Faculty of Health and Social Care, St George's, University of London and Kingston University, London, UK.
Fam Pract. 2011 Apr;28(2):145-55. doi: 10.1093/fampra/cmq082. Epub 2010 Nov 17.
To document population perceptions of well-being and predictors of self-assessed well-being.
National face-to-face interview survey of adults aged ≥16 years, conducted by the Office for National Statistics for their Omnibus Survey in Britain (response 58%; 1049 of 1823 eligible).
People aged 65+ years were more likely than younger people to define well-being as being able to continue to do the things they had always done. Most men and women, in all age groups, rated their well-being and mental well-being positively. Self-rated health, mental health symptoms, long-standing illness and social support were the main drivers of overall well-being in all age groups. Mental health symptoms, long-standing illness and social support were the main drivers of mental well-being. For example, in reduced multivariable models, those who reported no long-standing illness had almost twice the odds of others, of good, rather than not good, overall well-being, and over three times the odds of good, rather than not good, mental well-being. The odds of good versus not good overall well-being were also multiplied by 1.002 for each additional available person for comfort and support and similarly by 1.073 in relation to mental well-being.
Understanding the drivers of well-being among adults, including older adults, is of high policy importance. Attention should be focused on improvements in population health and functioning and on encouraging younger and older people to develop and maintain social support networks and engagement in social activities.
记录人们对幸福感的认知以及自我评估幸福感的预测因素。
英国国家统计局对 16 岁及以上成年人进行了全国面对面访谈调查，该调查是其综合调查的一部分（回应率为 58%；1823 名符合条件的人中，有 1049 人参与了调查）。
65 岁及以上人群比年轻人更有可能将幸福感定义为能够继续做他们一直做的事情。大多数男性和女性在所有年龄组中都对自己的幸福感和心理健康状况给予了积极评价。自我评估的健康状况、心理健康症状、长期患病和社会支持是所有年龄组中幸福感的主要驱动因素。心理健康症状、长期患病和社会支持是心理健康的主要驱动因素。例如，在简化的多变量模型中，没有长期患病的人，其幸福感良好（而非不佳）的可能性几乎是其他人的两倍，心理健康良好（而非不佳）的可能性是其他人的三倍多。对于整体幸福感而言，每增加一个可提供舒适和支持的人，其良好的可能性就会增加 1.002 倍；对于心理健康而言，其良好的可能性会增加 1.073 倍。
了解成年人（包括老年人）幸福感的驱动因素具有重要的政策意义。应关注改善人口健康和功能，并鼓励年轻人和老年人发展和维持社会支持网络，并参与社会活动。
