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Global Health. 2017 Aug 23;13(1):65. doi: 10.1186/s12992-017-0290-0.

Association of experienced and evaluative well-being with health in nine countries with different income levels: a cross-sectional study.

Author information

1
Department of Psychiatry, Universidad Autónoma de Madrid, Arzobispo Morcillo 4, 28029, Madrid, Spain. marta.miret@uam.es.
2
Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Madrid, Spain. marta.miret@uam.es.
3
Department of Psychiatry, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Madrid, Spain. marta.miret@uam.es.
4
Department of Psychiatry, Universidad Autónoma de Madrid, Arzobispo Morcillo 4, 28029, Madrid, Spain.
5
Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Madrid, Spain.
6
Department of Psychiatry, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Madrid, Spain.
7
Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Sant Boi de Llobregat, Barcelona, Spain.
8
National Institute for Health and Welfare, Helsinki, Finland.
9
Department of Health Statistics and Information Systems, World Health Organization, Geneva, Switzerland.
10
Department of Medical Sociology, Jagiellonian University Medical College, Krakow, Poland.
11
Fondazione IRCCS, Neurological Institute Carlo Besta, Milan, Italy.

Abstract

BACKGROUND:

It is important to know whether the relationships between experienced and evaluative well-being and health are consistent across countries with different income levels. This would allow to confirm whether the evidence found in high income countries is the same as in low- and middle-income countries and to suggest policy recommendations that are generalisable across countries. We assessed the association of well-being with health status; analysed the differential relationship that positive affect, negative affect, and evaluative well-being have with health status; and examined whether these relationships are similar across countries.

METHODS:

In this cross-sectional study, interviews were conducted amongst 53,269 adults from nine countries in Africa, Asia, Europe, and Latin America. Evaluative well-being was measured with a short version of the World Health Organization (WHO) Quality of Life instrument, and experienced well-being was measured with the Day Reconstruction Method. Decrements in health were assessed with the 12-item version of WHO Disability Assessment Schedule 2.0. Block-wise linear regression and structural equation models were employed.

RESULTS:

Considering the overall sample, evaluative well-being was more strongly associated with health (β = -0.35) than experienced well-being (β = -0.14), and negative affect was more strongly associated with health (β = 0.10) than positive affect (β = -0.02). The relationship between health and well-being was similar across countries. Lower scores in evaluative well-being and a higher age were the factors more strongly related with a worse health.

CONCLUSIONS:

The different patterns observed across countries may be related to differences in the countries' gross domestic product, social protection system, economic situation, health care provision, lifestyle behaviours, or living conditions. The fact that evaluative well-being is more predictive of health than experienced well-being suggests that our level of satisfaction with our lives might be more important for our health than the actual emotions than we experience in our day-to-day lives and points out the need of interventions that improve the way people evaluate their lives.

KEYWORDS:

Evaluative well-being; Experienced well-being; Health status

PMID:
28835255
PMCID:
PMC5568061
DOI:
10.1186/s12992-017-0290-0
[Indexed for MEDLINE]
Free PMC Article

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