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There is a growing interest in quality of life (QoL) as an integrated approach to addressing key social, environmental and economic determinants of health. The University of Saskatchewan’s Community-University Institute for Social Research (CUISR) has examined the process and results of a multi-stakeholder approach to the ongoing sustainability of Saskatoon, Saskatchewan as a healthy city with an improving and a more equitably distributed QoL. Using quantitative and qualitative analysis, this research has examined QoL across three locales in Saskatoon—representing Low, Middle and High socio-economic status neighbourhoods. Two large telephone surveys were conducted with residents of the city in 2001 and 2004. This paper presents the major findings from these two surveys according to four overarching research questions posed by the CUISR QoL team. The questions relate to a number of QoL issues including the socio-demographic characteristics of respondents, place related measures, aspects influencing excellent or very good QoL in Saskatoon and feelings of a strong sense of place. The paper also assesses the changes in the results of the four questions between 2001 and 2004. [ABSTRACT FROM AUTHOR]

There is a growing interest in quality of life as an integrated approach to addressing key social, environmental and economic determinants of health. The University of Saskatchewan’s Community-University Institute for Social Research, funded by the Social Sciences and Humanities Research Council (grant #410-2004-0669) has examined the process and results of a multi-stakeholder approach to the ongoing sustainability of Saskatoon, Canada as a healthy city with an improving and a more equitably distributed quality of life. Using quantitative and qualitative analysis, together with GIS technology, this research has examined the quality of life across three locales in Saskatoon—representing Low, Middle and High socio-economic status in both 2001 and 2004. The participatory action research approach used in this work ensures the value of the outputs to the stakeholders. Given the strong recognition of the importance of interfacing policy, research and community, and the growing impatience with the limited application of research findings to social and health practices and policies, this project has undertaken four major knowledge translation/transfer strategies, above and beyond the traditional academic channels: (1) engagement of local media on a consistent basis, (2) implementing community policy forums to ensure continued community readiness and uptake, (3) facilitation of and successful functioning of a steering committee, and (4) employment of an action researcher to operate as a policy entrepreneur. This paper will review and discuss each of these strategies and outline the evaluative research being done to document the success of these strategies. [ABSTRACT FROM AUTHOR]

Methodology for making cross-national comparisons is an area of increasing interest in social and public health related research. When studying socio-economic differences in health outcomes cross-nationally, there are several methodological issues of concern, especially when data is derived from self-reported questionnaires. Health Behaviour in School-aged Children (Currie et al. ) is a WHO cross-national study using school samples. HBSC provides comparable data, and thereby a unique opportunity to study associations between social indicators and health outcomes within an international perspective. In 2001/02 data was collected from a total of 162,323 children in 32 countries (Austria, Belgium, Canada, Croatia, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Greenland, Hungary, Ireland, Israel, Italy, Latvia, Lithuania, Macedonia, Malta, Netherlands, Norway, Poland, Portugal, Russia, Slovenia, Spain, Sweden, Switzerland, Ukraine, United Kingdom, USA.). Studies of social inequalities requires that a comparable measure of socio-economic position (SEP) is in use. HBSC has developed a proxy for social position measuring material wealth, the Family Affluence Scale (FAS). This paper studies FAS and whether it is comparable across population subgroups defined by country, age and gender. Initial analysis revealed that an item measuring perceived family wealth was a valid FAS item. Including this item in the FAS score will improve the reliability of FAS. Graphical log-linear Rasch models (GLLRM) showed that FAS contain differential item functioning (DIF) with respect to country, age, and gender as well as local dependency (LD) between items. During the analysis, test equating techniques where used to adjust for the test bias generated by DIF. We recommend that the equated scores are used whenever FAS is included as a variable. This study suggests that HBSC-FAS should contain five items (additional item: perceived family wealth) when analysing data from HBSC 2001/02, and furthermore that each country should adjust for the DIF or make use of the converted FAS scores provided. If using FAS as a proxy for social position at an international level, it is not advised to compare the absolute levels of FAS, but weigh the scale by ridit transformation. [ABSTRACT FROM AUTHOR]

Interest in understanding how characteristics associated with where people live, in addition to the characteristics of the people themselves, affect health outcomes has risen sharply in recent years. While much of the research examining this question focus on teasing apart effects of place and individual on outcomes, less attention has been paid to examining how individuals’ perceptions of where they live may provide some clues to better understanding the influence of place on outcomes. We present findings from analysis undertaken that incorporate the subjective responses of individuals, residing in three socially contrasting neighbourhoods, to their local environment. Our first question addressed whether perceptions related to neighbourhood and city of residence matter to self rated health and quality of life independent of individual characteristics, while the second question examined whether the perceptions and individual characteristics are modified by the neighbourhood socio-economic context. Our results show that perceived neighbourhood characteristics, in addition to individual sociodemographic factors, are significant correlates of self rated health and quality of life. Moreover, we show that the type of perceived neighbourhood characteristics and the magnitude of their influence on self rated health and quality of life vary depending on whether they live in high- versus low-socioeconomic status neighbourhoods. [ABSTRACT FROM AUTHOR]