The Role of Subjective Perception of Health in the Dynamics of Context and Psychological Well-Being

Abstract

The purpose of this study was to establish the role played by subjective perceptions of physical health in the relationship between psychological well-being and two social contexts that are stratified by socio-economic differentials pertaining to race, socio-economic indices and infrastructural resources. An availability sample of 514 participants from Potchefstroom (n = 384) and Mafikeng (n = 130), North West Province, completed questionnaires on the perceptions of health and psychological well-being. Regression equations were computed to explore the viability of relationships between context and subjective perceptions of physical health, context and psychological well-being, and psychological well-being and subjective perceptions of physical health. Structural equation models showed that subjective perceptions of physical health mediate the relationship between context and psychological well-being. The implications of the findings are indicated.

Keywords

infrastructural resources physical health positive psychology psychological well-being race socio-economic differentials socio-economic indices

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References

Adams

Hurd

M. D.

McFadden

Merrill

Ribeiro

(2003). Healthy, healthy, and wise? Tests for direct causal paths between health and socio-economic status. Journal of Econometrics, 112, 3–56

Aneshensel

C. S.

Sucoff

C. A.

(1996). The neighborhood context of adolescent mental health. Journal of Health and Social Behavior, 37, 293–310

Antonovsky

(1987). The salutogenic perspective: Toward a new view of health and illness. Advances, Institute for the Advancement of Health, 4(1), 47–55

Antonovsky

(1993). The structure and properties of the Sense of Coherence Scale. Social Science and Medicine, 36(6), 725–733

Bailis

D. S.

Segall

Chipperfield

J.G.

(2003). Two views of self-rated general health status. Social Science & Medicine, 56, 203–217

Baron-Epel

Shemy

Carmel

(2004). Prediction of survival: A comparison between two subjective health measures in elderly population. Social Science & Medicine, 58, 2035–2043

Bronfenbrenner

(1979). The ecology of human development experiments by nature and design. Cambridge: Harvard University Press

Browne

M. W.

Cudeck

(1993). Alternative ways of assessing model fit. In Bollen

K. A.

Long

J. S.

(Eds.), Testing structural equation models (pp. 136–162). London: Sage.

Campbell

Converse

P. E.

Rodgers

W. L.

(1976). The quality of American life. New York: Russell Sage

10.

Cassidy

(2000). Social background, achievement motivation, optimism and health: A longitudinal study. Counselling Psychology Quarterly, 13(4), 399–412

11.

Chen

Matthews

K. A.

Boyce

W. T.

(2002). Socio-economic differences in children's health: How and why do these relationships change with age?. Psychological Bulletin, 128(2), 295–329

12.

Cohen

(1990). Things I have learned (so far). American Psychologist, 45, 1304–1312

13.

Cutrona

C. E.

Russell

D. W.

Hessling

R. M.

Brown

P. A.

Murry

(2000). Direct and moderating effects of community context on the psychological well-being of African American women. Journal of Personality and Social Psychology, 79(6), 1088–1101

14.

DeNeve

K. M.

(1999). Happy as an extraverted clam? The role of personality for subjective well-being. Current Directions in Psychological Science, 8(5), 141–44

15.

Diener

(1995). Cross-cultural correlates of life satisfaction and self-esteem. Journal of Personality and Social Psychology, 68, 653–663

16.

Diener

Emmons

Larsen

R.J.

Griffin

(1985). The Satisfaction with Life Scale. Journal of Personality Assessment, 49(1), 71–75

17.

Diez-Roux

A. V.

(2001). Investigating neighborhood and area effects on health. American Journal of Public Health, 91, 1783–1789

18.

Emery

C. F.

Huppert

F. A.

Schein

R. L.

(1996). Health and personality predictors of psychological functioning in a 7-year longitudinal study. Personality and Individual Differences, 20(5), 567–573

19.

Everitt

B. S.

(1996). Making sense of statistics in psychology: A second-level course. Oxford: Oxford University Press

20.

Franks

Gold

M. R.

Fiscella

(2003). Sociodemographics, self-rated health, and mortality in the US. Social Science & Medicine, 56(12), 2505–2514

21.

Frazier

P. A.

Tix

A. P.

Barron

K. E.

(2004). Testing moderator and mediator effects in counseling psychology research. Journal of Counseling Psychology, 51(1), 115–134

22.

Fredrickson

B. L.

(2001). The role of positive emotions in positive psychology: The broaden-and-build theory of positive emotions. American Psychologist, 56, 218–226

23.

Gallo

L. C.

Matthews

K. A.

(2003). Understanding the association between socio-economic status and physical health: Do negative emotions play a role?. Psychological Bulletin, 129(1), 10–51

24.

Girling

D. M.

Huppert

F. A.

Brayne

Paykel

E. S.

Gill

Mathewson

(1995). Depressive symptoms in the very elderly: Their prevalence and significance. International Journal of Geriatric Psychiatry, 10(6), 497–504

25.

Goldberg

D. P.

Gater

Sartorius

Usten

T.B.

Piccinelli

Gureje

Rutter

(1997). The validity of two versions of the HGQ in the WHO study of mental illness in general health care. Psychological Medicine, 27, 191–197

26.

Goldberg

D. P.

Hillier

V. F.

(1979). A scaled version of the General Health Questionnaire. Psychological Medicine, 9, 139–145

27.

Goldman

Glei

D. A.

Chang

(2003). The role of clinical risk factors in understanding self-rated health. Annual Epidemiology, 14, 49–57

28.

Grundy

Sloggett

(2003). Health inequalities in the older population: The role of personal capital, social resources and socio-economic circumstances. Social Science & Medicine, 56, 935–947

29.

Grzywacz

J. G.

Fuqua

(2000). The social ecology of health: Leverage points and linkages. Behavioral Medicine, 26(3), 101–114

30.

Hayes

Ross

C. E.

(1988). Body and mind: The effect of exercise, overweight, and physical health on psychological well-being. Journal of Health and Social Behavior, 27, 387–400

31.

Bentler

P. M.

(1999). Cut-off criterion for fit indices in covariance structure analysis. Conventional versus new alternatives. Structural Equation Modeling, 6(1), 1–55

32.

Human Development Report. (2004). Cultural liberty in today's diverse world. United Nations Development Programme (UNDP). New York: Hoechstetter Printing Company

33.

Hunter

J. E.

(1997). Needed: A ban on the significance test. Psychological Science, 8(1), 3–7

34.

Huppert

F. A.

Whittington

J. E.

(2003). Evidence for the independence of positive and negative well-being: Implications for quality of life assessment. British Journal of Health Psychology, 8, 107–122

35.

Idler

E. L.

Benyamini

(1997). Self-rated health and mortality. A review of twenty-seven community studies. Journal of Health and Social Behavior, 38, 21–37

36.

Jöreskog

K. G.

(1993). Testing structural equations models. In Bollen

K. A.

Long

J. S.

(Eds.), Testing structural equations models (pp. 249–316). Newbury: Sage

37.

Jöreskog

K. G.

Sörbom

(1989). LISREL 7, a guide to the program and applications (2 ed.). Chicago, IL: SPSS Applications

38.

Kahn

J. H.

Hessling

R. M.

Russell

D. W.

(2003). Social support, health, and well-being among the elderly: What is the role of negative affectivity?. Personality and Individual Differences, 35, 5–17

39.

Kahneman

Diener

Schwarz

(Eds.). (1999). Well-being: The foundations of hedonic psychology. New York: Sage

40.

Kammann

Flett

(1983). Affectometer 2: A scale to measure current levels of general happiness. Australian Journal of Psychology, 35(2), 259–265

41.

Kaplan

Baron-Epel

(2003). What lies behind subjective evaluation of health status?. Social Science & Medicine, 56, 1669–1676

42.

Kim

Kasser

Lee

(2003). Self-concept, aspirations, and well-being in South Korea and the United States. The Journal of Social Psychology, 143(3), 277–290

43.

Kitayama

Markus

H. R.

Kurokawa

(2000). Culture, emotion and well-being: Good feelings in Japan and the Unites States. Cognition and Emotion, 14, 93–124

44.

Knight

B. G.

Silverstein

McCallum

T. J.

Fox

L. S.

(2000). A sociocultural stress and coping model for mental health outcomes among African American caregivers in Southern California. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 55, 142–150

45.

MacCullum

R. C.

Browne

M. W.

Sugarawa

H. M.

(1996). Power analysis and determination of sample size for covariance structure modeling. Psychological Methods, 1, 130–149

46.

Maiti

S. S.

Mukherjee

B.N.

(1990). Anote on the distributional properties of the Jöreskog-Sörbom fit indices. Psychometrika, 55, 721–726

47.

Mansfield

E. R.

Helms

B. P.

(1981). Detecting multicollinearity. The American Statistician, 36(3), 158–160

48.

Marmot

Ryff

C. D.

Bumpass

L. L.

Shipley

Marks

N. F.

(1997). Social inequalities in health: Next questions and converging evidence. Social Science & Medicine, 44(6), 901–910

49.

Mohan

Twigg

Barnard

Jones

(2005). Social capital, geography and health: A small area analysis for England. Social Science & Medicine, 60, 1267–1283

50.

Muldoon

M. F.

Barger

S. D.

Flory

J. D.

Manuck

S. B.

(1998). What are quality of life measurements measuring?. British Medical Journal, 316(7131), 542–545

51.

Nelson

Olson

(1978). Specification and estimation of a simultaneous-equation model with limited dependent variables. International Economic Review, 19(3), 695–709

52.

Oishi

Diener

Lucas

R. E.

Suh

E. M.

(1999). Cross-cultural variations in predictors of life satisfaction: Perspectives from needs and values. Personality and Social Psychology Bulletin, 25, 989–990

53.

Okun

M. A.

Stock

W. A.

Haring

M. J.

Witter

R. A.

(1984). Health and subjective well-being: A meta-analysis. International Journal of Aging and Human Development, 19, 111–132

54.

Pavot

Diener

(1993). Review of the Satisfaction with Life Scale. Psychological Assessment, 5(2), 164–172

55.

Ramsey

Smit

(2002). Rural community well-being: Models and application to changes in the tobacco-belt in Ontario, Canada. Geoforum, 33, 367–384

56.

Rathunde

(2001). Toward a psychology of optimal human functioning: What positive psychology can learn from the “experimental turns” of James, Dewey, and Maslow. Journal of Humanistic Psychology, 41(1), 135–153

57.

Republic of South Africa. Constitution of the Republic of South Africa, Act 108 of 1996. Pretoria: Government Printing Press

58.

Roothmann

Kirsten

D. K.

Wissing

M. P.

(2003). Gender differences in aspects of psychological well-being. South African Journal of Psychology, 33(4), 212–218

59.

Ryan

R. M.

Deci

E. L.

(2001). On happiness and human potentials: A review of research on hedonic and eudaimonic well-being. Annual Review of Psychology, 52, 141–166

60.

Ryff

C. D.

Singer

(1998). The contours of positive human health. Psychological Inquiry, 9(1), 1–28

61.

Seligman

M. E. P.

Csikszentmihalyi

(2000). Positive psychology: An introduction. American Psychologist, 55(1), 5–14

62.

Shibuya

Hashimoto

Yano

(2002). Individual income, income distribution, and self-rated health in Japan: Cross-sectional analysis of nationally representative sample. British Medical Journal, 324, 16–19

63.

StatSoft Inc. (2004). Electronic statistics textbook. Tulsa, OK: StatSoft. Retrieved June 28, 2006 from http://www.statsoft.com/textbook/stathome.html

64.

Staudinger

U. M.

Fleeson

Baltes

P. B.

(1999). Predictors of subjective physical health and global well-being: Similarities and differences between the United States and Germany. Journal of Personality and Social Psychology, 76(2), 305–319

65.

Steiger

(1990). Structural model evaluation and modification: An interval estimation approach. Multivariate Behavioral Research, 25(2), 173–180

66.

Steyn

H.S.

(1999). Praktiese betekenisvolheid: Die gebruik van effekgroottes (Practical significance: The use of effect sizes). Wetenskaplikebydraes Reeks B: Natuurwetenskappe, 117, 11. Potchefstroom: PU vir CHO

67.

Sturm

Gresenz

C. R.

MacKenbach

J. P.

(2002). Relations of income inequality and family income to chronic medical conditions and mental health disorders: National survey in USA. British Medical Journal, 324(7328), 20–23

68.

Taylor

S. E.

Repetti

R. L.

Seeman

(1997). What is an unhealthy environment and how does it get under the skin?. Annual Review of Psychology, 48, 411–447

69.

Temane

Q.M.

(2001). The impact of the lack of provision of services on quality of life. In Studies of social and economic conditions in South Africa: A conference of the South Africa Training Programme in Quantitative Social Science (pp. 171–180). Durban, South Africa

70.

Thompson

(1994). Guidelines for authors. Educational and Psychological Measurement, 5(4), 837–847

71.

Utsey

S. O.

Brown

Bolden

M. A.

(2004). Testing the structural invariance of the Africultural Coping Systems Inventory across three samples of African descent populations. Educational and Psychological Measurement, 64(1), 185–195

72.

Waterman

A.S.

(1993). Two conceptions of happiness: Contrasts of personal expressiveness (eudemonia) and hedonic enjoyment. Journal of Personality and Social Psychology, 64(4), 678–691

73.

Wissing

M. P.

Preterms

T. B.

Heyns

P. M.

(2000 —2003). A Trans-university research programme in Fortology: Clarification and advancement of psychosocial well-being. Team Research Project (PUCHE/NWU; UWC; UVS)

74.

Wissing

M. P.

Thekiso

Stapelberg

van Quickelberge

Choabi

Moroeng

Nienaber

(1999). The psychometric properties of scales measuring psychological well-being in an African group. Paper presented at the International Africa Psychology Congress. July, 18—23, Durban, South Africa

75.

Wissing

M. P.

van Eeden

(2002) Empirical clarification of the nature of psychological well-being. South African Journal of Psychology, 32(1), 32–44

76.

Wissing

M.P.

Wissing

du Toit

Temane

Q. M.

(2002, September 24—27). Towards a G-factor in psychological well-being. 8th Annual South African Psychology Congress (PsySSA), Cape Town, South Africa

77.

(2002). Evaluating cut-off criteria of model fit indices for latent variable models with binary and continuous outcomes. Unpublished PhD dissertation, University of California, Los Angeles