title: The relationship between culture, attitude, social networks and quality of life in midlife Australian and Taiwanese citizens.
abstract: OBJECTIVE
  The objectives of this study were to specifically investigate the differences in culture, attitudes and social networks between Australian and Taiwanese men and women and identify the factors that predict midlife men and women's quality of life in both countries.
  
  
  METHODS
  A stratified random sample strategy based on probability proportional sampling (PPS) was conducted to investigate 278 Australian and 398 Taiwanese midlife men and women's quality of life. Multiple regression modelling and classification and regression trees (CARTs) were performed to examine the potential differences on culture, attitude, social networks, social demographic factors and religion/spirituality in midlife men and women's quality of life in both Australia and Taiwan.
  
  
  RESULTS
  The results of this study suggest that culture involves multiple functions and interacts with attitudes, social networks and individual factors to influence a person's quality of life. Significant relationships were found between the interaction between cultural circumstances and a person's internal and external factors. The research found that good social support networks and a healthy optimistic disposition may significantly enhance midlife men and women's quality of life.
  
  
  CONCLUSIONS
  The study indicated that there is a significant relationship between culture, attitude, social networks and quality of life in midlife Australian and Taiwanese men and women. People who had higher levels of horizontal individualism and collectivism, positive attitudes and better social support had better psychological, social, physical and environmental health, while it emerged that vertical individualists with competitive characteristics would experience a lower quality of life. This study has highlighted areas where opportunities exist to further reflect upon contemporary social health policies for Australian and Taiwanese societies and also within the global perspective, in order to provide enhanced quality care for growing midlife populations.
authors.affiliation: School of Nursing, College of Medicine, Fu Jen Catholic University, Taiwan. auskimberly@yahoo.com.au
authors.forename: Shiu-Yun K
authors.initials: SY
authors.lastname: Fu
authors.forename: Debra
authors.initials: D
authors.lastname: Anderson
authors.forename: Mary
authors.initials: M
authors.lastname: Courtney
authors.forename: Wenbiao
authors.initials: W
authors.lastname: Hu
mesh_terms: D000328:Adult; D000375:Aging / Q000523:psychology*; D001290:Attitude; D001315:Australia; D003466:Cultural Characteristics; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012944:Social Support; D011795:Surveys and Questionnaires; D013624:Taiwan