aged 22 to 27 years in 6 European regions previously enrolled in the SPARCLE cohort or newly recruited will be invited to self-complete a comprehensive set of questionnaires exploring participation (daily life and discretionary activities), health-related quality of life, body function, personal factors (health, personal resources), and contextual factors (availability of needed environmental items, family environment, services provision) during home visits supervised by trained researchers. Proxy-reports or adapted questionnaires will be used for those with the most severe impairments. The recruitment of a large group from the general population (online survey) will enable to identify life areas where the discrepancies between young people with CP and their able-bodied peers are the most significant. Discussion This study will help identify to what extent disabilities and barriers in environment negatively affect participation and quality of life, and how previous valued experiences during childhood or adolescence might modulate these effects.


2018 ◽  
Vol Volume 11 ◽  
pp. 245-252 ◽  
Author(s):  
Adeolu Akinboro ◽  
Ogochukwu Ifeanyi Ezejiofor ◽  
Fatai Olatunde Olanrewaju ◽  
Mufutau Muphy Oripelaye ◽  
Olatunde Olabode ◽  
...  

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Belau

Abstract Background In 2015 and 2016, more than one million people fled to Germany from war-affected countries - mainly from Syria, Afghanistan and Iraq. Nevertheless, little is known about health-promoting and health-damaging living conditions in refugees located in Germany. Strengthening healthy living conditions could be a measure to increase health-related quality of life (HRQoL) of refugees. Methods The analyses were based on data from the FlüGe Health Study. The study was conducted in the period from February to November 2018 and included interviews and examinations. Participants were recruited from shared (n = 182) and private accommodation (n = 144) in several cities in North Rhine-Westphalia in Germany. The effect of housing situation on health-related quality of life as estimated from a modified version of the SF-12 questionnaire was examined using univariable analyses. Results Three hundred and nine participants ranging in age from 18 to 75 years (Mean 32.4, SD 0.61) gave complete replies. The majority was males (73.0%) and more than half of the respondents (58,4%) were in a partnership. Univariate analysis showed no statistically significant difference in HRQoL scores among participants from shared and private accommodation in physical scale (Mean 51.7, SD 10.05 vs. 49.7, SD 10.88; p = 0.096) and mental scale (Mean 41.9, SD 14.7 vs. 44.3, SD 14.2; p = 0.134). Conclusions From the data it appears that refugees living in shared and private accommodation in Germany have HRQoL scores indicating a relatively moderate HRQoL in physical scale and low HRQoL in mental scale compared to the German population.


1999 ◽  
Vol 11 (1) ◽  
pp. 41-54 ◽  
Author(s):  
C Chaliha ◽  
AH Sultan ◽  
SL Stanton

It is only in the last decade that increasing recognition has been given to the impact of childbirth on the physical and psychological wellbeing of a woman. The fall in maternal mortality coupled with a rise in female life expectancy (80 years in the UK) have served to focus attention on quality of life. Childbirth has been implicated as a major aetiological factor in pelvic floor and perineal trauma.


2021 ◽  
Vol 6 (1) ◽  
pp. 237-243
Author(s):  
O. V. Klitynska ◽  
◽  
V. Z. Ivaskevych ◽  
N. V. Hasiuk ◽  
◽  
...  

The high prevalence of dental anomalies and deformities requires a careful approach to orthodontic treatment, especially to improve quality of life. The purpose of the study was to determine the effectiveness of orthodontic care by index assessment of the results of correction of dental anomalies and determination of the psychosocial profile in adolescents of the Transcarpathian region. Material and methods. The object of the study were 68 adolescents from the Transcarpathian region. Determination of the correction of dental and maxillary apparatus anomalies was performed by calculating the relevant part of the ICON index, calculating the evaluation of the results. The quality of life of adolescents was assessed using the OHIP-14 quality of life questionnaire. Statistical analysis was performed after consolidation of results using the application package Statistica 10.0 (StatSoft, Inc., USA) and Microsoft Office Excel 2010. Results and discussion. Many studies in the field of psychology have determined that self-esteem is a core characteristic of the individual and together with the level of claims is a regulator of human activity and significantly affects its development. The result of self-esteem depends on how a person evaluates his/her success in joint activities where he/she is a member. This is especially true for teenagers and adolescence. The most important aspect of impaired quality of life in patients of this subgroup were problems of psychological and social nature, issues of external attractiveness, which prevailed even over the physical aspects of the impact, which is quite typical of adolescence. In patients with moderate orthodontic treatment there was a statistically significant improvement on the scales of psychological discomfort (from 6.4±0.6 points to 3.96±0.6 points; p <0.05), psychological disability (from 6.5±0.5 points to 2.18±0.5 points; p <0.05) and social disability (from 5.4±0.5 points to 3.36±0.5 points; p <0.05). Patients in this group after solving problems related to the aesthetics of the smile, as well as discomfort during communication, felt greater psychological comfort, relief in interaction with others and peers. There was a noteworthy shift of accentuation in such patients from problems with appearance to study and active social life. Among patients with severe orthodontic treatment, the most pronounced dynamics was observed on all scales of dental quality of life: on the scale of masticatory dysfunction (from 5.7±1.0 points to 3.12±1.0 points; p <0.05), physical pain (from 7.5±0.7 points to 2.01±0.7 * points; p <0.05), psychological discomfort (from 7.9±0.6 points to 3.48±0.6 points; p <0.05) physical disability (from 7.7±0.5 points to 3.20±0.5 points; p <0.05), psychological disability (from 7.5±0.4 points to 3.41±0.5 points; p <0.05). Conclusion. According to the study results, the success of orthodontic treatment (indicators of severity and effectiveness of orthodontic treatment according to the ISO index) directly correlated with the level of quality of life (r = 0.62; p <0.05)


Author(s):  
Judith Dams ◽  
Thomas Grochtdreis ◽  
Hans-Helmut König

AbstractDepression contributes to disability more than any other mental disorder and is associated with a reduced health-related quality of life. However, the impact of depression on the social environment is relatively unknown. The current study determined differences in the health-related quality of life between co-living household members of depressed persons and persons in households without depression. Furthermore, factors influencing the health-related quality of life of co-living household members of depressed persons were evaluated. Using a sample of the German Socio-Economic Panel, health-related quality of life was measured longitudinally with the 12 item Short Form health survey. In addition to descriptive statistics, differences in health-related quality of life and factors influencing the health-related quality of life of co-living household members of depressed persons were determined by mixed effects beta regressions. Mental health-related quality of life was reduced for co-living household members of depressed persons compared with persons of households without depressed persons. Health-related quality of life of co-living household members of depressed persons was lower for women compared to men as well as for widowed persons compared to married persons. Overall, the health-related quality of life of co-living household members of depressed persons was reduced, which might be due to increased stress levels. It is therefore important to focus on support services for people in the social environment of depressed persons.


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