Centre for Applied Research in Mental Health & Addiction (CARMHA), Simon Fraser University, Faculty of Health Sciences, Suite 2400 - 515 West Hastings St, Vancouver, BC, V6B 5K3, Canada.
Department of Statistics and Actuarial Science, Simon Fraser University, Vancouver, Canada.
BMC Public Health. 2018 Mar 12;18(1):342. doi: 10.1186/s12889-018-5235-x.
A self-reported life satisfaction question is routinely used as an indicator of societal well-being. Several studies support that mental illness is an important determinant for life satisfaction and improvement of mental healthcare access therefore could have beneficial effects on a population's life satisfaction. However, only a few studies report the relationship between subjective mental health and life satisfaction. Subjective mental health is a broader concept than the presence or absence of psychopathology. In this study, we examine the strength of the association between a self-reported mental health question and self-reported life satisfaction, taking into account other relevant factors.
We conducted this analysis using successive waves of the Canadian Community Health Survey (CCHS) collected between 2003 and 2012. Respondents included more than 400,000 participants aged 12 and over. We extracted information on self-reported mental health, socio-demographic and other factors and examined correlation with self-reported life satisfaction using a proportional ordered logistic regression.
Life satisfaction was strongly associated with self-reported mental health, even after simultaneously considering factors such as income, general health, and gender. The poor-self-reported mental health group had a particularly low life satisfaction. In the fair-self-reported mental health category, the odds of having a higher life satisfaction were 2.35 (95% CI 2.21 to 2.50) times higher than the odds in the poor category. In contrast, for the "between 60,000 CAD and 79,999 CAD" household income category, the odds of having a higher life satisfaction were only 1.96 (95% CI 1.90 to 2.01) times higher than the odds in the "less than 19,999 CAD" category.
Subjective mental health contributes highly to life satisfaction, being more strongly associated than other selected previously known factors. Future studies could be useful to deepen our understanding of the interplay between subjective mental health, mental illness and life satisfaction. This may be beneficial for developing public health policies that optimize mental health promotion, illness prevention and treatment of mental disorders to enhance life satisfaction in the general population.
自我报告的生活满意度问题通常被用作社会幸福感的指标。多项研究表明，精神疾病是生活满意度的一个重要决定因素，因此改善精神卫生保健的可及性可能对人群的生活满意度产生有益影响。然而，只有少数研究报告了主观心理健康与生活满意度之间的关系。主观心理健康是一个比是否存在精神病理学更广泛的概念。在这项研究中，我们考虑了其他相关因素，研究了自我报告的心理健康问题与自我报告的生活满意度之间的关联强度。
我们使用 2003 年至 2012 年间连续收集的加拿大社区健康调查（CCHS）的数据进行了这项分析。参与者包括 40 多万 12 岁及以上的受访者。我们提取了自我报告的心理健康、社会人口统计学和其他因素的信息，并使用比例有序逻辑回归分析了与自我报告的生活满意度的相关性。
生活满意度与自我报告的心理健康密切相关，即使同时考虑了收入、一般健康状况和性别等因素也是如此。自我报告心理健康状况较差的人群生活满意度特别低。在自我报告心理健康状况一般的人群中，生活满意度较高的几率是自我报告心理健康状况较差人群的 2.35 倍（95%CI 2.21 至 2.50）。相比之下，对于“家庭收入在 60000 加元至 79999 加元之间”这一类别，生活满意度较高的几率仅是“家庭收入低于 19999 加元”类别的 1.96 倍（95%CI 1.90 至 2.01）。
主观心理健康对生活满意度有很大的贡献，与其他先前已知的因素相比，其相关性更强。未来的研究可能有助于加深我们对主观心理健康、精神疾病和生活满意度之间相互作用的理解。这可能有益于制定公共卫生政策，以优化促进心理健康、预防精神疾病和治疗精神障碍，从而提高普通人群的生活满意度。
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