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Use of Well-Being in Identification of Members With Future Health Risk Factors and Future Diagnosed Chronic Disease
Brent Hamar1, Ashlin Jones, Michael Rickles
1Research and Advanced Data Science, Sharecare, Inc, (Dr Hamar, Ms Jones, Dr Rickles); Concert Genetics, Inc. (Dr Coberley); Tivity Health (Dr Rula), Franklin, Tennessee.
Objective:
To evaluate if well-being is associated with the development of future health risks or incidence of new chronic disease.
Methods:
A retrospective cohort study was employed using longitudinal well-being assessment survey data from participants of a Fortune 500 US company wellness program, claims based International Classification of Diseases, Ninth Revision diagnoses, and Cox proportional hazards models to assess associations between well-being and well-being change with future health risk and chronic disease incidence.
Results:
Individuals who maintained high well-being and those who increased their level of well-being displayed a significantly decreased hazard of accruing new health risk and new chronic disease incidence; those whose well-being worsened over time showed significant increases in health risk and hazard of new chronic disease incidence.
Conclusions:
Well-being levels and change over time are significantly associated with future development of health risk and disease incidence.
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