scholarly journals VEHICLE OWNERSHIP AND QUALITY OF LIFE IN URBAN RESIDENTIAL NEIGHBORHOODS, NORTHERN PENINSULAR MALAYSIA

2010 ◽  
Vol 8 (1) ◽  
Author(s):  
Abdul Ghapar Othman ◽  
Hassim Mat

It is widely believed that owning a vehicle affects one's quality of life. In the United States, owning a car contributes positively to quality of life while in countries such as New Zealand, this impact is not always apparent. Private cars, particularly, has become a leading mode of transport due to its inherent advantages such as privacy, comfort and unrestricted freedom. Other than income, road infrastructure, urban land use pattern and government policies are all influential factors in determining vehicle ownership and usage. It is widely believed that vehicle ownership increases accessibility to better jobs, urban facilities, and social meeting places. This study examines the relationship between owning a private vehicle and social and economic satisfaction, as well as accessibility to public facilities. A total of 1,563 households were surveyed in six urban areas of northern Malaysia. The sample was stratified according to low-, middle-, and high-income neighborhoods. Cross tabulation analysis was done on levels of vehicle ownership and other variables to determine the level of satisfaction in economic and social quality of life. Approximately 99% of those surveyed owned at least a motorcycle while roughly a third owned both a car and a motorcycle. Majority expressed indifference to public transport and considered owning a vehicle a necessity for daily activities. A direct relationship was observed between the number of owned vehicles and the level of job and income satisfaction. Similarly, social interactions with neighbors, participation in community activities, satisfaction in ethnic relations, and attendance in religious services indicated a positive relationship with car ownership. These social satisfaction and economic fulfillment, as well as access to public amenities, are positively enhanced by vehicle ownership.

2010 ◽  
Vol 8 ◽  
Author(s):  
Abdul Ghapar Othman ◽  
Hassim Mat

It is widely believed that owning a vehicle affects one's quality of life. In the United States, owning a car contributes positively to quality of life while in countries such as New Zealand, this impact is not always apparent. Private cars, particularly, has become a leading mode of transport due to its inherent advantages such as privacy, comfort and unrestricted freedom. Other than income, road infrastructure, urban land use pattern and government policies are all influential factors in determining vehicle ownership and usage. It is widely believed that vehicle ownership increases accessibility to better jobs, urban facilities, and social meeting places. This study examines the relationship between owning a private vehicle and social and economic satisfaction, as well as accessibility to public facilities. A total of 1,563 households were surveyed in six urban areas of northern Malaysia. The sample was stratified according to low-, middle-, and high-income neighborhoods. Cross tabulation analysis was done on levels of vehicle ownership and other variables to determine the level of satisfaction in economic and social quality of life. Approximately 99% of those surveyed owned at least a motorcycle while roughly a third owned both a car and a motorcycle. Majority expressed indifference to public transport and considered owning a vehicle a necessity for daily activities. A direct relationship was observed between the number of owned vehicles and the level of job and income satisfaction. Similarly, social interactions with neighbors, participation in community activities, satisfaction in ethnic relations, and attendance in religious services indicated a positive relationship with car ownership. These social satisfaction and economic fulfillment, as well as access to public amenities, are positively enhanced by vehicle ownership.


2019 ◽  
Vol 8 (3) ◽  
pp. 1285-1289 ◽  

ICT technology has seen a widespread influence throughout the globe. It has become a crucial element in safety and security. According to the United States census bureau of 2017, it is estimated that, by 2030, the world's population will be around 8.5 billion. It is also estimated to rise up to 9.8 billion and 11.2 billion by 2050 and 2100 respectively. More than half of humanity today live in urban areas. A large number of cities are witnessing a significant growth of rural citizens moving to urban areas in search of better lifestyle and opportunities, education and a quality of life. As a consequence of this, cities’ are expanding beyond their limits in their infrastructural, security and service sectors to adapt to the overwhelming surge of rural migrants. And this comes with a cost, which is the increased complexity of providing an easier way of life. This has led to cities adopting modern tools of ICT to become Smart Cities capable of adapting and allocating the incoming migrators, as well as increase the quality of life. The paper will explain the definition of smart cities, their opportunities and challenges with tools that include: Smart homes, Smart energy grid, Smart retail and Internet of Things. The study defines the essential elements that comprise smart cities. It will, therefore, aid governments in decision-making when it comes to initiating smart city projects.


Author(s):  
Elliot Friedman ◽  
Beth LeBreton ◽  
Lindsay Fuzzell ◽  
Elizabeth Wehrpsann

By many estimates the majority of adults over age 65 have two or more chronic medical conditions (multimorbidity) and are consequently at increased risk of adverse functional outcomes. Nonetheless, many older adults with multimorbidity are able to maintain high levels of function and retain good quality of life. Research presented here is designed to understand the influences that help ensure better functional outcomes in these older adults. This chapter presents findings that draw on data from the Midlife in the United States study. The independent and interactive contributions of diverse factors to multimorbidity and changes in multimorbidity over time are reviewed. The degree that multimorbidity increases risk of cognitive impairment and disability is examined. The role of inflammation as a mediator is considered. Multimorbidity is increasingly the norm for older adults, so better understanding of factors contributing to variability in multimorbidity-related outcomes can lead to improved quality of life.


2021 ◽  
Vol 10 (10) ◽  
pp. 2187
Author(s):  
Omrit Feldman ◽  
Eran Goldstien ◽  
Benjamin Rolnik ◽  
Ariel B. Ganz ◽  
Shahar Lev-Ari

Stuttering is a speech disorder that can cause disturbances in the timing and flow of speech. In addition to being a communication disorder, stuttering is often accompanied by a reduction in the quality of life and has impacts on social status, mental well-being, self-acceptance, and the chances of integration into the labor market. The Inquiry Based Stress Reduction (IBSR) program, developed in the United States by Byron Katie in 1986, is the clinical application of “The Work” method (Thework.com) and represents an emerging mindfulness and cognitive-reframing method. IBSR has been demonstrated to improve mental health and well-being in adults and may alleviate psychological and psychosocial symptoms of stuttering. The purpose of this trial was to examine the effect of a 12-week IBSR intervention on the overall stuttering experience and indicators of anxiety, psychological flexibility, and well-being among adults who stutter (AWS). This study was a randomized controlled clinical trial. Participants were randomized to IBSR (n = 28) and control (n = 28) groups. Validated questionnaires of overall stuttering experience (OASES-A), anxiety (STAI), psychological flexibility (PFQ), and satisfaction with life (SWLS) were completed before, after, and one month after the intervention. An intention-to-treat approach was implemented for analysis. Our results show that participants in the IBSR intervention group exhibited a greater improvement in their overall stuttering experience as compared to the control group, as well as in general information on stuttering awareness and perception, reactions to stuttering, communication in daily situations, and quality of life. In addition, we found a greater reduction in anxiety levels and an increase in satisfaction-with-life scores in the IBSR group. These results indicate that IBSR can improve the overall stuttering experience.


2021 ◽  
Vol 28 (3) ◽  
pp. 265-276
Author(s):  
Naira Khachatryan ◽  
Maxwell Pistilli ◽  
Maureen G. Maguire ◽  
Angela Y. Chang ◽  
Marissa R. Samuels ◽  
...  

Author(s):  
Yu-Tzu Wu ◽  
◽  
Linda Clare ◽  
Ian Rees Jones ◽  
Sharon M. Nelis ◽  
...  

Abstract Purpose The aim of this study was to investigate the associations between quality of life and both perceived and objective availability of local green and blue spaces in people with dementia, including potential variation across rural/urban settings and those with/without opportunities to go outdoors. Methods This study was based on 1540 community-dwelling people with dementia in the Improving the experience of Dementia and Enhancing Active Life (IDEAL) programme. Quality of life was measured by the Quality of Life in Alzheimer’s Disease (QoL-AD) scale. A list of 12 types of green and blue spaces was used to measure perceived availability while objective availability was estimated using geographic information system data. Regression modelling was employed to investigate the associations of quality of life with perceived and objective availability of green and blue spaces, adjusting for individual factors and deprivation level. Interaction terms with rural/urban areas or opportunities to go outdoors were fitted to test whether the associations differed across these subgroups. Results Higher QoL-AD scores were associated with higher perceived availability of local green and blue spaces (0.82; 95% CI 0.06, 1.58) but not objective availability. The positive association between perceived availability and quality of life was stronger for urban (1.50; 95% CI 0.52, 2.48) than rural residents but did not differ between participants with and without opportunities to go outdoors. Conclusions Only perceived availability was related to quality of life in people with dementia. Future research may investigate how people with dementia utilise green and blue spaces and improve dementia-friendliness of these spaces.


2021 ◽  
pp. 002073142199484
Author(s):  
Vicente Navarro

This article analyses the political changes that have been occurring in the United States (including the elections for the presidency of the country) and their consequences for the health and quality of life of the population. A major thesis of this article is that there is a need to analyse, besides race and gender, other categories of power - such as social class - in order to understand what happens in the country. While the class structure of the United States is similar to that of major Western European countries, the political context is very different. The U.S. political context has resulted in the very limited power of its working class, which explains the scarcity of labor, political and social rights in the country, such as universal access to health care.


2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Konrad Bork ◽  
John T. Anderson ◽  
Teresa Caballero ◽  
Timothy Craig ◽  
Douglas T. Johnston ◽  
...  

Abstract Background Hereditary angioedema (HAE) is a rare disease characterized by unpredictable, potentially life-threatening attacks, resulting in significant physical and emotional burdens for patients and families. To optimize care for patients with HAE, an individualized management plan should be considered in partnership with the physician, requiring comprehensive assessment of the patient’s frequency and severity of attacks, disease burden, and therapeutic control. Although several guidelines and consensus papers have been published concerning the diagnosis and treatment of HAE, there has been limited specific clinical guidance on the assessment of disease burden and quality of life (QoL) in this patient population. Practical guidance is critical in supporting effective long-term clinical management of HAE and improving patient outcomes. The objective of this review is to provide evidence-based guidelines for an individualized assessment of disease burden and QoL in patients with HAE. Methods A consensus meeting was held on February 29, 2020, consisting of 9 HAE experts from the United States and Europe with extensive clinical experience in the treatment of HAE. Consensus statements were developed based on a preliminary literature review and discussions from the consensus meeting. Results Final statements reflect the consensus of the expert panel and include the assessment of attack severity, evaluation of disease burden, and long-term clinical management of HAE caused by C1-esterase inhibitor deficiency. Patient-reported outcome measures for assessing HAE attack severity and frequency are available and valuable tools; however, attack frequency and severity are insufficient markers of disease severity unless they are evaluated in the broader context of the effect on an individual patient’s QoL. QoL assessments should be individualized for each patient and minimally, they should address the interference of HAE with work, school, social, family, and physical activity, along with access to and burden of HAE treatment. Advances in HAE therapies offer the opportunity for comprehensive, individualized treatment plans, allowing patients to achieve minimal attack burden with reduced disease and treatment burden. Conclusion This consensus report builds on existing guidelines by expanding the assessment of disease burden and QoL measures for patients with HAE.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 153-154
Author(s):  
Afeez Hazzan

Abstract Dementia is one of the most rapidly growing diseases in the United States. In 2018, the direct costs to American society of caring for older people with dementia was approximately $277 billion. Primary informal caregivers are mainly responsible for the care of older people with dementia including Alzheimer’s disease. Caregivers perform a myriad of duties ranging from shopping for their loved ones’ groceries, helping with medications, and managing finances. The caregiving role becomes more demanding as the disease progresses over time, and studies have shown that the quality-of-life (QoL) experienced by caregivers of older adults who have dementia is lower than the QoL of caregivers for older people who do not have dementia. To the best of our knowledge, there has been no research conducted to investigate whether lower caregiver QoL affects the level or quality of care that caregivers provide to persons with dementia. In the current study, we interviewed family caregivers living in Rochester, New York to inquire about their quality of life and the care provided to older people living with dementia. Further, caregivers completed the 36-item Short Form Health Survey (SF-36) as well as a draft questionnaire for measuring the quality of care provided to older people living with dementia. Both quantitative and qualitative findings from this study reveals important relationships between family caregiver QoL and the care provided, including the impact of social support and financial well-being. The study findings could have significant impact, particularly for the provision of much needed support for family caregivers.


Author(s):  
Kisook Kim ◽  
Hyohyeon Yoon

The study aimed to identify and compare the factors affecting health-related quality of life (HRQoL) depending on the occupational status of cancer survivors. This study was a secondary data analysis from the Korea National Health and Nutrition Examination Survey (KNHANES) from 2014 to 2018. Hierarchical multivariate linear regression was used to investigate the factors affecting the HRQoL of each group. Non-working cancer survivors had significantly lower HRQoL than working cancer survivors (p < 0.001). A hierarchical multiple regression model showed that demographic, health-related, and psychological characteristics explained 62.0% of non-working cancer survivors’ HRQoL (F = 4.29, p < 0.001). Among the input variables, health-related characteristics were the most influential factors (ΔR2 = 0.274, F = 9.84, p < 0.001). For working cancer survivors, health-related characteristics were the only variable that was statistically associated with HRQoL (F = 5.556, p < 0.001). It is important to enhance physical activities and manage the chronic disease to improve the HRQoL of working cancer survivors. Further, managing health-related characteristics, including depressive symptoms and suicidal ideation, is necessary for non-working cancer survivors. Regarding working survivors, psychological factors such as depressive symptoms and suicidal tendencies did not affect HRQoL. Therefore, an early and effective return to work program should be developed for the improvement of their HRQoL.


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