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Identifying county characteristics associated with resident well-being: A population based study.

Brita Roy1, Carley Riley2,3, Jeph Herrin4

  • 1Department of Internal Medicine, Section of General Internal Medicine, Yale School of Medicine, New Haven, Connecticut, United States of America.

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Summary

County-level factors significantly impact individual well-being. Twelve key attributes in social, economic, clinical care, and physical environments explain most well-being variations, highlighting community-level influences on health.

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Area of Science:

  • Public Health
  • Social Epidemiology
  • Health Outcomes Research

Background:

  • Well-being is a holistic health measure linked to longevity and improved health outcomes.
  • Identifying community-level factors associated with well-being is crucial for public health initiatives.

Purpose of the Study:

  • To identify county-level attributes independently associated with a comprehensive, multi-dimensional assessment of individual well-being.
  • To understand the community-level determinants of resident well-being.

Main Methods:

  • Cross-sectional study analyzing 77 pre-specified county attributes.
  • Utilized the Gallup-Sharecare Well-Being Index for individual well-being assessment.
  • Included 338,846 participants randomly sampled from 3,118 US counties.

Main Results:

  • Twelve county-level factors were independently associated with individual well-being scores.
  • These factors explained 91% of the variance in individual well-being.
  • Key factors included demographics, social/economic status, clinical care access, and physical environment.

Conclusions:

  • County-level social and economic, clinical care, and physical environmental factors significantly influence resident well-being.
  • These twelve factors collectively account for the majority of variation in well-being, underscoring the importance of place-based interventions.