A Comparative Analysis of Croatian Immigrant's and the Australian Population's subjective quality of...

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A Comparative Analysis of Croatian Immigrant's and the Australian Population's subjective quality of life and self- perceived health status Gorka Vuletić Robert A. Cummins School of Psychology Deakin University
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Transcript of A Comparative Analysis of Croatian Immigrant's and the Australian Population's subjective quality of...

A Comparative Analysis of Croatian Immigrant's and the Australian Population's subjective quality

of life and self-perceived health status

Gorka VuletićRobert A. Cummins

School of PsychologyDeakin University

ObjectiveThe aim of the research is to compare the subjective quality of life and self-perceived health status in Croatian immigrants living in Melbourne with Australian population and examine associations between social support, physical and mental health status, sense of control and life satisfaction in this group.

Also, determine their major sources of satisfaction and dissatisfaction, and to discover links between such factors and health.

Croatian emigration

* Long tradition of immigration to Australia* Size of Croatian community in Australia:

60 000 - approximation

Croatian immigrants sample

N=107

Age: M=53.4 years / 18-80 /

Years in Australia: M=27.7 years / 3-46/

Currently living in Victoria

Distribution by gender

females N=64males N=44

males40.7%

females59.3%

Distribution of respondents regarding education and living status

Living status

w ith other persons19.4%

missing1.9%single

11.1%

w ith partner67.6%

Education

higher school/ university

17.6%

secondary school37.0%

primary school38.9%

missing3.7%

other2.8%

Self assessed health status

Instrument:

The short form – 36 health survey questionnaire (Ware et al. 1993)

SF-36• 36-item short-form health survey• dominant instrument designed to

assess health status

• it measures: physical functioning psychological functioning social functioning role performance perception of well being

36 items 9 scalesPF = physical functioningRP = role-physicalBP = bodily painGH = general healthVT = vitalitySF = social functioningRE = role-emotionalMH = mental healthHT = health transition

Respondents

Croatian immigrants N=107

Croatian health survey N=5 048Australian health survey N=18 468

Results from Australian national health survey and Croatian health survey will be shown for comparison.

Health status score distribution

Comparison between Croatian immigrants, Croatian and Australian general population in health status dimensions

0

10

20

30

40

50

60

70

80

90

100

Physicalfunctioning

Role physical Bodily pain General health Vitality Socialfunctioning

Role emotional Mental health

SF3

6 s

core

Croatian population-health survey Australian population-health survey Croatian immgrants

Quality of life

Instrument:

Comprehensive Quality of Life scale (Cummins, 1997)

Subjective part

QoL domains

7 domains:

material well being safetyhealth communityproductivity emotional well being intimacy

* measured through questions of importance and satisfaction

Subjective well-beingPopulation mean for the western countries:

70-80%SM

Croatian immigrants SWB M=74.7 %SM SD=10.7

N=107

Australian metropolitan sampleM=75.75 %SM SD=8.03 N=89

Domain importance

76.7

60.1

93.7

79.9

85.0

65.5

92.0

85.3

90.1

71.8

78.1

57.2

87.2

73.3

0

10

20

30

40

50

60

70

80

90

100%SM

material well-being

health productivity relationships safety community emotionalwell-being

Immigrants Australian

Domain importance

* high importance scores on all domains in immigrant group

* highest on Health and Relationships

* the biggest difference in importance on Community domain

Domain satisfaction

77.375.1

68.171.5

74.4 74.3

81.4 81.8

73.1

78.975.8

71.8 72.5

76.8

0

10

20

30

40

50

60

70

80

90

100%SM

material well-being

health productivity relationships safety community emotional well-being

Croatian immigrants Australian metropolitan population

Domain satisfaction

* satisfaction levels same as in Australian metropolitan sample

* mean scores same as in Western countries

Subjective well-being levelGroup I

SWB < 80%SM N=61

Group IISWB >= 80%SM N=43

groups equal by: age, education, living status, years in Australia

Subjective well-being < >HealthDIMENSION SWB < 80%SM SWB >= 80%SM

M M Sg.

Physical Functioning 61.0 74.6 0.01

Role limitation due to Physical problems 46.7 75.0 0.01

Role limitation due to Emotional problems 52.8 76.0 0.05

Social Functioning 57.2 70.3 0.01

Mental Health 61.0 72.3 0.01

Energy & Vitality 51.3 56.5

Pain 56.3 72.6 0.01

General Health Perception 49.9 65.7 0.01

Change in Health 48.7 54.1

Correlation Health - Subjective well-being

SWB

Subjective well-being (SWB) 1.000**

Physical Functioning .289**

Role limitation due to Physical problems .333**

Role limitation due to Emotional problems .324**

Social Functioning .414**

Mental Health' .460**

Energy Vitality .285**

Pain .394**

General Health Perception .500**

Change in Health .115

Age -.066

Years in Australia -.069

Education .135 **=sg. 0.01

Discussion and further research

* high importance ratings on all domains* satisfaction in the range 70-80%SM* strong correlation between self assessed health and SWB* further insight in social support