幸福本身是否直接影响死亡? 英国前性百万女性研究
Bette Liu1, Sarah Floud2, Kirstin Pirie2
1Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia.
Lancet (London, England)
|December 20, 2015
概括
中年女性不快乐的原因往往是健康不佳, 而不是死亡率. 这项研究在考虑健康和生活方式因素后, 发现幸福与长寿之间没有直接联系.
科学领域:
- 流行病学
- 公共卫生
- 心理学
背景情况:
- 缺乏健康是不快乐和死亡率上升的重要原因.
- 幸福与降低死亡率之间的联系可能会被不良健康和生活方式因素所混.
- 这项研究调查了幸福对死亡率的直接影响,
研究的目的:
- 确定幸福或主观幸福是否直接降低中年女性的死亡率.
- 控制不良健康和生活方式因素对幸福与死亡关系的影响.
主要方法:
- 针对719671名英国妇女进行的前性队列研究 (百万妇女研究).
- 基线问卷评估了自我评价的健康,幸福,压力,控制和放松.
- 根据健康,生活方式和人口统计学因素调整的考克斯回归分析,以评估死亡风险.
主要成果:
- 不快乐与自我评价的健康状况密切相关.
- 在调整了健康和生活方式因素后,不快乐与全因死亡率无关 (RR 0.98,95% CI 0.94-1.01).
- 不幸与缺血性心脏病或癌症死亡率之间没有显著的关联,
结论:
- 在中年女性中, 糟糕的健康是不快乐的原因之一.
- 在考虑健康和生活方式之后, 幸福感和相关的幸福度似乎没有直接影响死亡率.
- 研究结果表明,解决健康状况不佳对于改善健康状况和降低死亡率至关重要.
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