Objective QoL index
The suitability of objective variables for PCA was revealed by KMO measure of sampling adequacy value of 0.799 and statistically significant Bartlett test of sphericity (χ
2 = 15803.739, p<0.001). As indicated by Table 1 both these tests showed enough intercorrelation between the variables to perform PCA.
Based on Kaiser’s criterion results given in Table 2, five components whose eigenvalue were greater than one has been extracted from the objective variables. The scree plot given in Fig 1 further verifies the extraction of five components, showing a clear shift after the fifth component. Together, the five extracted and rotated components explained 75.29% of the cumulative variability considered acceptable for further analysis.
The structure matrix of the five components through PCA using varimax rotation is shown in Table 3. The first component explained the highest 23.35% of the total variability and was characterised by strongest factor loadings of Fruits, Meat/Fish, Egg, Vegetables and Dairy consumption and was described as Nutrition and Diet. The second component, Housing Infrastructure, explained 15.75% of the variability and involved house type, number of rooms and toilet type. The third component, Socio-Economic Status, explained 14.08% of variability and included nature of worker, monthly income and monthly expenditure. The fourth component, Education and Accessibility, explained 12.01% of variability and was represented by transport facility, electronic gadget and education qualification. Lastly, the fifth component, Substance Consumption, explained 10.08% of the variability and consisted of liquor and tobacco consumption.
Following
Nicoletti et al., (2000) methodology, five intermediate composite indices corresponding to five extracted components were constructed using squared factor loadings scaled to unity presented in Table 4. Consequently, within the Nutrition and Diet index, the highest weights have been attributed jointly to Meat/Fish and Egg consumption (0.230), followed by Fruits (0.220), Vegetables (0.160) and Dairy (0.160). House type (0.370) contributed most to the Housing Infrastructure index, while monthly income (0.360) achieved the highest weights under Socio-Economic Status index. Electronic gadget (0.400) emerged as the most influential variable under Education and Accessibility, whereas liquor (0.540) received the highest weight under Substance Consumption. The five intermediate composite indices were aggregated by weighing each index according to its share of the total explained variance, resulting in the final Objective QoL Index.
Subjective QoL index
The suitability of the subjective variables for PCA was revealed by a KMO measure of sampling adequacy value of 0.802 and statistically significant Bartlett test of sphericity (χ
2 = 31234.704, p<0.001). As demonstrated in Table 5, both these tests showed enough intercorrelation among the variables to perform PCA.
Based on Kaiser’s criterion results in Table 6, seven components whose eigenvalue were greater than one has been extracted from the subjective variables. The scree plot given in Fig 2 further verifies the extraction of seven components by displaying a clear shift after the seventh component. Together, the seven extracted and rotated components explained 85.74% of the cumulative variability considered acceptable for further analysis.
The structure matrix of the seven components through PCA using varimax rotation is presented in Table 7. The first component explained the highest 15.44% of the total variability and was characterised by strongest factor loadings for physical health, life satisfaction, mental condition satisfaction and stress and was therefore described as Psychological Well-being. The second component, Financial and Social Well-being, explained 14.68% of variability and included savings, work satisfaction, salary satisfaction and socio-economic satisfaction. The third component, Living Conditions Satisfaction, explained 11.52% of variability and included housing satisfaction, sanitation satisfaction and drainage satisfaction. The fourth component, Cultural Engagement, explained 11.50% of variability and consisted of cultural connection, seasonal festivities and cultural participation. The fifth component, Social Cohesion, explained 11.06% of variability and was represented by personal relationship, care and management satisfaction. The sixth component, Health Care Satisfaction, explained 11.00% of variability and included satisfaction with health services, hospital condition and medical staff. Lastly, the seventh component, Educational Satisfaction, explained 10.55% of variability and comprised satisfaction with general education, family support and educational opportunities.
Following
Nicoletti et al., (2000) methodology, seven intermediate composite indices corresponding to the seven extracted components were constructed using squared factor loadings scaled to unity presented in Table 8. Consequently, Within the Psychological Well-being index, the highest weights have been attributed to life satisfaction (0.270), followed by stress (0.260), physical health (0.240) and mental condition satisfaction (0.230). Financial and Social Well-being index assigned the highest weight to socio-economic satisfaction (0.280), while sanitation (0.350), seasonal festivities (0.350), personal relationship (0.360), medical staff satisfaction (0.360) and educational opportunity satisfaction (0.350) obtained the highest weights for their respective indices. The seven intermediate composite indices were aggregated by weighing each index according to its share of the total explained variance, resulting in the final Subjective QoL Index.
Empirical validation and comparative evaluation of the constructed QoL indices
To validate the explanatory power, multiple regression analysis has been used where the self-rated QoL is chosen as the response variable and the constructed intermediate indices are considered as the predictor variables.
As shown in Table 9, the present study shows fitted R-Square value of 0.667 in case of objective variables and 0.645 in case of subjective variables, where both cases explaining greater power as compared to
Anand et al., (2023) fitted model that used WHO-QOL domains.
Reliability and validity of the constructed QoL indices
Cronbach’s Alpha and CR have been used for testing the internal consistency. AVE has been used for testing the convergent validity of the constructed intermediate composite indices.
From Table 10, under both approaches, all the indices have Cronbach Alpha’s value greater than 0.70 except Education and Accessibility, which is acceptable in case of exploratory research. Similarly, AVE of all the indices is above 0.50 except Education and Accessibility, but since it exceeds 0.40, it can be considered acceptable if its CR value is greater than 0.70. This is an indication of satisfying the internal consistency and convergent validity of the constructed indices.