Stenlund Säde, Koivumaa-Honkanen Heli, Sillanmäki Lauri, Lagström Hanna, Rautava Päivi, Suominen Sakari
Department of Public Health, University of Turku, Kiinamyllynkatu 10, 20014 Turku, Finland.
Research Services, Turku University Hospital, Kiinamyllynkatu 4-8, 20521 Turku , Finland.
Prev Med Rep. 2021 Nov 14;24:101635. doi: 10.1016/j.pmedr.2021.101635. eCollection 2021 Dec.
The cross-sectional association between measures of subjective well-being (SWB) and various health behaviors is well-established. In this 9-year (2003-2012) follow-up study, we explored how a composite indicator of SWB (range 4-20) with four items (interest, happiness, and ease in life, as well as perceived loneliness) predicts a composite health behavior measure (range 0-4) including dietary habits, physical activity, alcohol consumption, and smoking status. Study subjects (n = 10,855) originated from a population-based random sample of working-age Finns in the Health and Social Support study (HeSSup). According to linear regression analysis, better SWB predicted better health behavior sum score with a β = 0.019 (p < 0.001) with a maximum effect of 0.3 points after adjusting for age (p = 0.038), gender (p < 0.001), education (p = 0.55), baseline self-reported diseases (p = 0.020), baseline health behavior (β = 0.49, p < 0.001), and the interaction between SWB and education (p < 0.001). The results suggest that SWB has long-term positive effect on health behavior. Thus, interventions aiming at health behavioral changes could benefit from taking into account SWB and its improvement in the intervention.
主观幸福感（SWB）指标与各种健康行为之间的横断面关联已得到充分证实。在这项为期9年（2003 - 2012年）的随访研究中，我们探讨了一个包含四个项目（兴趣、幸福、生活轻松程度以及感知到的孤独感）的SWB综合指标（范围为4 - 20）如何预测一个综合健康行为指标（范围为0 - 4），该综合健康行为指标包括饮食习惯、身体活动、饮酒情况和吸烟状况。研究对象（n = 10,855）来自健康与社会支持研究（HeSSup）中基于人群的在职年龄芬兰人的随机样本。根据线性回归分析，更好的SWB预测了更好的健康行为总分，β = 0.019（p < 0.001），在调整年龄（p = 0.038）、性别（p < 0.001）、教育程度（p = 0.55）、基线自我报告疾病（p = 0.020）、基线健康行为（β = 0.49，p < 0.001）以及SWB与教育程度之间的相互作用（p < 0.001）后，最大效应为0.3分。结果表明，SWB对健康行为有长期的积极影响。因此，旨在改变健康行为的干预措施可能会受益于在干预中考虑SWB及其改善情况。
