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  • 标题:Health and happiness: cross-sectional household surveys in Finland, Poland and Spain
  • 作者:Marta Miret ; Francisco Félix Caballero ; Somnath Chatterji
  • 期刊名称:Bulletin of the World Health Organization
  • 印刷版ISSN:0042-9686
  • 出版年度:2014
  • 卷号:92
  • 期号:10
  • 页码:716-725
  • DOI:10.2471/BLT.13.129254
  • 语种:English
  • 出版社:World Health Organisation
  • 摘要:Objective To explore the associations between health and how people evaluate and experience their lives. Methods We analysed data from nationally-representative household surveys originally conducted in 2011–2012 in Finland, Poland and Spain. These surveys provided information on 10 800 adults, for whom experienced well-being was measured using the Day Reconstruction Method and evaluative well-being was measured with the Cantril Self-Anchoring Striving Scale. Health status was assessed by questions in eight domains including mobility and self-care. We used multiple linear regression, structural equation models and multiple indicators/multiple causes models to explore factors associated with experienced and evaluative well-being. Findings The multiple indicator/multiple causes model conducted over the pooled sample showed that respondents with younger age (effect size, β = 0.19), with higher levels of education ( β = −0.12), a history of depression ( β = −0.17), poor health status ( β = 0.29) or poor cognitive functioning ( β = 0.09) reported worse experienced well-being. Additional factors associated with worse evaluative well-being were male sex ( β = −0.03), not living with a partner ( β = 0.07), and lower occupational ( β = −0.07) or income levels ( β = 0.08). Health status was the factor most strongly correlated with both experienced and evaluative well-being, even after controlling for a history of depression, age, income and other sociodemographic variables. Conclusion Health status is an important correlate of well-being. Therefore, strategies to improve population health would also improve people’s well-being.
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