The Origins of Happiness

(Elliott) #1
Chapter 9

The second set of factors we evaluate relates to physical


health. This is assessed in terms of the presence of doctor-


diagnosed serious illness (e.g., cancer, arthritis, and coronary


heart disease), together with the presence of long- term limit-


ing illness, as a broader marker of health. Figure 9.2 (second


panel) summarizes the standardized regression coefficients


(β) for each variable. Positive coefficients indicate that the


variable is associated with greater life- satisfaction, and nega-


tive scores with lower satisfaction. As we can see, the general


question about health was related to life- satisfaction, while


the individual illnesses were not. This may be due in part


because they are relatively rare, and because a large part of


the health status is explained by limiting long- standing ill-


ness. For people living with a partner (N = 3,535), we also in-


vestigated the effect of the partner’s self- rated health, which


showed a strong negative relationship with life- satisfaction


(β [s.e.] = −0.06 [0.02]) without altering the effects of other


factors in the model.


Our next set of factors concerns people’s functional ca-


pacity. As we age, our senses deteriorate, and we may have


greater difficulty hearing and seeing. Our sleep may get


worse, and our mobility reduced, and we may develop diffi-


culties in carrying out normal activities of daily living such


as being able to bathe or shower, or controlling urination.


These factors could impair our satisfaction with life. As seen


in Figure 9.2 (third panel), they have a sizable impact on


life- satisfaction, with independent associations between


low life- satisfaction and poorer eyesight, poorer sleep qual-


ity, urinary incontinence, and more impairment in mobility.


Finally, mental well- being is assessed in terms of depres-


sive symptoms and diagnosed depressive illness, together


with people’s broader sense of control over their lives, and

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