Richard Wiggins

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Quality of life is the subject of much research. However it lacks an agreed theoretical basis. In studies with older populations(ill) health has been used as a proxy measure for quality of life (QoL). We have developed a needs satisfaction measure of QoL in early old age. Our measure has four ontologically grounded domains: conal, autonomy, pleasure, and(More)
OBJECTIVES To investigate whether longstanding illnesses, social context, and current socioeconomic circumstances predict quality of life. DESIGN Secondary analysis of wave 1 of the English longitudinal study of aging. Missing data were imputed and multiple regression analyses conducted. SETTING England, 2002 PARTICIPANTS Nationally representative(More)
Many studies document small area inequalities in morbidity and mortality and show associations between area deprivation and health. However, few studies unpack the "black box" of area deprivation to show which specific local social and physical environmental characteristics impact upon health, and might be amenable to modification. We theorised a model of(More)
A growing literature demonstrates life course influences on health in early old age. The present paper is the first to examine whether similar processes also influence quality of life in early old age. The question is theorised in terms of structured dependency and third age, and the life course pathways by which people arrive at these destinations in later(More)
OBJECTIVES To study how social inequalities change as people age, this paper presents a growth curve model of self assessed health, which accommodates changes in occupational class and individual health with age. DESIGN Nationally representative interview based longitudinal survey of adults in Great Britain. SETTING Representative members of private(More)
PURPOSE This article examines resilience at older ages, focusing on the relationships between quality of life (qol) and adversity. Our objectives are to identify (a) the basis of adversity, (b) the characteristics of resilient individuals, and (c) the attributes that attenuate the full impact of adversity. DESIGN AND METHODS Resilience is defined as(More)
AIM The aim of this study was to investigate the nature and organization of maternal needs and priorities in a neonatal unit. BACKGROUND The relationship between maternal needs and priorities appears to be an under studied area in neonatal nursing. METHODS A quantitative survey was carried out based on 209 mothers with premature infants. Two(More)
This study investigated the long-term effects of social disadvantage on academic achievement and on subsequent attainments in adulthood. The study drew on data collected for over 30,000 individuals born 12 years apart, following their development from birth to adulthood. The pathways that link social disadvantage to individual development across the life(More)
OBJECTIVE We explored the factors that predicted psychological distress in the first six months post stroke in a sample including people with aphasia. DESIGN Prospective longitudinal observational study. SETTING AND SUBJECTS Participants with a first stroke from two acute stroke units were assessed while still in hospital (baseline) and at three and six(More)
BACKGROUND In the closing decades of the twentieth century, changes in population sociodemographics took place that might be thought to have an adverse influence on the nation's psychological distress. Here, we examine the stability of social and gender inequalities in psychological distress throughout the 1980s and 1990s. METHODS The study uses data from(More)