Sense of Purpose in Life and Subsequent Physical, Behavioral, and Psychosocial Health: An Outcome-Wide Approach
Growing evidence indicates that a higher sense of in life ( ) is associated with reduced risk of chronic diseases and mortality. However, epidemiological studies have not evaluated if change in is associated with subsequent health and well-being outcomes. We evaluated if positive change in (between...
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| Veröffentlicht in: | American journal of health promotion Jg. 36; H. 1; S. 137 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
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United States
01.01.2022
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| ISSN: | 2168-6602, 2168-6602 |
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| Abstract | Growing evidence indicates that a higher sense of
in life (
) is associated with reduced risk of chronic diseases and mortality. However, epidemiological studies have not evaluated if change in
is associated with subsequent health and well-being outcomes.
We evaluated if positive change in
(between t
; 2006/2008 and t
;2010/2012) was associated with better outcomes on 35 indicators of physical health, health behaviors, and psychosocial well-being (at t
;2014/2016).
We used data from 12,998 participants in the Health and Retirement study-a prospective and nationally representative cohort of U.S. adults aged >50.
We conducted multiple linear-, logistic-, and generalized linear regressions.
Over the 4-year follow-up period, people with the highest (versus lowest) purpose had better subsequent physical health outcomes (e.g., 46% reduced risk of mortality (95% CI [0.44, 0.66])), health behaviors (e.g., 13% reduced risk of sleep problems (95% CI [0.77, 0.99])), and psychosocial outcomes (e.g., higher optimism (β = 0.41, 95% CI [0.35, 0.47]), 43% reduced risk of depression (95% CI [0.46, 0.69]), lower loneliness (β = -0.35, 95% CI [-0.41, -0.29])). Importantly, however, purpose was not associated with other physical health outcomes, health behaviors, and social factors.
With further research, these results suggest that sense of purpose might be a valuable target for innovative policy and intervention work aimed at improving health and well-being. |
|---|---|
| AbstractList | Growing evidence indicates that a higher sense of purpose in life (purpose) is associated with reduced risk of chronic diseases and mortality. However, epidemiological studies have not evaluated if change in purpose is associated with subsequent health and well-being outcomes.PURPOSEGrowing evidence indicates that a higher sense of purpose in life (purpose) is associated with reduced risk of chronic diseases and mortality. However, epidemiological studies have not evaluated if change in purpose is associated with subsequent health and well-being outcomes.We evaluated if positive change in purpose (between t0; 2006/2008 and t1;2010/2012) was associated with better outcomes on 35 indicators of physical health, health behaviors, and psychosocial well-being (at t2;2014/2016).DESIGNWe evaluated if positive change in purpose (between t0; 2006/2008 and t1;2010/2012) was associated with better outcomes on 35 indicators of physical health, health behaviors, and psychosocial well-being (at t2;2014/2016).We used data from 12,998 participants in the Health and Retirement study-a prospective and nationally representative cohort of U.S. adults aged >50.SAMPLEWe used data from 12,998 participants in the Health and Retirement study-a prospective and nationally representative cohort of U.S. adults aged >50.We conducted multiple linear-, logistic-, and generalized linear regressions.ANALYSISWe conducted multiple linear-, logistic-, and generalized linear regressions.Over the 4-year follow-up period, people with the highest (versus lowest) purpose had better subsequent physical health outcomes (e.g., 46% reduced risk of mortality (95% CI [0.44, 0.66])), health behaviors (e.g., 13% reduced risk of sleep problems (95% CI [0.77, 0.99])), and psychosocial outcomes (e.g., higher optimism (β = 0.41, 95% CI [0.35, 0.47]), 43% reduced risk of depression (95% CI [0.46, 0.69]), lower loneliness (β = -0.35, 95% CI [-0.41, -0.29])). Importantly, however, purpose was not associated with other physical health outcomes, health behaviors, and social factors.RESULTSOver the 4-year follow-up period, people with the highest (versus lowest) purpose had better subsequent physical health outcomes (e.g., 46% reduced risk of mortality (95% CI [0.44, 0.66])), health behaviors (e.g., 13% reduced risk of sleep problems (95% CI [0.77, 0.99])), and psychosocial outcomes (e.g., higher optimism (β = 0.41, 95% CI [0.35, 0.47]), 43% reduced risk of depression (95% CI [0.46, 0.69]), lower loneliness (β = -0.35, 95% CI [-0.41, -0.29])). Importantly, however, purpose was not associated with other physical health outcomes, health behaviors, and social factors.With further research, these results suggest that sense of purpose might be a valuable target for innovative policy and intervention work aimed at improving health and well-being.CONCLUSIONWith further research, these results suggest that sense of purpose might be a valuable target for innovative policy and intervention work aimed at improving health and well-being. Growing evidence indicates that a higher sense of in life ( ) is associated with reduced risk of chronic diseases and mortality. However, epidemiological studies have not evaluated if change in is associated with subsequent health and well-being outcomes. We evaluated if positive change in (between t ; 2006/2008 and t ;2010/2012) was associated with better outcomes on 35 indicators of physical health, health behaviors, and psychosocial well-being (at t ;2014/2016). We used data from 12,998 participants in the Health and Retirement study-a prospective and nationally representative cohort of U.S. adults aged >50. We conducted multiple linear-, logistic-, and generalized linear regressions. Over the 4-year follow-up period, people with the highest (versus lowest) purpose had better subsequent physical health outcomes (e.g., 46% reduced risk of mortality (95% CI [0.44, 0.66])), health behaviors (e.g., 13% reduced risk of sleep problems (95% CI [0.77, 0.99])), and psychosocial outcomes (e.g., higher optimism (β = 0.41, 95% CI [0.35, 0.47]), 43% reduced risk of depression (95% CI [0.46, 0.69]), lower loneliness (β = -0.35, 95% CI [-0.41, -0.29])). Importantly, however, purpose was not associated with other physical health outcomes, health behaviors, and social factors. With further research, these results suggest that sense of purpose might be a valuable target for innovative policy and intervention work aimed at improving health and well-being. |
| Author | Kim, Eric S Nakamura, Julia S VanderWeele, Tyler J Ryff, Carol D Chen, Ying |
| Author_xml | – sequence: 1 givenname: Eric S orcidid: 0000-0002-1510-8976 surname: Kim fullname: Kim, Eric S organization: Lee Kum Sheung Center for Health and Happiness, Harvard T.H. Chan School of Public Health, Boston, MA, USA – sequence: 2 givenname: Ying surname: Chen fullname: Chen, Ying organization: Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA – sequence: 3 givenname: Julia S orcidid: 0000-0002-6015-4146 surname: Nakamura fullname: Nakamura, Julia S organization: Department of Psychology, University of British Columbia, Vancouver, British Columbia, Canada – sequence: 4 givenname: Carol D surname: Ryff fullname: Ryff, Carol D organization: Institute on Aging, University of Wisconsin, Madison, WI, USA – sequence: 5 givenname: Tyler J orcidid: 0000-0002-6112-0239 surname: VanderWeele fullname: VanderWeele, Tyler J organization: Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA, USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/34405718$$D View this record in MEDLINE/PubMed |
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| Snippet | Growing evidence indicates that a higher sense of
in life (
) is associated with reduced risk of chronic diseases and mortality. However, epidemiological... Growing evidence indicates that a higher sense of purpose in life (purpose) is associated with reduced risk of chronic diseases and mortality. However,... |
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| Title | Sense of Purpose in Life and Subsequent Physical, Behavioral, and Psychosocial Health: An Outcome-Wide Approach |
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