ArticleBMJ open2020
Is subjective well-being independently associated with mortality? A 14-year prospective cohort study in a representative sample of 25 139 US men and women.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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Who cites it
6 citing papers in PubMed.
- Combined lifestyle habits, subjective well-being, and all-cause mortality among older adults in China.BMC geriatrics · 2025Article
- Association of Visiting the Physiotherapist with Mortality in the Spanish General Population: A Population-Based Cohort Study.Medicina (Kaunas, Lithuania) · 2023Article
- Association between subjective well-being and all-cause mortality among older adults in China.BMC psychiatry · 2023Article
- Happy people live longer because they are healthy people.BMC geriatrics · 2023Article
- Self-reported health and life satisfaction in older emergency department patients: sociodemographic, disease-related and care-specific associated factors.BMC public health · 2021Article
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Authors and funding
4 authors.
Funding
Abstract
objectivesTo examine whether the inverse association of subjective well-being with mortality is independent of self-rated health and socioeconomic status in healthy adults.
designA population-based prospective cohort study based on an in-person interview. Cox regression was used to examine mortality hazards for happiness alone and for a standardised summary well-being measure that included happiness, life satisfaction and negative emotions. Using prespecified analyses, we first adjusted for age and then additionally adjusted for self-rated health and then race/ethnicity, marital status, smoking and socioeconomic status.
settingProbability sample of adult US residents interviewed in their homes in 2001.
participants25 139 adults free of cardiovascular disease and cancer at baseline. PRIMARY OUTCOME MEASURE: All-cause mortality 14 years after the baseline interview as assessed by probabilistic matching using the National Death Index.
resultsAge-adjusted unhappiness was associated with mortality (HR 1.27; 95% CI 1.11 to 1.45, p=0.001) but the association attenuated after adjusting for self-rated health (HR 1.01; 95% CI 0.88 to 1.16, p=0.85). A similar pattern was seen for the summary well-being measure in fully adjusted models (HR 1.00; 95% CI 0.99 to 1.00, p=0.30). In contrast, self-rated health was strongly associated with mortality. In the fully adjusted model with the summary well-being measure the hazards for good, very good and excellent self-rated health were 0.71 (95% CI 0.62 to 0.80, p<0.001), 0.63 (95% CI 0.55 to 0.71, p<0.001) and 0.45 (95% CI 0.39 to 0.51, p<0.001), respectively.
conclusionsIn this representative sample of US adults, the association between well-being and mortality was strongly attenuated by self-rated health and to a lesser extent socioeconomic status.
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