有足够的健康有多快乐? 揭示全球非传染性疾病预防的幸福门
Iulia Cristina Iuga1, Syeda Rabab Jafri2, Horia Iuga3
1Department of Finance-Accounting, "1 Decembrie 1918" University of Alba Iulia, Alba Iulia, Romania.
Frontiers in medicine
|November 6, 2025
概括
更高的幸福水平显著降低非传染性疾病 (NCD) 死亡率,但只有在达到最低幸福门后才能实现. 公共卫生工作应该集中在增加幸福感和解决其他风险因素,以改善人口健康.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 行为科学 行为科学
背景情况:
- 非传染性疾病 (NCD) 是全球过早死亡的主要原因.
- 主观福祉 (幸福) 与NCD死亡率之间的关系尚未完全理解.
- 之前的研究并没有明确确定人口健康益处的特定幸福门.
研究的目的:
- 研究幸福与非传染性疾病过早死亡率之间的非线性关系.
- 确定幸福的最佳水平,以最大限度地提高人口健康.
- 在不同的全球背景下分析幸福对NCD死亡率的影响.
主要方法:
- 从2006年到2021年,对123个国家的平衡小组进行分析.
- 应用一个面板平滑过渡回归 (PSTR) 模型来评估国家生命梯次得分对非传染性疾病死亡率的影响.
- 控制包括酒精消费,肥胖,城市化,空气污染,卫生支出,人均GDP和治理质量的因素.
主要成果:
- 在生命梯度上确定了2.7的显著门,低于此,幸福对NCD死亡率没有影响.
- 在值以上,幸福感增加1%与NCD死亡率下降0.43%有关.
- 肥胖和酒精消费一直与非传染性疾病死亡率的增加有关,而城市化在更高的幸福水平上变得具有保护性.
结论:
- 主观福祉作为人口健康资产,仅在最低幸福门 (~2.7生命阶梯) 以上.
- 提高幸福度超过这一门,以及管理肥胖和酒精等风险因素,可以促进健康的积极循环.
- 公共卫生战略应该旨在增加幸福感并减轻其他非传染性疾病风险因素,以延长更健康的寿命.
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